Volume 10, Issue 3 (2022)
Health Educ Health Promot 2022, 10(3): 617-623 |
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Aeenparast A, Bayati M, Farzadi F, Haeri Mehrizi A, Ayoubian A. Estimating the Catastrophic Health Cost in Iranian Health Insurance Policyholders and Its Relevant Factors. Health Educ Health Promot 2022; 10 (3) :617-623
URL: http://hehp.modares.ac.ir/article-5-60573-en.html
URL: http://hehp.modares.ac.ir/article-5-60573-en.html
1- Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran
2- Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
3- National Center for Health Insurance Research, Tehran, Iran
2- Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
3- National Center for Health Insurance Research, Tehran, Iran
Abstract: (1056 Views)
Aims: Present study aimed to investigate the exposure of the population covered by Iranian health insurance to the catastrophic cost of health.
Instrument & Methods: This cross-sectional study was performed on household income expenditure data. The sample included 20,764 households. The model of the World Health Organization was employed to measure the catastrophic cost of health. Data were analyzed by Stata 14.
Findings: From the total sample studied, 4.89% of households were faced with a catastrophic cost of health. The findings show that female-headed households are more likely to incur catastrophic costs. Some levels of education of the head of the household reduced the likelihood of incurring a catastrophic cost. Unemployed households and other occupations were significantly more costly. The results of the analysis also indicated that using dental services has a positive and significant effect on households facing catastrophic health costs. The chances of facing the catastrophic cost of health in the fourth, fifth, and sixth decades were significantly higher than those of other income decades.
Conclusion: The results of the study showed that Iran's health insurance coverage has not been able to fully protect the insured from the catastrophic costs of health. Improving the livelihood of the community along with paying special attention to vulnerable families and patients with special diseases will play an important role in reducing this index in the insured of the Iranian Health Insurance Organization.
Instrument & Methods: This cross-sectional study was performed on household income expenditure data. The sample included 20,764 households. The model of the World Health Organization was employed to measure the catastrophic cost of health. Data were analyzed by Stata 14.
Findings: From the total sample studied, 4.89% of households were faced with a catastrophic cost of health. The findings show that female-headed households are more likely to incur catastrophic costs. Some levels of education of the head of the household reduced the likelihood of incurring a catastrophic cost. Unemployed households and other occupations were significantly more costly. The results of the analysis also indicated that using dental services has a positive and significant effect on households facing catastrophic health costs. The chances of facing the catastrophic cost of health in the fourth, fifth, and sixth decades were significantly higher than those of other income decades.
Conclusion: The results of the study showed that Iran's health insurance coverage has not been able to fully protect the insured from the catastrophic costs of health. Improving the livelihood of the community along with paying special attention to vulnerable families and patients with special diseases will play an important role in reducing this index in the insured of the Iranian Health Insurance Organization.
Keywords: Catastrophic Illness [MeSH], Health Insurance [MeSH], Health Care Costs [MeSH], Iran [MeSH]
Article Type: Descriptive & Survey |
Subject:
Social Health
Received: 2022/04/4 | Accepted: 2022/07/4 | Published: 2022/08/20
Received: 2022/04/4 | Accepted: 2022/07/4 | Published: 2022/08/20
References
1. Faradonb S, Arab M, Roodbari M, Rezapoor A, Faradonbeh H, Azar F. Catastrophic and impoverishing health expenditure in Tehran urban population. J Health Adm. 2016;19(63):55-67. [Persian] [Link]
2. Epstein WN. The health equity mandate. J Law Biosci. 2022;9(1). [Link] [DOI:10.1093/jlb/lsab030]
