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Salud pública Méx ; 55(supl.2): S91-S99, 2013. ilus, tab
Article in Spanish | LILACS | ID: lil-704822

ABSTRACT

Objetivo. Estimar el efecto del Seguro Popular (SP) sobre la probabilidad de los hogares de incurrir en gasto en salud (GS), de presentar gastos excesivos en salud (GES) y sobre el monto gastado. Material y métodos. Análisis transversal utilizando datos de la ENSANUT 2012. El efecto del SP se estimó con métodos de pareamiento por puntaje de propensión (n=12 250). Se estimaron el efecto promedio en los hogares con SP (tratados) y diferencias en la mediana de gasto. Resultados. El SP reduce 3.6% la probabilidad del GS y en 7.1% en hogares con enfermos diabéticos o hipertensos. Para el GES la reducción fue de 36% en el ámbito nacional, y para hogares con enfermos y hospitalizados, de 46.5 y 41.7%, respectivamente. Conclusiones. El SP tiene un efecto positivo, al proteger a los hogares del GS y GES, principalmente en hogares con necesidades de salud. Sin embargo, aún existen retos para el SP que incluyen la mejora del acceso de la población de menores recursos a los servicios.


Objective. To estimate the effect of Seguro Popular Program (SP) on the probability of health spending (HE), the excessive expenditure on health (EEH) and the amount of health spending. Materials and methods. Cross-sectional analysis was carried out using data from the ENSANUT 2012. Propensity score matching was used to estimate the effect of SP (n=12.250). We estimated the average effect on SP homes (treated) and differences in median spending. Results. SP reduces the likelihood of HE in 3.6 and 7.1% in households with patients diagnosed with DM and/or hypertension, respectively. The reduction in EEH was 36% at national level. This reduction was 46.5 and 41.7% among households with hospitalized patients and those reporting a sick member. Conclusions. SP has a positive effect, protecting households from having either HE or EEH among those with greater health needs. However, there are still some challenges for the SP, which include improving access to services for low-income population.


Subject(s)
Humans , Health Expenditures/statistics & numerical data , Insurance, Health/economics , Cross-Sectional Studies , Family Characteristics , Mexico , Time Factors
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