Catastrophic health expenditures incurred by families in 2003, 2009 and 2018 in the Federal District, Brazil:
Pedro Henrique Alves Santos1, Theo da Fonseca Torres2, Letícia Xander Russo3
1Universidade de Brasília, Programa de Pós-Graduação em Ciências e Tecnologias em Saúde, Brasília, DF, Brazil.
Objective:
To investigate the evolution of prevalence of catastrophic health expenditure in the Brazilian Federal District at three different times (2003, 2009 and 2018), as well, to identify the composition of outof- pocket expenditure in the respective years.
Method:
Time series study, using descriptive data from the Family Budget Survey. Prevalence was stratified by consumption quintiles.
Results:
754 households were selected as a sample in 2003, 695 in 2009 and 1,000 in 2018. Taking a 10% consumption threshold, prevalence of catastrophic expenditure was 12.3% (95%CI 9.6;14.9) in 2003, 15.3% (95%CI 12.1;18.3) in 2009 and 14.1% (95CI% 11.8;16.2) in 2018. Households with lower income had higher prevalence of catastrophic expenditure. Medicines have a greater burden on expenditure of low-income families.
Conclusions:
There was an increase in prevalence of catastrophic expenditure in the Federal District. Medicines were the main expense for the poorest families.
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