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Reste à charge et équité du système de santé : le cas du Tadjikistan

Author

Listed:
  • Sandra Pellet

    (ERUDITE - Equipe de Recherche sur l’Utilisation des Données Individuelles en lien avec la Théorie Economique - UPEC UP12 - Université Paris-Est Créteil Val-de-Marne - Paris 12 - Université Gustave Eiffel, IC Migrations - Institut Convergences Migrations [Aubervilliers])

Abstract

The aim of this article is to measure the inequalities in healthcare utilization and financing due to the high out-of-pocket expenditure in the Tajik healthcare system. Despite the universality of its system, Tajikistan has one of the highest out-of-pocket rates in the world, ranging from 60% to 80% of expenditure, during the last decade. Based on data from the Tajikistan Living Standards Survey 2007 and on the methodology of concentration indices, we suggest that access to care is not equitably distributed in the population and that health expenditures are regressive. Informal payments simulated after controlling for differences in needs are also regressive. That result invalidates the hypothesis according to which doctors cross-subsidize. Classification JEL : I14, E26, D63.
(This abstract was borrowed from another version of this item.)

Suggested Citation

  • Sandra Pellet, 2020. "Reste à charge et équité du système de santé : le cas du Tadjikistan," Post-Print hal-04261295, HAL.
    • Handle: RePEc:hal:journl:hal-04261295
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    Keywords

    Out-of-pocket expenditure; Health system; Informal payments;
    All these keywords.

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • E26 - Macroeconomics and Monetary Economics - - Consumption, Saving, Production, Employment, and Investment - - - Informal Economy; Underground Economy
    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement

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