4.1 Article

Family healthcare expenditure on children affiliated to the Medical Insurance for a New Generation

Journal

SALUD PUBLICA DE MEXICO
Volume 54, Issue -, Pages S65-S72

Publisher

INST NACIONAL SALUD PUBLICA
DOI: 10.1590/S0036-36342012000700009

Keywords

healthcare financing; out-of-pocket expenditure; catastrophic expenditure; Mexico

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Objective. To analyze household health expenditures on children who are beneficiaries of the Medical Insurance for a New Generation (SMNG), program created in 2007 to cover healthcare costs of children without social security born after December 1st, 2006. Materials and Methods. Using the SMNG National Survey, out-the-pocket and catastrophic spending on child health were calculated using several definitions. Results are presented by socioeconomic level, rural and urban areas and for Oportunidades beneficiaries. Results. About 63.3% of households spent an average annual amount of 3 320 Mexican pesos (MEX$) on healthcare for beneficiary children. Between 4.3 and 11.6% of households experienced catastrophic spending, depending on the definition adopted. Due to economic trouble, 15.5% of households postponed and 10.0% cancelled medical care for their child. Conclusions. Even though children are affiliated to the SMNG, the economic burden associated with attending their health is still an issue for families.

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