The financial protection impact of the public health system and private insurance in Brazil

Antônio M. Bós, Hugh R. Waters

Research output: Contribution to journalArticle

Abstract

This research assesses the effectiveness of the Brazilian public health system and of private insurance in Brazil in providing financial protection in health care. The determinants of catastrophic health expenditures are estimated by probit regressions with Heckman selection adjustment controlling for health-care need. Findings show that the public system provides a significant reduction (47%) in the probability of a household having catastrophic health expenditures, and that private insurance makes such expenditures more likely by 36%. Recommendations include improvements in the quantity, accessibility, quality and reliability of public providers, more appropriate provision of drugs by the public system and tighter regulation of private insurance.

Original languageEnglish (US)
Pages (from-to)125-139
Number of pages15
JournalCEPAL Review
Issue number95
StatePublished - Aug 2008
Externally publishedYes

Keywords

  • Evaluation
  • Financing health economics
  • Health indicators Brazil
  • Health insurance
  • Mathematical models
  • Public health medical care

ASJC Scopus subject areas

  • Economics, Econometrics and Finance(all)
  • Development

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