Catastrophic health expenditures incurred by families in 2003, 2009 and 2018 in the Federal District, Brazil: evolution and composition

ABSTRACT Objective To investigate the evolution of prevalence of catastrophic health expenditure in the Brazilian Federal District at three different times (2003, 2009 and 2018), as well, to identify the composition of outof- pocket expenditure in the respective years. Method Time series study, us...

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Main Authors: Pedro Henrique Alves Santos, Theo da Fonseca Torres, Letícia Xander Russo, Everton Nunes da Silva
Format: Article
Language:English
Published: Ministério da Saúde do Brasil 2025-01-01
Series:Epidemiologia e Serviços de Saúde
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222024000100235&lng=en&tlng=en
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author Pedro Henrique Alves Santos
Theo da Fonseca Torres
Letícia Xander Russo
Everton Nunes da Silva
author_facet Pedro Henrique Alves Santos
Theo da Fonseca Torres
Letícia Xander Russo
Everton Nunes da Silva
author_sort Pedro Henrique Alves Santos
collection DOAJ
description ABSTRACT Objective To investigate the evolution of prevalence of catastrophic health expenditure in the Brazilian Federal District at three different times (2003, 2009 and 2018), as well, to identify the composition of outof- pocket expenditure in the respective years. Method Time series study, using descriptive data from the Family Budget Survey. Prevalence was stratified by consumption quintiles. Results 754 households were selected as a sample in 2003, 695 in 2009 and 1,000 in 2018. Taking a 10% consumption threshold, prevalence of catastrophic expenditure was 12.3% (95%CI 9.6;14.9) in 2003, 15.3% (95%CI 12.1;18.3) in 2009 and 14.1% (95CI% 11.8;16.2) in 2018. Households with lower income had higher prevalence of catastrophic expenditure. Medicines have a greater burden on expenditure of low-income families. Conclusions There was an increase in prevalence of catastrophic expenditure in the Federal District. Medicines were the main expense for the poorest families.
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series Epidemiologia e Serviços de Saúde
spelling doaj-art-26703b83c4a144a1bb74f446359557de2025-02-04T07:38:56ZengMinistério da Saúde do BrasilEpidemiologia e Serviços de Saúde2237-96222025-01-013310.1590/s2237-96222024v33e20231358.enCatastrophic health expenditures incurred by families in 2003, 2009 and 2018 in the Federal District, Brazil: evolution and compositionPedro Henrique Alves Santoshttps://orcid.org/0000-0002-3042-3181Theo da Fonseca Torreshttps://orcid.org/0009-0003-6583-7979Letícia Xander Russohttps://orcid.org/0000-0001-9592-8212Everton Nunes da Silvahttps://orcid.org/0000-0001-8747-4185ABSTRACT Objective To investigate the evolution of prevalence of catastrophic health expenditure in the Brazilian Federal District at three different times (2003, 2009 and 2018), as well, to identify the composition of outof- pocket expenditure in the respective years. Method Time series study, using descriptive data from the Family Budget Survey. Prevalence was stratified by consumption quintiles. Results 754 households were selected as a sample in 2003, 695 in 2009 and 1,000 in 2018. Taking a 10% consumption threshold, prevalence of catastrophic expenditure was 12.3% (95%CI 9.6;14.9) in 2003, 15.3% (95%CI 12.1;18.3) in 2009 and 14.1% (95CI% 11.8;16.2) in 2018. Households with lower income had higher prevalence of catastrophic expenditure. Medicines have a greater burden on expenditure of low-income families. Conclusions There was an increase in prevalence of catastrophic expenditure in the Federal District. Medicines were the main expense for the poorest families.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222024000100235&lng=en&tlng=enCatastrophic Health ExpenditureHealth ExpenditureDrug CostsHealth Care Economics and OrganizationsTime Series Studies
spellingShingle Pedro Henrique Alves Santos
Theo da Fonseca Torres
Letícia Xander Russo
Everton Nunes da Silva
Catastrophic health expenditures incurred by families in 2003, 2009 and 2018 in the Federal District, Brazil: evolution and composition
Epidemiologia e Serviços de Saúde
Catastrophic Health Expenditure
Health Expenditure
Drug Costs
Health Care Economics and Organizations
Time Series Studies
title Catastrophic health expenditures incurred by families in 2003, 2009 and 2018 in the Federal District, Brazil: evolution and composition
title_full Catastrophic health expenditures incurred by families in 2003, 2009 and 2018 in the Federal District, Brazil: evolution and composition
title_fullStr Catastrophic health expenditures incurred by families in 2003, 2009 and 2018 in the Federal District, Brazil: evolution and composition
title_full_unstemmed Catastrophic health expenditures incurred by families in 2003, 2009 and 2018 in the Federal District, Brazil: evolution and composition
title_short Catastrophic health expenditures incurred by families in 2003, 2009 and 2018 in the Federal District, Brazil: evolution and composition
title_sort catastrophic health expenditures incurred by families in 2003 2009 and 2018 in the federal district brazil evolution and composition
topic Catastrophic Health Expenditure
Health Expenditure
Drug Costs
Health Care Economics and Organizations
Time Series Studies
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222024000100235&lng=en&tlng=en
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