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Una mirada a los gastos de bolsillo en salud para Colombia

In: La salud en Colombia: una perspectiva regional


  • Gerson Javier Pérez-Valbuena
  • Alejandro Silva-Ureña


Este documento tiene como propósito realizar un diagnóstico de los gastos de bolsillo en salud, establecer cómo afectan los patrones de gasto de los hogares e identificar los factores asociados a la carga de los gastos de salud que estos deben enfrentar. Los resultados muestran que la mayor carga de los gastos del sector es asumida por el sector público, lo que le ha permitido a los hogares mantener una baja carga de gastos cuando se compara con los países vecinos. En el ámbito regional se observó que la región Caribe es la que mayores gastos de bolsillo enfrenta. Por otro lado, se encontró que la edad del jefe de hogar, su género, su condición de afiliación a los seguros de salud y la composición etaria de los hogares son algunos de los factores que mayor relación presentan con la incidencia de los gastos de bolsillo. ****** The main goals of this paper are: first, to make a national and regional analysis of the out-of-pocket expenditures; second, to find out the effects of them on the households’ spending patterns; and third, to identify the factors related to the incidence of the out-of-pocket expenditures. The results show that most of the general expenditure in health is assumed by the public sector, which in turn has allowed households to have a low expenditure in health’s incidence when compared with neighbor countries. At regional level, the Caribbean is the part of the country where the population faces the highest out-of-pocket expenditures in health. On the other hand, it was found that head of household’s age, her gender, her affiliation status to the health insurance, and the age composition of households are the ones showing the closest relationship with households’ incidence of out-of-pocket expenditures in health.

Suggested Citation

  • Gerson Javier Pérez-Valbuena & Alejandro Silva-Ureña, 2017. "Una mirada a los gastos de bolsillo en salud para Colombia," Chapters, in: Jaime Bonet & Karelys Guzmán-Finol & Lucas Wilfried Hahn-De-Castro (ed.), La salud en Colombia: una perspectiva regional, chapter 11, pages 365-404, Banco de la Republica de Colombia.
  • Handle: RePEc:bdr:bdrcap:2017a-12-365-404
    DOI: 10.32468/Ebook.664-357-3

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    References listed on IDEAS

    1. Perticará, Marcela, 2008. "Incidencia de los gastos de bolsillo en salud en siete países latinoamericanos," Políticas Sociales 6146, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    2. Jhorland Ayala-García, 2017. "La salud en Colombia: más cobertura pero menos acceso," Chapters, in: Jaime Bonet & Karelys Guzmán-Finol & Lucas Wilfried Hahn-De-Castro (ed.), La salud en Colombia: una perspectiva regional, chapter 8, pages 249-279, Banco de la Republica de Colombia.
    3. Heckman, James, 2013. "Sample selection bias as a specification error," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 31(3), pages 129-137.
    4. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    5. Manuel Ramírez & Darwin Cortés & Juan Miguel Gallego, 2002. "El gasto en salud de los hogares colombianos : Un analisis descriptivo," Lecturas de Economía, Universidad de Antioquia, Departamento de Economía, issue 57, pages 87-125, Julio - D.
    6. Joan Costa-Font & Panos Kanavos & Joan Rovira, 2007. "Determinants of out-of-pocket pharmaceutical expenditure and access to drugs in Catalonia," Applied Economics, Taylor & Francis Journals, vol. 39(5), pages 541-551.
    7. Xuedan You & Yasuki Kobayashi, 2011. "Determinants of out-of-pocket health expenditure in China," Applied Health Economics and Health Policy, Springer, vol. 9(1), pages 39-49, January.
    8. Yuri Carolina Reina A., 2014. "Acceso a los servicios de salud en las principales ciudades colombianas (2008-2012)," Documentos de Trabajo Sobre Economía Regional y Urbana 11547, Banco de la República, Economía Regional.
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    More about this item


    Gastos de bolsillo en salud; Economía del consumidor; Bienestar; Out-of-pocket expenditures; Consumer economics; Well-being;
    All these keywords.

    JEL classification:

    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I30 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General


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