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

Satar Rezaei · Abraha Woldemichael · Mohammad Hajizadeh · Ali Kazemi Karyani

21 citations0/0 files storedInternational Journal of Human Rights in Healthcare

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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

2003Household catastrophic health expenditure: a multicountry analysis 2007Protecting Households From Catastrophic Health Spending 2012Factors affecting catastrophic health expenditure and impoverishment from medical expenses in China: policy implications of universal health insurance 2002Reduction of catastrophic health care expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges.2004Catastrophic household expenditure for health care in low-income society: a study from Nouna District, Burkina Faso 2005Understanding the impact of eliminating user fees: Utilization and catastrophic health expenditures in Uganda 2015Health Sector Evolution Plan in Iran; Equity and Sustainability Concerns 2007Catastrophic and poverty impacts of health payments: results from national household surveys in Thailand

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