این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Medical Journal of Islamic Republic of Iran، جلد ۲۹، شماره ۱، صفحات ۶۸۵-۶۹۴
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عنوان انگلیسی Measuring equity in household's health care payments (Tehran- Iran 2013): technical points for health policy decision makers
چکیده انگلیسی مقاله 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.
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله عزیز رضاپور | aziz rezapour
phd, department of health economics, school of health management and information sciences health management and economi


فربد عبادی فرد آذر | farbod ebadifard azar
2 . phd, department of health education and promotion, school of health health management and economics research center

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

صابر اعظمی آغداش | saber azami aghdash
. phd candidate in health policy, school of health management and information sciences, iran university of medical scien

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

اصغر tanoomand | asghar tanoomand
phd, department of microbiology, faculty of medical sciences, maragheh university of medical sciences, maragheh, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

سید مرتضی حسینی شکوه | seyed morteza hosseini shokouh
5 . phd candidate in health economics, department of health management and economics, school of health, tehran universit

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مراغه (Maragheh university of medical sciences)

نگار یوسف زاده | negar yousefzadeh
msc in health management, school of health, tehran university of medical sciences. tehran, iran. yousefzadeh.negar@gmai

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

پژمان عاطفی منش | pezhman atefi manesh
. msc in clinical psychology, head of outsourcing group, health management and economics research center, iran universit

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

علی سرابی آسیابر | ali sarabi asiabar
msc in public administration, health management and economics research center, iran university of medical sciences, tehr

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-872&slc_lang=en&sid=en
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زبان مقاله منتشر شده en
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