EconPapers    
Economics at your fingertips  
 

Progressivity of Out-of-Pocket Payments and its Determinants Decomposed Over Time

Steven Koch and Naomi Setshegetso

No 2020112, Working Papers from University of Pretoria, Department of Economics

Abstract: This study estimates progressivity of out-of-pocket (OOP) health payments and their determinants using South African Income and Expenditure Surveys. Concentration is decomposed to examine the effect of household determinants on OOP inequality, shedding light on how progressivity/regressivity is related to changes in the concentration and elasticities of the determinants over time. Our results suggest that actual OOP health expenditures are concentrated among non-poor households, although less so now than in the recent past. When OOP health payments are viewed from the perspective of affordability, which instead focuses on the share of payments relative to capacity-to-pay, they are regressive; However, they have become less concentrated amongst poor households, although still regressive, recently. These results appear to be independent of the measure of socioeconomic status employed in the analysis. The results highlight large income and education related disparities and also suggest continued gender and ethnic differences that deserve further attention in policymaking.

Pages: 33 pages
Date: 2020-12
New Economics Papers: this item is included in nep-hea
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
http://www.up.ac.za/media/shared/61/WP/wp_2020_112.zp197880.pdf (application/pdf)

Related works:
Journal Article: Progressivity of out-of-pocket payments and its determinants decomposed over time (2021) Downloads
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:pre:wpaper:2020112

Access Statistics for this paper

More papers in Working Papers from University of Pretoria, Department of Economics Contact information at EDIRC.
Bibliographic data for series maintained by Rangan Gupta ().

 
Page updated 2024-11-11
Handle: RePEc:pre:wpaper:2020112