Volume 18, Number 62 (1-2016)                   jha 2016, 18(62): 64-74 | Back to browse issues page


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Ghiasi A, Baghi A, Rezapour A, Alipoدانشجوی دکتری تخصصی اقتصاد سلامت، دانشکده بهداشت، د V, Ahadinezhad B, Mahmoudi M et al . Health Insurance, Medicine Expenses and Catastrophic Health Expenditures. jha. 2016; 18 (62) :64-74
URL: http://jha.iums.ac.ir/article-1-1807-en.html

1- Instructor of Health Management and Economics Department, School of Health, Zabol University of Medical Sciences, Zabol, Iran Zabol University of Medical Sciences
2- MSc in Anesthesiology, School of Health Management and information Sciences, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
3- Assistant Professor of Health Economics Department, School of Health Management and Information Sciences, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran Iran University of Medical Sciences
4- PhD Candidate in Health Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran School of Public Health, Tehran University of Medical Sciences , vahid.alipour1360@yahoo.com
5- PhD Candidate in Health Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran School of Public Health, Tehran University of Medical Sciences
6- BA in Health Management, School of Health, Zabol University of Medical Sciences, Zabol, Iran Zabol University of Medical Sciences
Abstract:   (1060 Views)

Introduction: Catastrophic health expenditures is an index to evaluate the equity of health financing in different countries. This study investigates the catastrophic health expenditures and it’s determinants among the household residents of Zabol.

Methods: This study was conducted in 2013-2014, using World Health Organization catastrophic health expenditure questionnaire. Cluster sampling and household classification.methods were applied. Logistic and Probit regression model was used to investigate the determinants of catastrophic health expenditure. Data were analyzed by Stata.12.0.

Results: Approximately 20.6 percent of household faced catastrophic health expenses and most of it belonged to the second 8% quintile.  The results show that among variables, education of the head of the household and medical expenditure have significantly affected the probability of catastrophic expenditure. In this study, having health insurance supposedly did not play a significant role as a main factor in the reduction of catastrophic health expenditure.

Conclusion: High exposure to catastrophic expenditures among studied households, despite their 88 percent of them to access to basic health insurances, shows it's inefficiency in covering medical expenditures of insured households. It is on health policy makers to focus on factors that affecting the incidence of the catastrophic health expenditures and also do effective actions in terms of expanding health expenditures coverage specially medicine expenditures and effective prepayment initiatives to protect households from catastrophic health expenditures.  

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Type of Study: Research | Subject: General
Received: 2015/02/16 | Accepted: 2015/11/16 | Published: 2015/11/16

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