ArticleInternational journal for equity in health2014
Health inequalities and development plans in Iran; an analysis of the past three decades (1984-2010).
Article in International journal for equity in health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Does cost sharing do more harm or more good? - a systematic literature review.BMC public health · 2016Pooled it
- Sex disparity in non-communicable disease burden in Iran from 1990 to 2021 based on the global burden of disease study.Scientific reports · 2025Article
- Spatial Distribution of Smear-Positive Pulmonary Tuberculosis Incidence Rates in Iran: A Registry-Based Study (2018-2022).International journal of preventive medicine · 2024Article
- Prevalence and Determinants of Catastrophic Healthcare Expenditures in Iran From 2013 to 2019.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- To what extent has the Iranian Health Transformation Plan addressed inequality in healthcare financing in Iran?International journal for equity in health · 2023Article
- The Variations in Catastrophic and Impoverishing Health Expenditures, and Its Determinants in Iran: A Scoping Review.Medical journal of the Islamic Republic of Iran · 2023Article
- Urban and sub-urban disparities in health outcomes among patients with COVID-19; a cross-sectional study of 234 418 patients in Iran.BMC public health · 2022Article
- Forecasting Iran national health expenditures: General model and conceptual framework.Journal of education and health promotion · 2022Article
- Investigating the effect of health transformation plan on the public hospitals performance indicators; a case study from Iran.BMC health services research · 2021Article
- Eliciting the public preferences for pharmaceutical subsidy in Iran: a discrete choice experiment study.Journal of pharmaceutical policy and practice · 2021Article
- Different configurations of the two-step floating catchment area method for measuring the spatial accessibility to hospitals for people living with disability: a cross-sectional study.Archives of public health = Archives belges de sante publique · 2021Article
- Health equity in Iran: A systematic review.Medical journal of the Islamic Republic of Iran · 2021Review
- Setting health care services tariffs in Iran: half a century quest for a window of opportunity.International journal for equity in health · 2020Article
- Future Development Through the Past: Pathology of the Financing Dimension of Iran's Health Transformation Plan.ClinicoEconomics and outcomes research : CEOR · 2020Article
- Legal and policy requirements of basic health insurance package to achieve universal health coverage in a developing country.BMC research notes · 2019Article
- Health services utilisation and responsiveness profiles in Iran: a provincial household study.Family medicine and community health · 2019Article
- Targeted subsidy plan and Kakwani index in Iran health system.Journal of education and health promotion · 2019Article
- Measuring Socioeconomic Inequality Changes in Child Mortality in Iran: Two National Surveys Inequality Analysis.Iranian journal of public health · 2018Article
- Prevalence and intensity of catastrophic health care expenditures in Iran from 2008 to 2015: a study on Iranian household income and expenditure survey.International journal for equity in health · 2018Article
- Catastrophic Health Expenditure in Iran: A Review Article.Iranian journal of public health · 2018Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionReducing inequalities in health care is one of the main challenges in all countries. In Iran as in other oil-exporting upper middle income countries, we expected to witness fewer inequalities especially in the health sector with the increase in governmental revenues.
methodsThis study presents an inequalities assessment of health care expenditures in Iran. We used data from the Household Income and Expenditure Survey (HIES) in Iran from 1984-2010. The analysis included 308,735 urban and 342,532 rural households.
resultsThe results suggest heightened inequality in health care expenditures in Iran over the past three decades, including an increase in the gap between urban and rural areas. Furthermore, inflation has affected the poor more than the rich. The Kakwani progressivity index in all years is positive, averaging 0.436 in rural and 0.470 in urban areas during the time period of analysis. Compared to inequality in income distribution over the last 30 years, health expenditures continuously show more inequality and progressivity over the same period of time.
conclusionsAccording to the result of our study, during this period Iran introduced four National Development Plans (NDPs); however, the NDPs failed to provide sustainable strategies for reducing inequalities in health care expenditures. Policies that protect vulnerable groups should be prioritized.
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