Catastrophic Health Expenditure in Households with Severe Mental Disorders Patients: Evidence After Iran’ s Health Transformation Plan

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BARFAR ESHAGH; POURREZA ABOLGHASEM; SHARIFI VANDAD; SOBHANIAN SEYED MOHAMMAD HADI; AKBARI SARI ALI

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Journal: Health Scope Year:2019 | Volume:8 | Issue:2 Page(s): 0-0

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Title

Catastrophic Health Expenditure in Households with Severe Mental Disorders Patients: Evidence After Iran’ s Health Transformation Plan

Author(s)

Keywords

Catastrophic Health Expenditure

Cost

Mental Disorders

Abstract

Background: The high Cost of mental health services can be a great barrier to accessing healthcare for patients with Mental Disorders. Objectives: The present study aimed to measure the Catastrophic Health Expenditure (CHE) for households with severe Mental Disorders (SMDs) patients. Methods: A cross-sectional study was conducted among 400 households with SMDs patients who referred to four psychiatric university centers located in Tehran for outpatient services from July 2017 to March 2018. We consecutively selected 100 participants from each hospital. Data were collected using theWorld Health Survey questionnaire through interviews. The method considered by theWHOwas used to measure the CHE and a forced-entry logistic regression technique was applied to assess factors affecting the CHE using STATA version 14. 0 software. Results: The results showed that 25. 75% of the households with SMDs patients faced CHE. There was also a significant relationship between households facing CHE and variables including the age of the household head (40-59 years; OR: 0. 283, P value = 0. 049), education status of the household head (university; OR: 0. 075, P value = 0. 002), utilization of dental (OR: 12. 38, P value = 0. 000), rehabilitation (OR: 6. 99, P value = 0. 012), and medication (OR: 3. 17, P value = 0. 049) services, and the household expenditures quintile (the fifth quintile; OR: 0. 111 P value = 0. 000). Conclusions: It is suggested that the Health Transformation Plan financially covers outpatient healthcare servicesmoresufficiently, especially for Mental Disorders.

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APA: Copy

BARFAR, ESHAGH, POURREZA, ABOLGHASEM, SHARIFI, VANDAD, SOBHANIAN, SEYED MOHAMMAD HADI, & AKBARI SARI, ALI. (2019). Catastrophic Health Expenditure in Households with Severe Mental Disorders Patients: Evidence After Iran’ s Health Transformation Plan. HEALTH SCOPE, 8(2), 0-0. SID. https://sid.ir/paper/974181/en

Vancouver: Copy

BARFAR ESHAGH, POURREZA ABOLGHASEM, SHARIFI VANDAD, SOBHANIAN SEYED MOHAMMAD HADI, AKBARI SARI ALI. Catastrophic Health Expenditure in Households with Severe Mental Disorders Patients: Evidence After Iran’ s Health Transformation Plan. HEALTH SCOPE[Internet]. 2019;8(2):0-0. Available from: https://sid.ir/paper/974181/en

IEEE: Copy

ESHAGH BARFAR, ABOLGHASEM POURREZA, VANDAD SHARIFI, SEYED MOHAMMAD HADI SOBHANIAN, and ALI AKBARI SARI, “Catastrophic Health Expenditure in Households with Severe Mental Disorders Patients: Evidence After Iran’ s Health Transformation Plan,” HEALTH SCOPE, vol. 8, no. 2, pp. 0–0, 2019, [Online]. Available: https://sid.ir/paper/974181/en

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