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Paper Information

Journal:   ARCHIVES OF IRANIAN MEDICINE   JULY 2016 , Volume 19 , Number 7; Page(s) 480 To 487.
 
Paper: 

DETERMINING EQUITY IN HOUSEHOLD’S HEALTH CARE PAYMENTS IN HAMEDAN PROVINCE, IRAN

 
 
Author(s):  REZAPOUR AZIZ, ARABLOO JALAL, TOFIGHI SHAHRAM, ALIPOUR VAHID, SEPANDY MOJTABA, MOKHTARI PAYAM, GHANBARY ABBAS*
 
* HEALTH MANAGEMENT RESEARCH CENTER, BAQIYATALLAH UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IRAN
 
Abstract: 

BACKGROUND: Financial protection of household against the consequences of the health care expenditures is one of the most important functions of health care systems. The objective of this study was to determine the equity in health care payments and determining factors among households in Hamedan, a province in Iran.
METHODS: In this cross-sectional study, 772 families of patients, who were being discharged from hospitals in Hamedan, were selected for study by using a stratified random sampling method. Required data regarding households’ health and non-health expenditures were collected through World Health Organization standard questionnaire by interviews and observation method.
RESULTS: According to the findings, 20.7% of households experienced catastrophic health expenditure. The incidence of impoverishment due to out-of-pocket payments for health care was 2.8% among studied households. The highest incidence rate of out-of-pocket health payment indices occurred in the first quintile (poorest or Q1). Variables such as having members under 6 years or over 60 years in household, household size, employment of household head, households' income quintile, existence of the disabled member in households and the education level of the household’s head are the most important factors that affect the incidence of out-of-pocket health payment indices.
CONCLUSION: There is considerable inequity in health care financing as well as households' health payments. This requires designing and implementing the operative and protective programs for understanding the important factors that affect equity in health financing, especially for poor households, against the unexpected health expenditures through the health care system.

 
Keyword(s): CATASTROPHIC HEALTH EXPENDITURE, INEQUITY, IRAN, OUT-OF-POCKET PAYMENTS
 
 
References: 
 
Citations: 
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APA: Copy

REZAPOUR, A., & ARABLOO, J., & TOFIGHI, S., & ALIPOUR, V., & SEPANDY, M., & MOKHTARI, P., & GHANBARY, A. (2016). DETERMINING EQUITY IN HOUSEHOLD’S HEALTH CARE PAYMENTS IN HAMEDAN PROVINCE, IRAN. ARCHIVES OF IRANIAN MEDICINE, 19(7), 480-487. https://www.sid.ir/en/journal/ViewPaper.aspx?id=510930



Vancouver: Copy

REZAPOUR AZIZ, ARABLOO JALAL, TOFIGHI SHAHRAM, ALIPOUR VAHID, SEPANDY MOJTABA, MOKHTARI PAYAM, GHANBARY ABBAS. DETERMINING EQUITY IN HOUSEHOLD’S HEALTH CARE PAYMENTS IN HAMEDAN PROVINCE, IRAN. ARCHIVES OF IRANIAN MEDICINE. 2016 [cited 2021July27];19(7):480-487. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=510930



IEEE: Copy

REZAPOUR, A., ARABLOO, J., TOFIGHI, S., ALIPOUR, V., SEPANDY, M., MOKHTARI, P., GHANBARY, A., 2016. DETERMINING EQUITY IN HOUSEHOLD’S HEALTH CARE PAYMENTS IN HAMEDAN PROVINCE, IRAN. ARCHIVES OF IRANIAN MEDICINE, [online] 19(7), pp.480-487. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=510930.



 
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