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Household financial burden associated with out-of-pocket payments for healthcare in Iran: insights from a cross-sectional survey.
Rezaei, Satar; Karimi, Maryam; Soltani, Shahin; Barfar, Eshagh; Gharehghani, Mohammad Ali Mohammadi; Badakhshan, Abbas; Badiee, Nasim; Pakdaman, Mohsen; Brown, Heather.
Afiliación
  • Rezaei S; Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran. satarrezaei@gmail.com.
  • Karimi M; Hajar Teaching Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran.
  • Soltani S; Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Barfar E; Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
  • Gharehghani MAM; Social welfare Management Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
  • Badakhshan A; School of Health , Golestan University of Medical Sciences, Gorgan, Iran.
  • Badiee N; Department of Health Management, Economic and Policy, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
  • Pakdaman M; Health Policy and Management Research Center, Department of health management and Economics, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
  • Brown H; Division of Health Research, Lancaster University, Lancaster, UK.
BMC Health Serv Res ; 24(1): 1062, 2024 Sep 13.
Article en En | MEDLINE | ID: mdl-39272081
ABSTRACT

BACKGROUND:

One of the key functions and ultimate goals of health systems is to provide financial protection for individuals when using health services. This study sought to evaluate the level of financial protection and its inequality among individuals covered by the Social Security Organization (SSO) health insurance between September and December 2023 in Iran.

METHODS:

We collected data on 1691 households in five provinces using multistage sampling to examine the prevalence of catastrophic healthcare expenditure (CHE) at four different thresholds (10%, 20%, 30%, and 40%) of the household's capacity to pay (CTP). Additionally, we explored the prevalence of impoverishment due to health costs and assessed socioeconomic-related inequality in OOP payments for healthcare using the concentration index and concentration curve. To measure equity in out-of-pocket (OOP) payments for healthcare, we utilized the Kakwani progressivity index (KPI). Furthermore, we employed multiple logistic regression to identify the main factors contributing to households experiencing CHE.

FINDINGS:

The study revealed that households in our sample allocated approximately 11% of their budgets to healthcare services. The prevalence of CHE at the thresholds of 10%, 20%, 30%, and 40% was found to be 47.1%, 30.1%, 20.1%, and 15.7%, respectively. Additionally, we observed that about 7.9% of the households experienced impoverishment due to health costs. Multiple logistic regression analysis indicated that the age of the head of the household, place of residence, socioeconomic status, utilization of dental services, utilization of medicine, and province of residence were the main factors influencing CHE. Furthermore, the study demonstrated that while wealthy households spend more money on healthcare, poorer households spend a larger proportion of their total income to healthcare costs. The KPI showed that households with lower total expenditures had higher OOP payments relative to their CTP.

CONCLUSION:

The study findings underscore the need for targeted interventions to improve financial protection in healthcare and mitigate inequalities among individuals covered by SSO. It is recommended that these interventions prioritize the expansion of coverage for dental services and medication expenses, particularly for lower socioeconomic status household.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Composición Familiar / Gastos en Salud / Financiación Personal Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Composición Familiar / Gastos en Salud / Financiación Personal Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Reino Unido