Title

Is Public Health Expenditure In Ecuador Progressive Or Regressive?

Keywords

Benefit incidence analysis; Ecuador; Health disparities; Health expenditures

Abstract

This paper uses a benefit incidence analysis (BIA) to evaluate whether public health expenditure in Ecuador is regressive or progressive. This paper overcomes several limitations of previous BIA analyses in developing countries: a) it develops a framework to allocate the operational and administrative government expenditures among providers at a centralised level according to their level of activity; b) it uses a household health survey in which an individual's consumption of medical care can be tied to a specific health provider. We rank the economic status of medical care users according to the consumption per adult equivalent, and using an index obtained from the availability of durable goods in the household. The findings suggest that the Ministry of Public Health expenditure is progressive, while the Ecuadorian Social Security Institute expenditure is regressive. We offer policy suggestions to increase the efficiency and equity of public health expenditures in Ecuador. Copyright © 2007 Inderscience Enterprises Ltd.

Publication Date

1-1-2007

Publication Title

International Journal of Public Policy

Volume

2

Issue

3-4

Number of Pages

186-216

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1504/IJPP.2007.012903

Socpus ID

34447109010 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/34447109010

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