Banca de DEFESA: Pedro Henrique Alves Santos

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : Pedro Henrique Alves Santos
DATE: 29/04/2024
TIME: 14:00
LOCAL: FCE SALA DE ATOS
TITLE:

Catastrophic Expenditures in Brazil and the Federal District: Evolution, distribution and associated factors

KEY WORDS:

Gasto Catastrófico em Saúde; Gastos em Saúde; Economia e Organizações de Saúde.

PAGES: 86
BIG AREA: Outra
AREA: Multidisciplinar
SUMMARY:

Introduction: Health systems provide preventive and curative services that can make a difference to people's health. However, lack of access to these services can lead individuals to pay catastrophic proportions of their available budget and push many families into poverty. In Brazil, this problem was to be avoided, once there is the Unified Health System, which is a constitutional right, which should protect families from spending their family budget on health expenses, thus putting them in danger of impoverishment. Objective: Investigate the evolution of the prevalence of catastrophic health expenditure in Brazil at three different times (2003, 2009 and 2018), associated factors and possible disparities in the distribution of prevalence by socioeconomic status. Methodology: Data from the Family Budget Surveys were used. The prevalence of catastrophic spending was measured by the percentage of the budget and ability to pay (consumption minus food and housing), considering the thresholds of 10, 25 and 40%. It was verified whether characteristics of households, families and heads of family influence the chance of incurring catastrophic health expenditures. Households were stratified by deciles (Brazil) and quintile (Federal District) of income, consumption and wealth score. Results: There was an increase in prevalence between 2003 and 2009 and a reduction in 2018 in Brazil and the Federal District, but it remained at levels higher than in 2003. The wealth score in Brazil showed more pronounced distributional effects between poor and rich, with the poor being the most affected by catastrophic spending in Brazil. The prevalence UNIVERSIDADE DE BRASÍLIA/Faculdade de Ceilândia Programa de Pós-Graduação em Ciências e Tecnologias em Saúde ➔ of catastrophic expenses in Brazil was positively associated with the presence of elderly people, age and female gender of the head of the family, rural area, obtaining government benefits and some degree of food insecurity. In the Federal District, the model was not very sensitive for identifying risk factors and protective factors for catastrophic expenses. Conclusions: The results show the importance of methodological standardization to measure catastrophic health expenditures over time, given that our results suggest a reduction in prevalence between 2009 and 2018, differently from what is pointed out in the Brazilian literature about the topic. Furthermore, the poorest families are those most affected by catastrophic spending, requiring more effective policies to mitigate this negative impac

COMMITTEE MEMBERS:
Presidente - 1681340 - EVERTON NUNES DA SILVA
Interna - 2102264 - DAYANI GALATO
Externa à Instituição - FABIOLA SULPINO VIEIRA - IPEA
Externa à Instituição - ERIKA SANTOS DE ARAGÃO - UFBA