این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Iranian Journal of Public Health، جلد ۴۷، شماره ۱۰، صفحات ۱۵۵۲-۱۵۵۷
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی A Description of the Temporal Pattern of Out-of-Pocket Expenditure Related to Iranian Healthcare Services during 1995-2014
چکیده انگلیسی مقاله Abstract Background: Out-of-pocket (OOP) expenditure directly impacts on poverty and household welfare, especially when there is a decline in healthcare financing. This study was aimed to describe the temporal pattern of OOP expenditures related to Iranian healthcare services during 1995-2014. Methods: For describing the trend of OOP spending in Iran, the database of the World Bank was mined for the period under study. Further, the trend analysis has been complemented by an exhaustive and comprehensive review of the extant literature. Results: From 1995 to 2014, out-of-pocket decreased from 53.59% to 47.8% of the total health expenditure, probably because of the different health reforms implemented throughout the years. However, out-of-pocket expenditure in Iran remains higher than the world average (roughly 3 times higher) Conclusion: It is an onus of the Iranian government to make serious attempts in order to reduce out-of-pocket expenditure, as well as to protect particularly poor and vulnerable subjects against catastrophic health expenditure. In order to ensure an equitable and affordable access to the healthcare system, decision- and policy-makers in Iran should implement a review of health care costs, insurance tariffs, and healthcare services packages covered by insurance organizations as well as introduce a progressive tax-based financing scheme as soon as possible.  
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله | Masoud BEHZADIFAR
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran


| Tina BEYRANVAND
Dept. of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran


| Mehdi JAFARI
Dept. of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran


| Meysam BEHZADIFAR
Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran


| Masood TAHERI MIRGHAED
Dept. of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran


| Mariano MARTINI
Dept. of Health Sciences (DISSAL), Section of History of Medicine and Ethics, University of Genoa, Genoa, Italy


| Nicola Luigi BRAGAZZI
Dept. of Health Sciences (DISSAL), School of Public Health, University of Genoa, Genoa, Italy
نشانی اینترنتی http://ijph.tums.ac.ir/index.php/ijph/article/view/14919
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