Cargando…
Fairness in household financial contribution to the Iran’s healthcare system from 2008 to 2018
OBJECTIVE: Enhancing financial protection in health is one of the main goals of Iran’s health transformation program (HTP), a recent reform conducted in early 2014. This study aimed to measure financial protection using the fair financial contribution index (FFCI) in urban and rural areas before (20...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8130119/ https://www.ncbi.nlm.nih.gov/pubmed/34001249 http://dx.doi.org/10.1186/s13104-021-05606-8 |
_version_ | 1783694451068108800 |
---|---|
author | Darvishi, Ali Amini-Rarani, Mostafa Mehrolhassani, Mohammad Hossein Yazdi-Feyzabadi, Vahid |
author_facet | Darvishi, Ali Amini-Rarani, Mostafa Mehrolhassani, Mohammad Hossein Yazdi-Feyzabadi, Vahid |
author_sort | Darvishi, Ali |
collection | PubMed |
description | OBJECTIVE: Enhancing financial protection in health is one of the main goals of Iran’s health transformation program (HTP), a recent reform conducted in early 2014. This study aimed to measure financial protection using the fair financial contribution index (FFCI) in urban and rural areas before (2008–2013) and after (2014–2018) the HTP implementation. Using a retrospective study on annual national cross-sectional surveys of households' income and expenditure, FFCI was measured. The total sample sizes for urban and rural areas from 2008 to 2018 were 207,980 and 212,249 households, respectively. RESULTS: The worst fair contributions to health expenditure in urban (FFCI = 0.684) and rural areas (FFCI = 0.530) were related to 2010 and 2009, respectively. Otherwise, the best fair contributions for urban (FFCI = 0.858) and rural (FFCI = 0.836) areas were made in 2011. Before the HTP implementation began, FFCI showed minor changes from 0.834 in 2008 to 0.833 in 2013. Following the HTP implementation, the FFCI values in urban and rural populations declined (worsened) from 0.842 to 0.836 and 0.816 to 0.809, respectively.On average more fair financial contributions had been made following five years after the HTP, especially in rural areas, but less than that expected in upstream documents (as determined 0.9). |
format | Online Article Text |
id | pubmed-8130119 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-81301192021-05-18 Fairness in household financial contribution to the Iran’s healthcare system from 2008 to 2018 Darvishi, Ali Amini-Rarani, Mostafa Mehrolhassani, Mohammad Hossein Yazdi-Feyzabadi, Vahid BMC Res Notes Research Note OBJECTIVE: Enhancing financial protection in health is one of the main goals of Iran’s health transformation program (HTP), a recent reform conducted in early 2014. This study aimed to measure financial protection using the fair financial contribution index (FFCI) in urban and rural areas before (2008–2013) and after (2014–2018) the HTP implementation. Using a retrospective study on annual national cross-sectional surveys of households' income and expenditure, FFCI was measured. The total sample sizes for urban and rural areas from 2008 to 2018 were 207,980 and 212,249 households, respectively. RESULTS: The worst fair contributions to health expenditure in urban (FFCI = 0.684) and rural areas (FFCI = 0.530) were related to 2010 and 2009, respectively. Otherwise, the best fair contributions for urban (FFCI = 0.858) and rural (FFCI = 0.836) areas were made in 2011. Before the HTP implementation began, FFCI showed minor changes from 0.834 in 2008 to 0.833 in 2013. Following the HTP implementation, the FFCI values in urban and rural populations declined (worsened) from 0.842 to 0.836 and 0.816 to 0.809, respectively.On average more fair financial contributions had been made following five years after the HTP, especially in rural areas, but less than that expected in upstream documents (as determined 0.9). BioMed Central 2021-05-17 /pmc/articles/PMC8130119/ /pubmed/34001249 http://dx.doi.org/10.1186/s13104-021-05606-8 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Note Darvishi, Ali Amini-Rarani, Mostafa Mehrolhassani, Mohammad Hossein Yazdi-Feyzabadi, Vahid Fairness in household financial contribution to the Iran’s healthcare system from 2008 to 2018 |
title | Fairness in household financial contribution to the Iran’s healthcare system from 2008 to 2018 |
title_full | Fairness in household financial contribution to the Iran’s healthcare system from 2008 to 2018 |
title_fullStr | Fairness in household financial contribution to the Iran’s healthcare system from 2008 to 2018 |
title_full_unstemmed | Fairness in household financial contribution to the Iran’s healthcare system from 2008 to 2018 |
title_short | Fairness in household financial contribution to the Iran’s healthcare system from 2008 to 2018 |
title_sort | fairness in household financial contribution to the iran’s healthcare system from 2008 to 2018 |
topic | Research Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8130119/ https://www.ncbi.nlm.nih.gov/pubmed/34001249 http://dx.doi.org/10.1186/s13104-021-05606-8 |
work_keys_str_mv | AT darvishiali fairnessinhouseholdfinancialcontributiontotheiranshealthcaresystemfrom2008to2018 AT aminiraranimostafa fairnessinhouseholdfinancialcontributiontotheiranshealthcaresystemfrom2008to2018 AT mehrolhassanimohammadhossein fairnessinhouseholdfinancialcontributiontotheiranshealthcaresystemfrom2008to2018 AT yazdifeyzabadivahid fairnessinhouseholdfinancialcontributiontotheiranshealthcaresystemfrom2008to2018 |