Protección financiera en salud: evolución y comparación del gasto de bolsillo de los hogares chilenos

Background: People need a financial protection system to face the high costs of health care. Aim: To compare the financial protection between households affiliated to the Chilean public health financing system (FONASA) or to a private health financing system (ISAPRE). To describe the evolution of...

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Autores principales:	Gallegos,Eduardo, Muñoz,Alberto
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Family Characteristics Health Health Expenditures Insurance
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000600737
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spelling	oai:scielo:S0034-988720180006007372018-08-24Protección financiera en salud: evolución y comparación del gasto de bolsillo de los hogares chilenosGallegos,EduardoMuñoz,Alberto Family Characteristics Health Health Expenditures Insurance Background: People need a financial protection system to face the high costs of health care. Aim: To compare the financial protection between households affiliated to the Chilean public health financing system (FONASA) or to a private health financing system (ISAPRE). To describe the evolution of protection at the national level between 2007 and 2012. Material and Methods: As proposed by the World Bank, impact indicators to measure the equity and efficiency of the insurance systems were generated. Namely, average out-of-pocket expenses by insurance and average out-of-pocket spending as a percentage of expenditure. Also, the evolution of out-of-pocket spending by quintiles and Gini Coefficient were measured as measure of equity. To determine these, Family Budget Surveys for 2007 and 2012 were used. Results: Household out-of-pocket spending increased by 14.12%. When expressed as a percentage of total expenditure, it grew from 5.6% to 6.2%. Household Gini coefficient and per capita out-of-pocket spending decreased and the ratio between the highest and lowest quintile out-of-pocket increased at both analysis levels. Pocket expense in absolute values or expressed as a percentage of total expenses was higher among persons insured in private systems than those affiliated to the public financing service. Conclusions: Out-of-pocket spending increased for all income groups and people insured in the public system had a lower absolute and relative spending than those insured in private systems.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.6 20182018-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000600737es10.4067/s0034-98872018000600737
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Family Characteristics Health Health Expenditures Insurance
spellingShingle	Family Characteristics Health Health Expenditures Insurance Gallegos,Eduardo Muñoz,Alberto Protección financiera en salud: evolución y comparación del gasto de bolsillo de los hogares chilenos
description	Background: People need a financial protection system to face the high costs of health care. Aim: To compare the financial protection between households affiliated to the Chilean public health financing system (FONASA) or to a private health financing system (ISAPRE). To describe the evolution of protection at the national level between 2007 and 2012. Material and Methods: As proposed by the World Bank, impact indicators to measure the equity and efficiency of the insurance systems were generated. Namely, average out-of-pocket expenses by insurance and average out-of-pocket spending as a percentage of expenditure. Also, the evolution of out-of-pocket spending by quintiles and Gini Coefficient were measured as measure of equity. To determine these, Family Budget Surveys for 2007 and 2012 were used. Results: Household out-of-pocket spending increased by 14.12%. When expressed as a percentage of total expenditure, it grew from 5.6% to 6.2%. Household Gini coefficient and per capita out-of-pocket spending decreased and the ratio between the highest and lowest quintile out-of-pocket increased at both analysis levels. Pocket expense in absolute values or expressed as a percentage of total expenses was higher among persons insured in private systems than those affiliated to the public financing service. Conclusions: Out-of-pocket spending increased for all income groups and people insured in the public system had a lower absolute and relative spending than those insured in private systems.
author	Gallegos,Eduardo Muñoz,Alberto
author_facet	Gallegos,Eduardo Muñoz,Alberto
author_sort	Gallegos,Eduardo
title	Protección financiera en salud: evolución y comparación del gasto de bolsillo de los hogares chilenos
title_short	Protección financiera en salud: evolución y comparación del gasto de bolsillo de los hogares chilenos
title_full	Protección financiera en salud: evolución y comparación del gasto de bolsillo de los hogares chilenos
title_fullStr	Protección financiera en salud: evolución y comparación del gasto de bolsillo de los hogares chilenos
title_full_unstemmed	Protección financiera en salud: evolución y comparación del gasto de bolsillo de los hogares chilenos
title_sort	protección financiera en salud: evolución y comparación del gasto de bolsillo de los hogares chilenos
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000600737
work_keys_str_mv	AT gallegoseduardo proteccionfinancieraensaludevolucionycomparaciondelgastodebolsillodeloshogareschilenos AT munozalberto proteccionfinancieraensaludevolucionycomparaciondelgastodebolsillodeloshogareschilenos
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Protección financiera en salud: evolución y comparación del gasto de bolsillo de los hogares chilenos

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