In 2019, public health spending accounted for 2.7% of gross domestic product and 16.3% of total public spending. Out-of-pocket spending represented 42.9% of total health spending, exceeding the regional average of 29.9%. Catastrophic health spending for 2018 was estimated at 8.2%.[1] The subsidized regime protects workers with incomes below the minimum wage, the unemployed, people with disabilities, and people experiencing homelessness. The Ministry of Public Health of the Dominican Republic defines general preventive services (SPCG) and guarantees their funding.[2] The contributory regime of the Dominican Social Security System is financed by mandatory contributions from members and employers. The SPCG and the Health Services Plan define mandatory individual and collective benefits for the entire population, for both coverage regimes.
References
[1] World Health Organization, Health Financing and Economics, WHO Health Financing Dashboard (choose country)
[2] Quezada, Dra Tirsis. MODELO DE ATENCIÓN PARA EL SISTEMA NACIONAL DE SALUD. Dec. 2017.
