Household financial contribution to the health System in Shiraz, Iran in 2012

Kavosi, Zahra; Keshtkaran, Ali; Hayati, Ramin; Ravangard, Ramin; Khammarnia, Mohammad

doi:10.15171/ijhpm.2014.87

Cited by 43 publications

(70 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, the households not covered by supplementary insurance or those taking services not included in the package of basic insurance companies (eg, dental care services) would allocate a higher percentage of their capacity to pay to health expenditures; studies in Iran and other countries have also confirmed this hypothesis. 11,19,31 In this study, no relationship was found between household size and the chances of facing CHE. Similarly, in 2012, Kavosi et al found no such a relationship.…”

Section: 19contrasting

confidence: 58%

“…The study conducted by Kavosi et al in 2014 revealed that for every instance of taking outpatient services, the probability of facing CHE would increase by 11%. 19 Nevertheless, Amery et al, in their 2013 study, concluded that there was no significant relationship between receiving outpatient services and CHE. 18 The results of our study also showed no significant relationship between having basic health insurance and the risk of exposure to CHE.…”

Section: 19mentioning

confidence: 98%

“…This finding has also been pointed out in some other studies. 7,19,30 People with disabilities and in need of care are likely to be sicker than the ordinary people and, therefore, presence of such members makes households spend a greater part of their capacity to pay on health expenditures. These pieces of findings could help redirect the focus of health system policies toward the financial protection of such households through implementing supportive programs as well as insurance plans for special diseases.…”

Section: 19mentioning

confidence: 99%

“…7, [18][19][20] These pieces of evidence go against the objectives highlighted in the Fifth Economic, Social, and Cultural Development Plan; that is, decreasing the share of OOP payments in the total health expenditure by 30% and reducing the percentage of households facing CHE to less than 1%. 21 The evidences mentioned above indicate that Iran's health system had not been in a favorable condition in many respects in recent years.…”

mentioning

confidence: 99%

“…The effective income is based on the household total expenditures within one specific time period; this income has been considered in many countries as a better measure than the income reported in the household surveys that represents purchasing power. 7,19 In order to calculate the household livelihood costs, food poverty line (ie, a portion of the household total expenditures dedicating to costs related to food) was used; Xu et al have described this methodology in detail. 4 Factors Affecting Catastrophic Healthcare Expenditures In this study, Fisher exact tests were used to examine the relationship between the variables under study and CHE.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Catastrophic Health Expenditure After the Implementation of Health Sector Evolution Plan: A Case Study in the West of Iran

Piroozi¹,

Moradi²,

Nouri³

et al. 2016

Int J Health Policy Manag

108

View full text Add to dashboard Cite

Background: One of the main objectives of health systems is the financial protection against out-of-pocket (OOP) health expenditures. OOP health expenditures can lead to catastrophic payments, impoverishment or poverty among households. In Iran, health sector evolution plan (HSEP) has been implemented since 2014 in order to achieve universal health coverage and reduce the OOP health expenditures as a percentage of total health expenditures. This study aimed to explore the percentage of households facing catastrophic health expenditures (CHE) after the implementation of HSEP and the factors that determine CHE. Methods: A total of 663 households were selected through a cluster sampling based on the census framework of Sanandaj Health Center in July 2015. Data were gathered using face-to-face interviews based on the household section of the World Health Survey questionnaire. In this study, according to the World Health Organization (WHO) definition, if household health expenditures were equal to or more than 40% of the household capacity to pay, household was considered to be facing CHE. The determinants of CHE were analyzed using logistic regression model. Results:The rates of households facing CHE were 4.8%. The key determinants of CHE were household economic status, presence of elderly or disabled members in the household and utilization of inpatient or rehabilitation services. Conclusion:The comparison of our findings and those of other studies carried out using a methodology comparable with ours in different parts of Iran before the implementation of HSEP suggests that the implementation of recent reforms has reduced CHE at the household level. Utilization of inpatient and rehabilitation services, the presence of elderly or disabled members in the household and the low economic status of the household would increase the likelihood of facing CHE. These variables should be considered by health policy-makers in order to review and revise content of recent reform, thus financially protecting public against CHE.

