Exit from Catastrophic Health Payments: A Method and an Application to Malawi
Richard Mussa
MPRA Paper from University Library of Munich, Germany
Abstract:
This paper proposes three measures of average exit time from catastrophic health payments; the first measure is non-normative in that the weights placed on catastrophic payments incurred by poor and nonpoor households are the same. It ignores the fact that the opportunity cost of health spending is different between poor and nonpoor households. The other two measures allow for distribution sensitivity but differ in their conceptualization of inequality; one is based on socioeconomic inequalities in catastrophic health payments, and the other uses pure inequalities in catastrophic health payments. The proposed measures are then applied to Malawian data from the Third Integrated Household Survey. The empirical results show that when the threshold of pre-payment income is increased from 5% to 15%, the average exit time decreases from 2.1 years to 0.2 years; and as the catastrophic threshold rises from 10% to 40% of ability to pay, the average exit time falls from 3.6 years to 0.1 years. It is found that when socioeconomic inequality is adopted, the changes in the exit times are quite small, however, using pure inequality leads to large reductions in the exit time.
Keywords: Catastrophic payments; average exit time; Malawi (search for similar items in EconPapers)
JEL-codes: I13 I15 (search for similar items in EconPapers)
Date: 2014-06-12
New Economics Papers: this item is included in nep-afr and nep-hea
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)
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Related works:
Journal Article: Exit from catastrophic health payments: a method and an application to Malawi (2016) 
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Persistent link: https://EconPapers.repec.org/RePEc:pra:mprapa:56618
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