Catastrophic expenditure on medicines in brazil

Catastrophic expenditure on medicines in brazil

Title: Catastrophic expenditure on medicines in brazil;
Gasto catastrófico com medicamentos no Brasil
Author Luiza, Vera Lucia Google Scholar
Leao Tavares, Noemia Urruth Google Scholar
Oliveira, Maria Auxiliadora Google Scholar
Dourado Arrais, Paulo Sergio Google Scholar
Ramos, Luiz Roberto Autor UNIFESP Google Scholar
Dal Pizzol, Tatiane da Silva Google Scholar
Mengue, Sotero Serrate Google Scholar
Farias, Mareni Rocha Google Scholar
Bertoldi, Andrea Damaso Google Scholar
Abstract OBJECTIVE: To describe the magnitude of the expenditure on medicines in Brazil according to region, household size and composition in terms of residents in a situation of dependency. METHODS: Population-based data from the national household survey were used, with probabilistic sample, applied between September 2013 and February 2014 in urban households. The expenditure on medicines was the main outcome of interest. The prevalence and confidence intervals (95% CI) of the outcomes were stratified according to socioeconomic classification and calculated according to the region, the number of residents dependent on income, the presence of children under five years and residents in a situation of dependency by age. RESULTS: In about one of every 17 households (5.3%) catastrophic health expenditure was reported and, in 3.2%, the medicines were reported as one of the items responsible for this situation. The presence of three or more residents (3.6%) and resident in a situation of dependency (3.6%) were the ones that most reported expenditure on medicines. Southeast was the region with the lowest prevalence of expenditure on medicines. The prevalence of households with catastrophic health expenditure and on medicines in relation to the total of households showed a regressive tendency for economic classes. CONCLUSIONS: Catastrophic health expenditure was present in 5.3%, and catastrophic expenditure on medicines in 3.2% of the households. Multi-person households, presence of residents in a situation of economic dependency and belonging to the class D or E had the highest proportion of catastrophic expenditure on medicines. Although the problem is important, permeated by aspects of iniquity, Brazilian policies seem to be protecting families from catastrophic expenditure on health and on medicine.
Keywords Health Expenditure
Access
Countries
System
Care
Language English
Sponsor Department for Pharmaceutical Services and Strategic Health Supplies (DAF) of the Secretariat of Science, Technology and Strategic Inputs of the Brazilian Ministry of Health (SCTIE/MS) [25000.111834/2]
Department of Science and Technology (DECIT) of the Secretariat of Science, Technology and Strategic Inputs of the Brazilian Ministry of Health (SCTIE/MS) [25000.111834/2]
Grant number SCTIE/MS: 25000.111834/2
Date 2016
Published in Revista De Saude Publica. Sao paulo, v. 50, n. 2, p. 15s, 2016.
ISSN 0034-8910 (Sherpa/Romeo, impact factor)
Publisher Elsevier Science Bv
Extent 15s
Origin http://dx.doi.org/10.1590/s1518-8787.2016050006172
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000391447400012
SciELO ID S0034-89102016000300302 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/49284

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