["“大众保险”对2005 - 2008年墨西哥城乡灾难性和自付医疗支出的影响"]
[Impact of "Seguro Popular" on catastrophic and out-of-pocket health expenditures in rural and urban Mexico, 2005-2008].
作者信息
Sosa-Rubí Sandra G, Salinas-Rodríguez Aarón, Galárraga Omar
机构信息
Departamento de Servicios de Salud, Políticas y Práctica, Brown University, Providence, Rhode Island, USA.
出版信息
Salud Publica Mex. 2011;53 Suppl 4(Suppl 4):425-35.
Abstract
OBJECTIVE
To estimate the effect of "Seguro Popular" (SP) on the incidence of catastrophic health expenditure (CHE) and out-of-pocket (OOP) health expenditure in the medium term.
MATERIAL AND METHODS
We used the 'Encuesta de Evaluación del SP' --SP Survey Evaluation-- (2005-2008). We analyzed the SP effect on the rural cohort during two years of follow-up (2006 and 2008) and in the urban cohort during one year of follow-up (2008).
RESULTS
At the local level (regional clusters) we did not find an effect of the SP. At the household level we found a protective effect of SP on CHE and the OOP health payments in outpatient and hospitalization in rural areas; and a significant effect on the reduction of OOP health payments in outpatient services in urban zones.
CONCLUSIONS
SP seems to be an effective program to protect poor household against out-of-pocket health expenditures in the medium term.
摘要
目的
评估“大众保险”（SP）在中期对灾难性卫生支出（CHE）发生率和自付医疗费用的影响。
材料与方法
我们使用了“大众保险评估调查”（2005 - 2008年）。我们分析了大众保险在两年随访期（2006年和2008年）对农村队列以及在一年随访期（2008年）对城市队列的影响。
结果
在地方层面（区域集群），我们未发现大众保险的影响。在家庭层面，我们发现大众保险对农村地区门诊和住院的灾难性卫生支出及自付医疗费用具有保护作用；对城市地区门诊服务自付医疗费用的减少有显著影响。
结论
大众保险似乎是一项在中期保护贫困家庭免受自付医疗费用影响的有效计划。
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