Association between changes in out-ofpocket expenditures during 2020 with the Covid-19 pandemic in Mexico.
Objective. To disentangle the contribution of the Covid-19 pandemic and the abolition of the Seguro Popular (SP) health protection system to changes in out-of-pocket health expenditures (OPE) in Mexico during 2020. Materials and methods. We used national representative surveys between 2014 and 2020....
| Published in: | Salud Pública de México Vol. 68; no. 3; pp. 197 - 205 |
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| Main Authors: | , , |
| Format: | Article |
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Instituto Nacional de Salud Publica
may/jun2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=195190266&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 195190266 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 00363634 7LC jtl: Salud Pública de México issn: 00363634 maglogo: N pubinfo: dt: may/jun2026 vid: 68 iid: 3 pid: 20870 pub: Instituto Nacional de Salud Publica artinfo: ui: 195190266 10.21149/16957 ppf: 197 ppct: 8 formats: fmt: @attributes: type: P size: 1.1MB tig: atl: Association between changes in out-ofpocket expenditures during 2020 with the Covid-19 pandemic in Mexico. aug: au: Colchero, M. Arantxa Morales-Ríos, Jesús E. Sánchez-Ortiz, Néstor A. affil: Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública. Cuernavaca Morelos, México. su: Consumption (Economics) COVID-19 pandemic Health insurance Social security Mexico sug: subj: Mexico Consumption (Economics) COVID-19 pandemic Health insurance Social security keyword: Covid-19 gasto de bolsillo en salud health insurance México out-of-pocket expenditures servicios de salud gasto de bolsillo en salud México servicios de salud ab: Objective. To disentangle the contribution of the Covid-19 pandemic and the abolition of the Seguro Popular (SP) health protection system to changes in out-of-pocket health expenditures (OPE) in Mexico during 2020. Materials and methods. We used national representative surveys between 2014 and 2020. We described OPE in absolute and relative terms and per disposable income. Changes in OPE were estimated using adjusted two-part models. Results were reported nationally, by health insurance and income quintile. Results. OPE increased for all in 2020 with the largest increases for the high- and very high-income households and those with social security (30.4, 23.4 and 22.2 USD, respectively). Households with no health insurance and those with Seguro Popular/Instituto de Salud para el Bienestar had the lowest increase in OPE. However, for the lowest income households and those with no social security, OPE represented the highest proportion per disposable income as their income decreased during the Covid-19. Conclusions. Social safety nets, including access to health care services for the uninsured and lower income households, are crucial. Objetivo. Aislar la contribución de la pandemia de Covid-19 y de la eliminación del Seguro Popular (SP) en cambios en gasto de bolsillo (GDB) en México en 2020. Material y métodos. Se utilizó información de encuestas nacionales (2014-2020). Se describió el GDB en términos absolutos y relativos, y por ingreso disponible. Se estimaron cambios en GDB con modelos en dos partes. Los resultados se presentan por tipo de afiliación y por quintil de ingresos. Resultados. El GDB se incrementó para todos en 2020 con aumentos mayores en hogares de ingresos altos, muy altos y en aquellos con afiliación (30.4, 23.4 y 22.2 USD). Los hogares sin afiliación y los de Seguro Popular/Instituto de Salud para el Bienestar presentaron los menores incrementos en GDB. Sin embargo, para los hogares de menores ingresos y aquellos sin seguridad social, el GDB representó la mayor proporción por ingreso disponible porque su ingreso se redujo durante la pandemia. Conclusiones. Es crucial contar con redes de protección social y acceso a servicios de salud, especialmente para hogares sin afiliación y aquellos de menores ingresos. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Salud Pública de México is the property of Instituto Nacional de Salud Publica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Salud Pública de México holder: Instituto Nacional de Salud Publica dt: @attributes: year: 2026 holdings: @attributes: islocal: N |
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