ArticleJournal of preventive medicine and public health = Yebang Uihakhoe chi2018
Effects of Iranian Economic Reforms on Equity in Social and Healthcare Financing: A Segmented Regression Analysis.
Article in Journal of preventive medicine and public health = Yebang Uihakhoe chi, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- Article
- Prevalence and Determinants of Catastrophic Healthcare Expenditures in Iran From 2013 to 2019.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- Socio-economic inequality in prevalence of type 2 diabetes among adults in north-west of Iran: a Blinder-Oaxaca decomposition.Journal of diabetes and metabolic disorders · 2022Article
- Inequality in Private Health Care Expenditures: A 36-Year Trend Study of Iranian Households.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2022Article
- Decomposition of Socioeconomic Inequality in Cardiovascular Disease Prevalence in the Adult Population: A Cohort-based Cross-sectional Study in Northwest Iran.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2022Article
- Designing A National Model of Medical Facilities Fair Distribution for Iranian Social Security Organization: Design National Model of Medical Facilities Fair Distribution in the ISSO.Galen medical journal · 2022Article
- Cost-effectiveness analysis of two routine therapeutic methods forGastroenterology and hepatology from bed to bench · 2021Article
- Measuring inequalities in the selected indicators of National Health Accounts from 2008 to 2016: evidence from Iran.Cost effectiveness and resource allocation : C/E · 2020Article
- Health insurance deductions in Iranian public hospitals before and after the health transformation plan.Medical journal of the Islamic Republic of Iran · 2020Article
- Equity in healthcare financing: a case of Iran.International journal for equity in health · 2019Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesOne of the main objectives of the Targeted Subsidies Law (TSL) in Iran was to improve equity in healthcare financing. This study aimed at measuring the effects of the TSL, which was implemented in Iran in 2010, on equity in healthcare financing.
methodsSegmented regression analysis was applied to assess the effects of TSL implementation on the Gini and Kakwani indices of outcome variables in Iranian households. Data for the years 1977-2014 were retrieved from formal databases. Changes in the levels and trends of the outcome variables before and after TSL implementation were assessed using Stata version 13.
resultsIn the 33 years before the implementation of the TSL, the Gini index decreased from 0.401 to 0.381. The Gini index and its intercept significantly decreased to 0.362 (p<0.001) 5 years after the implementation of the TSL. There was no statistically significant change in the gross domestic product or inflation rate after TSL implementation. The Kakwani index significantly increased from -0.020 to 0.007 (p<0.001) before the implementation of the TSL, while we observed no statistically significant change (p=0.81) in the Kakwani index after TSL implementation.
conclusionsThe TSL reform, which was introduced as part of an economic development plan in Iran in 2010, led to a significant reduction in households' income inequality. However, the TSL did not significantly affect equity in healthcare financing. Hence, while measuring the long-term impact of TSL is paramount, healthcare decision-makers need to consider the efficacy of the TSL in order to develop plans for achieving the desired equity in healthcare financing.
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