The Risk of Catastrophic Health Expenditures Due to Direct Non-Medical Costs in Patients: A Study of the Outpatients in Qazvin, Iran
محل انتشار: مجله گزارشات و فناوری سلامت، دوره: 7، شماره: 1
سال انتشار: 1400
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 113
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شناسه ملی سند علمی:
JR_IJHLS-7-1_008
تاریخ نمایه سازی: 28 تیر 1402
چکیده مقاله:
Background: Out-of-pocket payment encompasses the costs that patients pay for healthcare services, which is an inefficient approach
to healthcare financing as it may lead to poverty.
Objectives: The present study aimed to determine the risk of catastrophic health expenditures due to non-medical costs in the
outpatients in Qazvin, Iran.
Methods: This cross-sectional survey was conducted on ۳۴۱ outpatients referring to the internists of Velayat Hospital and Bu-Ali Sina
Hospital in Qazvin. The required data were collected using a researcher-made questionnaire and the prescriptions of the patients.
Out-of-pocket payments were defined as the direct medical and non-medical costs within one month.
Results: The mean out-of-pocket payments of the patients in one month was ۴۹.۹۷ dollars, ۷۵.۸% of which covered direct medical
cost (disease diagnosis and treatment), and ۲۴.۲% covered direct non-medical costs to receive health services. The highest out-ofpocket
payments were for diagnostic/laboratory tests (۵۰.۳%), medications (۲۱.۵%), and transportation (۱۸.۲%). In addition, the exposure
rate to catastrophic expenditures was estimated at ۳۱%, and the patients with lower income had less exposure compared to
those without incomes.
Conclusions: According to the results, direct non-medical costs were associated with the increased out-of-pocket payments of the
patients, which in turn led to the higher rates of catastrophic expenditures.
کلیدواژه ها:
نویسندگان
Saeed Asefzadeh
Health Services Management Department, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran
Bahman Ahadi Nezhad
Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
Saeed Norouzi
Health Services Management Department, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran