article information

Journal of Clinical Research in Paramedical Sciences: Vol.5, issue 1; e81449
published online: April 14, 2016
article type: Research Article
received: August 10, 2015
accepted: January 29, 2016

Factors affecting catastrophic expenditures of dialysis patients referred to Ayatollah Taleghani Hospital in Urmia in 2014

authors:

avatar Mojtaba Almasi 1 , avatar Amineh Naderi 1 , *

Department of Economic Sciences, Facoulty of Social Sciences, Razi University of Kermanshah, Kermanshah, Iran

how to cite: Almasi M , Naderi A . Factors affecting catastrophic expenditures of dialysis patients referred to Ayatollah Taleghani Hospital in Urmia in 2014. J Clin Res Paramed Sci. 2016;5(1):e81449. 

Abstract

Introduction: Spend a larger share of household resources for health services could threaten the living standards in the short term and long term, so that households should ignore current expenditures in other goods and services in the short term In the long run , the consequences of such asset sales and auctions , check out the savings or accumulation of household debt is expected .  
Methods: This study uses a probit model to Factors affecting the crippling cost of dialysis patients, in Dialysis patients referred to Ayatollah Taleghani Hospital in Urmia, 108 families in the district investigates in 2014.
Results: The determinants of catastrophic health expenditures are: wealth index, gender of household head, place of residence,  presence of members in need of care, job status of household head, number of dialysis services to be covered by compulsory insurance and supplemental insurance. Furthermore, the results indicate that presence of members in need of care and , number of dialysis services will increase the probability that households face catastrophic expenditures while any increase in wealth index, male household head, employed household head, household covered by compulsory and supplemental insurance and place of residence will decrease the probability of facing the catastrophic expenditures.
Conclusion: The results of this study indicate the importance of expanding prepaid mechanisms, strengthening basic health insurance  and support vulnerable groups such as households have a member with a particular disease, female -headed households and Households with unemployed heads. 

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