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Catastrophic healthcare expenditures among Iranian households: a systematic review and meta-analysis

Rezaei, Satar, Woldemichael, Abraha, Hajizadeh, Mohammad, Kazemi Karyani, Ali·2019·International Journal of Human Rights in Healthcare
DOI 10.1108/ijhrh-02-2018-0017
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Abstract

Purpose: Protecting households against financial risks of healthcare services is one of the main functions of health systems. The purpose of this paper is to provide a pooled estimate of the prevalence of catastrophic healthcare expenditures (CHE) among households in Iran. Design/methodology/approach: Both international (PubMed, Scopus and Clarivate Analytics (previously known as the Institute for Scientific Information)) and Iranian (Scientific Information Database, Iranmedex and Magiran) scientific databases were searched for published studies on CHE among Iranian households. The following keywords in Persian and English language were used as keywords for the search: “catastrophic healthcare costs,” “catastrophic health costs,” “impoverishment due to health costs,” “fair financial contribution,” “prevalence,” “frequency” and “Iran” with and without “health system”. The I2-test and χ2-based Q-test suggested heterogeneity in the reported prevalence among the qualified studies; thus, a random-effects model was used to estimate the overall prevalence of CHE among households in Iran. Findings: A total of 24 studies with a cumulative sample of 301,097 households were included in the study. The estimated pooled prevalence of CHE among households was 7 percent (95 percent confidence interval: 6–8 percent). Meta-regression analysis indicated that the prevalence of CHE was inversely related to the sample size (p<0.05). The results did not suggest a significant association between the prevalence of CHE and the year of data collection. Originality/value: The findings revealed that the prevalence of CHE among Iranian households is significantly higher than 1 percent, which is the goal set out in Iran’s fourth five-year development plan. This warrants further policy interventions to protect households from incurring CHE in Iran.

