تأثیر اصلاحات اقتصادی ایران بر روی عدالت اجتماعی و عدالت در تأمین مالی مراقبت سلامت: تحلیل رگرسیونی بخش بندی شده

زندیان, حامد and تکیان, امیرحسین and رشیدیان, آرش and بیاتی, محسن and ظهیریان مقدم, تلما and رضایی, ستار and اولیایی منش, علیرضا (1396) تأثیر اصلاحات اقتصادی ایران بر روی عدالت اجتماعی و عدالت در تأمین مالی مراقبت سلامت: تحلیل رگرسیونی بخش بندی شده. Journal of Preventive Medicine and Public Health ــ online . شاپا 1975-8375


Official URL: https://www.jpmph.org/journal/view.php?number=1954


Effect of Iranian Economic Reforms on the Social Equality and Equity in Healthcare Financing: A Segmented Regression Analysis

English Abstract

Objectives One of the main objectives of the Targeted Subsidies Law (TSL) in Iran was to improve equity in healthcare financing. This study aimed at measuring the effect of the TSL, implemented in Iran in 2010, on equity in healthcare financing. Methods Segmented regression analysis was applied to assess the effect of TSL implementation on Gini and Kakwani indexes outcome variables of Iranian households. Data for the years 1977-2014 was retrieved from formal databases. The changes in the level and trend of the outcome variables before and after the implementation of TSL were assessed, using STATA version 13. Results The analysis revealed that the Gini Index trend 32 years before the TSL implementation decreased from 0.401 to 0.381. The trend and intercept of the Gini Index significantly decreased to 0.362 (p<0.001) 5 years after the TSL implementation. There was no statistically significant change in GDP and inflation rate after the TSL implementation. The Kakwani Index trend significantly increased from -0.02 to 0.007 (p<0.001) before the TSL implementation, while we observed no statistically significant (p=0.813) change in Kakwani Index after the TSL implementation. Conclusions The TSL reform, which introduced as a part of economic development plan in Iran in 2010, revealed a significant reduction in the households??income inequality. However, the TSL did not affect equity in healthcare financing significantly. Hence, while measuring the log-term impact of TSL is of paramount, healthcare decision-makers need to consider the appropriateness of the TSL implementation in order to achieve the desired equity in healthcare financing

Item Type:Article
زبان سند : انگلیسی
نویسنده اول :حامد زندیان
نویسنده :امیرحسین تکیان
نویسنده :آرش رشیدیان
نویسنده :محسن بیاتی
نویسنده :تلما ظهیریان مقدم
نویسنده :ستار رضایی
نویسنده مسئول :علیرضا اولیایی منش
Additional Information:Indexed in: Pubmed/Medline/Index Medicus, Scopus,KoreaMed, KoMCI, CrossRef, Google Scholar
کلیدواژه ها (انگلیسی):Equity; healthcare financing; income inequality; Targeted Subsidies Law ; Segmented regression analysis; Social Justice
Subjects:WA Public Health
WA Public Health
Divisions:Faculty of Health > Health Economics
ID Code:9852
Deposited By: Dr Hamed Zandian
Deposited On:24 Dec 1396 11:44
Last Modified:24 Dec 1396 11:44

Repository Staff Only: item control page

Document Downloads

More statistics for this item...