Bancalari, Antonella;
Berlinski, Samuel;
Buitrago, Giancarlo;
García, María Fernanda;
De la Mata, Dolores;
Vera-Hernández, Marcos;
(2025)
Health systems and health inequalities in Latin America.
Oxford Open Economics
, 4
(Supp_1)
i122-i147.
10.1093/ooec/odae029.
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Abstract
In this study, we develop a taxonomy to categorize health systems in Latin American countries into four distinct groups based on their principal characteristics. Using standardized metrics from Bancalari et al. (2023), we examine disparities in healthcare access and health outcomes among these systems. Our findings reveal that Beveridge-type health systems are associated with lower levels of inequality compared to Bismarckian systems. However, no consistent pattern emerges across the proposed taxonomy, suggesting the presence of influential unobserved health system variables that may play a more significant role in health and healthcare disparities than the taxonomy's general characteristics. Additionally, we investigate the disparities within countries, analysing differences in healthcare use and health outcomes of those individuals covered by contributory and non-contributory health subsystems. Through Oaxaca decompositions, we identify the key factors driving these disparities, offering additional insights into the complex interplay between health system structure and health inequality in Latin America.
| Type: | Article |
|---|---|
| Title: | Health systems and health inequalities in Latin America |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1093/ooec/odae029 |
| Publisher version: | https://doi.org/10.1093/ooec/odae029 |
| Language: | English |
| Additional information: | Copyright © The Author(s) 2025. Published by Oxford University Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Keywords: | Health insurance, health and inequality, contributory and non-contributory subsystems, Latin America |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > UCL SLASH UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS > Dept of Economics |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10207652 |
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