CATA Meets IMPOV : A Unified Approach to Measuring Financial Protection in Health

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collection.link.5
https://openknowledge.worldbank.org/handle/10986/9
collection.name.5
Policy Research Working Papers
dc.contributor.author
Wagstaff, Adam
dc.contributor.author
Eozenou, Patrick Hoang-Vu
dc.date.accessioned
2014-05-15T16:36:44Z
dc.date.available
2014-05-15T16:36:44Z
dc.date.issued
2014-05
dc.date.lastModified
2021-04-23T14:03:44Z
dc.description.abstract
Up to now catastrophic and impoverishing payments have been seen as two alternative approaches to measuring financial protection in health. Building on the previous literature, the authors propose a unified methodology in which impoverishing and catastrophic payments are mutually exclusive outcomes. They achieve this by expressing out-of-pocket payments as a ratio of 'discretionary' consumption, defined as the amount by which total consumption (gross of out-of-pocket payments) exceeds the poverty line. This allows the authors to identify both households who are impoverished by out-of-pocket payments (their ratio exceeds one) and households who are pushed even further into poverty by out-of-pocket payments (their ratio is negative); the authors call such payments 'immiserizing'. Households experiencing 'catastrophic' payments are a subset of those who incur out-of-pocket payments but who are neither impoverished nor immiserized by them. Two alternative definitions of catastrophic payments are offered: those that absorb more than a pre-specified fraction of discretionary consumption; and those that leave a household's nonmedical consumption (total consumption net of out-of-pocket spending) below a pre-specified multiple of the poverty line. The authors also offer a simple financial protection index that reflects the percentages of households incurring immiserizing, impoverishing, catastrophic, non-catastrophic, and zero out-of-pocket payments. They illustrate their unified approach with data from the World Health Survey, using international poverty lines and a catastrophic payment threshold of 40 percent.
en
dc.identifier
http://documents.worldbank.org/curated/en/2014/05/19458222/cata-meets-impov-unified-approach-measuring-financial-protection-health
dc.identifier.uri
http://hdl.handle.net/10986/18353
dc.language
English
dc.language.iso
en_US
dc.publisher
World Bank, Washington, DC
dc.relation.ispartofseries
Policy Research Working Paper;No. 6861
dc.rights
CC BY 3.0 IGO
dc.rights.uri
http://creativecommons.org/licenses/by/3.0/igo/
dc.subject
ABILITY TO PAY
dc.subject
AGRICULTURAL GROWTH
dc.subject
CALORIE INTAKE
dc.subject
CALORIES PER PERSON
dc.subject
CONSUMER PRICE INDEX
dc.subject
CONSUMPTION AGGREGATE
dc.subject
CONSUMPTION DATA
dc.subject
CONSUMPTION POVERTY
dc.subject
DEVELOPMENT POLICY
dc.subject
EXTREME POVERTY
dc.subject
FAMILIES
dc.subject
FAMILY INCOME
dc.subject
FOOD EXPENDITURE
dc.subject
FOOD INTAKE
dc.subject
FOOD POLICY
dc.subject
FOOD SHARE
dc.subject
HEALTH CARE
dc.subject
HEALTH ECONOMICS
dc.subject
HEALTH EXPENDITURE
dc.subject
HEALTH EXPENDITURES
dc.subject
HEALTH INSURANCE
dc.subject
HEALTH SERVICES
dc.subject
HEALTH SYSTEM
dc.subject
HOUSEHOLD CONSUMPTION
dc.subject
HOUSEHOLD EXPENDITURE
dc.subject
HOUSEHOLD MEMBERS
dc.subject
HOUSEHOLD SPENDING
dc.subject
HOUSEHOLD SURVEY
dc.subject
HOUSEHOLD WELFARE
dc.subject
HOUSING
dc.subject
HUMAN DEVELOPMENT
dc.subject
INCOME DISTRIBUTION
dc.subject
INPATIENT CARE
dc.subject
INSURANCE
dc.subject
LIVING STANDARDS
dc.subject
MEDICAL SERVICES
dc.subject
NUTRITION
dc.subject
OUTPATIENT CARE
dc.subject
PATIENTS
dc.subject
POOR COUNTRIES
dc.subject
POOR HOUSEHOLDS
dc.subject
POVERTY ESTIMATES
dc.subject
POVERTY GAP
dc.subject
POVERTY LINE
dc.subject
POVERTY LINES
dc.subject
PURCHASING POWER
dc.subject
PURCHASING POWER PARITIES
dc.subject
SUBSISTENCE
dc.subject
TOTAL CONSUMPTION
dc.subject
USE VALUE
dc.subject
VALUE JUDGMENTS
dc.title
CATA Meets IMPOV : A Unified Approach to Measuring Financial Protection in Health
en
okr.date.disclosure
2014-05-01
okr.doctype
Publications & Research :: Policy Research Working Paper
okr.doctype
Publications & Research
okr.docurl
http://documents.worldbank.org/curated/en/2014/05/19458222/cata-meets-impov-unified-approach-measuring-financial-protection-health
okr.globalpractice
Macroeconomics and Fiscal Management
okr.globalpractice
Poverty
okr.globalpractice
Health, Nutrition, and Population
okr.googlescholar.linkpresent
yes
okr.identifier.doi
10.1596/1813-9450-6861
okr.identifier.externaldocumentum
000158349_20140507092323
okr.identifier.internaldocumentum
19458222
okr.identifier.report
WPS6861
okr.language.supported
en
okr.pdfurl
http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/05/07/000158349_20140507092323/Rendered/PDF/WPS6861.pdf
en
okr.topic
Poverty Reduction :: Rural Poverty Reduction
okr.topic
Macroeconomics and Economic Growth :: Consumption
okr.topic
Economic Theory and Research
okr.topic
Health Systems Development and Reform
okr.topic
Macroeconomics and Economic Growth :: Regional Economic Development
okr.topic
Health, Nutrition and Population
okr.unit
Human Development and Public Services Team, Development Research Group
okr.volume
1 of 1

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