2003年、2009年和2018年巴西联邦区家庭发生的灾难性医疗支出：演变与构成
Catastrophic health expenditures incurred by families in 2003, 2009 and 2018 in the Federal District, Brazil: evolution and composition.
作者信息
Santos Pedro Henrique Alves, Torres Theo da Fonseca, Russo Letícia Xander, Silva Everton Nunes da
机构信息
Universidade de Brasília, Programa de Pós-Graduação em Ciências e Tecnologias em Saúde, Brasília, DF, Brazil.
Universidade de Brasília, Programa de Pós-Graduação em Economia, Brasília, DF, Brasil.
出版信息
Epidemiol Serv Saude. 2025 Jan 27;33:e20231358. doi: 10.1590/S2237-96222024v33e20231358.en. eCollection 2025.
OBJECTIVE
To investigate the evolution of prevalence of catastrophic health expenditure in the Brazilian Federal District at three different times (2003, 2009 and 2018), as well, to identify the composition of outof- pocket expenditure in the respective years.
METHOD
Time series study, using descriptive data from the Family Budget Survey. Prevalence was stratified by consumption quintiles.
RESULTS
754 households were selected as a sample in 2003, 695 in 2009 and 1,000 in 2018. Taking a 10% consumption threshold, prevalence of catastrophic expenditure was 12.3% (95%CI 9.6;14.9) in 2003, 15.3% (95%CI 12.1;18.3) in 2009 and 14.1% (95CI% 11.8;16.2) in 2018. Households with lower income had higher prevalence of catastrophic expenditure. Medicines have a greater burden on expenditure of low-income families.
CONCLUSIONS
There was an increase in prevalence of catastrophic expenditure in the Federal District. Medicines were the main expense for the poorest families.
目的
调查巴西联邦区三个不同时间点（2003年、2009年和2018年）灾难性卫生支出患病率的演变情况，并确定各年份自付费用的构成。
方法
采用时间序列研究，使用家庭预算调查的描述性数据。患病率按消费五分位数分层。
结果
2003年选取754户家庭作为样本，2009年为695户，2018年为1000户。以10%的消费阈值计算，2003年灾难性支出的患病率为12.3%（95%可信区间9.6；14.9），2009年为15.3%（95%可信区间12.1；18.3），2018年为14.1%（95%可信区间11.8；16.2）。收入较低的家庭灾难性支出的患病率较高。药品对低收入家庭的支出负担更大。
结论
联邦区灾难性支出的患病率有所上升。药品是最贫困家庭的主要支出。
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