این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Medical Journal of Islamic Republic of Iran، جلد ۳۱، شماره ۱، صفحات ۲۴۵-۲۵۱
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چکیده فارسی مقاله
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عنوان انگلیسی Catastrophic health expenditure among households with members with special diseases: A case study in Kurdistan
چکیده انگلیسی مقاله Background: One of the main goals of health systems is to protect people against financial risks associated with diseases that can be catastrophic for patients. In 2014, Health Sector Evolution Plan (HSEP) was implemented in Iran; one of the objectives of HSEP was to reduce out-of-pocket payments and provide more financial protection for people. Therefore, the present study aimed at exploring the likelihood of facing catastrophic health expenditures (CHE) among households with members suffering from dialysis, kidney transplant, or multiple sclerosis (MS) after the implementation of HSEP. Methods: A total number of 385 households were selected using stratified random sampling and were asked to complete the World Health Survey questionnaire through telephone conversations. As outlined by the World Health Organization (WHO), when household out-of-pocket expense for health services is ≥40% of its capacity to pay, then that household is considered to be facing CHE. Furthermore, determinants of CHE were identified using logistic regression. Results: The percentage of facing catastrophic health care expenditures for households with a MS, dialysis, and kidney transplant patient was 20.6%, 18.7%, and 13.8%, respectively. Results of logistic regression analysis revealed that patient's economic status, level of education, supplementary insurance status, type of disease, multiple members with special diseases in the household, rural residence, use of inpatient, dental, and rehabilitation services were effective factors for determining the likelihood of facing CHE. Conclusion: Despite the implementation of HSEP, the percentage of CHE is still high for households that have members who suffer from special diseases. However, basic health insurance packages should be amended and more cost-sharing exemptions should be granted to provide more financial protection for the vulnerable households.
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نویسندگان مقاله قباد مرادی | ghobad moradi
social determinants of health research center, kurdistan university of medical sciences, sanandaj, iran.


حسین صفری | hossein safari
department of health management and economics, school of public health, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی کردستان (Kordestan university of medical sciences)

بختیار پیروزی | bakhtiar piroozi
social determinants of health research center, kurdistan university of medical sciences, sanandaj, iran.

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

لیلا قنبری | laila qanbari
special disease department, deputy of treatment, kurdistan university of medical sciences, sanandaj, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی کردستان (Kordestan university of medical sciences)

صلاح الدین فرشادی | salahadin farshadi
health economics department, deputy of treatment, kurdistan university of medical sciences, sanandaj, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی کردستان (Kordestan university of medical sciences)

هومن قصری | homan qasri
deputy of treatment, kurdistan university of medical sciences, sanandaj, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی کردستان (Kordestan university of medical sciences)

فریبا فرهادی فر | fariba farhadifar
social determinants of health research center, kurdistan university of medical sciences, sanandaj, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی کردستان (Kordestan university of medical sciences)

نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-2534-1&slc_lang=en&sid=en
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده 1
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