ESTIMATION OF OUT-OF-POCKET AND CATASTROPHIC EXPENDITURES AMONG PATIENTS WITH CARDIOVASCULAR DISEASES IN KHUZESTAN

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EMAMGHOLIPOUR SARA; AKBARI SARI ALI; GERAVANDI SARA; MAZRAE HODA

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Journal: Payavard Salamat Year:2017 | Volume:11 | Issue:3 Page(s): 297-307

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Title

ESTIMATION OF OUT-OF-POCKET AND CATASTROPHIC EXPENDITURES AMONG PATIENTS WITH CARDIOVASCULAR DISEASES IN KHUZESTAN

Author(s)

EMAMGHOLIPOUR SARA | AKBARI SARI ALI | GERAVANDI SARA | MAZRAE HODA | Issue Writer Certificate

Keywords

OUT OF POCKETQ1

CATASTROPHIC EXPENDITURESQ2

LOGIT MODELQ1

CARDIOVASCULAR DISEASEQ1

Abstract

Background and Aim: The World Health Organization (WHO) has placed special emphasis on the protection of families against the costs of health services. Patients suffer not only from the burden of a disease, but also from the burden of their health costs. The aim of this study was to estimate out-of-pocket costs and to identify the factors that affect CATASTROPHIC EXPENDITURES among patients with CARDIOVASCULAR DISEASEs in Khuzestan Province.Materials and Methods: In this descriptive-analytic study, 100 cardiovascular patients having referred to educational hospitals in Ahwaz, Khuzestan Province, were considered. Out-of-pocket costs were estimated and using Econometrics LOGIT MODEL, factors affecting CATASTROPHIC EXPENDITURES among households were identified. All analyses were performed using SPSS and Stata.Results: The average out-of-pocket cost was 16, 008, 936 rials per patient during one year. Also, 55% of patients faced with CATASTROPHIC EXPENDITURES. Income level and family size had a significant negative impact; however, patients’ employment status had a positive but insignificant effect on CATASTROPHIC EXPENDITURES.Conclusion: Hospital inpatient expenses and drug costs cover most of out-of-pocket expenditures and should be considered by policymakers. By increasing the income level and family size, families will encounter CATASTROPHIC EXPENDITURES less. The out-of-pocket costs among patients with CARDIOVASCULAR DISEASEs can be reduced by boosting the insurance coverage and government help.

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