2016, Number 3
<< Back Next >>
salud publica mex 2016; 58 (3)
Financial protection in health: updates for Mexico to 2014
Knaul FM, Arreola-Ornelas H, Méndez-Carniado O
Language: Spanish
References: 35
Page: 341-350
PDF size: 253.41 Kb.
ABSTRACT
Objetive. Document financial protection in health in
Mexico up to 2014.
Materials and methods. We update
the measures of impoverishing and catastrophic health expenditure
to 2014, to analyse shifts since the implementation
of the System for Social Protection in Health and the Seguro
Popular using time series data from the Household Income
and Expenditure Survey.
Results. Between 2004 and 2014
there has been a continued improvement in levels of financial
protection. Excessive expenditure reached its lowest point:
–2.0% in 2012 and 2.1% in 2014. Impoverishing expenditure
dropped to 1.3% in 2004, compared to 0.5% in 2014, and
catastrophic expenditures from 2.7% to 2.1%.
Conclusions.
The time series of data on financial protection show a clear
pattern of improvement between 2000 and 2014 and level
off and low levels in 2012 and 2014. Still, levels continue to
be relatively high for households in the poorest quintile, in
rural areas and with an elderly person.
REFERENCES
World Health Organization. The World Health Report 2000. Health Systems: Improving Performance. Geneva: WHO, 2000.
Knaul FM, González-Pier E, Gómez-Dantés O, García-Junco D, Arreola-Ornelas H, Barraza-Lloréns M, et al. The quest for universal health coverage: achieving social protection for all in Mexico. Lancet 2014;380(9849):1259-1279. http://doi.org/f2m84w
Frenk J, de Ferranti D. Universal health coverage: good health, good economics. Lancet 2014;380(9845):862-864. http://doi.org/f2ft28
McKee M, Balabanova D, Basu S, Ricciardi W, Stuckler D. Universal health coverage: a quest for all countries but under threat in some. Value Health 2013;16(1):S39-S45. http://doi.org/bdtb
Reddy KS, Patel V, Jha P, Paul VK, Kumar AS, Dandona L, Lancet India Group for Universal Healthcare. Towards achievement of universal health care in India by 2020: a call to action. Lancet 2011;377(9767):760-768. http://doi.org/bb3nxc
Atun R, Aydın S, Chakraborty S, Sümer S, Aran M, Gürol I, et al. Universal health coverage in Turkey: enhancement of equity. Lancet 2013;382(9886):65-99. http://doi.org/f2kgff
Saleh SS, Alameddine MS, Natafgi NM, Mataria A, Sabri B, Nasher J, et al. The path towards universal health coverage in the Arab uprising countries Tunisia, Egypt, Libya, and Yemen. Lancet 2014:383(9914):368-381. http:// doi.org/f2ps4v
Hu S, Tang S, Liu Y, Zhao Y, Escobar ML, de Ferranti, D. Reform of how health care is paid for in China: challenges and opportunities. Lancet 2008;372(9652):1846-1853. http://doi.org/brmhk2
Murray CJL, Knaul FM, Xu K, Mugrove P, Kawabata K. Defining and measuring fairness of financial contribution. World Health Organization, Global Programme on Evidence. Working Paper 24. Geneva:WHO, 2000.
Xu K, Lydon P, Ortiz de Iturbide J, Musgrove P, Knaul FM, Kawabata K, et al. Analysis of the fairness of financial contribution in 21 countries. World Health Organization, Global Programme on Evidence. Discussion Paper 25. Geneva: WHO, 2000.
World Health Organization. Tracking universal health coverage: first global monitoring report. WHO/World Bank Group report [documento en internet]. Geneva, Suiza: WHO, 2015 [consultado: 20 de julio de 2015]. Disponible en: http://apps.who.int/iris/ bitstream/10665/174536/1/9789241564977_eng.pdf?ua=1
Evans DB, Marten R, Etienne C. Universal health coverage is a development issue. Lancet 2014;380(9845):864-865. http://doi.org/f2ft29
Organización de las Naciones Unidas. El camino hacia la dignidad para 2030: acabar con la pobreza y transformar vidas protegiendo el planeta. Informe de síntesis del Secretario General sobre la agenda de desarrollo sostenible después de 2015 [documento en internet]. Nueva York: ONU, diciembre de 2014 [consultado: 20 de julio de 2015]. Disponible en: http://www.un.org/es/comun/docs/index.asp?symbol=A/69/700&ref erer=http://www.un.org/en/documents/&Lang=E
Secretaría de Salud. Sistema de Protección en Salud: hacia un sistema universal de salud. Firma del Decreto por el que se reforma y adiciona la Ley General de Salud. Diario Oficial de la Federación, 15 de mayo de 2003. México: SSa, 2003.
