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
1397
11
1
gregorian
2019
2
1
33
1
online
1
fulltext
en
Catastrophic and impoverishing health expenditures and it's affecting factors among health staffs in Iran: A case study in Tehran
Health Management and Economics
Health Management and Economics
Original Research
Original Research
<p><strong>Background: </strong>Despite a lot of studies carried out on catastrophic and impoverishing health expenditures, exposure to these expenditures have not been studied among health staffs and their families yet. So that our study has analyzed exposure to CHE (Catastrophic Health Expenditures) and factors affecting them among the health staffs affiliated to army medical universities in Tehran.<br>
<strong>Methods:</strong> This study was a descriptive-analytical and cross-sectional study implemented in 2016. Among all health staffs of a university of medical sciences, the full details of 240 households (838 individuals) were collected by using a stratified random sampling method. The data gathering and analyzing process have been done based on WHO standard guideline. Finally, the odds ratio of CHE determinants is reported using logistic regression by backward elimination method and chi-square test.<br>
<strong>Results:</strong> The results of this study showed that 7.5% (CI: 7.3-7.7) of health staff households (54 individuals) are faced with CHE. The odds of exposure to CHE for households with 3 members and less, households with lower education level and households with two or more outpatient visits were significantly more than others (p<0.05). Households who have used dental services during the past year were 8.77 times (p<0.001) more at risk of CHE. Also, households with 3 members and less, households with lower education level and households with two or more outpatient visits were 8.59, 7.96, and 3.39 times more at risk of such payments, respectively.<br>
<strong>Conclusion: </strong>CHE is a common financing dilemma even among health staffs. Families who have more referring to health centers and less education level and also dental service users are more at risk of exposure. Health policy-makers should pay more attention to such vulnerable and high-risk groups. Finally, our study results recommended the increase of dental insurance coverage as an effective strategy to reduce exposure to CHE.<br>
</p>
Catastrophic health expenditures, Impoverishing health costs, Health personnel
722
726
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-3033-1&slc_lang=en&sid=1
Parisa
Mehdizadeh
p.mahdizade@gmail.com
200319475328460062335
200319475328460062335
No
Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Hossein
Daniyali
hossein_daniali@yahoo.com
200319475328460062336
200319475328460062336
No
Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Mohammad
Meskarpour-Amiri
mailer.amiri@gmail.com
200319475328460062337
200319475328460062337
No
Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Nooredin
Dopeykar
n.dopeykar@gmail.com
200319475328460062338
200319475328460062338
Yes
Research Center for Prevention of Oral and Dental Diseases, Baqiyatallah University of Medical Sciences, Tehran, Iran
Hadi
Uzi
uziih@yahoo.com
200319475328460062339
200319475328460062339
No
Department of Health Economic and Management, Tehran University of Medical Science, Tehran, Iran