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References 57 · Cited by 21

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  1. Adhikari, 2009, Paying for hospital-based care of Kala-azar in Nepal: assessing catastrophic, impoverishment and economic consequences, Health Policy and Planning, 24, 129, 10.1093/heapol/czn052 · DOI
  2. Aeenparast, 2016, Catastrophic health expenditures in Iran: a review of the literature, Payesh, 15, 7, 10.52547/payesh.22.1.7 · DOI
  3. Amery, 2013, Determining the rate of catastrophic health expenditure and its influential factors on families in Yazd Province, Journal of Health Administration, 16, 129
  4. Amery, 2013, Estimates of catastrophic health care expenditures on families supported by Torbat Heydariyeh University of Medical Sciences in 2012, Journal of Health Chimes, 1, 46
  5. Anbari, 2014, Health expenditure and catastrophic costs for inpatient-and out-patient care in Iran, International Journal of Preventive Medicine, 5, 1023
  6. Arab, 2016, Catastrophic and impoverishing health expenditure in Tehran urban population, Journal of Health Administration, 19, 55
  7. Asefzadeh, 2013, Households encountering with catastrophic health expenditures in Qazvin, Iran, Health Information Management, 10, 1
  8. Choi, 2016, Catastrophic health expenditure according to employment status in South Korea: a population-based panel study, BMJ Open, 6, 1, 10.1136/bmjopen-2016-011747 · DOI
  9. Daneshkohan, 2011, Household catastrophic health expenditure, Iranian Journal of Public Health, 40, 94
  10. Fazaeli, 2015, Main determinants of catastrophic health expenditures: a Bayesian logit approach on Iranian household survey data (2010), Global Journal of Health Science, 7, 335, 10.5539/gjhs.v7n4p335 · DOI
  11. Fazaeli, 2015, Fairness of financial contribution in iranian health system: trend analysis of national household income and expenditure, 2003-2010, Global Journal of Health Science, 7, 260, 10.5539/gjhs.v7n5p260 · DOI
  12. Ghafoori, 2014, The distribution of health expenditures in Tehran’s districts, Journal of Community Health Research, 3, 132
  13. Ghiasi, 2016, Health insurance, medicine expenses and catastrophic health expenditures, Journal of Health Administration, 18, 64
  14. Ghiasvand, 2015, Catastrophic health expenditure among iranian rural and urban households, 2013-2014, Iranian Red Crescent Medical Journal, 17, 1, 10.5812/ircmj.30974 · DOI
  15. Ghoddoosinejad, 2014, Households encountering with catastrophic health expenditures in Ferdows, Iran, The Journal of the Egyptian Public Health Association, 89, 81, 10.1097/01.EPX.0000451789.21421.61 · DOI
  16. Haghdoost, 2013, The prevalence of cigarette smoking among students of Iran’s universities: a systematic review and meta-analysis, Journal of Research in Medical Sciences, 18, 717
  17. Hajizadeh, 2010, Equity of health care financing in Iran: the effect of extending health insurance to the uninsured, Oxford Development Studies, 38, 461, 10.1080/13600818.2010.524697 · DOI
  18. Hanjani, 2006, Estimation of fair financial contribution in health system of Iran, Social Welfare Journal, 5, 279
  19. Homaie Rad, 2017, The effect of catastrophic health expenditure on work after retirement, The International Journal of Aging and Human Development, 84, 313, 10.1177/0091415016677971 · DOI
  20. Homaie, 2017, Pros and cons of health transformation program in Iran: evidence from financial outcomes at household level, Epidemiology and Health, 18, 1, 10.4178/epih.e2017029 · DOI
  21. Kavosi, 2014, Household financial contribution to the health system in Shiraz, Iran in 2012, International Journal of Health Policy and Management, 3, 243, 10.15171/ijhpm.2014.87 · DOI
  22. Kavosi, 2012, Inequality in household catastrophic health care expenditure in a low-income society of Iran, Health Policy and Planning, 27, 613, 10.1093/heapol/czs001 · DOI
  23. Li, 2012, Factors affecting catastrophic health expenditure and impoverishment from medical expenses in China: policy implications of universal health insurance, Bulletin of the World Health Organization, 90, 664, 10.2471/BLT.12.102178 · DOI
  24. Limwattananon, 2007, Catastrophic and poverty impacts of health payments: results from national household surveys in Thailand, Bulletin of the World Health Organization, 85, 600, 10.2471/BLT.06.033720 · DOI
  25. Masaeli, 2015, High health costs, financial catastrophic and impoverishment expenditures: concepts for policy formation, Health Information Management, 12, 244
  26. Mehrara, 2010, Health finance equity in Iran: an analysis of household survey data (1382-1386), Journal of Health Administration, 13, 51
  27. Mehrdad, 2009, Health system in Iran, Japan Medical Association Journal, 52, 69
  28. Moghadam, 2012, Iranian household financial protection against catastrophic health care expenditures, Iranian Journal of Public Health, 41, 62
  29. Moghaddam, 2013, Health in the 5th 5-years development plan of Iran: main challenges, general policies and strategies, Iranian Journal of Public Health, 42, 42
  30. Moosazadeh, 2014, Prevalence of unwanted pregnancy in Iran: a systematic review and meta-analysis, International Journal of Health Planning and Management, 29, 1, 10.1002/hpm.2184 · DOI