Frenk J, González-Pier E, Gómez-Dantés O, Lezana MA, Knaul FM. Comprehensive reform to improve health system performance in Mexico. Lancet 2006;368(9546):1524-1534. http://doi.org/cd2fx7
Knaul F, Frenk J. Health Insurance In Mexico: Achieving Universal Coverage Through Structural Reform. Health Aff (Millwood) 2005;24(6):1467-1476. http://doi.org/bvskkv
Frenk J, Gómez-Dantés O, Knaul FM. The democratization of health in Mexico: financial innovations for universal coverage. Bull World Health Organ 2009;87(7):542-548. http://doi.org/b5d4p6
Juan M, Moguel Ancheita A, Valdés Olmedo C, González Pier E, Martínez González G, Barraza Llorens M, et al. Universalidad de los servicios de salud en México. Salud Publica Mex 2013;55(SPE):1-64.
Knaul FM, Arreola-Ornelas H, Méndez-Carniado O, Bryson-Cahn C, Barofsky J, Maguire R, et al. Evidence is good for your health system: policy reform to remedy catastrophic and impoverishing health spending in Mexico. Lancet 2006; 368(9549):1828-41. http://doi.org/cv8c5t
Pérez-Rico R, Sesma-Vázquez S, Puentes-Rosas E. Gasto Catastrófico por Motivos de Salud en México: Estudio comparativo por grado de marginación. Salud Publica Mex 2005;47(suppl 1):S47-S53.
Knaul F, Arreola H, Borja C, Méndez O, Torres AC. El Sistema de Protección Social en Salud de México: efectos potenciales sobre la justicia financiera y los gastos catastróficos de los hogares. En: Knaul F, Nigenda G, eds. Caleidoscopio de la salud. México, DF: Fundación Mexicana para la Salud, 2003.
Knaul FM, Arreola-Ornelas H, Méndez-Carniado O, Martínez A. Justicia financiera y gastos catastróficos en salud: impacto del Seguro Popular de Salud en México. Salud Publica Mex 2005;47(suppl 1):S54-S65.
Knaul FM, Arreola-Ornelas H, Méndez O. Protección financiera en salud: México, 1992 a 2004. Salud Publica Mex. 2005; 47(6): 430-439. http:// doi.org/dpnb9d
Knaul FM, Wong R, Arreola-Ornelas H, Méndez O, Bitran R, Campino AC, et al. Household catastrophic health expenditures: a comparative analysis of twelve Latin American and Caribbean Countries. Salud Publica Mex 2011;53:S85-S95.
Knaul FM, Wong R, Arreola-Ornelas H (eds). Financing Health in Latin America: Household Spending and Impoverishment (vol 1). Harvard Global Equity Initiative, Mexican Health Foundation. Cambridge, MA: International Development Research Centre, 2013.
Prada SI, Duarte JL, Guerrero R. Out-of-pocket health expenditure for poor and non-poor older adults in Colombia: composition and trends. Int J Constum Stud 2015;39:362-368. http://doi.org/bdtc
Knaul FM, Arreola-Ornelas H, Méndez O. Preventing impoverishment, promoting equity and protecting households from financial crisis: universal health insurance through institutional reform. In: Pinto-Masis D, Smith PC (eds.). Health Care System in Developing and Transition Countries: The Role of Research Evidence. London UK: Edward Elgar, 2009:89-136.
Knaul FM, Arreola-Ornelas H, Méndez-Carniado O, Torres AC. Impoverishing and catastrophic household health spending among families with older adults in Mexico: A health reform priority. En: Angel JL, Whitfield KE (Eds.). The health of aging hispanics: the Mexican-Origin population. New York: Springer Publishing, 2007:237-262. http://doi.org/bnd6m7
Knaul FM, Arreola-Ornelas H, Wong R, Méndez O, Aguilar AM, Pleic M. Catastrophic and impoverishing health expenditure in Mexico. Remittances as a financial protection mechanism. A propensity-score matching analysis. En: Knaul, FM, Wong R, Arreola-Ornelas H (Eds.). Financing Health in Latin America: Household Spending and Impoverishment (vol 1). Harvard Global Equity Initiative, Mexican Health Foundation. Cambridge, MA: International Development Research Centre, 2013.
Wagstaff A, Van Doorslaer E. Catastrophe and Impoverishment in Paying for Health Care: with applications to Vietnam 1993-98. Health Econ. 2003; 12(11): 921-34. http://doi.org/b74mv7
World Health Organization. The World Health Report 2010. Health systems financing: the path to universal coverage. Geneva: WHO, 2010.
Murray CJL, Xu K, Klavus J, Kawabata K, Hanvoravongchai P, Zeramdini R, et al. Assesing the distribution of household financial contributions to the health system: Concepts and empirical Application. En: Murray CJL, Evans DB (Eds.) Health systems performance assessment. Debates, methods and empiricism. Geneva: WHO, 2003:513-531.
Secretaría de Salud. Salud: México 2004. Información para la rendición de cuentas. México: SSa, 2005:80-81.
Instituto Nacional de Estadística Geografía e Informática. Encuesta Nacional de Ingresos y Gastos de los Hogares, 1992, 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008, 2010 y 2014 [sitio en internet]. Aguascalientes: Inegi. Disponible en: http://www.inegi.org.mx/est/contenidos/Proyectos/ encuestas/hogares/regulares/enigh/
Consejo Nacional de Evaluación de la Política de Desarrollo Social. Resultados de pobreza en México 2014 a nivel nacional y por entidades federativas. México DF: Coneval, 2015.