Población y Salud en Mesoamérica ISSN electrónico: 1659-0201

OAI: https://revistas.ucr.ac.cr/index.php/psm/oai
Capability approach and determinants of out-of-pocket spending on health in households in Argentina
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Keywords

Out of pocket expenditures
Health expenditure per capita
households in Argentina
gastos de bolsillo
gasto per cápita en salud
hogares de Argentina

How to Cite

Basso, M. A., & Gulli, I. del V. (2024). Capability approach and determinants of out-of-pocket spending on health in households in Argentina. Población Y Salud En Mesoamérica, 21(2). https://doi.org/10.15517/psm.v21i2.54384

Abstract

This paper analyzes the out-of-pocket spending of households in Argentina within the framework of the capabilities approach. For this, we worked with the National Household Expenditure Survey, in the period 2017-2018 using a Tobit model as a statistical methodology. It was found that out-of-pocket spending on health as a proportion of household spending increases by 0.0104 with an increase of one percentage point in income. Out-of-pocket spending on health is also affected by the number of members over 65 years of age and under 14 years of age, as well as the educational climate and whether or not the head of household has medical coverage. Finally, there were differences between the different geographical regions of the country.

https://doi.org/10.15517/psm.v21i2.54384
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References

Abeldaño, R. A. (2017). Análisis del gasto de los hogares en salud en Argentina, como componente de la cobertura universal de salud. Ciência & Saúde Coletiva, 22(5), 1631-1640. https://doi.org/10.1590/141381232017225.21102015

Alvis-Zakzuk, J., Marrugo-Arnedo, C., Alvis-Zakzuk, N. J., Gómez de la Rosa, F., Florez-Tanus, Á., Moreno-Ruiz, D., y Alvis-Guzmán, N. (2018). Gasto de bolsillo y gasto catastrófico en salud en los hogares de Cartagena, Colombia. Revista de Salud Pública, 20(5), 591-598. https://doi.org/10.15446/rsap.v20n5.61403

Amaya-Lara, J. L. (2016). Catastrophic expenditure due to out-of-pocket health payments and its determinants in Colombian households. International Journal for Equity in Health, 15(1), 182. https://doi.org/10.1186/s12939-016-0472-z

Amemiya, T. (1984). Tobit models: A survey. Journal of Econometrics, 24(1-2), 3-61. https://doi.org/10.1016/0304-4076(84)90074-5

Arabmazar, A., y Schmidt, P. (1982). An investigation of the robustness of the Tobit estimator to non-normality. Econometrica, 50(4), 1055-1063. https://doi.org/10.2307/1912776

Cid, C., Flores, G., Del Riego, A., y Fiztgerald, J. (2021). Objetivos de Desarrollo Sostenible: Impacto de la falta de protección financiera en salud en países de América Latina y el Caribe. Revista Panamericana de Salud Pública, 45, e95. https://doi.org/10.26633/RPSP.2021.95

Cid Pedraza, C., y Prieto Toledo, L. (2012). El gasto de bolsillo en salud: el caso de Chile, 1997 y 2007. Revista Panamericana de Salud Pública, 31(4), 310–316.

Galárraga, O., Sosa-Rubí, S., Salinas-Rodríguez, A., y Sesma-Vázquez, S. (2010). Health insurance for the poor: Impact on catastrophic and out-of-pocket health expenditures in Mexico. The European Journal of Health Economics, 11(5), 437-447. https://doi.org/10.1007%2Fs10198-009-0180-3

Giménez, E., Caballero, R., Peralta, N., y Araujo, J. M. (2019). Análisis del gasto de bolsillo ante la enfermedad de personas de 60 y más años según su condición de pobreza en Paraguay. Revista de Salud Pública del Paraguay, 9(2), 46-52. https://doi.org/10.18004/rspp.2019.diciembre.46-52

Giménez, E., Rodríguez, J. C., Ocampos, G., y Barrios, R. (2018). Gasto catastrófico y cobertura universal de salud: Análisis en el Sistema Nacional de Salud del Paraguay. Anales de la Facultad de Ciencias Médicas (Asunción), 51(3), 41-52. https://doi.org/10.18004/anales/2018.051(03)41-052

Greene, W. H. (1999). Análisis econométrico. Prentice Hall Iberia.

