پديد آورندگان :
مهرالحسنی، محمد حسین نويسنده Associate Professor in Health Services Management, Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Mehrolhassani, M , نجفی، بهزاد نويسنده Assistant Professor in Health Economics, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran Najafi, B , يزدي فيض آبادي، وحيد نويسنده دانشكده مديريت و اطلاع رساني پزشكي - دانشگاه علوم پزشكي ايران yazdi feyz abadi, vahid , حقدوست، علی اكبر نويسنده Professor in Epidemiology, Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Haghdoost, AA , ابوالحلاج، مسعود نويسنده Abolhalaj, M , انصاري، مينا نويسنده , , دهنویه، رضا نويسنده Associate Professor in Health Services Management, Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Dehnavieh, R , رمضانيان، مريم نويسنده , , كوهی، فرهاد نويسنده MSc in Health Economics, Social Security Organization, Tehran, Iran Kouhi, F , جعفری، محمد نويسنده PhD in Strategic Management, Kerman Health Insurance Organization, Kerman, Iran Jafari, M , لشكری، مرضیه نويسنده Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran M, Lashkari
كليدواژه :
Health per capita (THE per capita) , Out of pocket (OOP) , Total health expenditure (THE) , استان‌هاي ايران , پرداخت مستقيم از جيب , سرانه سلامت , كل مخارج سلامت , iranian Provinces
چكيده لاتين :
Background and Objectives: Out-of-pocket (OOP) expenditure is one of the main indicators in health financing, indicating risk pooling and risk spreading. This study aimed to calculate the total health expenditure (THE), the THE per capita and share of OOP in each province from 2008 to 2014.
Methods: The present cross-sectional study was done by collecting provincial health expenditure data from public and private organizations during 2008-2014. The data were approved by board of trustees or board of directors in each organization. The relevant data on household health expenditures were collected from the Statistical Centre of Iran, as well.
Results: Even though the absolute monetary value (IRR) of OOP in the study years showed an increase, it decreased from 51.9% in 2008 to 40.6% in 2014 in terms of share. The absolute monetary value (IRR) of THE and THE per capita increased about 3.5 times in all provinces. So, during the study years, Tehran and Sistan and Baluchistan Provinces had the highest and lowest absolute monetary values (IRR) in THE per capita and this difference increased from 2.12 million Rials in 2008 to 10.56 million Rials in 2014.
Conclusion: Although the share of OOP decreased in all provinces in the country during the study years, it is still far from the objective of the national development plans (30% OOP). In order to improve the study indices and reduce the provincial inequity, it is suggested to put more emphasis on prepaid-based mechanisms, insurance system improvement, and equitable distribution of financial resources should be compatible with the deprivation of the area and its infrastructures.
