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Población y Salud en Mesoamérica

On-line version ISSN 1659-0201


BRICENO CHAMORRO, Rodrigo  and  VARGAS BRENES, Juan Rafael. Incidence of catastrophic health expenditure in Costa Rican households 2004 and 2013. PSM [online]. 2017, vol.15, n.1, pp.76-92. ISSN 1659-0201.


Identify the percentage of households whose out-of-pocket expenditures turn out to be a financial catastrophe (thirty to forty percent of household income).


The World Bank's Research and Development Group Equity and Financial Protection module ADePT software is used along with a series of programmable routines that replicate the catastrophic expenditure analysis methodology of the study developed by Knaul, Wong, and Arreola-Ornelas (2012).


The incidence of catastrophic expenditure increased slightly from 0.6 percent of households in 2004 to 0.8 percent in 2013.


The incidence of catastrophic health expenditure in Costa Rican households is not a problem for the Costa Rican health system, but the concern should be issue targeted.

Keywords : health expenditures; catastrophic expenditure; household consumption; household surveys; hospitalization; health insurance.

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