Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1395
10
1
gregorian
2017
1
1
31
1
online
1
fulltext
en
Complementary health insurance, out- of- pocket expenditures, and health services utilization: A population- based survey
Health Management and Economics
Health Management and Economics
Original Research
Original Research
<p><strong>Background: </strong>Studies have shown that people using complementary health insurances have more access to health services than others. In the present study, we aimed at finding the differences between out- of- pocket payments and health service utilizations in complementary health insurances (CHIs) users and nonusers.<br>
<strong> Methods:</strong> Propensity score matching was used to compare the 2 groups. First, confounder variables were identified, and then propensity score matching was used to compare out- of- pocket expenditures with dental, general physician, hospital inpatient, emergency services, nursing, midwifery, laboratory services, specialists and rehabilitation services utilization.<br>
<strong> Results:</strong> Our results revealed no significant differences between the 2 groups in out- of- pocket health expenditures. Also, the specialist visits, inpatient services at the hospital, and dental services were higher in people who used CHIs compared to nonusers.<br>
<strong> Conclusion:</strong> People did not change their budget share for health care services after using CHIs. The payments were equal for people who were not CHIs users due to the increase in the quantity of the services.<br>
</p>
Complementary insurances, Propensity scoring matching method, Out- of- pocket expenditures, General physicians, Dental services, Specialists
339
343
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1841-4&slc_lang=en&sid=1
Enayatollah
Homaie Rad
homaierad@gmail.com
200319475328460034002
200319475328460034002
No
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Zahra
Kavosi
zhrkavosi@gmail.com
200319475328460034003
200319475328460034003
No
School of Health Management and Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
Mohammad Taghi
Moghadamnia
moghaddamnia92
200319475328460034004
200319475328460034004
No
School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Masoud
Arefnezhad
arefnezhad67@yahoo.com
200319475328460034005
200319475328460034005
Yes
School of Health, Zabol University of Medical Sciences, Zabol, Iran.
Masoumeh
Arefnezhad
ehomaie@gmail.com
200319475328460034006
200319475328460034006
No
School of Health, Zabol University of Medical Sciences, Zabol, Iran.
Banfashe
Felezi Nasiri
felezib@gmail.com
200319475328460034007
200319475328460034007
No
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.