Pros and cons of the health transformation program in Iran: evidence from financial outcomes at the household level

Enayatollah Homaie Rad; Vahid Yazdi-Feyzabadi; Shahrokh Yousefzadeh-Chabok; Abolhasan Afkar; Ahmad Naghibzadeh

추천

검색

자료유형: 학술저널

저자정보: Enayatollah Homaie Rad (Guilan University of Medical Sciences) Vahid Yazdi-Feyzabadi (Kerman University of Medical Sciences) Shahrokh Yousefzadeh-Chabok (Guilan University of Medical Sciences) Abolhasan Afkar (Guilan University of Medical Sciences) Ahmad Naghibzadeh (Kerman University of Medical Sciences)

저널정보: 한국역학회 Epidemiology and Health Epidemiology and Health Vol.39

발행연도: 2017.1

수록면: 1 - 7 (7page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

exOBJECTIVES: The health transformation program was a recent reform in the health system of Iran that was implemented in early 2014. Some of the program’s important goals were to improve the equity of payments and to reduce out-of-pocket (OOP) payments and catastrophic health expenditures (CHE). In this study, these goals were evaluated using a before-and-after analysis. METHODS: Data on household income and expenditures in Guilan Province were gathered for the years 2013 and 2015. OOP payments for outpatient, inpatient, and drug services were calculated, and the results were compared using the propensity score matching technique after adjusting for confounding variables. Concentration indices and curves were added to quantify changes in inequity before and after the reform. The incidence of catastrophic expenditures was then calculated. RESULTS: Overall and outpatient service OOP payments increased by approximately 10 dollars, while for other types of services, no significant changes were found. Inequity and utilization of services did not change after the reform. However, a significant reduction was observed in CHE incidence (5.75 to 3.82%). CONCLUSIONS: The reform was successful in decreasing the incidence of CHE, but not in reducing the monetary amount of OOP payments or affecting the frequency of health service utilization.

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!