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Investigating Adverse Effects of Health Expenditures in Households of Deprived Provinces
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S Nouraei Motlagh   , A Rezapour , F Lotfi , D Adham , A* Sarabi Asiabar * |
| Islamic Azad University, Tehran Central Branch |
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Abstract: (4535 Views) |
Background & objectives: Spending great part of financial resources for health care may lead to financial problems for households and threat the life standards. Therefore, protection of families from catastrophic expenditures is a desirable objective for health systems. The aims of this study were to investigate affecting factors on probability of households facing to catastrophic expenditures, estimate FFCI and Gini indices in deprived states of Iran.
Methods: Bayesian econometrics model was applied to estimate probability of households facing to the catastrophic expenditures in 2012. Data were extracted from Households Income and Expenditure Survey in Statistical Center of Iran. The sample included 22057 households from deprived provinces.
Results: In 2012, about 6.25% of people in deprived states faced catastrophic expenditures. FFCI and Gini indices were estimated 0.82 and 0.45, respectively. The most important factores for catastrophic expenditues were dentistry and hospital services. Increased number of family members with >65 year old, low literacy and unemployed parent, female guardian and without insurance coverage increase probability of catastrophic expenditures.
Conclusion: Based on the result, protection of health financing system against catastrophic expenditures is not sufficient; therefore, reform of the financing system is necessary. In addition, policy makers should increase fields of insurance services to protect households from facing to catastrophic expenditures by prepayment mechanisms. |
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| Keywords: Catastrophic Health Expenditures, Bayesian Logit Model, Health Equity, Deprived Provinces. |
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Full-Text [PDF 151 kb]
(1605 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2017/09/23 | Accepted: 2017/09/23 | Published: 2017/09/23
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