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Appendix Table 12 Erreygers Concentration Index decomposition using recentered influence functions on Excessive Financial Burden (EFB) at 10% of consumption comparing 2014 vs. 2019 years. Source: authors calculations

From: Revisiting a decade of inequality in healthcare financial burden in Cambodia, 2009–19: trends, determinants and decomposition

Excessive Financial Burden

Consumption (10%)

Result

Means

Explained

Unexplained

Total

 

2014

2019

dx[%]

coef

% diff

coef

% diff

% diff

-dy/dx

Independent variables [Units]

Geographic strata

  Zone

   Phnom Penh

0.113

0.146

29.29%

0.00488**

14.88%

0.00368

11.22%

26.10%

0.37

   Plain

0.375

0.353

-6.02%

0.000798#

2.43%

0.00622

18.96%

21.40%

-1.46

   Tonle Sap

0.306

0.289

-5.60%

0.000914*

2.79%

0.00332

10.12%

12.91%

-0.95

   Coastal

0.072

0.063

-11.48%

0.000232

0.71%

-0.00230

-7.01%

-6.30%

0.23

   Plateau/Mountain

0.134

0.149

11.07%

-0.000451

-1.38%

-0.00374

-11.40%

-12.78%

-0.47

   Urban areas (base: rural)

0.214

0.378

76.96%

-0.00798*

-24.33%

-0.0150*

-45.73%

-70.06%

-0.37

Household structure

  Household size [members]

4.46

4.39

-1.59%

3.96e-05

0.12%

0.0298

90.85%

90.97%

-23.47

  Disabled/impaired members [share of household members]

4.82%

5.92%

22.85%

0.00123#

3.75%

0.00904*

27.56%

31.31%

0.56

  Children under 5 years old [share of household members]

8.47%

8.35%

-1.47%

-0.000213

-0.65%

0.0172*

52.44%

51.79%

-14.48

  Older persons over 60 years old [share of household members]

10.80%

12.69%

17.45%

-0.00302**

-9.21%

-0.00467

-14.24%

-23.45%

-0.55

Social health protection

  HEF or Priority Access Card holder [dummy]

0.103

0.103

0.18%

-6.72e-06

-0.02%

-0.00863*

-26.31%

-26.33%

-61.53

General consumption [INT$(2011) per capita]

  Housing

47.28

81.33

72.00%

0.00437#

13.32%

-0.00123

-3.75%

9.57%

0.05

  Education

7.43

13.17

77.32%

0.00345*

10.52%

-0.00630#

-19.21%

-8.69%

-0.05

  Durables

23.43

55.63

137.49%

0.0131**

39.94%

0.00391

11.92%

51.86%

0.15

Liabilities [INT$(2011) per capita]

  Unspecific loans

291.31

1,545.00

430.36%

0.00184

5.61%

0.00350*

10.67%

16.28%

0.02

  Primarily illness-related loans

13.38

30.68

129.31%

-0.000491#

-1.50%

0.000136

0.41%

-1.08%

0.00

Healthcare needs in the last 30 days

  Illness or injury prevalence [share of household members]

16.80%

18.80%

11.87%

0.00535**

16.31%

0.00882

26.89%

43.20%

1.49

  Illness prevalent for more than one year (chronic condition) [share of household members]

3.56%

6.35%

78.21%

0.00398*

12.13%

0.00177

5.40%

17.53%

0.09

  Injuries/Trauma

0.06%

0.39%

539.20%

0.00121

3.69%

-0.000762*

-2.32%

1.37%

0.00

  Non-illness-related care [household members]

   Maternity care (Ante- & postnatal care, delivery)

0.016

0.029

89.38%

0.000152

0.46%

5.04e-05

0.15%

0.62%

0.00

   Prevention (Vit A, deworming, immunization & health checks)

0.134

0.261

95.18%

-0.0125**

-38.11%

-0.0134**

-40.85%

-78.96%

-0.34

Healthcare seeking in the last 30 days

  Healthcare sought (visits to any providers) [household members]

1.177

1.188

0.87%

2.00e-05

0.06%

0.0114

34.76%

34.82%

16.41

  Medical healthcare sought [household members]

0.579

0.692

19.59%

0.00488*

14.88%

-0.00561

-17.10%

-2.23%

-0.05

  Household members stopped activities because of illness [dumy]

0.053

0.071

34.28%

0.00255**

7.77%

0.00445#

13.57%

21.34%

0.26

  Household members hospitalized [dummy]

0.037

0.055

47.82%

0.00179*

5.46%

0.00198

6.04%

11.49%

0.10

Free healthcare

  Reported free care excl. transportation in the last 30 days (OOPHE = 0) [household members]

0.031

0.046

47.89%

-0.00234**

-7.13%

0.00141

4.30%

-2.84%

-0.02

Out-of-pocket health expenditure (OOPHE)

  OOPHE [INT$(2011) per capita]

12.11

22.43

85.28%

-0.00701**

-21.37%

0.00539**

16.43%

-4.94%

-0.02

  Savings-financed OOPHE [% of OOPHE]

14.03%

12.16%

-13.27%

-0.00236**

-7.20%

0.0161**

49.09%

41.89%

-1.30

  Borrowing-financed OOPHE [% of OOPHE]

1.83%

1.18%

-35.77%

-0.00596**

-18.17%

0.00362*

11.04%

-7.13%

0.08

  Selling-assets-and-production-financed OOPHE [% of OOPHE]

0.57%

0.20%

-65.56%

-0.00455**

-13.87%

0.00413**

12.59%

-1.28%

0.01

  Other-and-unreported-financed OOPHE [% of OOPHE]

1.03%

1.21%

17.13%

0.000560

1.71%

0.00312**

9.51%

11.22%

0.27

Constant

     

-0.0490

-149.39%

  

Dependent variable

Result

   

coef

% diff

-dy[%]

Observations

  

  Group 1 (year = 2014)

   

-0.0799**

  

(12,090)

  

  Group 2 (year = 2019)

   

-0.1130**

  

(10,075)

  

  Difference (group 1—group 2)

   

0.0328**

100.00%

41.05%

   

  Explained (endowments)

   

0.00452

13.78%

5.66%

   

  Unexplained (coefficients and interactions)

   

0.0283*

86.28%

35.42%

   
  1. Results of statistical testing are marked according to the test’s P-value: **P-value < 0.01; *P-value < 0.05; and, #P-value < 0.1