Incidence and intensity of catastrophic health expenditures in Iranian provinces; 2008-2014

Yazdi Feyzabadi, V; Bahrampour, M; Rashidian, A; Haghdoost, AA; Abolhallaje, M; Najafi, B; Akbari Javar, MR; Mehrolhassani, MH

Incidence and intensity of catastrophic health expenditures in Iranian provinces; 2008-2014

Yazdi Feyzabadi, V Bahrampour, M

Rashidian, A Haghdoost, AA Abolhallaje, M Najafi, B Akbari Javar, MR Mehrolhassani, MH

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Publisher:: Tehran University of Medical Sciences
Publication Type:: Journal Article
Citation:: Iranian Journal of Epidemiology, 2017, 12, (5 Special Issue), pp. 40-54
Issue Date:: 2017-01-01

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Field	Value	Language
dc.contributor.author	Yazdi Feyzabadi, V
dc.contributor.author	Bahrampour, M https://orcid.org/0000-0002-6915-1865
dc.contributor.author	Rashidian, A
dc.contributor.author	Haghdoost, AA
dc.contributor.author	Abolhallaje, M
dc.contributor.author	Najafi, B
dc.contributor.author	Akbari Javar, MR
dc.contributor.author	Mehrolhassani, MH
dc.date.accessioned	2022-09-06T03:21:16Z
dc.date.available	2022-09-06T03:21:16Z
dc.date.issued	2017-01-01
dc.identifier.citation	Iranian Journal of Epidemiology, 2017, 12, (5 Special Issue), pp. 40-54
dc.identifier.issn	1735-7489
dc.identifier.issn	2228-7507
dc.identifier.uri	http://hdl.handle.net/10453/161416
dc.description.abstract	Background and Objectives: Catastrophic health expenditure (CHE) is a key indicator for measuring households’ financial protection in the health system. This study was conducted to measure the incidence and intensity of CHE in Iranian provinces 2008-2014. Methods: When the out-of-pocket (OOP) spending of each household amounts to at least 40% of the household's capacity to pay, it is called a catastrophe. The incidence of CHE in Iranian provinces was estimated using the data obtained from household-expenditure-and-income-surveys. The intensity was calculated as the average extent to which OOPs exceeded the 40% threshold. Descriptive statistics and Mann-WhitneyU test were used for data analysis. The index of disparity(ID) was also calculated for geographical disparities across the provinces. Results: On average, the lowest and highest CHE incidence and intensity were seen in Fars and South Khorasan provinces respectively. However, the highest and lowest rate for CHE households that actually experienced catastrophe at the 40% threshold belonged to Fars and Kurdistan provinces. The incidence of CHE in rural was more than urban areas. ID of CHE incidence for targeted amount was high and had no constant trend. Conclusion: CHE incidence had a remarkable difference in different provinces and in the rural area compared to the urban area. Due to the importance of this index in promoting health financial protection, like indexes such as OOP, its distribution in rural and urban areas as well as in different provinces is considerable. It requires a structured format to identify the disadvantaged and low-income groups and provide financial-support and insurance for them.
dc.language	en
dc.publisher	Tehran University of Medical Sciences
dc.relation.ispartof	Iranian Journal of Epidemiology
dc.rights	info:eu-repo/semantics/closedAccess
dc.title	Incidence and intensity of catastrophic health expenditures in Iranian provinces; 2008-2014
dc.type	Journal Article
utslib.citation.volume	12
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Centre for Health Economics Research and Evaluation
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-09-06T03:21:15Z
pubs.issue	5 Special Issue
pubs.publication-status	Published
pubs.volume	12
utslib.citation.issue	5 Special Issue

Abstract:

Background and Objectives: Catastrophic health expenditure (CHE) is a key indicator for measuring households’ financial protection in the health system. This study was conducted to measure the incidence and intensity of CHE in Iranian provinces 2008-2014. Methods: When the out-of-pocket (OOP) spending of each household amounts to at least 40% of the household's capacity to pay, it is called a catastrophe. The incidence of CHE in Iranian provinces was estimated using the data obtained from household-expenditure-and-income-surveys. The intensity was calculated as the average extent to which OOPs exceeded the 40% threshold. Descriptive statistics and Mann-WhitneyU test were used for data analysis. The index of disparity(ID) was also calculated for geographical disparities across the provinces. Results: On average, the lowest and highest CHE incidence and intensity were seen in Fars and South Khorasan provinces respectively. However, the highest and lowest rate for CHE households that actually experienced catastrophe at the 40% threshold belonged to Fars and Kurdistan provinces. The incidence of CHE in rural was more than urban areas. ID of CHE incidence for targeted amount was high and had no constant trend. Conclusion: CHE incidence had a remarkable difference in different provinces and in the rural area compared to the urban area. Due to the importance of this index in promoting health financial protection, like indexes such as OOP, its distribution in rural and urban areas as well as in different provinces is considerable. It requires a structured format to identify the disadvantaged and low-income groups and provide financial-support and insurance for them.

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http://hdl.handle.net/10453/161416