@article{Noviani_2021, title={Who Have a Higher Risk of Falling Into Catastrophic Health Expenditures?}, volume={12}, url={https://ejournal.fkm.unsri.ac.id/index.php/jikm/article/view/818}, DOI={10.26553/jikm.2021.12.3.217-228}, abstractNote={<div class="page" title="Page 1"> <div class="layoutArea"> <div class="column"> <p><em>Catastrophic health </em><em>expenditure</em><em> is one of the challenges Indonesia faces in </em><em>achieving</em><em> Universal Health Coverage. </em><em>Aside from </em><em>being a financial disaster, the inciden</em><em>t</em><em> caused by out-of-pocket health </em><em>expenditure</em><em> exceeding a </em><em>fixed</em><em> limit can </em><em>drive</em> <em>people</em><em> into poverty. Unfortunately</em><em>, the availability of the data </em><em>causes the limitation of </em><em>the</em> <em>study</em><em> in Indonesia.</em><em> This study aims </em><em>to analyze the </em><em>association</em><em> between </em><em>catastrophic health expenditure</em><em> and several social-economic factors</em><em> by using the latest data of out-of-pocket expenditure collected at the individual level from the 2019 </em><em>Susenas </em><em>Module of </em><em>Health and Housing</em><em>. Using the Chi-square test, </em><em>this study confirms a significant </em><em>association</em><em> between catastrophic health expenditures </em><em>and the following </em><em>social-economic factor</em><em>s: o</em><em>utpatient </em><em>and </em><em>inpatient service use,</em> <em>health insurance ownership,</em> <em>age,</em> <em>sex,</em> <em>marital status</em><em>, </em><em>educational level,</em> <em>work status,</em> <em>welfare status,</em> <em>type of area,</em> <em>and geographic locatio</em><em>n. From the logistic regression, the probability of the population to experience catastrophic health expenditure is higher for people in the following categories: use inpatient or outpatient services, do not have health insurance, are elderly, ever-married, not working, not poor, and live in the rural areas or Java island. Disaggregation by </em><em>outpatient and inpatient service use </em><em>shows t</em><em>he large </em><em>gap</em> <em>in</em><em> the </em><em>probability </em><em>of </em><em>falling into</em><em> catastrophic health expenditure</em><em>s. The p</em><em>robability for people who used inpatient service is more than four times people who never used the service. Meanwhile, for outpatient service, the probability is almost three times</em><em>. Th</em><em>erefore, </em><em>people can </em><em>strengthen</em><em> preventive care</em><em>, especially those with low or no cost</em><em>, to avoid falling into catastrophic health expenditure</em><em>.</em></p> </div> </div> </div>}, number={3}, journal={Jurnal Ilmu Kesehatan Masyarakat}, author={Noviani, Amalia}, year={2021}, month={Nov.}, pages={217–228} }