Assessing horizontal equity in health care utilization in Iran: a decomposition analysis

BMC Public Health
Farideh MostafaviGhobad Moradi

Abstract

Despite 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. This 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. Results 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 onl...Continue Reading

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Citations

Jan 10, 2021·The International Journal of Health Planning and Management·Sajad VahediAziz Rezapour

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Methods Mentioned

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