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dc.contributor.authorYazdi Feyzabadi, V
dc.contributor.authorBahrampour, M
dc.contributor.authorRashidian, A
dc.contributor.authorHaghdoost, AA
dc.contributor.authorAbolhallaje, M
dc.contributor.authorNajafi, B
dc.contributor.authorAkbari Javar, MR
dc.contributor.authorMehrolhassani, MH
dc.description.abstractBackground and Objectives: Catastrophic health expenditure (CHE) is a key indicator for measuring households’ financial protection in the health system. This study was conducted to measure the incidence and intensity of CHE in Iranian provinces 2008-2014. Methods: When the out-of-pocket (OOP) spending of each household amounts to at least 40% of the household's capacity to pay, it is called a catastrophe. The incidence of CHE in Iranian provinces was estimated using the data obtained from household-expenditure-and-income-surveys. The intensity was calculated as the average extent to which OOPs exceeded the 40% threshold. Descriptive statistics and Mann-WhitneyU test were used for data analysis. The index of disparity(ID) was also calculated for geographical disparities across the provinces. Results: On average, the lowest and highest CHE incidence and intensity were seen in Fars and South Khorasan provinces respectively. However, the highest and lowest rate for CHE households that actually experienced catastrophe at the 40% threshold belonged to Fars and Kurdistan provinces. The incidence of CHE in rural was more than urban areas. ID of CHE incidence for targeted amount was high and had no constant trend. Conclusion: CHE incidence had a remarkable difference in different provinces and in the rural area compared to the urban area. Due to the importance of this index in promoting health financial protection, like indexes such as OOP, its distribution in rural and urban areas as well as in different provinces is considerable. It requires a structured format to identify the disadvantaged and low-income groups and provide financial-support and insurance for them.
dc.publisherTehran University of Medical Sciences
dc.relation.ispartofissueSpecial Issue
dc.relation.ispartofjournalIranian Journal of Epidemiology
dc.subject.fieldofresearchHealth economics
dc.subject.fieldofresearchPolitical economy and social change
dc.subject.fieldofresearchMacroeconomics (incl. monetary and fiscal theory)
dc.titleIncidence and intensity of catastrophic health expenditures in Iranian provinces; 2008-2014
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationYazdi Feyzabadi, V; Bahrampour, M; Rashidian, A; Haghdoost, AA; Abolhallaje, M; Najafi, B; Akbari Javar, MR; Mehrolhassani, MH, Incidence and intensity of catastrophic health expenditures in Iranian provinces; 2008-2014, Iranian Journal of Epidemiology, 2017, 12 (Special Issue), pp. 40-54
gro.hasfulltextNo Full Text
gro.griffith.authorBahrampour, Mina

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