Equity in out-of-pocket health expenditure: Evidence from a health insurance program reform in Mexico.

ABSTRACT:

Background

The fragmentation of health systems in low- and middle-income countries (LMICs) deepens health inequities and shifts the economic burden of health care to families via out-of-pocket spending (OOPHE). This problem has been addressed by introducing public health insurance programs for poor people; however, there is a lack of knowledge about how equitable these programs are. We aimed to analyse the long-term effects of the Seguro Popular (SP) voluntary health insurance program, recently phased out and replaced by the Health Institute for Welfare (Instituto de Salud para el Bienestar (INSABI)), on OOPHE equity in the poor Mexican population.

Methods

We conducted a pooled cross-sectional analysis using eleven waves of the National Household Income and Expenditure Surve

SUBMITTER: Garcia-Diaz R 

PROVIDER: S-EPMC10666565 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature