Equity in health care financing in Iran: The effect of extending health insurance to the uninsured

Hajizadeh, Mohammad and Connelly, Luke B. (2010) Equity in health care financing in Iran: The effect of extending health insurance to the uninsured. Oxford Development Studies, 38 4: 461-476. doi:10.1080/13600818.2010.524697


Author Hajizadeh, Mohammad
Connelly, Luke B.
Title Equity in health care financing in Iran: The effect of extending health insurance to the uninsured
Journal name Oxford Development Studies   Check publisher's open access policy
ISSN 1360-0818
1469-9966
Publication date 2010-12-01
Year available 2010
Sub-type Article (original research)
DOI 10.1080/13600818.2010.524697
Open Access Status
Volume 38
Issue 4
Start page 461
End page 476
Total pages 16
Place of publication Abingdon, England
Publisher Taylor & Francis (Carfax)
Language eng
Abstract This paper examines the progressivity of health insurance premiums and consumer co-payments in Iran by calculating Kakwani Progressivity Indices using data from annual national household surveys between 1995/96 and 2006/07. During this period, the Urban Inpatient Insurance Scheme in 2000 and the Rural Health Insurance Scheme in 2005 extended health insurance coverage in urban and rural areas. Unexpectedly, the results suggest that both of these initiatives had regressive impacts on the distribution of health care financing in Iran, which could be explained by public sector activity having crowded out private sector charitable activity. Although this study does not address changes in the distribution of health care utilization, these results for health care financing suggest the need for caution in the implementation of such programmes in low-income and middle-income countries. If charitable activity already results in the provision of health care to the poor at zero or low prices, public intervention may not improve the progressivity of health care financing.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Online publication date: 25 November, 2010.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Medicine Publications
 
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Created: Tue, 07 Dec 2010, 23:14:12 EST by Chesne McGrath on behalf of Medicine - Royal Brisbane and Women's Hospital