Volume 29, Issue 1 (1-2015)                   Med J Islam Repub Iran 2015 | Back to browse issues page

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Rezapour A, Ebadifard Azar F, Azami Aghdash S, Tanoomand A, Hosseini Shokouh S M, Yousefzadeh N, et al . Measuring equity in household's health care payments (Tehran- Iran 2013): technical points for health policy decision makers. Med J Islam Repub Iran 2015; 29 (1) :685-694
URL: http://mjiri.iums.ac.ir/article-1-3108-en.html
Measuring equity in household's health care payments (Tehran- Iran 2013): technical points for health policy decision makers
Aziz Rezapour , Farbod Ebadifard Azar , Saber Azami Aghdash , Asghar Tanoomand , Seyed Morteza Hosseini Shokouh , Negar Yousefzadeh , Pezhman Atefi Manesh , Ali Sarabi Asiabar
, sarabi.a@iums.ac.ir
Abstract:   (5361 Views)
Background: Households’ financial protection against health payments and expenditures and equity in utilization of health care services are of the most important tasks of governments. This study aims to measuring equity in household’s health care payments according to fairness in financial contribution (FFC) and Kakwani indices in Tehran-Iran, 2013. Methods: This cross-sectional study was conducted in 2014.The study sample size was estimated to be 2200 households. Households were selected using stratified-cluster sampling including typical families who reside in the city of Tehran. The data were analyzed through Excel and Stata v.11 software. Recall period for the inpatient care was 1 year and for outpatient 1 month. Results: The indicator of FFC for households in health financing was estimated to be 0.68 and the trend of the indicator was ascending by the rise in the ranking of households’ financial level. The Kakwani index was estimated to be a negative number (-0.00125) which indicated the descending trend of health financing system. By redistribution of incomes or the exempt of the poorest quintiles from health payments, Kakwani index was estimated to be a positive number (0.090555) which indicated the ascending trend of health financing system. Conclusion: According to this study, the equity indices in health care financing denote injustice and a descending trend in the health care financing system. This finding clearly shows that deliberate policy making in health financing by national health authorities and protecting low-income households against health expenditures are required to improve the equity in health.
Keywords: Equity, Health care financing, Equity indices, Fairness in financial contribution (FFC), Kakwani index
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Type of Study: Original Research | Subject: Health
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