3. Ravangard R, Jalali FS, Bayati M, Palmer AJ, Jafari A, Bastani P. Household catastrophic health expenditure and its effective factors: a case of Iran. Cost Eff Resour Alloc. 2021;19:59. [Link] [DOI:10.1186/s12962-021-00315-2]
4. Ayadi I, Zouari S. Out-of-pocket health spending and equity implications in Tunisia. Middle East Dev J. 2017;9(1):1-21. [Link] [DOI:10.1080/17938120.2017.1293362]
5. Soofi M, Arab‐Zozani M, Kazemi‐Karyani A, Karamimatin B, Najafi F, Ameri H. Can Health insurance protect against catastrophic health expenditures in Iran? a systematic review and meta‐analysis. World Med Health Policy. 2021;13(4):695-714. [Link] [DOI:10.1002/wmh3.425]
6. Rezaei S, Hajizadeh M. Measuring and decomposing socioeconomic inequality in catastrophic healthcare expenditures in Iran. J Prev Med Public Health. 2019;52(4):214. [Link] [DOI:10.3961/jpmph.19.046]
7. Moghaddam AV, Damari B, Alikhani S, Salarianzedeh M, Rostamigooran N, Delavari A, et al. Health in the 5th 5-years development plan of Iran: main challenges, general policies and strategies. Iranian J Public Health. 2013;42(Suppl 1):42. [Link]
8. Peter F. Health equity and social justice. In: Freeman M. The Ethics of public health. London: Routledge; 2018. [Link] [DOI:10.4324/9781315239927-29]
9. ihio.gov.ir [Internet]. Tehran: Iran Health Insurance Organization; 2019 [2021 Jun 10]. Available from: https://ihio.gov.ir/. [Link]
10. Yazdi-Feyzabadi V, Bahrampour M, Rashidian A, Haghdoost AA, Akbari Javar M, Mehrolhassani MH. Prevalence and intensity of catastrophic health care expenditures in Iran from 2008 to 2015: a study on Iranian household income and expenditure survey. Int J Equity Health. 2018;17:44. [Link] [DOI:10.1186/s12939-018-0743-y]
11. Shiani MS. Analysis of socioeconomic factors affecting on poverty and inequalities health. Soc Welfare Q. 2017;17(67):71-108. [Persian] [Link]
12. Yahyavi Dizaj J, Emamgholipour S, Pourreza A, Nommani F, Molemi S. Effect of aging on catastrophic health expenditure in Iran during the period 2007-2016. J Sch Public Health Instit Public Health Res. 2018;16(3):216-27. [Persian] [Link]
13. Mousavi MH, Raghfar H, Fazel Z. Analysis equity in financing of household's health in development programs of Iran. Hakim Res J. 2018;21(1):1-12. [Persian] [Link]
14. Aeenparast A, Yazdeli MR, Zandian H, Mehrizi AAH. Catastrophic health expenditures in Iran: a review of the literature. PAYESH. 2016;15(1):7-17. [Persian] [Link]
15. Yousefi M, Assari Arani A, Sahabi B, Kazemnejad A, Fazaeli S. The financial contribution of households using by health services. PAYAVARD SALAMAT. 2015;8(6):517-27. [Persian] [Link]
16. Nouraei Motlagh S, Rezapour A, Lotfi F, Adham D, Sarabi Asiabar A. Investigating adverse effects of health expenditures in households of deprived provinces. J Health Hyg. 2017;8(4):425-35. [Persian] [Link]
17. Khammarnia M, Peyvand M, Setoodezadeh F, Barfar E, Poormand N, Mirbaloch Zehi A, et al. Health expenditures by households after implementation of health transformational plan: a cross-sectional study. PAYESH. 2018;17(3):227-37. [Persian] [Link]
18. Nekoeimoghadam M, Akbari-Javar M, Amiresmaili M, Baneshi M, Ganjavai S. Households exposure to catastrophic health expenditures and the affecting factors in Kerman province, Iran. J Manag Med Inform Sch. 2013;1(2):101-90. [Persian] [Link] [DOI:10.15171/ijhpm.2013.28]
19. Joglekar R. Can insurance reduce catastrophic out-of-pocket health expenditure?. Unknown city: East Asian Bureau of Economic Research; 2008. [Link]
20. Pal R. Analysing catastrophic OOP health expenditure in India: concepts, determinants and policy implications. SSRN Electron J. 2012 November. [Link]
21. Mohammadzadeh Y, Hasanzadeh K. Determinants of health and the cost of catastrophic health expenses in households. J Knowl Health. 2016;11(3):8-16. [Persian] [Link]
22. Emamgholipour S, Saberzadeh V, Dargahi H. Determination of catastrophic health expenditures among elderly people in Iran. PAYAVARD SALAMAT. 2020;14(1):11-22. [Link]
23. Na'emani F, Yahyavi Dizaj J. The relationship between health insurance coverage and catastrophic health expenditure among Iranian households. Iranian J Health Insurance. 2019;2(4):216-27. [Persian] [Link]
24. Gharibi F, Imani A, Dalal K. The catastrophic out-of-pocket health expenditure of multiple sclerosis patients in Iran. BMC Health Serv Res. 2021;21:1. [Link] [DOI:10.1186/s12913-021-06251-4]
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