catastrophic health expenditure after the implementation of health sector evolution plan: a case study in the west of iran
Authors
abstract
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.
similar resources
Catastrophic Health Expenditure After the Implementation of Health Sector Evolution Plan: A Case Study in the West of Iran
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...
full textformation and evolution of regional organizations: the case study of the economic cooperation organization (eco)
abstract because of the many geopolitical, geo economical and geo strategically potentials and communicational capabilities of eco region, members can expand the convergence and the integration in base of this organization that have important impact on members development and expanding peace in international and regional level. based on quality analyzing of library findings and experts interv...
15 صفحه اولPatients’ satisfaction with hospital services after the implementation of health sector evolution plan in Iran: a case study of educational hospitals affiliated to Kermanshah University of Medical Sciences
Background & Aim: Nowadays, one of the most important indicators in evaluating the performance of hospital services is the satisfaction of patients with the provided services. The purpose of this study was to evaluate patients' satisfaction with hospital services after health evolution plan in hospitals affiliated to Kermanshah University of Medical Sciences. Methods: This descriptive and cros...
full textthe impact of e-readiness on ec success in public sector in iran the impact of e-readiness on ec success in public sector in iran
acknowledge the importance of e-commerce to their countries and to survival of their businesses and in creating and encouraging an atmosphere for the wide adoption and success of e-commerce in the long term. the investment for implementing e-commerce in the public sector is one of the areas which is focused in government‘s action plan for cross-disciplinary it development and e-readiness in go...
A critique of the hospital services provision in Iran after implementing Health Sector Evolution Plan: A case report
Background and aims: Public sector in Iran is responsible for providing whole primary health care and approximately 85% of the second and third level services. Following the previous programs, and in order to improve health system performance, Iranian Ministry of Health and Medical Education launched Health Sector Evolution Plan of Iran (HSEP) in 2014 aimed to reduce patients’ ...
full textMy Resources
Save resource for easier access later
Journal title:
international journal of health policy and managementجلد ۵، شماره ۷، صفحات ۴۱۷-۴۲۳
Hosted on Doprax cloud platform doprax.com
copyright © 2015-2023