Progressivity of out-of-pocket payments and its determinants decomposed over time

Show simple item record Koch, Steven F. Setshegetso, Naomi 2021-05-07T06:51:13Z 2021
dc.description.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. en_ZA
dc.description.department Economics en_ZA
dc.description.embargo 2022-08-05
dc.description.librarian hj2021 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Steven F. Koch & Naomi Setshegetso (2021) Progressivity of out-of-pocket payments and its determinants decomposed over time, Development Southern Africa, 38:5, 731-749, DOI: 10.1080/0376835X.2021.1880373. en_ZA
dc.identifier.issn 0376-835X (print)
dc.identifier.issn 1470-3637 (online)
dc.identifier.other 10.1080/0376835X.2021.1880373
dc.language.iso en en_ZA
dc.publisher Routledge en_ZA
dc.rights © 2021 Government Technical Advisory Centre (GTAC). This is an electronic version of an article published in Development Southern Africa, vol. 38, no. 5, pp. 731-749, 2021. doi : 10.1080/0376835X.2021.1880373. Development Southern Africa is available online at : http://www.tandfonline.comloi/cdsa20. en_ZA
dc.subject Out-of-pocket (OOP) en_ZA
dc.subject Health financing en_ZA
dc.subject Inequality en_ZA
dc.subject Decomposition en_ZA
dc.title Progressivity of out-of-pocket payments and its determinants decomposed over time en_ZA
dc.type Postprint Article en_ZA

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