Determinants of Health and the Cost of Catastrophic Health Expenses in Households

Authors

  • Yousef Mohammadzadeh1 1- Dept. of Economic, School of Economics and Management, Urmia Uinversity, Urmia, Iran.
  • Khadijeh Hasanzadeh2 2- Dept. of Economic, School of Economics and Management, Urmia Uinversity, Urmia, Iran.

DOI:

https://doi.org/10.22100/jkh.v11i3.1320

Keywords:

Health expenditures, Catastrophic costs, Log it model.

Abstract

Introduction: Due to the critical needs of health service needs of people, in the event of health problems cannot be the demand for health care services to address the health, deferred postponed in the incidence of health problems. On the other hand, health problems have been associated with many risks, and generally people are not able to predict when their the time of health problemsthem. Therefore, to determine the factors influencing the expenditures costs of catastrophic health problems spending is also growing should be studied.

Methods: In this study, data of household incomes and expenses in urban and rural areas in 1391 were used and analyzed by regression and logit models in Stata. Some variables such as the level of provincial deprivation were added to the model. Significant level was considered 0.1.

Results: The share of health expenditure from household budget and the probability of catastrophic health expenditures were more in the following households: more developed regions (such as in Tehran), older head of household, more people older than 60 and younger than six years old, living in rural areas, tenants and less educated head of household.

Conclusion: This study highlighted the importance of a fair distribution of health facilities in urban and rural areas, protection of vulnerable groups such as elderlies, household housing, promoting literacy and public education, public insurance coverage and also further development of deprived areas. Also results of this study showed that three groups were the most vulnerable in the society: tenant families, poor families living in large cities, and elderly people .

References

Kavosi Z, Rashidian A, Pourmalek F, MajdzadehR, Pourreza A, Mohammad K. Measuring household exposure to catastrophic health care expenditures: a longitudinal study in zone 17 of Tehran. Hakim Research Journal 2009;12:38-47.[Persian].

Ahmadi AM, Nikravan A, Naseri A, Asari A. Effective determinants in household out of packet payments in health system of Iran, using two part regression model. Journal of Health Administration 2014;17:7-12.[Persian].

Russo G, Ogawa N, Wandaningsih D, Sardjunani N. Household expenditures for health care in Indonesia: estimates from the 1987 socioeconomic survey. InHOMES Indonesia Project 1993;East-West Center Honolulu, Hawaii.p.69.

World Health Organization .World health statistics report: Switzerland;2013.

Fazaeli AA, Ghaderi H, Fazaeli AA, Lotfi F, Salehi M, Mehrara M. Main determinants of catastrophic health expenditures: a Bayesian logit approach on Iranian household survey data (2010). Glob J Health Sci 2015; 7:335-40. doi: 10.5539/gjhs.v7n4p335.

Boing AC, Bertoldi AD, Barros AJ, Posenato LG, Peres KG. Socioeconomic inequality In catastrophic health expenditure in Brazil. Rev Saude Publica 2014;48:632-41.

Mohammadzadeh Y. Determinants of the costs of impoverishment health cost in Iranian households. Journal of Iran's Economic Essays 2015;11:117-54.

United Nations. Human development report. New York: United Nations press;2005.

Maghsoudi M, Tabrizi R, Haghdoost AA, Eslami Shahrebabaki M. The study of general health status and its affecting factors on students of kerman university of medical sciences in 2012. Journal of Jiroft University of Medical Sciences 2014;1:59-67.[Persian].

Melberg HO, Sørensen J. How does end of life costs and increases in life expectancy affect projections of future hospital spending?. Oslo University, Health Economics Research Programme 2013;9:1-22.

Hosseini Nasab SE, Varahrami V. Determinant factors on households health care expenditures in Yazd, Iran. Journal of Health Administration 2010;13:73-9. [Persian].

Karami M, Najafi F, Karami Matin B. Catastrophic health expenditures in Kermanshah, West of Iran: Magnitude and distribution. J Res Health Sci 2009;9:36-40.

Mehrara M, Fazaeli AA, Fazaeli AA. Health finance equity in Iran: an analysis of household survey data. Journal of Health Administration 2010;13:51-62.[Persian].

Ping-Chan L, Kang H-H. The household income elasticity of health care expenditures: an empirical evidence from Taiwan. Available from: URL: http://gebrc.nccu.edu.tw/proceedings/ APDSI/2013/proc/P13 0128011.pdf.

Magazzino C. GSP and health expenditure in Italian regions. International Journal of Business and Management 2011;6:28-35. doi: 10.5539/ijbm.v6n12p28

Breyer F, Felder S. Life expectancy and health care expenditures: A new calculation for Germany using the costs of dying. Health Policy 2006;75:178-86. doi: 10.1016/j.healthpol.2005.03.011

Sheikhbaglu R. Identification of areas with a combined ranking. The Magazine of Research and Urban Planning 2011;2:53-70.

Pal R. Measuring incidence of catastrophic out-of-pocket health expenditure: with application to India. International Journal of Health Care Finance and Economics 2012;12:63-85. doi: 10.1007/s10754-012-9103-4

Akinkugbe O, Chama‐Chiliba CM, Tlotlego N. Health financing and catastrophic payments for health care: evidence from household‐level survey data in botswana and lesotho. African Development Review 2012;24:358-70. doi: 10.1111/1467-8268.12006

Arsenault C, Fournier P, Philibert A, Sissoko K, Coulibaly A, Tourigny C, et al. Emergency obstetric care in Mali: catastrophic spending and its impoverishing effects on households. Bull World Health Organ 2013;91:207-16. doi: 10.2471/BLT.12.108969

Wagstaff A. Measuring equity in health care financing: Reflections on and alternatives to the World Health Organization's Fairness of Financing Index. World Bank Publications;2001. doi: 10.1596/1813-9450-2550

Published

2016-06-18

Issue

Section

Original Article(s)

How to Cite

Determinants of Health and the Cost of Catastrophic Health Expenses in Households. (2016). Knowledge and Health in Basic Medical Sciences, 11(3), Page:8-16. https://doi.org/10.22100/jkh.v11i3.1320

Most read articles by the same author(s)

<< < 39 40 41 42 43 44 45 46 47 48 > >>