Repository of Research and Investigative Information

Repository of Research and Investigative Information

Kurdistan University of Medical Sciences

Catastrophic health expenditures for children with disabilities in Iran: A national survey

(2021) Catastrophic health expenditures for children with disabilities in Iran: A national survey. International Journal of Health Planning and Management.

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Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....

Abstract

Objective: The aim of this study was to investigate the percentage of households with disabled children aged 0�8 years who had faced catastrophic health expenditures (CHEs) due to the health costs of these children in Iran. Methods: This cross-sectional study was carried out on 2000 households with disabled children aged 0�8 years in five provinces of Iran in 2020. Data were collected using the World Health Survey questionnaire and face-to-face interview. Determinants of CHE were identified using logistic regression. Results: 32.7 of households with disabled children had faced CHE. Head of household being female (Adjusted OR = 18.89, 95CI: 10.88�29.42), poor economic status of the household (Q1: Adjusted OR = 20.26, 95 CI, 11.42�35.94; Q2: Adjusted OR = 8.27, 95CI, 4.45�15.36; Q3: Adjusted OR = 13.88, 95CI, 7.89�24.41), lack of supplementary insurance by a child with disabilities (Adjusted OR = 6.13, 95CI, 3.39�11.26), having a child with mental disability (Adjusted OR = 2.71, 95CI, 1.60�4.69), and type of basic health insurance (having Iranian Health Insurance: Adjusted OR = 2.20, 95CI, 1.38�3.49; having Social security insurance: Adjusted OR = 1.66, 95CI, 1.06�2.61) significantly increased the chances of facing CHE. Conclusion: A significant percentage of households with disabled children had faced CHE because of their disabled child's health costs. The key determinants of CHE should be considered by health policy-makers in order to more financial protection of these households. © 2021 John Wiley & Sons Ltd.

Item Type: Article
Keywords: benefiting from health services; catastrophic health expenditures; child; disability; health costs
Journal or Publication Title: International Journal of Health Planning and Management
Publisher: John Wiley and Sons Ltd
Identification Number: 10.1002/hpm.3273
ISSN: 07496753
Depositing User: مسعود رسول آبادی
URI: http://eprints.muk.ac.ir/id/eprint/4987

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