show abstract

Section: 19contrasting

confidence: 58%

Section: 19mentioning

confidence: 98%

Section: 19mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Catastrophic Health Expenditure After the Implementation of Health Sector Evolution Plan: A Case Study in the West of Iran

Piroozi¹,

Moradi²,

Nouri³

et al. 2016

Int J Health Policy Manag

108

View full text Add to dashboard Cite

show abstract

Strategies for improving the financing of family medicine program: Evidence from Iran

Kabir,

Moeini,

Heidari

2024

Health Science Reports

View full text Add to dashboard Cite

Background and AimsThe impact of health financing on the performance of the entire health system, including access, quality, and efficiency of healthcare, has been emphasized in the Astana Declaration, and the need to strengthen primary healthcare (PHC) and policy integration has been emphasized. After about two decades, the family medicine (FM) program in Iran is still facing great challenges. The aim of this study is to explore strategies for strengthening financing of the FM program in Iran, a vital component of PHC.MethodsA qualitative study was conducted in 2021. Purposeful sampling was used to select 34 policymakers, managers, and experts from various levels of the Ministry of Health, Iran universities of medical sciences, plan and budget organization of Iran, and health insurance organization in Iran. Thirty‐four semistructured interviews were conducted to collect data, which were analyzed by content analysis.ResultsThrough the analysis of interviews, our study has identified five strategies (identification and management of sustainable resources, pooling of sustainable resources, modeling of service provision, payment system model and its implementation process, and FM management structure), and 13 actions for strengthening financing of the FM program in Iran.ConclusionOur study has identified five strategies and 13 actions for strengthening the financing of the FM program in Iran. These strategies and actions should be considered by policymakers during the review of the FM program in Iran. Without implementation of the suggested strategies and action, allocated resources may be wasted.

show abstract

Can Health Insurance Protect Against Catastrophic Health Expenditures in Iran? A Systematic Review and Meta‐Analysis

Soofi¹,

Arab‐Zozani²,

Kazemi-Karyani³

et al. 2021

World Med & Health Policy

View full text Add to dashboard Cite

The results of previous Iranian studies on the protective effect of health insurance on catastrophic health expenditures (CHE) are inconsistent. Therefore, the aim of this meta‐analysis was to summarize all existent evidence. We searched international and Iranian scientific databases for relevant literature. Using a Mantel–Haenszel random‐effects model, the pooled odds ratios (OR) were calculated. Subgroup meta‐analyses were performed considering the type of insurance and study population. The pooled OR for the protective effect of health insurance risk on facing CHE was 0.93 (95% confidence interval [CI], 0.68–1.28). The protective effect of the two types of insurance was statistically insignificant. Health insurance does not effectively provide financial protection against CHE in Iran. Expanding the prepayment mechanism and integrating health insurance funds can be good strategies in protecting people from CHE. More attention should be paid to the design of health insurance benefit package to cover chronic diseases.

show abstract

Household financial contribution to the health System in Shiraz, Iran in 2012

Abstract: It appears that the current method of health financing in Iran does not adequately protect households against catastrophic health expenditure. Consequently, it is essential to reform healthcare financing.

Cited by 43 publications

References 19 publications

Catastrophic Health Expenditure After the Implementation of Health Sector Evolution Plan: A Case Study in the West of Iran

Catastrophic Health Expenditure After the Implementation of Health Sector Evolution Plan: A Case Study in the West of Iran

Strategies for improving the financing of family medicine program: Evidence from Iran

Can Health Insurance Protect Against Catastrophic Health Expenditures in Iran? A Systematic Review and Meta‐Analysis

Contact Info

Product

Resources

About