Volume 17, Issue 3 (May-June 2018)
Payesh 2018, 17(3): 227-237 |
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Mohammad Khammarnia, Mostafa Peyvand, Fatemeh Setoodezadeh, Eshagh Barfar, Nader poormand, Ali Mirbaloch zehi, et al . Health expenditures by households after implementation of health transformational plan: a cross-sectional study. Payesh 2018; 17 (3) :227-237
URL: http://payeshjournal.ir/article-1-41-en.html
URL: http://payeshjournal.ir/article-1-41-en.html
Mohammad Khammarnia1 
, Mostafa Peyvand * 2, Fatemeh Setoodezadeh1 , Eshagh Barfar3 , Nader poormand2 , Ali Mirbaloch zehi4 , faroogh Rastadel5 , Ayube kord Tamini5 , Umm al-Banin Arefi6 , Hamed Azar Pira6 , Vahed bakhsh Baloch7
, Mostafa Peyvand * 2, Fatemeh Setoodezadeh1 , Eshagh Barfar3 , Nader poormand2 , Ali Mirbaloch zehi4 , faroogh Rastadel5 , Ayube kord Tamini5 , Umm al-Banin Arefi6 , Hamed Azar Pira6 , Vahed bakhsh Baloch7
1- Zahedan University of Medical Sciences, Zahedan, Iran
2- Expert of Zahedan Health Center, Zahedan University of Medical Sciences, Zahedan, Iran
3- School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4- Deputy of Zahedan Health Center, Zahedan University of Medical Sciences, Zahedan, Iran
5- University of Medical Sciences, Iranshahr, Iran
6- Expert Family health, Deputy of Health, Zabol University of Medical Sciences, Zabol, Iran
7- Expert of Chabehar Health Center, Iranshahr University of Medical Sciences, Zahedan, Iran
2- Expert of Zahedan Health Center, Zahedan University of Medical Sciences, Zahedan, Iran
3- School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4- Deputy of Zahedan Health Center, Zahedan University of Medical Sciences, Zahedan, Iran
5- University of Medical Sciences, Iranshahr, Iran
6- Expert Family health, Deputy of Health, Zabol University of Medical Sciences, Zabol, Iran
7- Expert of Chabehar Health Center, Iranshahr University of Medical Sciences, Zahedan, Iran
Abstract: (4916 Views)
Objective (s): health transformational plan was executed as one the most important plans by the ministry of health and medical education in order to reduce admission fees. In order to evaluate the effectiveness of this plan, this study was conducted with the goal of determining the health expenditures by households after implementation of this new plan.
Methods: This cross-sectional study was conducted in Zahedan, Iran in year 2015 and 2016. The study conducted on 816 families including both rural and urban households. They were selected randomly by clustering method. Data were collected by in-person interviews using the World Health Survey. The Data were analyzed using descriptive and inferential statistics.
Results: In 93.1% of instances the head of household were men (n = 760) and 78 families did not have any health insurance. After implementation of health transformational plan, 12.99 percent of families were still faced with catastrophic health expenditures. However, the rural families were facing more catastrophic expenditures compared to families living in urban areas. This catastrophic expenditures have a meaningful relation with many variables including dental care (OR: 4.99), drug fees (OR: 2.927), physiotherapy (OR: 2.927), outpatient expenditures (OR: 96. 639), having a family member who needs to be taken care of at home (OR: 3.186), and a family member who needs to be taken care of at a hospital (OR: 1.866).
Conclusion: The results showed that a relatively large proportion of people in families in Zahedan still are facing catastrophic health related expenditures and health transformational plan has not been able to reach its goals in this city.
Methods: This cross-sectional study was conducted in Zahedan, Iran in year 2015 and 2016. The study conducted on 816 families including both rural and urban households. They were selected randomly by clustering method. Data were collected by in-person interviews using the World Health Survey. The Data were analyzed using descriptive and inferential statistics.
Results: In 93.1% of instances the head of household were men (n = 760) and 78 families did not have any health insurance. After implementation of health transformational plan, 12.99 percent of families were still faced with catastrophic health expenditures. However, the rural families were facing more catastrophic expenditures compared to families living in urban areas. This catastrophic expenditures have a meaningful relation with many variables including dental care (OR: 4.99), drug fees (OR: 2.927), physiotherapy (OR: 2.927), outpatient expenditures (OR: 96. 639), having a family member who needs to be taken care of at home (OR: 3.186), and a family member who needs to be taken care of at a hospital (OR: 1.866).
Conclusion: The results showed that a relatively large proportion of people in families in Zahedan still are facing catastrophic health related expenditures and health transformational plan has not been able to reach its goals in this city.
type of study: Descriptive |
Accepted: 2018/06/10 | ePublished ahead of print: 2018/06/11 | Published: 2018/05/15
Accepted: 2018/06/10 | ePublished ahead of print: 2018/06/11 | Published: 2018/05/15
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