ArticleBMC health services research2021
The catastrophic out-of-pocket health expenditure of multiple sclerosis patients in Iran.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Suggesting global insights to local challenges: expanding financing of rehabilitation services in low and middle-income countries.Frontiers in rehabilitation sciences · 2024Pooled it
- Healthcare Inequity in Spinal Cord Injury: Out of Pocket and Access Barriers in Paraplegic and Tetraplegic Patients in Iran.Korean journal of neurotrauma · 2026Article
- Economic burden of COVID-19 on hospitalized patients: a cross-sectional study from Semnan, Iran.BMC health services research · 2026Article
- Article
- Strategies for financial protection for patients with cancer or special diseases in the health system: A scoping review.Health research policy and systems · 2025Article
- Household Catastrophic Health Expenditures in Maternal Care: A Cross-Sectional Study From Semnan, Iran.Health science reports · 2025Article
- The Economic Burden of Childhood Ocular Morbidity in Bangladesh.Advances in therapy · 2024Article
- Catastrophic health expenditure and its association with socioeconomic status in China: evidence from the 2011-2018 China Health and Retirement Longitudinal Study.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
- Catastrophic health expenditures in hospitalized patients with delta variant of COVID-19: A cross-sectional study.Health promotion perspectives · 2023Article
- Perspectives and evaluation on the effect of financial burden relief of medical insurance for people with catastrophic diseases and its influencing factors.Frontiers in public health · 2023Article
- Prevalence and related factors of intimate partner violence among married women in Garmsar, Iran.Journal of injury & violence research · 2022Article
- Estimation the medical cost of multiple sclerosis in Iran; 2019-2020.BMC health services research · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe present study was designed and conducted to evaluate multiple sclerosis (MS) treatment costs and the resulting economic impact imposed on MS patients in Iran.
methodsThis was a cross-sectional study, among randomly selected 300 MS patients, registered in the MS Association of East Azerbaijan Province, Iran (1 year after their treatment began). The regression analysis, ANOVA, T-test, and chi-square were used.
resultsThe average amount of out-of-pocket payments (OOPs) by MS patients during the previous year was 1669.20 USD, most of which was spent on medication, rehabilitation care, and physician visits. Their mean annual income was 5182.84 USD. Fifty four percent of families with an MS patient suffer from catastrophic health expenditure (CHE) and 44% experience poverty caused by the OOPs. Occupational status, having supplemental health insurance, and being residents of Tabriz significantly affect OOPs, CHE, and the resulting poverty (P < 0.05).
conclusionThe catastrophic financial burden of health care costs on MS patients and their families justifies health policymakers to promote pre-payment systems and provide subsidies to less well-off patients to protect them from the unfairness of OOPs and its resulting CHE and poverty.
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