Health Care Utilization and Expenditure in War Survivors
| Autor: | Batool Mousavi, Farzaneh Maftoon, Kazem Mohammad, Reza Majdzadeh, Mohammad Reza Soroush |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty media_common.quotation_subject Population Iran 03 medical and health sciences 0302 clinical medicine Interquartile range Health care Humans Medicine National level Survivors 030212 general & internal medicine Social determinants of health education Aged media_common Family Characteristics War Exposure education.field_of_study business.industry 030503 health policy & services Systematic sampling General Medicine Middle Aged Patient Acceptance of Health Care Payment Hospitalization Cross-Sectional Studies Logistic Models Socioeconomic Factors Family medicine Population study Female Health Expenditures 0305 other medical science business |
| Zdroj: | Archives of Iranian Medicine. 23:S9-S15 |
| ISSN: | 1735-3947 1029-2977 |
| DOI: | 10.34172/aim.2020.s3 |
| Popis: | Background: To describe the utilization and out-of-pocket (OOP) payments of war survivors receiving health care services and its determinants. Methods: A cross-sectional study was carried out by systematic random sampling at national level (n = 3079) on healthcare utilization in war survivors on their last received services. A validated questionnaire was used to gather the information of inpatient and outpatient healthcare services and OOP payment. The data were analyzed to indicate the determinants of health utilization and expenses. Results: Health care utilization was reported in 91.6% (n = 2822). The majority (82.5%) received one or two services in their last visits, mostly related to physician visits and medications (65.97%). Health care utilization was higher than general population annually, especially in physician visit (6.6 versus 4.89), medication (5.1 versus 3.6), and hospitalization (0.78 versus 0.15). About 20.2% (n = 599) of the study population paid out of their pocket for their last medical care services. The frequency of OOP payment was greater for physician visit and medication. Payment for hospitalization, imaging, and lab tests were more significantly associated with proceeding to reimburse the expenses (PP=0.01) and being war victims (P=0.005) were the significant determinants for both OOP payments and reclaiming the expenditure. Higher amount of payments (PP=0.002) were also important factors in reclaiming the expenditure. Conclusion: Both outpatient services and hospital admission are more frequent among war survivors compared to the general Iranian population. Future studies should attempt to explore the reasons. |
| Databáze: | OpenAIRE |
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