Determinants of Catastrophic Health Expenditure (CHE): An Indonesian Family Life Survey (IFLS) 2007 & 2014

Authors

DOI:

https://doi.org/10.14414/jebav.v24i1.2644

Keywords:

Catastrophic Health Expenditure (CHE), Financial Risk Protection, Indonesian Family Life Survey (IFLS), out-of-pocket expenditure (OOP)

Abstract

This study aims at finding and analyzing the determinants of catastrophic health expenditure (CHE) and its impact on the household economy in Indonesia, using pooled cross section data from IFLS 2007 and 2014. The study used binary logit regression for analyzing the determinants of CHE and OLS regression to see the impact of CHE on household economy. It was found that the occupational status of the head of household, size of the household, age, ownership of insurance, visits to health centers, location of residence, and the interaction variable of educated household heads with chronic disease affect the occurrences of CHE with various threshold. The OLS regression results found that households who experienced CHE with a threshold of 10% and 40% made a reduction in their basic needs (food expenditure). It implies that households that experienced CHE also experienced economic shocks and they are eventually forced to reduce their basic needs (food expenditure) to meet health needs.

References

Abegunde, D. O.& Stanciole, A. E. (2008). The economic impact of chronic diseases: How do households respond to shocks? Evidence from Russia. Social Science and Medicine, 66(11), 2296–

Abolhallaje, M., Hassani, S. A., Bastani, P., Ramezanian, M., & Kazemian, M. (2013). Determinants of Catastrophic Health

Expenditure in Iran. Iranian J. Publ. Health, 42(1), 155–160.

Aday, L. A. & Andersen, R. (1974). A framework for the study of access to medical care. Health Services Research, 9(3), 208–220.

Aizawa, T. (2019). The impact of health insurance on out-of-pocket expenditure on delivery in Indonesia. Health Care for Women International, 40(12), 1374–1395.

Amaya-Lara, J. L. (2016). Catastrophic expenditure due to out-of-pocket health payments and its determinants in Colombian households. International Journal for Equity in Health, 15(1), 1–

Aregbeshola, B. S. & Khan, S. M. (2018). Determinants of catastrophic health expenditure in Nigeria. European Journal of

Health Economics, 19(4), 521–532.

Becker, H. S. (1967). History, culture and subjective experience: An exploration of the social bases of drug-induced experiences. Journal of health and social behavior, 163-176.

Berki, S. E. (1986). A look at catastrophic medical expenses and the poor. Health Affairs, 5(4), 138–145.

Brinda, E. M., Rodríguez Andrés, A., & Enemark, U. (2014). Erratum: Correlates of out-of-pocket and catastrophic health expenditures in Tanzania: Results from a national household survey (BMC International Health and Human Rights (2014)

:5 (Doi: 10.1186/1472-698X-14-5)). BMC International Health and Human Rights, 14(1), 1–8.

Choi, J. W., Choi, J. W., Kim, J. H., Yoo, K. B., & Park, E. C. (2015). Association between chronic disease and catastrophic health expenditure in Korea. BMC Health Services Research, 15(1), 1–8.

Choi, J. W., Kim, T. H., Jang, S. I., Jang, S. Y., Kim, W. R., & Park, E. C. (2016). Catastrophic health expenditure according to employment status in South Korea: A population-based panel study. BMJ Open, 6(7), 1–7.

Fuady, A., Houweling, T. A. J., Mansyur, M., & Richardus, J. H. (2018). Catastrophic total costs in tuberculosis-affected households and their determinants since Indonesia’s implementation of universal health coverage. Infectious Diseases

of Poverty, 7(1), 1–14.

Gertler, P. & Gruber, J. (2002). Insuring consumption against illness. American Economic Review, 92(1), 51–70.

Gotsadze, G., Zoidze, A., & Rukhadze, N. (2009). Household catastrophic health expenditure: Evidence from georgia and its policy implications. BMC Health Services Research, 9, 1–9.

Grossman, M. (1972). On the Concept of Health Capital and the Demand for Health. Journal of Political Economy, 223–255.

Gujarati, D. N. (2021). Essentials of econometrics. SAGE Publications.

Herawati, Franzone, R., & Chrisnahutama, A. (2020). Universal Health Coverage: Mengukur capaian indonesia (E. A. Djamhari, C. N. Aidha, & H. Ramdlaningrum (eds.)). Perkumpulan PRAKARSA.

Jacobs, B., De Groot, R., & Fernandes Antunes, A. (2016). Financial access to health care for older people in Cambodia: 10-year trends (2004-14) and determinants of catastrophic health

expenses. International Journal for Equity in Health, 15(1), 1–9.

Kim, S. & Kwon, S. (2015). Impact of the policy of expanding benefit coverage for cancer patients on catastrophic health expenditure across different income groups in South Korea. Social

Science and Medicine, 138, 241–247.

Kim, Y. & Yang, B. (2011). Relationship between catastrophic health expenditures and household incomes and expenditure patterns in South Korea. Health Policy, 100(2–3), 239–246.

Kimani, D. N., Mugo, M. G., & Kioko, U. M. (2016). Catastrophic Health Expenditures And Impoverishment In Kenya. European Scientific Journal, ESJ, 12(15), 434-452.

