Explaining Socioeconomic Inequality Differences in Catastrophic Health Expenditure Between Urban and Rural Areas of Iran After Health Transformation Plan Implementation

ClinicoEconomics and Outcomes Research : CEOR
Ali Kazemi-KaryaniJafar Yahyavi Dizaj

Abstract

Ensuring fair financial contribution is one of the main goals of the Health Transformation Plan (HTP) of Iran. This study aims to estimate socioeconomic inequality differences in catastrophic health expenditure (CHE) between urban and rural areas of Iran after the implementation of the HTP during 2017. Data from a representative survey of households' income and xpenditure from the Iran Statistical Center (ISC) were used for the analysis. We applied the World Health Organization (WHO) cut-off of 40% payment for CHE, and Wagstaff's normalized concentration index (C) to measure and decompose the inequality. Also, Blinder-Oaxaca decomposition analysis was used to decompose contributors of inequality differences between rural and urban areas. The overall incidence of CHE among Iranian households during the year 2017 was 3.32% with a standard deviation (SD) of 17.91%, and the mean (SD) levels of CHE in rural and urban areas of Iran were 4.37% (20.45%) and 2.97% (16.99%), respectively. The aggregate socioeconomic status (SES)-related inequality in CHE was significantly (p<0.001) different from zero (C=-0.238) and there was a significant (p<0.05) difference between rural (C=-0.150) and urban (C=0.218) areas. SES was the highest contrib...Continue Reading

References

Jul 18, 2003·Lancet·Ke XuChristopher J L Murray
Jul 17, 2007·Health Affairs·Ke XuTimothy Evans
Nov 9, 2007·Health Economics·Majid S KermaniAyoub Yousefi
Sep 9, 2009·Health Policy·Mahmut Saadi YardimNazan Yardim
Jan 27, 2012·Health Policy and Planning·Zahra KavosiMohammad Arab
Jan 21, 2015·International Journal for Equity in Health·Zhonghua WangMingsheng Chen
Oct 17, 2015·Iranian Red Crescent Medical Journal·Hesam GhiasvandMohammad Hadian
Dec 18, 2015·International Journal of Health Policy and Management·Maziar Moradi-Lakeh, Abbas Vosoogh-Moghaddam
Oct 4, 2016·International Journal of Health Policy and Management·Bakhtiar PirooziHossein Safari
Jul 22, 2017·Epidemiology and Health·Enayatollah Homaie RadAhmad Naghibzadeh
Dec 19, 2017·The Lancet Global Health·Adam WagstaffPatrick Eozenou
Apr 15, 2018·International Journal for Equity in Health·Vahid Yazdi-FeyzabadiMohammad Hossein Mehrolhassani
Aug 3, 2018·Cost Effectiveness and Resource Allocation : C/E·Fatime Arenliu QosajRolf Holle

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