Repository of Research and Investigative Information

Repository of Research and Investigative Information

Baqiyatallah University of Medical Sciences

Determining Equity in Household's Health Care Payments in Hamedan Province, Iran

(2016) Determining Equity in Household's Health Care Payments in Hamedan Province, Iran. Archives of Iranian Medicine. pp. 480-487. ISSN 1029-2977

[img] Text
Determining Equity in Household's Health Care Payments in Hamedan Province, Iran.pdf

Download (222kB)

Official URL:


Background: Financial protection of household against the consequences of the health care expenditures is one of the most important functions of health care systems. The objective of this study was to determine the equity in health care payments and determining factors among households in Hamedan, a province in Iran. Methods: In this cross-sectional study, 772 families of patients, who were being discharged from hospitals in Hamedan, were selected for study by using a stratified random sampling method. Required data regarding households' health and non-health expenditures were collected through World Health Organization standard questionnaire by interviews and observation method. Results: Aewrding to the findings, 20.7 of households experienced catastrophic health expenditure. The incidence of impoverishment due to out-of-pocket payments for health care was 2.8 among studied households. The highest incidence rate of out-of-pocket health payment indices occurred in the first quintile (poorest or Q1). Variables such as having members under 6 years or over 60 years in household, household size, employment of household head, households' income quintile, existence of the disabled member in households and the education level of the household's head are the most important factors that affect the incidence of out-of-pocket health payment indices. Conclusion: There is considerable inequity in health care financing as well as households' health payments. This requires designing and implementing the operative and protective programs for understanding the important factors that affect equity in health financing, especially for poor households, against the unexpected health expenditures through the health care system.

Item Type: Article
Keywords: Catastrophic health expenditure inequity Iran out-of-pocket payments expenditure catastrophe insurance income General & Internal Medicine
Page Range: pp. 480-487
Journal or Publication Title: Archives of Iranian Medicine
Journal Index: ISI
Volume: 19
Number: 7
ISSN: 1029-2977
Depositing User: مهندس مهدی شریفی

Actions (login required)

View Item View Item