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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Objectives: Equity in financial protection against healthcare expenditures is one the primary functions of health systems worldwide. This study aimed to quantify socioeconomic inequality in facing catastrophic healthcare expenditures (CHE) and to identify the main factors contributing to socioeconomic inequality in CHE in Iran. Methods: A total of 37 860 households were drawn from the Households Income and Expenditure Survey, conducted by the Statistical Center of Iran in 2017. The prevalence of CHE was measured using a cut-off of spending at least 40% of the capacity to pay on healthcare services. The concentration curve and concentration index (C) were used to illustrate and measure the extent of socioeconomic inequality in CHE among Iranian households. The C was decomposed to identify the main factors explaining the observed socioeconomic inequality in CHE in Iran. Results: The prevalence of CHE among Iranian households in 2017 was 5.26% (95% confidence interval [CI], 5.04 to 5.49). The value of C was -0.17 (95% CI, -0.19 to -0.13), suggesting that CHE was mainly concentrated among socioeconomically disadvantaged households in Iran. The decomposition analysis highlighted the household wealth index as explaining 71.7% of the concentration of CHE among the poor in Iran. Conclusions: This study revealed that CHE is disproportionately concentrated among poor households in Iran. Health policies to reduce socioeconomic inequality in facing CHE in Iran should focus on socioeconomically disadvantaged households.
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참고문헌 (35)
참고문헌 신청
Buigut S / 2015 / Catastrophic health expenditure and its determinants in Kenya slum communities / Int J Equity Health 14:46
Li Y / 2012 / Factors affecting catastrophic health expenditure and impoverishment from medical expenses in China : policy implications of universal health insurance / Bull World Health Organ 90(9):664~671
Limwattananon S / 2007 / Catastrophic and poverty impacts of health payments : results from national household surveys in Thailand / Bull World Health Organ 85(8):600~606
Islam MR / 2017 / Inequalities in financial risk protection in Bangladesh : an assessment of universal health coverage / Int J Equity Health 16(1):59
World Health Organization / The world health report 2000: health systems-improving performance
Li Y / 2012 / Factors affecting catastrophic health expenditure and impoverishment from medical expenses in China : policy implications of universal health insurance / Bull World Health Organ 90(9):664~671
Limwattananon S / 2007 / Catastrophic and poverty impacts of health payments : results from national household surveys in Thailand / Bull World Health Organ 85(8):600~606
Islam MR / 2017 / Inequalities in financial risk protection in Bangladesh : an assessment of universal health coverage / Int J Equity Health 16(1):59
World Health Organization / The world health report 2000: health systems-improving performance
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