  31. Moradi-Lakeh, 2015, Health sector evolution plan in Iran; equity and sustainability concerns, International Journal of Health Policy and Management, 4, 637, 10.15171/ijhpm.2015.160 · DOI
  32. Murray, 2003, Health Systems Performance Assessment: Debates, Methods and Empiricism, 514
  33. Nekoeimoghadam, 2014, Households exposure to catastrophic health expenditures and the affecting factors in Kerman province, Iran. J Manage Med Inform Sch, 1, 1, 74
  34. Piroozi, 2016, Catastrophic health expenditure after the implementation of health sector evolution plan: a case study in the west of Iran, International Journal of Health Policy and Management, 5, 417, 10.15171/ijhpm.2016.31 · DOI
  35. Puteh, 2017, Catastrophic health expenditure among developing countries, Health Systems and Policy Research, 4, 50, 10.21767/2254-9137.100069 · DOI
  36. Raghfar, 2013, Measurement of the fair financial contribution index and catastrophic expenditures in different regions of Iran, 1984-2010, Hakim Research Journal, 16, 182
  37. Ranson, 2002, Reduction of catastrophic health care expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges, Bulletin of the World Health Organization, 80, 613
  38. Rezaei, 2017, Period prevalence and reporting rate of needlestick injuries to nurses in Iran: a systematic review and meta-analysis, Research in Nursing & Health, 40, 311, 10.1002/nur.21801 · DOI
  39. Rezapour, 2013, Effects of health out-of-pocket payment on households in Iran, Catastrophic and Impoverishment: Population Based Study in Tehran (2012), 12, 600
  40. Rivero, 2006, Catastrophic expenditure in health and income elasticities by item of expenditure in health services in Mexico, Well-Being and Social Policy, 2, 47
  41. Sabermahani, 2014, Catastrophic health expenditures and its determinants among households in Tehran in 2011, Urban HEART-2 study, Razi Journal of Medical Sciences, 21, 15
  42. Saito, 2014, Catastrophic household expenditure on health in Nepal: a cross-sectional survey, Bulletin of the World Health Organization, 92, 760, 10.2471/BLT.13.126615 · DOI
  43. Somkotra, 2009, Which households are at risk of catastrophic health spending: experience in Thailand after universal coverage, Health Affairs, 28, 467, 10.1377/hlthaff.28.3.w467 · DOI
  44. Soofi, 2013, Measuring the exposure of households to catastrophic healthcare expenditures in Iran in 2001: the World Health Organization and the World Bank’s approach, Journal of Hospital, 12, 39
  45. Su, 2006, Catastrophic household expenditure for health care in a low-income society: a study from Nouna district, Burkina Faso, Bulletin of the World Health Organization, 84, 21, 10.2471/BLT.05.023739 · DOI
  46. Sun, 2009, Catastrophic medical payment and financial protection in rural China: evidence from the New Cooperative Medical Scheme in Shandong Province, Health Economics, 18, 103, 10.1002/hec.1346 · DOI
  47. Xu, 2007, Protecting household from catastrophic health spending, Health Affairs, 26, 972, 10.1377/hlthaff.26.4.972 · DOI
  48. Xu, 2003, Household catastrophic health expenditure: a multi-country analysis, Lancet, 362, 111, 10.1016/S0140-6736(03)13861-5 · DOI
  49. Xu, 2006, Understanding the impact of eliminating user fees: utilization and catastrophic health expenditures in Uganda, Social Science & Medicine, 62, 866, 10.1016/j.socscimed.2005.07.004 · DOI · Paper page
  50. Yazdi Feyzabadi, 2017, The trend of impoverishing effects of out-of-pocket health expenditure in Iranian provinces in 2008–2014, Iranian Journal of Epidemiology, 12, 20
  51. Yousefi, 2015, The financial contribution of households using by health services, Journal of Payavard Salamat, 8, 517
  52. Almasi, 2016, Factors affecting catastrophic expenditures of dialysis patients referred to Ayatollah Taleghani Hospital in Urmia in 2014, Journal of Clinical Research in Paramedical Sciences, 5, 57
  53. Hatam, 2015, Catastrophic healthcare expenditures of hospitalized patients in the hospitals of Shiraz in 2013, Shiraz E-Medical Journal, 16, e23221, 10.17795/semj22231 · DOI

Metadata

Authors
Rezaei, S., Woldemichael, A., Hajizadeh, M., & Kazemi Karyani, A.
Affiliations
  • Kermanshah University of Medical Sciences (IR)
  • Mekelle University (ET)
  • Dalhousie University (CA)
  • Kermanshah University of Medical Sciences Research Center for Environmental Determinants of Health, , Kermanshah,
ORCID
Venue
International Journal of Human Rights in Healthcare
Publisher
Emerald
Published
2018-08-20
Volume
12
Issue
2
Pages
105-115
ISSN
  • 2056-4902 (ISSN-L)
  • 2056-4910
DOI
10.1108/ijhrh-02-2018-0017
OpenAlex
W2887999957
Cited by
21
References
57
Citations by year
2026: 1 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 6 · 2020: 2 · 2019: 3
FWCI
0.49
Type
journal article
Language
en
Open access
closed
Locations
International Journal of Human Rights in Healthcare (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Reforms
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economic and Financial Impacts of Cancer
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Keywords
household financial risk, health care financing, health insurance coverage, Iran, health policy

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