Document Type : Original Article
Authors
- Hossein Panahi 1
- Firooz Falahi 2
- Parviz Mohammadzadeh 2
- Ali Janati 3
- Mohammad Reza Narimani 4
- Laleh Sabaghizadeh 5
1 Assistant Professor, Health Economics, Tabriz University, Tabriz, Iran
2 Associate Professor, Economic, Tabriz University, Tabriz, Iran
3 Assistant Professor, Health Services Management, Tabriz University of Medical Sciences, Tabriz, Iran
4 Lecturer, Educational Management, Medical Education Department, Tabriz University of Medical Sciences, Tabriz, Iran
5 MSc, Economics Planning Management, Business Management and Economics, Tabriz University, Tabriz, Iran
Abstract
Introduction:The most important goals of the health and cure services are promotion of life quality and equal access of all the people to aforementioned services. Higher health care costs and its financial pressures upon households' shoulders is one of the barriers of equal access to these services that policy-makers and academics have concerned about these rising costs.Methods and material: Using Heckman 2 stages model this research attempts to find out the effects of the factors cause to the out of pocket payment. The data is collected through a questionnaire.To do so, a sample of 312 patients admitted to hospitals in the city of Tabriz has been surveyed. Results:The results indicate that, income, age, being in private hospital, ruraland having an underlying diseasehave positive impact on the out of pocket cost. Also it found that, being in a private hospitals and having an underlying disease significantly have positive effect (due to greater than 2 t-statistic), and being a local patient and also type of admission, have significant negative impact on out of pocketConclusion:Income, age, being a private hospital, rural and has an underlying disease has positive impact on the out of pocket cost. So the government extending the insurance coverage for People and do the appropriate action forReduce direct payments out of pocket in the elderly and non-native Persons.Key words: Costs; Patient Discharge;Patients; Insurance
Keywords
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