Volume 13, Issue 6 (November-December 2014)
Payesh 2014, 13(6): 655-663 |
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Hossein Panahi, Ali Janati, Mohammadreza Narimani, Ahmad Assadzadeh, Parviz Mohammadzadeh, Amineh Naderi. Catastrophic expenditures for hospitalized patients in Tabriz, Iran. Payesh 2014; 13 (6) :655-663
URL: http://payeshjournal.ir/article-1-264-en.html
URL: http://payeshjournal.ir/article-1-264-en.html
Hossein Panahi * 
1, Ali Janati2 , Mohammadreza Narimani2 , Ahmad Assadzadeh1 , Parviz Mohammadzadeh1 , Amineh Naderi3
1, Ali Janati2 , Mohammadreza Narimani2 , Ahmad Assadzadeh1 , Parviz Mohammadzadeh1 , Amineh Naderi3
1- Department of Economics, the University of Tabriz, Tabriz, Iran
2- Department of Public Health and Management, Tabriz University of Medical Sciences, Tabriz, Iran
3- Department of Economics, the University of Razi, Kermanshah, Iran
2- Department of Public Health and Management, Tabriz University of Medical Sciences, Tabriz, Iran
3- Department of Economics, the University of Razi, Kermanshah, Iran
Abstract: (5361 Views)
Objective (s): The catastrophic medical payment is one of the most important concerns in low income and developing countries. Iran is one of the countries that out-of-pocket payment is a major method for health care, which may result in catastrophic expenditure. This study aims to identify factors that influence catastrophic health expenditures (CHE) by patients in of Tabriz, Iran in year in 2011-2012.
Methods: 300 patients were selected from patients hospitalized in general hospitals. The information was collected by a questionnaire and the Stata software and Heckman model.
Results: The results indicated that the proportion of households with CHE was 30%. The results of Heckman selection model indicated that factors such as age (elderly people), and gender (female patients) were associated with higher CHE. The results of the orderd-probit selection model demonstrated that elderly person, children, person with chronic diseases, admission to a private hospital and lower household wealth were major factors contributing to the increased probability of the CHE.
Conclusion: The findings demonstrated that the use of expensive hospitalized care and lower economic status increased the households’ exposure to catastrophic expenditures.
JEL classification: C25, D63, H51, I18
Methods: 300 patients were selected from patients hospitalized in general hospitals. The information was collected by a questionnaire and the Stata software and Heckman model.
Results: The results indicated that the proportion of households with CHE was 30%. The results of Heckman selection model indicated that factors such as age (elderly people), and gender (female patients) were associated with higher CHE. The results of the orderd-probit selection model demonstrated that elderly person, children, person with chronic diseases, admission to a private hospital and lower household wealth were major factors contributing to the increased probability of the CHE.
Conclusion: The findings demonstrated that the use of expensive hospitalized care and lower economic status increased the households’ exposure to catastrophic expenditures.
JEL classification: C25, D63, H51, I18
Keywords: Out-of-pocket expenditures, catastrophic medical expenditures, Heckman selection model, Hospital care
type of study: Descriptive |
Accepted: 2018/11/28 | ePublished ahead of print: 2014/11/15 | Published: 2014/11/15
Accepted: 2018/11/28 | ePublished ahead of print: 2014/11/15 | Published: 2014/11/15
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