CATA Meets IMPOV : A Unified Approach to Measuring Financial Protection in Health
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 ca...
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| Format: | Policy Research Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2014/05/19458222/cata-meets-impov-unified-approach-measuring-financial-protection-health http://hdl.handle.net/10986/18353 |
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okr-10986-183532021-04-23T14:03:44Z CATA Meets IMPOV : A Unified Approach to Measuring Financial Protection in Health Wagstaff, Adam Eozenou, Patrick Hoang-Vu ABILITY TO PAY AGRICULTURAL GROWTH CALORIE INTAKE CALORIES PER PERSON CONSUMER PRICE INDEX CONSUMPTION AGGREGATE CONSUMPTION DATA CONSUMPTION POVERTY DEVELOPMENT POLICY EXTREME POVERTY FAMILIES FAMILY INCOME FOOD EXPENDITURE FOOD INTAKE FOOD POLICY FOOD SHARE HEALTH CARE HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH INSURANCE HEALTH SERVICES HEALTH SYSTEM HOUSEHOLD CONSUMPTION HOUSEHOLD EXPENDITURE HOUSEHOLD MEMBERS HOUSEHOLD SPENDING HOUSEHOLD SURVEY HOUSEHOLD WELFARE HOUSING HUMAN DEVELOPMENT INCOME DISTRIBUTION INPATIENT CARE INSURANCE LIVING STANDARDS MEDICAL SERVICES NUTRITION OUTPATIENT CARE PATIENTS POOR COUNTRIES POOR HOUSEHOLDS POVERTY ESTIMATES POVERTY GAP POVERTY LINE POVERTY LINES PURCHASING POWER PURCHASING POWER PARITIES SUBSISTENCE TOTAL CONSUMPTION USE VALUE VALUE JUDGMENTS 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. 2014-05-15T16:36:44Z 2014-05-15T16:36:44Z 2014-05 http://documents.worldbank.org/curated/en/2014/05/19458222/cata-meets-impov-unified-approach-measuring-financial-protection-health http://hdl.handle.net/10986/18353 English en_US Policy Research Working Paper;No. 6861 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ABILITY TO PAY AGRICULTURAL GROWTH CALORIE INTAKE CALORIES PER PERSON CONSUMER PRICE INDEX CONSUMPTION AGGREGATE CONSUMPTION DATA CONSUMPTION POVERTY DEVELOPMENT POLICY EXTREME POVERTY FAMILIES FAMILY INCOME FOOD EXPENDITURE FOOD INTAKE FOOD POLICY FOOD SHARE HEALTH CARE HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH INSURANCE HEALTH SERVICES HEALTH SYSTEM HOUSEHOLD CONSUMPTION HOUSEHOLD EXPENDITURE HOUSEHOLD MEMBERS HOUSEHOLD SPENDING HOUSEHOLD SURVEY HOUSEHOLD WELFARE HOUSING HUMAN DEVELOPMENT INCOME DISTRIBUTION INPATIENT CARE INSURANCE LIVING STANDARDS MEDICAL SERVICES NUTRITION OUTPATIENT CARE PATIENTS POOR COUNTRIES POOR HOUSEHOLDS POVERTY ESTIMATES POVERTY GAP POVERTY LINE POVERTY LINES PURCHASING POWER PURCHASING POWER PARITIES SUBSISTENCE TOTAL CONSUMPTION USE VALUE VALUE JUDGMENTS |
| spellingShingle |
ABILITY TO PAY AGRICULTURAL GROWTH CALORIE INTAKE CALORIES PER PERSON CONSUMER PRICE INDEX CONSUMPTION AGGREGATE CONSUMPTION DATA CONSUMPTION POVERTY DEVELOPMENT POLICY EXTREME POVERTY FAMILIES FAMILY INCOME FOOD EXPENDITURE FOOD INTAKE FOOD POLICY FOOD SHARE HEALTH CARE HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH INSURANCE HEALTH SERVICES HEALTH SYSTEM HOUSEHOLD CONSUMPTION HOUSEHOLD EXPENDITURE HOUSEHOLD MEMBERS HOUSEHOLD SPENDING HOUSEHOLD SURVEY HOUSEHOLD WELFARE HOUSING HUMAN DEVELOPMENT INCOME DISTRIBUTION INPATIENT CARE INSURANCE LIVING STANDARDS MEDICAL SERVICES NUTRITION OUTPATIENT CARE PATIENTS POOR COUNTRIES POOR HOUSEHOLDS POVERTY ESTIMATES POVERTY GAP POVERTY LINE POVERTY LINES PURCHASING POWER PURCHASING POWER PARITIES SUBSISTENCE TOTAL CONSUMPTION USE VALUE VALUE JUDGMENTS Wagstaff, Adam Eozenou, Patrick Hoang-Vu CATA Meets IMPOV : A Unified Approach to Measuring Financial Protection in Health |
| relation |
Policy Research Working Paper;No. 6861 |
| description |
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. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Wagstaff, Adam Eozenou, Patrick Hoang-Vu |
| author_facet |
Wagstaff, Adam Eozenou, Patrick Hoang-Vu |
| author_sort |
Wagstaff, Adam |
| title |
CATA Meets IMPOV : A Unified Approach to Measuring Financial Protection in Health |
| title_short |
CATA Meets IMPOV : A Unified Approach to Measuring Financial Protection in Health |
| title_full |
CATA Meets IMPOV : A Unified Approach to Measuring Financial Protection in Health |
| title_fullStr |
CATA Meets IMPOV : A Unified Approach to Measuring Financial Protection in Health |
| title_full_unstemmed |
CATA Meets IMPOV : A Unified Approach to Measuring Financial Protection in Health |
| title_sort |
cata meets impov : a unified approach to measuring financial protection in health |
| publisher |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
http://documents.worldbank.org/curated/en/2014/05/19458222/cata-meets-impov-unified-approach-measuring-financial-protection-health http://hdl.handle.net/10986/18353 |
| _version_ |
1764440699088928768 |