Fertility and Minority: A Study in Two Provinces of Iran Using Matching Estimator Technique

Rad, Enayatollah Homaie; Tavakkoli, Maryam; Moghadamnia, Mohammad Taghi; Khanghah, Atefeh Ghanbari

doi:10.1007/s10903-015-0239-4

Cited by 7 publications

(6 citation statements)

References 6 publications

(6 reference statements)

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“…Data collection was not applicable in this study, and previously gathered data were used. These data were not matched by confounding factors, and propensity score matching was used to achieve unbiased results( 17 ). Propensity score method allows to match previously gathered data easily and was used to compare the 2 groups.…”

Section: Methodsmentioning

confidence: 99%

Complementary health insurance, out- of- pocket expenditures, and health services utilization: A population- based survey

Rad

Kavosi

Moghadamnia

et al. 2017

Med. J. Islam. Republic Iran

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Background: Studies have shown that people using complementary health insurances have more access to health services than others. In the present study, we aimed at finding the differences between out- of- pocket payments and health service utilizations in complementary health insurances (CHIs) users and nonusers. Methods: Propensity score matching was used to compare the 2 groups. First, confounder variables were identified, and then propensity score matching was used to compare out- of- pocket expenditures with dental, general physician, hospital inpatient, emergency services, nursing, midwifery, laboratory services, specialists and rehabilitation services utilization. Results: Our results revealed no significant differences between the 2 groups in out- of- pocket health expenditures. Also, the specialist visits, inpatient services at the hospital, and dental services were higher in people who used CHIs compared to nonusers. Conclusion: People did not change their budget share for health care services after using CHIs. The payments were equal for people who were not CHIs users due to the increase in the quantity of the services.

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Section: Methodsmentioning

confidence: 99%

Complementary health insurance, out- of- pocket expenditures, and health services utilization: A population- based survey

Rad

Kavosi

Moghadamnia

et al. 2017

Med. J. Islam. Republic Iran

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“…It should be mentioned that Rasht is the capital of Guilan province in the north of Iran, with a population near one million. (the most populous city in the northern Iran) (Rad et al, 2016). It has eight public and four private hospitals (Sciences, 2017).…”

Section: Design and Datamentioning

confidence: 99%

The effect of Iranian health system reform plan on payments and costs of coronary artery bypass surgery in private hospitals of Iran

Tabari-Khomeiran

Delavari

Rezaei

et al. 2019

IJHRH

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Purpose In May 2014, a new reform in the health sector of Iran was implemented called “health evolution plan.” In the first phase of this reform, the government reduced out-of-pocket payments for service delivery by paying subsidies to the services and after that a revision was done to the medical services values book to improve equity and increase motivation of health professions. One of the affected services in this reform was coronary artery bypass surgery. The purpose of this paper is to show the effects of HEP on costs of coronary artery bypass surgery. Design/methodology/approach A before-after study was done for this purpose and 167 patients’ total costs and out-of-pocket payments were calculated for the years 2013 (before) and 2014 (after) the reform in three private hospitals of Rasht city, Iran. Econometrics models were estimated after adjustment of confounding variables. Findings The results of this study showed that surgery costs increased significantly from $1,643.3 to 2,119.5. Nursing and other costs increased significantly from $290.3 to 414.2 and anesthetize costs increased from $619.2 to 947.01. The results of regression model showed that total costs increased $3,008.6 after adjustment of confounders (p-value=0.037). However, no significant changes were found for out-of-pocket payments and out-of-pocket percentage. Originality/value The study findings revealed that HTP was not successful enough in financial protection in the private sector.

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“…In order to evaluate the short-term effects of the HTP on equity in health care financing, we measured the treatment effect of HTP on OOP spending and households facing CHE in Guilan Province, a developed area located in the north of Iran [ 10 ]. In this province, which is located near the Caspian Sea, farming is the most important occupation of the rural population; additionally, it has the lowest fertility rate of the country [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Pros and cons of the health transformation program in Iran: evidence from financial outcomes at the household level

et al. 2017

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OBJECTIVESThe health transformation program was a recent reform in the health system of Iran that was implemented in early 2014. Some of the program’s important goals were to improve the equity of payments and to reduce out-of-pocket (OOP) payments and catastrophic health expenditures (CHE). In this study, these goals were evaluated using a before-and-after analysis.METHODSData on household income and expenditures in Guilan Province were gathered for the years 2013 and 2015. OOP payments for outpatient, inpatient, and drug services were calculated, and the results were compared using the propensity score matching technique after adjusting for confounding variables. Concentration indices and curves were added to quantify changes in inequity before and after the reform. The incidence of catastrophic expenditures was then calculated.RESULTSOverall and outpatient service OOP payments increased by approximately 10 dollars, while for other types of services, no significant changes were found. Inequity and utilization of services did not change after the reform. However, a significant reduction was observed in CHE incidence (5.75 to 3.82%).CONCLUSIONSThe reform was successful in decreasing the incidence of CHE, but not in reducing the monetary amount of OOP payments or affecting the frequency of health service utilization.

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Fertility and Minority: A Study in Two Provinces of Iran Using Matching Estimator Technique

Cited by 7 publications

References 6 publications

Complementary health insurance, out- of- pocket expenditures, and health services utilization: A population- based survey

Complementary health insurance, out- of- pocket expenditures, and health services utilization: A population- based survey

The effect of Iranian health system reform plan on payments and costs of coronary artery bypass surgery in private hospitals of Iran

Pros and cons of the health transformation program in Iran: evidence from financial outcomes at the household level

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