From: Overview of the main methods used for estimating catastrophic health expenditure
Budget share approach | Capacity-to-pay approach | |
---|---|---|
Advantages | Simple to apply and requires less data | Less biased by variation in the purchasing capacity between different income classes Development of various forms of the approach to adapt to different settings Sub-methods that account for household size and composition |
Limitations | Does not consider variation in the purchasing capacity amongst different income classes Does not typically account for how household size and composition effects household. spending/income and leads to different degrees of economic capacities | Requires more data and therefore can be challenging to apply in LMICs Argued that it does not reflect the impact of out-of-pocket payments on the households' ability to purchase non-medical necessities Uncertainty and controversy regarding what constitutes as “basic needs” |