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Catastrophic healthcare spending and impoverishment in Portugal (2005-2022)

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The study analyses the extent, evolution and impoverishing effects of catastrophic health expenditures (CHE) in Portugal from 2005 to 2022. The analysis also identifies factors predicting this outcome. A two-part model is employed to estimate unmet oral care expenditures by simulating the removal of financial constraints in the poorest income quintile. The results show a progressive reduction in financial burden. CHE incidence decreased from 9.42% (2005) to 5.04% (2022). Challenges remain regarding the protection of vulnerable groups. The estimations reveal the potential scale of households affected by financial barriers to accessing oral healthcare services, indicating that if the associated unmet needs were addressed, the CHE incidence would increase from 5.0% to 6.6%.

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Catastrophic Health Expenditure (CHE) Determinants Healthcare services Portugal

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