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dc.creatorAlvis-Zakzuk, Jossie
dc.creatorMarrugo-Arnedo, Carlos
dc.creatorAlvis-Zakzuk, Nelson J.
dc.creatorGómez de la Rosa, Fernando
dc.creatorFlorez-Tanus, Álvaro
dc.creatorMoreno-Ruiz, Deicy
dc.creatorAlvis-Guzmán, Nelson
dc.date.accessioned2019-05-24T14:30:44Z
dc.date.available2019-05-24T14:30:44Z
dc.date.issued2018-04-20
dc.identifier.issn2539-3596
dc.identifier.issn0124-0064
dc.identifier.urihttp://hdl.handle.net/11323/4697
dc.description.abstractObjetivo Estimar el gasto de bolsillo y la probabilidad de gasto catastrófico de los hogares y sus determinantes socioeconómicos en Cartagena, Colombia. Materiales y Métodos Estudio transversal en una muestra poblacional estratificada aleatoria de hogares de Cartagena. Se estimaron dos modelos de regresión cuyas variables dependientes fueron gasto de bolsillo y probabilidad de gasto catastrófico en salud de los hogares. Resultados El gasto de bolsillo promedio anual en hogares pobres fue 1 566 036 COP (US$783) (IC95% 1 117 597–2 014 475); en hogares de estrato medio 2 492 928 COP (US$1246) (IC95% 1 695 845-3 290 011) y en hogares ricos 4 577 172 COP (US$2 288) (IC95% 1 838 222-7 316 122). Como proporción del ingreso, el gasto de bolsillo en salud fue de 14,6% en los hogares pobres, de 8,2% en los hogares de estrato medio y de 7,0% en los hogares ricos. La probabilidad de gasto catastrófico en salud de los hogares pobres fue 30,6% (IC95% 25,6-35,5%), de los de estrato medio del 10,2% (IC95% 4,5-15,9%) y de los hogares de estrato alto del 8,6% (IC95% 1,8- 23,0%). El estrato socioeconómico, la educación y la ocupación fueron los principales determinantes del gasto de bolsillo en salud y de la probabilidad de incurrir en gasto catastrófico en salud. Conclusiones En el sistema de salud persisten desigualdades en la protección financiera de los hogares contra el gasto de bolsillo y la probabilidad de gasto catastrófico. El presente estudio genera evidencia para revisar la política de protección social de los hogares socioeconómicamente más vulnerables.spa
dc.description.abstractObjective To estimate the out-of-pocket expense and the probability of catastrophic expenditure of households and their socioeconomic determinants in Cartagena, Colombia. Materials and Methods Cross-sectional study in a random stratified population sample of households in Cartagena. Two regression models were estimated whose dependent variables were out-of-pocket expenses and the probability of catastrophic expenditure on household health. Results The annual average pocket expense in poor households was 1 566 036 COP (US $ 783) (IC95% 1 117 597-2 014 475); in middle-income households 2 492 928 COP (US $ 1246) (IC95% 1 695 845-3 290 011) and in wealthy households 4 577 172 COP (US $ 2 288) (IC95% 1 838 222-7 316 122). As a proportion of income, out-of-pocket health expenditure was 14.6% in poor households, 8.2% in middle-income households and 7.0% in wealthy households. The probability of catastrophic health expenditure in poor households was 30.6% (95% CI 25.6-35.5%), of middle-income 10.2% (95% CI 4.5-15.9%) ) and of households with a high level of 8.6% (IC95% 1.8-23.0%). The socio-economic stratum, education and occupation were the main determinants of out-of-pocket spending on health and the probability of incurring catastrophic health expenditure. Conclusions In the health system inequalities persist in the financial protection of households against out-of-pocket expenses and the probability of catastrophic expenditure. The present study generates evidence to review the social protection policy of the most socioeconomically vulnerable households.spa
dc.language.isospaspa
dc.publisherRevista de Salud Públicaspa
dc.relation.ispartofhttps://doi.org/10.15446/rsap.v20n5.61403spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/*
dc.subjectGastos en saludspa
dc.subjectEquidad en saludspa
dc.subjectHealth expendituresspa
dc.subjectHealth equityspa
dc.titleGasto de bolsillo y gasto catastrófico en salud en los hogares de Cartagena, Colombiaspa
dc.title.alternativePocket expense and catastrophic expenditure in Health in the homes of Cartagena, Colombiaspa
dc.typeArticlespa
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