title: [Impact of "Seguro Popular" on catastrophic and out-of-pocket health expenditures in rural and urban Mexico, 2005-2008].
abstract: OBJECTIVE
  To estimate the effect of "Seguro Popular" (SP) on the incidence of catastrophic health expenditure (CHE) and out-of-pocket (OOP) health expenditure in the medium term.
  
  
  METHODS
  We used the 'Encuesta de Evaluación del SP' --SP Survey Evaluation-- (2005-2008). We analyzed the SP effect on the rural cohort during two years of follow-up (2006 and 2008) and in the urban cohort during one year of follow-up (2008).
  
  
  RESULTS
  At the local level (regional clusters) we did not find an effect of the SP. At the household level we found a protective effect of SP on CHE and the OOP health payments in outpatient and hospitalization in rural areas; and a significant effect on the reduction of OOP health payments in outpatient services in urban zones.
  
  
  CONCLUSIONS
  SP seems to be an effective program to protect poor household against out-of-pocket health expenditures in the medium term.
authors.affiliation: Departamento de Servicios de Salud, Políticas y Práctica, Brown University, Providence, Rhode Island, USA.
authors.forename: Sandra G
authors.initials: SG
authors.lastname: Sosa-Rubí
authors.forename: Aarón
authors.initials: A
authors.lastname: Salinas-Rodríguez
authors.forename: Omar
authors.initials: O
authors.lastname: Galárraga
mesh_terms: D017048:Health Care Costs / Q000706:statistics & numerical data*; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006801:Humans; D007354:Insurance, Major Medical / Q000191:economics*; D008800:Mexico; D012424:Rural Population; D014505:Urban Population