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

نویسندگان

  • Zahra Kavosi
  • Ali Keshtkaran
  • Ramin Hayati
  • Ramin Ravangard
  • Mohammad Khammarnia
چکیده

BACKGROUND One common challenge to social systems is achieving equity in financial contributions and preventing financial loss. Because of the large and unpredictable nature of some costs, achieving this goal in the health system presents important and unique problems. The present study investigated the Household Financial Contributions (HFCs) to the health system. METHODS The study investigated 800 households in Shiraz. The study sample size was selected using stratified sampling and cluster sampling in the urban and rural regions, respectively. The data was collected using the household section of the World Health Survey (WHS) questionnaire. Catastrophic health expenditures were calculated based on the ability of the household to pay and the reasons for the catastrophic health expenditures by a household were specified using logistic regression. RESULTS The results showed that the fairness financial contribution index was 0.6 and that 14.2% of households were faced with catastrophic health expenditures. Logistic regression analysis revealed that household economic status, the basic and supplementary insurance status of the head of the household, existence of individuals in the household who require chronic medical care, use of dental and hospital care, rural location of residences, frequency of use of outpatient services, and Out-of-Pocket (OOP) payment for physician visits were effective factors for determining the likelihood of experiencing catastrophic health expenditure. CONCLUSION 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.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Household Financial Contribution to the Health System in Shiraz, Iran in 2012

Background One common challenge to social systems is achieving equity in financial contributions and preventing financial loss. Because of the large and unpredictable nature of some costs, achieving this goal in the health system presents important and unique problems. The present study investigated the Household Financial Contributions (HFCs) to the health system.   Methods The study investiga...

متن کامل

بررسی میزان مشارکت مالی خانوارها در استفاده از خدمات سلامت

Background and Aim: The Household financial contribution is one of the most important issues in health system. This study aims to determine and present some indices of h ousehold financial contribution in health system in Iran. Materials and Methods: In this cross sectional- descriptive study, the methods were introduced by World Health Organization. Fair Financing Contribution Index (FFCI), ca...

متن کامل

The financing of the health system in the Islamic Republic of Iran: A National Health Account (NHA) approach

Background: The National Health Accounts keep track of all healthcare related activities from the beginning (i.e. resource provision), to the end (i.e. service provision). This study was conducted to address following questions: How is the Iranian health system funded? Who distribute the funds? For what services are the funds spent on?, What service providers receive the funds? Methods: The...

متن کامل

Assessing the Distribution of Household Financial Contribution to Health System: A Case Study of Iran.

BACKGROUND Throughout the world, financing the healthcare system through households' financial contribution is a challenging issue in evaluating performance of healthcare systems. The purpose of this paper is illustrating the consequences of Iranian household to health system financial contribution in terms of burden and incomes approaches. METHOD The Data derived from an annual survey by Sta...

متن کامل

Provincial Health Accounts in Kerman, Iran: An Evidence of a “Mixed” Healthcare Financing System

Background Provincial Health Accounts (PHA) as a subset of National Health Accounts (NHA) present financial information for health sectors. It leads to a logical decision making for policy-makers in order to achieve health system goals, especially Fair Financial Contribution (FFC). This study aimed to examine Health Accounts in Kerman Province.   Methods The present analytical study was carried...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • International journal of health policy and management

دوره 3 5  شماره 

صفحات  -

تاریخ انتشار 2014