Facultad de Ciencias Económicas, Universidad Nacional de Cuyo, Argentina, Mendoza, Ciudad de Mendoza.
Facultad de Ciencias Económicas, Universidad Nacional de Cuyo, Argentina, Mendoza, Ciudad de Mendoza.
Value Health Reg Issues. 2024 Nov;44:101032. doi: 10.1016/j.vhri.2024.101032. Epub 2024 Aug 26.
This study aimed to analyze the changes in the health expenditure of households in Mexico during the COVID-19 pandemic to approximate changes in healthcare that can lead to difficulties in detecting noncommunicable diseases, among others.
We compare health spending before and after the pandemic through various estimators using multivariate linear regression models at the household level. We also explore heterogeneous effects by zone, sex, and household composition by age. We explore potential mechanisms of change estimating probit models of healthcare. We use microdata from the National Health and Nutrition Survey 2018 and COVID-19.
The results suggest a significant reduction in health spending, mainly referring to oral health, clinical analysis, and medical studies. Moreover, differences arise by type of area and household age profile. Changes are more significant among families with children younger than 12 years and households situated in urban areas. Regarding the mechanisms, the results suggest that the lower spending is not due to fewer health needs but rather due to less healthcare attention.
The COVID-19 pandemic had a significant and heterogeneous impact on household health spending. This lower spending could lead to less detection of noncommunicable diseases, translating into more pressure on the health system in the medium and long term.
本研究旨在分析 COVID-19 大流行期间墨西哥家庭卫生支出的变化，以了解可能导致非传染性疾病等检测困难的医疗保健变化。
我们通过家庭层面的多元线性回归模型使用各种估计器比较大流行前后的卫生支出。我们还通过年龄的区域、性别和家庭构成来探索异质效应。我们通过 2018 年国家健康和营养调查以及 COVID-19 的微观数据来探索变化的潜在机制，估计医疗保健的概率模型。
结果表明，卫生支出显著减少，主要是指口腔健康、临床分析和医学研究。此外，不同地区和家庭年龄结构的差异也存在。12 岁以下儿童家庭和城市地区家庭的变化更为显著。关于机制，结果表明，较低的支出并不是由于健康需求减少，而是由于医疗保健关注度降低。
COVID-19 大流行对家庭卫生支出产生了重大且具有异质性的影响。这种低支出可能导致非传染性疾病的检测减少，从而给中短期的卫生系统带来更大的压力。
