en Health Management and Economics Health Management and Economics Original Research Original Research <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-style:italic"><b><span style="font-size:9.0pt"><span style="font-style:normal">Background: </span></span></b><span style="font-size:9.0pt"><span style="font-style:normal">People with disabilities (PWD) typically face a range of obstacles when accessing healthcare, particularly when compared with the general population. This challenge becomes more pronounced for PWDs in lower socioeconomic groups. This study aimed to assess the socioeconomic-related disparity in financial access to rehabilitation services among Iranian PWDS.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Methods: </b>A total of 766 Iranian PWDs aged &ge;18 years participated in this cross-sectional study. We employed the concentration index (C) to estimate socioeconomic inequality in accessing rehabilitation services.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Results:</b> In this study, 766 Iranian adults aged 18 to 70 took part, with a mean age of 36.50 (SD, &plusmn;10.02) years. The findings revealed that 72.15% (n = 469) of participants had to borrow money to cover the costs of rehabilitation services. The concentration index (C = -0.228, </span></span><span style="font-size:9.0pt">P</span><span style="font-size:9.0pt"><span style="font-style:normal"> = 0.004) demonstrated a notable concentration of inadequate financial access to rehabilitation services among individuals with lower socioeconomic status (SES). Decomposition analysis identified the wealth index as the primary contributor to the observed socioeconomic disparities, accounting for 309.48%.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Conclusion:</b> Our findings show that socioeconomic inequalities disproportionately impact PWDs in lower socioeconomic groups. It is recommended that efforts be made to enhance the national capacity for monitoring the financial protection of PWDs and to develop equitable mechanisms that promote prepayment and risk pooling, thus reducing reliance on out-of-pocket payments at the time of service utilization.</span></span></span></span></span></span></span></span><br> &nbsp; Inequality, Socioeconomic Factors, Concentration Index, Rehabilitation, Access to Health Care, Iran 202 209 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-2761-12&slc_lang=en&sid=1 Shahin Soltani shahin.soltani@kums.ac.ir 200319475328460088890 200319475328460088890 No Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, & Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran Kamran Arvan kamranarvan@yahoo.com 200319475328460088891 200319475328460088891 No Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran Behzad Karami Matin bkm_1344@yahoo.com 200319475328460088892 200319475328460088892 No Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran Javad Ghoddoosinejad javad6463@gmail.com 200319475328460088893 200319475328460088893 No Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran Fardin Moradi fardin.moradi.65@gmail.com 200319475328460088894 200319475328460088894 No Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran Hamid Salehiniya alesaleh70@yahoo.com 200319475328460088895 200319475328460088895 Yes Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran