ArticleBMC public health2020
Assessing horizontal equity in health care utilization in Iran: a decomposition analysis.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Socioeconomic and Migration-Related Determinants of Newborn Metabolic Screening Uptake: A Case-Control Study in Urban Iran.Journal of immigrant and minority health · 2026Article
- Income-related inequalities and decomposition of outpatient healthcare utilization in Saudi Arabia.Frontiers in public health · 2026Article
- Does the hierarchical medical system enhance healthcare utilization and equity in China? a longitudinal study 2012-2018.BMC public health · 2025Article
- Inequities in the continuum of maternal care in Mexico: trends before and after COVID-19.International journal for equity in health · 2025Article
- Determinants of healthcare utilization under the Indonesian national health insurance system - a cross-sectional study.BMC health services research · 2025Article
- Burden of aortic aneurysm in Iran from 1990 to 2019: an analysis based on global burden of disease study.Annals of medicine and surgery (2012) · 2024Article
- Rural-urban inequalities in health care utilization in Bhutan: a decomposition analysis.International journal for equity in health · 2024Article
- Socioeconomic inequalities in the use of medical consultation services in Peru, 2019.International journal for equity in health · 2024Article
- Socioeconomic inequality in unmet outpatient healthcare needs among people living in urban informal settlements in Sanandaj city, Iran.International journal for equity in health · 2023Article
- Factors associated to patients' referral to public or private Covid-19 healthcare centers in Tabriz, Iran.BMC health services research · 2023Article
- Horizontal inequity trends of health care utilization in rural China after the medicine and healthcare system reform: based on longitudinal data from 2010 to 2018.International journal for equity in health · 2023Article
- Has Iran achieved the goal of reducing the prevalence of households faced with catastrophic health expenditure to 1%?: A national survey.Health science reports · 2023Article
- Research on the Equity and Optimal Allocation of Basic Medical Services in Guangzhou in the Context of COVID-19.International journal of environmental research and public health · 2022Article
- Equilibrium of Tiered Healthcare Resources during the COVID-19 Pandemic in China: A Case Study of Taiyuan, Shanxi Province.International journal of environmental research and public health · 2022Article
- Consumption-Related Health Education Inequality in COVID-19: A Cross-Sectional Study in China.Frontiers in public health · 2022Article
- Dialect culture and the utilization of public health service by rural migrants: Insights from China.Frontiers in public health · 2022Article
- Assessing the income-related inequality in obesity among the elderly in China: A decomposition analysis.Frontiers in public health · 2022Article
- Inequity in Health Services Utilization in Economically Underdeveloped Regions of Northeast China.Frontiers in public health · 2022Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the goal of horizontal equity in Iran, little is known about it. This study aimed i) to assess socioeconomic inequality and horizontal inequity in the healthcare utilization; and ii) to explore the contribution of need and non-need variables to the observed inequalities.
methodsThis study used national cross sectional dataset from Utilization of Health Services survey in 2015. Concentration Index (C), Concentration Curve (CC) and Horizontal Inequity index (HI) were calculated to measure inequality in inpatient and outpatient health care utilization. Decomposition analysis was used to determine the contribution of need and non-need factors to the observed inequalities.
resultResults showed the pro-poor inpatient services in both rural (C = - 0.079) and non-rural areas (C = - 0.096) and the pro-rich outpatient services in both rural (C = 0.038) and non-rural (C = 0.007). After controlling for need factors, HI was positive and significant for outpatient services in rural (HI = 0.039) and non-rural (HI = 0.008), indicating that for given need, the better off especially in rural make greater use of outpatient services. The HI was pro-poor for inpatient services in both rural (HI = - 0.068) and non-rural (HI = -0.090), was significant only in non-rural area. Non-need factors were the most important contributors to explain inequalities in the decomposition analysis.
conclusionDisentangle the different contribution of determinants, as well as greater HI in rural areas for outpatient and in non-rural areas for inpatient services, provide helpful information for decision makers to re-design policy and re-distribute resource allocation in order to reduce the socioeconomic gradient in health care utilization.
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