Maceira, D., y Reynoso, A. (2012). Catastrophic and impoverishing health expenditure in Argentina, 1997-2005. En F. M. Knaul, R. Wong y H. Arreola-Ornelas (Eds.), Financing health in Latin America (pp. 81-108). Harvard Global Equity Initiative; Mexican Health Foundation; International Development Research Centre.

Kuklys, W. (2005). Amartya Sen’s Capability Approach. Theoretical Insights and Empirical Applications. Springer.

López Barreda, R., Robertson-Preidler, J., y García, P. B. (2019). Health assessment and the capability approach. Global Bioethics, 30(1), 19-27. https://doi.org/10.1080/11287462.2019.1673028

Maddala, G. S. (1983). Limited-dependent and qualitative variables in econometrics. Cambridge University Press.

McDonald, J. F., y Moffitt, R. A. (1980). The uses of Tobit analysis. The Review of Economies and Statistics, 62(2), 318-321. https://doi.org/10.2307/1924766

Mitchell, P. M., Roberts, T. E., Barton, P. M., y Coast, J. (2017). Applications of the Capability Approach in the Health Field: A Literature Review. Social Indicators Research, 133(1), 345-371. https://doi.org/10.1007/s11205-016-1356-8

R Core Team. (2022). R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing. https://www.R-project.org/

Robeyns, I. (2005). The Capability Approach: a theoretical survey. Journal of Human Development, 6(1), 93-117. https://doi.org/10.1080/146498805200034266

Robeyns, I. (2006). The capability approach in practice. Journal of Political Philosophy, 14(3), 351–376. https://doi.org/10.1111/j.1467-9760.2006.00263.x

Sáenz-Vela, H. M., y Guzmán-Giraldoa, A. M. (2021). Determinantes del gasto de los hogares en salud en México. Problemas del Desarrollo. Revista Latinoamericana de Economía, 52(205), 3-25. https://doi.org/10.22201/iiec.20078951e.2021.205.69644

Sen, A. (1988). Freedom of choice: Concept and content. European Economic Review, 32(2), 269-294. https://doi.org/10.1016/0014-2921(88)90173-0

Sen, A. (1999). Development as freedom. Alfred A. Knopf.

Stanton, E. A. (2007). The human development index: A history (Working Paper 127). Political Economy Research Institute, University of Massachusetts Amherst. https://doi.org/10.7275/1282621

Organización Mundial de la Salud. (2020). Documentos básicos: cuadragésima novena edición. https://apps.who.int/gb/bd/pdf_files/BD_49th-sp.pdf

Oficina Nacional de Estadística. (2020). Análisis del gasto de bolsillo en salud de los hogares en República Dominicana: A partir de datos de la ENGIH-2018. República Dominicana. https://www.one.gob.do/media/pjnafpmk/analisis-del-gasto-de-bolsillo-en-salud-de-los-hogares-en-rd-enesim-2018-web.pdf

Tengland, P. A. (2020). Health and capabilities: A conceptual clarification. Medicine, Health Care and Philosophy, 23(1), 25-33. https://doi.org/10.1007/s11019-019-09902-w

Tobin, J. (1958). Estimation of relationships for limited dependent variables. Econometrica, 26(1), 24-36. https://doi.org/10.2307/1907382

Valero, J. N., y Treviño, M. L. (2010). El gasto en salud de los hogares en México, y su relación con la disponibilidad de recursos, las remesas y la asignación intrafamiliar. Economía mexicana. Nueva época, 19(2), 311-342. http://eprints.uanl.mx/id/eprint/7511

Wagstaff, A., Flores, G., Smitz, M.-F., Hsu, J., Chepynoga, K., y Eozenou, P. (2018). Progress on impoverishing health spending in 122 countries: A retrospective observational study. The Lancet Global Health, 6(2), e180–e192. https://doi.org/10.1016/S2214-109X(17)30486-2

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Copyright (c) 2023 Martín Alejandro Basso, Isabel del Valle Gulli

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