Horizon / Plein textes La base de ressources documentaires de l'IRD

IRD

 

Publications des scientifiques de l'IRD

Abu-Zaineh M., Ben Romdhane H., Ventelou B., Moatti Jean-Paul, Chokri A. (2013). Appraising financial protection in health : the case of Tunisia. International Journal of Health Care Finance and Economics, 13 (1), 73-93. ISSN 1389-6563

Lien direct chez l'éditeur doi:10.1007/s10754-013-9123-8

Titre
Appraising financial protection in health : the case of Tunisia
Année de publication2013
Type de documentArticle référencé dans le Web of Science WOS:000314838100004
AuteursAbu-Zaineh M., Ben Romdhane H., Ventelou B., Moatti Jean-Paul, Chokri A.
SourceInternational Journal of Health Care Finance and Economics, 2013, 13 (1), p. 73-93. ISSN 1389-6563
RésuméDespite the remarkable progress in expanding the coverage of social protection mechanisms in health, the Tunisian healthcare system is still largely funded through direct out-of-pocket payments. This paper seeks to assess financial protection in health in the particular policy and epidemiological transition of Tunisia using nationally representative survey data on healthcare expenditure, utilization and morbidity. The extent to which the healthcare system protects people against the financial repercussions of ill-health is assessed using the catastrophic and impoverishing payment approaches. The characteristics associated with the likelihood of vulnerability to catastrophic health expenditure (CHE) are examined using multivariate logistic regression technique. Results revealed that non-negligible proportions of the Tunisian population (ranging from 4.5 % at the conservative 40 % threshold of discretionary nonfood expenditure to 12 % at the 10 % threshold of total expenditure) incurred CHE. In terms of impoverishment, results showed that health expenditure can be held responsible for about 18 % of the rise in the poverty gap. These results appeared to be relatively higher when compared with those obtained for other countries with similar level of development. Nonetheless, although households belonging to richer quintiles reported more illness episodes and received more treatment than the poor households, the latter households were more likely to incur CHE at any threshold. Amongst the correlates of CHE, health insurance coverage was significantly related to CHE regardless of the threshold used. Some implications and policy recommendations, which might also be useful for other similar countries, are advanced to enhance the financial protection capacity of the Tunisian healthcare system.
Plan de classementSanté : aspects socioculturels, économiques et politiques [056]
Descr. géo.TUNISIE
LocalisationFonds IRD
Identifiant IRDPAR00010226
Lien permanenthttp://www.documentation.ird.fr/hor/PAR00010226

Export des données

Disponibilité des documents

Télechargment fichier PDF téléchargeable

Lien sur le Web lien chez l'éditeur

Accès réservé en accès réservé

HAL en libre accès sur HAL


Accès aux documents originaux :

Le FDI est labellisé CollEx

Accès direct

Bureau du chercheur

Site de la documentation

Espace intranet IST (accès réservé)

Suivi des publications IRD (accès réservé)

Mentions légales

Services Horizon

Poser une question

Consulter l'aide en ligne

Déposer une publication (accès réservé)

S'abonner au flux RSS

Voir les tableaux chronologiques et thématiques

Centres de documentation

Bondy

Montpellier (centre IRD)

Montpellier (MSE)

Cayenne

Nouméa

Papeete

Abidjan

Dakar

Niamey

Ouagadougou

Tunis

La Paz

Quito