Is public health expenditure in Ecuador progressive or regressive?

Gustavo Angeles, Antonio J. Trujillo, Alexandra Lastra

Research output: Contribution to journalArticlepeer-review

Abstract

This paper uses a benefit incidence analysis (BIA) to evaluate whether public health expenditure in Ecuador is regressive or progressive. This paper overcomes several limitations of previous BIA analyses in developing countries: a) it develops a framework to allocate the operational and administrative government expenditures among providers at a centralised level according to their level of activity; b) it uses a household health survey in which an individual's consumption of medical care can be tied to a specific health provider. We rank the economic status of medical care users according to the consumption per adult equivalent, and using an index obtained from the availability of durable goods in the household. The findings suggest that the Ministry of Public Health expenditure is progressive, while the Ecuadorian Social Security Institute expenditure is regressive. We offer policy suggestions to increase the efficiency and equity of public health expenditures in Ecuador.

Original languageEnglish (US)
Pages (from-to)186-216
Number of pages31
JournalInternational Journal of Public Policy
Volume2
Issue number3-4
DOIs
StatePublished - 2007

Keywords

  • Benefit incidence analysis
  • Ecuador
  • Health disparities
  • Health expenditures

ASJC Scopus subject areas

  • Sociology and Political Science
  • Public Administration
  • Political Science and International Relations

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