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221013 ||| eng |
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|a Wagstaff, Adam
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|a CATA Meets IMPOV
|h Elektronische Ressource
|b A Unified Approach to Measuring Financial Protection in Health
|c Wagstaff, Adam
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| 260 |
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|a Washington, D.C
|b The World Bank
|c 2014
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| 300 |
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|a 41 p
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| 700 |
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|a Wagstaff, Adam
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|a Eozenou, Patrick Hoang-Vu
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| 041 |
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|a eng
|2 ISO 639-2
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| 989 |
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|b WOBA
|a World Bank E-Library Archive
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| 028 |
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|a 10.1596/1813-9450-6861
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| 856 |
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|u http://elibrary.worldbank.org/doi/book/10.1596/1813-9450-6861
|x Verlag
|3 Volltext
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|a 330
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|a Up to now catastrophic and impoverishing payments have been seen as two alternative approaches to measuring financial protection in health. Building on the previous literature, the authors propose a unified methodology in which impoverishing and catastrophic payments are mutually exclusive outcomes. They achieve this by expressing out-of-pocket payments as a ratio of ‘discretionary’ consumption, defined as the amount by which total consumption (gross of out-of-pocket payments) exceeds the poverty line. This allows the authors to identify both households who are impoverished by out-of-pocket payments (their ratio exceeds one) and households who are pushed even further into poverty by out-of-pocket payments (their ratio is negative); the authors call such payments ‘immiserizing’. Households experiencing ‘catastrophic’ payments are a subset of those who incur out-of-pocket payments but who are neither impoverished nor immiserized by them. Two alternative definitions of catastrophic payments are offered: those that absorb more than a pre-specified fraction of discretionary consumption; and those that leave a household's nonmedical consumption (total consumption net of out-of-pocket spending) below a pre-specified multiple of the poverty line. The authors also offer a simple financial protection index that reflects the percentages of households incurring immiserizing, impoverishing, catastrophic, non-catastrophic, and zero out-of-pocket payments. They illustrate their unified approach with data from the World Health Survey, using international poverty lines and a catastrophic payment threshold of 40 percent
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