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Paper Information

Journal:   JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES   OCTOBER 2012 , Volume 21 , Number 83; Page(s) 65 To 78.
 
Paper: 

DETERMINANTS OF PHYSICIANS' VISITS THROUGHOUT THE DIFFERENT PROVINCES OF IRAN: A CASE STUDY OF THE POPULATION COVERED BY SOCIAL SECURITY ORGANIZATION

 
 
Author(s):  POURAGHA B., POURREZA A.*, HEYDARI H., HASSANZADEH KHAK MARDANI A., AKBARI SARI A., RAHIMI FOROUSHANI A.
 
* DEPARTMENT OF HEALTH MANAGEMENT AND ECONOMIC, SCHOOL OF PUBLIC HEALTH, TEHRAN UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IRAN
 
Abstract: 

Introduction: Understanding the effect of different factors on the utilization of physician services is of great importance for policy making processes in health sector. Identification of such factors will improve the process of planning and policy making in health sector.
Objective: To examine the effect of accessibility, income and out- of- pocket payments for visit and medicine on the utilization of specialist doctors' services (visits), in the population covered by Social Security Organization (SSO).
Materials and Methods: Managerial data bases throughout the SSO were used to measure the effect of assumed variables on the utilization of specialist doctors' services (visits) in a thirty-million population covered by SSO. The data were collected from 1998 to 2009 and then adjusted for the purpose of the study. A bilogarithmic regression model with panel data, using fixed effect model was estimated.
Results: The study results showed that 1% increase in the geographic accessibility and medicine costs would increase the utilization of specialist doctors' services by 23% and 17%, respectively. As well, out-of-pocket payments for specialists' visits and the insureds' incomes have no significant effect on the utilization of these services.
Conclusion: Visiting specialists in private sector showed no responsiveness to out-of- pocket payments, but more for geographic accessibility. Social Security Organization can regulate and control the utilization of these services through considering the flexibility of different provinces to different factors.

 
Keyword(s): SOCIAL SECURITY ORGANIZATION, VISIT, PHYSICIAN, OUT OF POCKET, ACCESS, DRUG, UTILIZATION
 
 
References: 
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Citations: 
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APA: Copy

POURAGHA, B., & POURREZA, A., & HEYDARI, H., & HASSANZADEH KHAK MARDANI, A., & AKBARI SARI, A., & RAHIMI FOROUSHANI, A. (2012). DETERMINANTS OF PHYSICIANS' VISITS THROUGHOUT THE DIFFERENT PROVINCES OF IRAN: A CASE STUDY OF THE POPULATION COVERED BY SOCIAL SECURITY ORGANIZATION. JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES, 21(83), 65-78. https://www.sid.ir/en/journal/ViewPaper.aspx?id=275473



Vancouver: Copy

POURAGHA B., POURREZA A., HEYDARI H., HASSANZADEH KHAK MARDANI A., AKBARI SARI A., RAHIMI FOROUSHANI A.. DETERMINANTS OF PHYSICIANS' VISITS THROUGHOUT THE DIFFERENT PROVINCES OF IRAN: A CASE STUDY OF THE POPULATION COVERED BY SOCIAL SECURITY ORGANIZATION. JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES. 2012 [cited 2021July30];21(83):65-78. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=275473



IEEE: Copy

POURAGHA, B., POURREZA, A., HEYDARI, H., HASSANZADEH KHAK MARDANI, A., AKBARI SARI, A., RAHIMI FOROUSHANI, A., 2012. DETERMINANTS OF PHYSICIANS' VISITS THROUGHOUT THE DIFFERENT PROVINCES OF IRAN: A CASE STUDY OF THE POPULATION COVERED BY SOCIAL SECURITY ORGANIZATION. JOURNAL OF GUILAN UNIVERSITY OF MEDICAL SCIENCES, [online] 21(83), pp.65-78. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=275473.



 
 
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