ArticleInternational journal for equity in health2019
Equity in healthcare financing: a case of Iran.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Optimal insurance coverage and pricing of outpatient drugs in Iran: a cost- and chronicity-based adaptation of the vertical equity model.International journal for equity in health · 2026Article
- Article
- Iran's health insurance ecosystem: challenges and strategies.BMC public health · 2024Article
- Inequalities in Out-of-Pocket Health Expenditure Measured Using Financing Incidence Analysis (FIA): A Systematic Review.Healthcare (Basel, Switzerland) · 2024Review
- An analysis of financial protection and financing incidence of out-of-pocket health expenditures in Kazakhstan from 2018 to 2021.Scientific reports · 2024Article
- Decomposing the inequalities in the catastrophic health expenditures on the hospitalization in India: empirical evidence from national sample survey data.Frontiers in public health · 2024Article
- The Effect of Iran Health Transformation Plan on Equity in Health Financing: A Systematic Review.Iranian journal of public health · 2023Review
- Network analysis of Iranian's health insurance ecosystem before and after the introduction of Universal Health Insurance law.Global health research and policy · 2023Article
- Financing of health services for undocumented immigrants in Iran: common challenges and potential solutions.Globalization and health · 2023Article
- Socioeconomic inequality in informal payments for health services among Iranian households: a national pooled study.BMC public health · 2023Article
- Iranian health financing system challenges to promote health outcomes: Qualitative study.Journal of education and health promotion · 2023Article
- The analysis of National Health Accounts and financial communications network in Iran health insurance ecosystem.BMC health services research · 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
- Equity in Out-of-Pocket Payments for Healthcare Services: Evidence from Malaysia.International journal of environmental research and public health · 2022Article
- What makes inequality in the area of dental and oral health in developing countries? A scoping review.Cost effectiveness and resource allocation : C/E · 2021Article
- Trend and status of out-of-pocket payments for healthcare in Iran: equity and catastrophic effect.The Journal of the Egyptian Public Health Association · 2020Article
- Affordability Analysis of Selected Medicines in Iran: A National Cross-sectional Survey Using World Health Organization Out-of-Pocket Methodology.Iranian journal of pharmaceutical research : IJPRArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFair financial contribution in healthcare financing is one of the main goals and challengeable subjects in the evaluation of world health system functions. This study aimed to investigate the equity in healthcare financing in Shiraz, Iran in 2018. MATERIALS AND
methodsThis was a cross- sectional survey conducted on the Shiraz, Iran households. A sample of 740 households (2357 persons) was selected from 11 municipal districts using the multi-stage sampling method (stratified sampling method proportional to size, cluster sampling and systematic random sampling methods). The required data were collected using the Persian format of "World Health Survey" questionnaire. The collected data were analyzed using Stata14.0 and Excel 2007. The Gini coefficient and concentration and Kakwani indices were calculated for health insurance premiums (basic and complementary), inpatient and outpatient services costs, out of pocket payments and, totally, health expenses.
resultsThe Gini coefficient was obtained based on the studied population incomes equal to 0.297. Also, the results revealed that the concentration index and Kakwani index were, respectively, 0.171 and - 0.125 for basic health insurance premiums, 0.259 and - 0.038 for health insurance complementary premiums, 0.198 and - 0.099 for total health insurance premiums, 0.126 and - 0.170 for outpatient services costs, 0.236 and - 0.061 for inpatient services costs, 0.174 and - 0.123 for out of pocket payments (including the sum of costs related to the inpatient and outpatient services) and 0.185 and - 0.112 for the health expenses (including the sum of out of pocket payments and health insurance premiums).
conclusionThe results showed that the healthcare financing in Shiraz, Iran was regressive and there was vertical inequity and, accordingly, it is essential to making more efforts in order to implement universal insurance coverage, redistribute incomes in the health sector to support low-income people, strengthening the health insurance schemes, etc.
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