Knaul, F. M., Wong, R., Arreola-Ornelas, H., Econ, M. H., Méndez, O., Bitran, R., Campino, A. C., Nieto, C. E. F., Fontes, R. I., Giedion, U.,

Maceira, D., Rathe, M., Valdivia, M., Vargas, J. R., Díaz, J. J., Díaz, M. D. M., Valdes, W., Carmona, R. V., Zuniga, M. P., … Vidarte, R.

(2011). Household catastrophic health expenditures: A comparative analysis of twelve latin American and Caribbean countries. Salud Publica de Mexico, 53(SUPPL. 2), 85–95.

Lee, M. & Yoon, K. (2019). Catastrophic health expenditures and its inequality in households with cancer patients: A panel study. Processes, 7(1), 1–12.

Li, X., Shen, J. J., Lu, J., Wang, Y., Sun, M., Li, C., Chang, F., & Hao, M. (2013). Household catastrophic medical expenses in eastern China: Determinants and policy implications. BMC Health Services Research, 13(1), 1-9.

Mwai, D. & Muriithi, M. (2016). Catastrophic health expenditure and household impoverishment: A case of prevalence of Non-Communicable Diseases in Kenya. Epidemiology Biostatistics and

Public Health, 13(1), 1–7.

Narcı, H., Şahin, İ., & Yıldırım, H. H. (2015). Financial catastrophe and poverty impacts of out-of-pocket health payments in Turkey.

European Journal of Health Economics, 16(3), 255–270.

Nugraheni, W. P. & Hartono, R. K. (2017). Determinan Pengeluaran Kesehatan Katastropik Rumah Tangga Indonesia Pada Tahun Pertama Implementasi Program JKN. Buletin Penelitian Kesehatan, 45(1), 27–36.

Schuler, S. R. (2002). Paying for reproductive health services in Bangladesh: intersections between cost, quality and culture. Health Policy and Planning, 17(3), 273–280.

Sinha, R., Chatterjee, K., Nair, N., & Tripathy, P. (2016). Determinants of Out-of-Pocket and Catastrophic Health Expenditure: A Crosssectional Study. British Journal of Medicine and Medical Research, 11(8), 1–11.

Somkotra, T. & Lagrada, L. P. (2008). Payments for health care and its effect on catastrophe and impoverishment: Experience from the transition to Universal Coverage in Thailand. Social Science and Medicine, 67(12), 2027–2035.

Su, T. T., Kouyaté, B., & Flessa, S. (2006). Catastrophic household expenditure for health care in a low-income society: A study from

Nouna District, Burkina Faso. Bulletin of the World Health Organization, 84(1), 21–27.

Vlassoff, C. (1994). Gender inequalities in health in the third world: Uncharted ground. Social Science and Medicine, 39(9), 1249–1259.

Wagstaff, A. (2007). The economic consequences of health shocks: Evidence from Vietnam. Journal of Health Economics, 26(1), 82–100.

Wagstaff, A. (2008). Measuring financial protection in health. Policy Research Working Paper, March, 114–137.

Wagstaff, A. & van Doorslaer, E. (2003). Catastrophe and impoverishment in paying for health care: With applications to Vietnam 1993-1998. Health Economics, 12(11), 921–933.

Wang, Z., Li, X., & Chen, M. (2015). Catastrophic health expenditures and its inequality in elderly households with chronic disease patients in China. International Journal for Equity in Health, 14(1), 1-11.

Woolridge, J. M. (2013). Introductory Econometrics: A Modern Approach Fifth Edition. Cengage Learning.

Worl Health Organization. (2017). Tracking Universal Health Coverage: 2017 Global Monitoring Report. In World Health

Organisation.

World Health Organization. (2019). Global Monitoring Report on Financial Protection in Health 2019.

Wyszewianski, L. (1986). Financially catastrophic and high cost cases: Definitions, distinctions, and their implications for policy formulation. Inquiry, 23(4), 382–394.

Xu, K., Evans, D. B., Carrin, G., Aguilar-Rivera, A. M., Musgrove, P., & Evans, T. (2007). Protecting households from catastrophic health spending.

Health Affairs, 26(4), 972–983. Xu, K., Evans, D. B., Kawabata, K., Zeramdini, R., Klavus, J., & Murray, C. J. L. (2003). Household

catastrophic health expenditure: A multicountry analysis. Lancet, 362(9378), 111– 117.

You, X. & Kobayashi, Y. (2011). Determinants of Out-of-Pocket Health Expenditure in China. Appl. Health Econ. Health Policy, 9(1), 39–49.

Zhou, C., Long, Q., Chen, J., Xiang, L., Li, Q., Tang, S., Huang, F., Sun, Q., & Lucas, H. (2016). Factors that determine catastrophic expenditure for tuberculosis care: A patient survey in China. Infectious Diseases of Poverty, 5(1), 1–10.

Downloads

Additional Files

Published

2021-07-11

How to Cite

Husna, A., & Sukartini, N. M. (2021). Determinants of Catastrophic Health Expenditure (CHE): An Indonesian Family Life Survey (IFLS) 2007 & 2014. Journal of Economics, Business, and Accountancy Ventura, 24(1), 156–170. https://doi.org/10.14414/jebav.v24i1.2644