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Measuring the catastrophic and impoverishing effect of household health care spending in Serbia

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  • Arsenijevic, Jelena
  • Pavlova, Milena
  • Groot, Wim

Abstract

Out-of-pocket patient payments can impose a catastrophic burden on households. This problem may not only affect poor but also wealthy households who need to use health care frequently. The available literature offers no consensus on how to measure poverty and how to measure the effects of out-of-pocket payments on household budgets. The objective of this paper is to contribute to current research in this area by comparing results across different approaches. In particular, the paper examines the catastrophic and impoverishing effects of health care spending in Serbia applying different types of thresholds used in previous research. The application of various approaches allows us to analyze the robustness and convergent validity of the results. We also include the subjective poverty approach in our examination.

Suggested Citation

  • Arsenijevic, Jelena & Pavlova, Milena & Groot, Wim, 2013. "Measuring the catastrophic and impoverishing effect of household health care spending in Serbia," Social Science & Medicine, Elsevier, vol. 78(C), pages 17-25.
    • Handle: RePEc:eee:socmed:v:78:y:2013:i:c:p:17-25
    DOI: 10.1016/j.socscimed.2012.11.014
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    2. Ahmed Rashad & Mesbah Sharaf, 2015. "Catastrophic and Impoverishing Effects of Out-Of-Pocket Health Expenditure: New Evidence from Egypt," Working Papers 974, Economic Research Forum, revised Nov 2015.
    3. Uğur Ercan, 2021. "The Determinants of Turkey Household Catastrophic Health Expenditures: A Different Approach by Data Mining," Alphanumeric Journal, Bahadir Fatih Yildirim, vol. 9(2), pages 229-246, December.
    4. Nikolaos Grigorakis & Christos Floros & Haritini Tsangari & Evangelos Tsoukatos, 2017. "Combined social and private health insurance versus catastrophic out of pocket payments for private hospital care in Greece," International Journal of Health Economics and Management, Springer, vol. 17(3), pages 261-287, September.
    5. Sanjay K. Mohanty & Anshul Kastor, 2017. "Out-of-pocket expenditure and catastrophic health spending on maternal care in public and private health centres in India: a comparative study of pre and post national health mission period," Health Economics Review, Springer, vol. 7(1), pages 1-15, December.
    6. Sofie Buch Mejsner & Leena Eklund Karlsson, 2017. "Informal Payments and Health System Governance in Serbia: A Pilot Study," SAGE Open, , vol. 7(3), pages 21582440177, August.
    7. Martins, Rita & Quintal, Carlota & Antunes, Micaela, 2019. "Making ends meet: Actual versus potential joint affordability of utility services," Utilities Policy, Elsevier, vol. 56(C), pages 120-126.
    8. Adam Fagan & Indraneel Sircar, 2020. "Transformation All the Way Down? European Union Integration and the Professional Socialization of Municipal Health Officials in Serbia," Journal of Common Market Studies, Wiley Blackwell, vol. 58(3), pages 688-705, May.
    9. Yerramilli, Pooja & Fernández, Óscar & Thomson, Sarah, 2018. "Financial protection in Europe: a systematic review of the literature and mapping of data availability," Health Policy, Elsevier, vol. 122(5), pages 493-508.
    10. Xiangyu Sun & Eduardo Bernabé & Xuenan Liu & Jennifer Elizabeth Gallagher & Shuguo Zheng, 2016. "Determinants of Catastrophic Dental Health Expenditure in China," PLOS ONE, Public Library of Science, vol. 11(12), pages 1-12, December.
    11. A. Akhtar & Nadeem Ahmad & Indrani Roy Chowdhury, 2020. "Socio-economic inequality in catastrophic health expenditure among households in India: A decomposition analysis," Indian Economic Review, Springer, vol. 55(2), pages 339-369, December.
    12. Reham Rizk & Hala Abou-Ali, 2016. "Out of Pocket Health Expenditure and Household Budget: Evidence from Arab Countries," Working Papers 1065, Economic Research Forum, revised 12 Jan 2016.
    13. Diego Proaño Falconi & Eduardo Bernabé, 2018. "Determinants of catastrophic healthcare expenditure in Peru," International Journal of Health Economics and Management, Springer, vol. 18(4), pages 425-436, December.
    14. Ahmed Shoukry Rashad & Mesbah Fathy Sharaf, 2015. "Catastrophic Economic Consequences of Healthcare Payments: Effects on Poverty Estimates in Egypt, Jordan, and Palestine," Economies, MDPI, vol. 3(4), pages 1-19, November.

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