Web-economic-crisis-health-systems-and-health-web

Chapter 6 | The impact of the crisis on the health system and health in Latvia
201
despite the introduction of the Social Safety Net, financial barriers remained the
main reasons for inequity in access in 2011. According to the EU-SILC survey,
almost 26.5% of people in the poorest quintile reported financial constraints as
the reason for not accessing services, compared with only 4.4% of people in the
richest quintile (Fig. 6.4).
Fig. 6.3 Average monthly OOP payments per household member and OOP payments as
a percentage of household expenditures by income quintile in Latvia, 2010
OOP (% expenditure)
Monthly OOP (LVL)
OOP as % of expenditure
18
8.5%
16
14
6.6%
15.38
12
5.7% 14.23
5.8%
10
4.9%
13.27
4.0%
10.37
8
8.13
6
4
4.14
2
0
1 2 3 4 5 Total
Income quintile (1st poorest, 5th richest)
Source: Mitenbergs et al., 2012.
9
8
7
6
5
4
3
2
1
0
Monthly OOP (LVL)
Fig. 6.4 Percentage of self-reported unmet need for medical examination or treatment
because it was “too expensive”, selected income quintiles in Latvia, 2005–2010
40.0
1st quintile (poorest)
5th quintile (richest)
Total
30.0
Unmet need (%)
20.0
10.0
0.0
Source: Eurostat, 2012b.
2005 2006 2007
2008 2009 2010 2011