Volume 1, Number 2 (7-2013)                   2013, 1(2): 46-54 | Back to browse issues page


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Amery H, Vafaee H, Alizadeh H, Ghiasi A, ShamaeianRazavi N, Khalafi A. Estimates of Catastrophic Health Care Expenditures on Families Supported by Torbat Heydariyeh University of Medical Sciences in 1391. Journal of Torbat Heydariyeh University of Medical Sciences. 2013; 1 (2) :46-54
URL: http://jms.thums.ac.ir/article-1-45-en.html

Abstract:   (6324 Views)

Background: No financial protection in health has been recognized as a disease in healthcare systems. Some families suffer from poverty, disease, and catastrophic expenditure .In this study we have tried to measure the catastrophic expenditures of health services and effective indicators on them.

Materials and Methods: This was a cross sectional study and the information of 384 families who were supported by Torbat Heydarieh University of Medical Science were collected.        Data collection tool was a questionnaire the validity and reliability of which were confirmed. Incidence of catastrophic health care expenditures were calculated based on WHO methods, and Stata version 11 software was also used for data analysis.

Results: The rate of households facing catastrophic healthcare expenditures was 6.77 %. The use of daycare services had the highest proportion of the expenditure which had a significant relationship with the occurrence of catastrophic healthcare expenditures. Catastrophic healthcare expenditures had a significant relationship with the number of family members, the existence of a 65 or older family member, he use of medicines, and diagnostic tests.

Conclusions: The use of health services, the existence of children under the age 5 in the family, and large family size increase catastrophic health expenditures. These variables should be taken into consideration by policy makers to have an agenda in Fifth National Development Plan, aiming to achieve 1% incidence of crippling cost of health.

Full-Text [PDF 535 kb]   (1117 Downloads)    
Type of Study: Research | Subject: Special
Received: 2014/04/10 | Accepted: 2014/04/10 | Published: 2014/04/10

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