The Classification of Profiles of Financial Catastrophe Caused by Out-Of-Pocket Payments: A Methodological Approach

The financial catastrophe resulting from the out-of-pocket payments necessary to access and use healthcare systems has been widely studied in the literature. The aim of this work is to predict the impact of the financial catastrophe a household will face as a result of out-of-pocket payments in long...

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Detalles Bibliográficos
Autores: García Centeno, María Carmen, Mínguez Salido, Román, Pozo Rubio, Raúl del
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/30572
Acceso en línea:http://hdl.handle.net/10578/30572
Access Level:acceso abierto
Palabra clave:Financial catastrophe
Out-of-pocket payment
Machine learning
Clasification
Profiles
Descripción
Sumario:The financial catastrophe resulting from the out-of-pocket payments necessary to access and use healthcare systems has been widely studied in the literature. The aim of this work is to predict the impact of the financial catastrophe a household will face as a result of out-of-pocket payments in long-term care in Spain. These predictions were made using machine learning techniques such as LASSO (Least Absolute Shrinkage and Selection Operator) penalized regression and elastic-net, as well as algorithms like k-nearest neighbors (KNN), MARS (Multivariate Adaptive Regression Splines), random forest, boosted trees and SVM (Support Vector Machine). The results reveal that all the classification methods performed well, with the complex models performing better than the simpler ones and showing no evidence of overfitting. Detecting and defining the profiles of individuals and families most likely to suffer from financial catastrophe is crucial in enabling the design of financial policies aimed at protecting vulnerable groups.