تعیین هزینه های مراقبت سلامت در ایران: نتایج حاصل از تحلیل سری زمانی

رضایی, ستار and فلاح, راضیه and کاظمی, علی and دارودی, رجبعلی and زندیان, حامد and حاجی زاده, محمد (1394) تعیین هزینه های مراقبت سلامت در ایران: نتایج حاصل از تحلیل سری زمانی. Medical Journal of The Islamic Republic of Iran ــ 30 (1). pp. 6-14. شاپا 1016-1430

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Official URL: http://mjiri.iums.ac.ir/browse.php?a_id=3429&sid=1...


Determinants of healthcare expenditures in Iran: evidence from a time series analysis

English Abstract

Background: A dramatic increase in healthcare expenditures is a major health policy concern worldwide. Understanding factors that underlie the growth in healthcare expenditures is essential to assist decision-makers in finding best policies to manage healthcare costs. We aimed to examine the determinants of healthcare spending in Iran over the periods of 1978-2011. Methods: A time series analysis was used to examine the effect of selected socio-economic, demographic and health service input on per capita healthcare expenditures (HCE) in Iran from 1978 to 2011. Data were retrieved from the Central Bank of Iran, Iranian Statistical Center and World Bank. Autoregressive distributed lag approach and error correction method were employed to examine long- and short-run effects of covariates. Results: Our findings indicated that the GDP per capita, degree of urbanization and illiteracy rate increase healthcare expenditures, while physician per 10,000 populations and proportion of popul ation aged ≥ 65 years decrease healthc are expenditures. In addition, we found that healthcare spending is a “necessity good” with long- and short-run income (GDP per capita), elasticities of 0.46 (p<0.01)and 0.67 (p = 0.01), respectively. Conclusion: Our analysis identified GDP per capita, illiteracy rate, degree of urbanization and number of physicians as some of the driving forces behind the persistent increase in HCE in Iran. These findings provide important insights into the growth in HCE in Iran. In addition, since we found that health spending is a “necessity good” in Iran, healthcare services should thus be the object of public funding and government intervention.

Item Type:Article
زبان سند : انگلیسی
نویسنده اول :ستار رضایی
نویسنده :راضیه فلاح
نویسنده :علی کاظمی
نویسنده :رجبعلی دارودی
نویسنده :حامد زندیان
نویسنده مسئول :محمد حاجی زاده
Additional Information:Indexed in: Scopus, Pubmed/PMC, Index Copernicus, ISC, SID , Magiran
کلیدواژه ها (انگلیسی):Healthcare expenditures, Autoregressive distributed lag approach, Error correction method, Time series analysis, Iran.
Subjects:WA Public Health > WA. 900 Vital Statistics
WA Public Health > WA. 900 Vital Statistics

WX Hospital and other health Facilities
Divisions:Faculty of Medicine > Department of Pediatrics , Community Medicine
ID Code:7350
Deposited By: Dr Hamed Zandian
Deposited On:29 Oct 1394 06:28
Last Modified:29 Jan 1400 12:07

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