2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Expanding the coverage of health-care insurance is a tool toward
|
|
|
|
|
|
|
|
|
|
achieving universal health coverage and reducing financial barriers to
|
|
|
|
|
|
|
|
|
|
care. Therefore, understanding the factors that affect the expansion of
|
|
|
|
|
|
|
|
|
|
health insurance is important for policymakers. The study aimed at
|
|
|
|
|
|
|
|
|
|
assessing the variables that affected the decisions to purchase health
|
|
|
|
|
|
|
|
|
|
insurance in Iran. We analyzed data gathered from a national survey of
|
|
|
|
|
|
|
|
|
|
health-care utilization in Iran that covered over 23,000 households. We
|
|
|
|
|
|
|
|
|
|
identified subsets of the data that represented purchasing decisions.
|
|
|
|
|
|
|
|
|
|
Increase in age, education, income, wealth, and the opportunity of
|
|
|
|
|
|
|
|
|
|
working in the governmental sector increased the probability of
|
|
|
|
|
|
|
|
|
|
purchasing BHI and CHI coverage. Past utilization of inpatient and
|
|
|
|
|
|
|
|
|
|
outpatient care increased the probability of purchasing BHI and CHI,
|
|
|
|
|
|
|
|
|
|
respectively. Evidence of adverse selection and wide socioeconomic
|
|
|
|
|
|
|
|
|
|
differences in insurance purchase decisions were observed throughout the
|
|
|
|
|
|
|
|
|
|
study. However, most significant factors were not easily influenced by
|
|
|
|
|
|
|
|
|
|
policy decisions. The findings suggest that it might be very difficult
|
|
|
|
|
|
|
|
|
|
to achieve universal insurance coverage unless nation-wide nonvoluntary
|
|
|
|
|
|
|
|
|
|
policies are implemented.'
|
|
|
|
|
affiliation: 'Rashidian, A (Corresponding Author), Tehran Univ Med Sci Hlth, Sch Publ
|
|
|
|
|
Hlth, Dept Hlth Management \& Econ, Tehran, Iran.
|
|
|
|
|
|
|
|
|
|
Nosratnejad, Shirin, Tabriz Univ Med Sci, Tabriz Hlth Serv Management Res Ctr, Sch
|
|
|
|
|
Management \& Med Informat, Dept Hlth Serv Management,Iranian Ctr Excellence, Tabriz,
|
|
|
|
|
Iran.
|
|
|
|
|
|
|
|
|
|
Rashidian, Arash, Tehran Univ Med Sci Hlth, Sch Publ Hlth, Dept Hlth Management
|
|
|
|
|
\& Econ, Tehran, Iran.
|
|
|
|
|
|
|
|
|
|
Mehrara, Mohsen, Univ Tehran, Sch Econ, Dept Econ, Tehran, Iran.
|
|
|
|
|
|
|
|
|
|
Jafari, Nahid, Minist Hlth \& Med Educ, Hlth Network Dev Ctr, Tehran, Iran.
|
|
|
|
|
|
|
|
|
|
Moeeni, Maryam, Isfahan Univ Med Sci, Hlth Management \& Econ Res Ctr, Esfahan,
|
|
|
|
|
Iran.
|
|
|
|
|
|
|
|
|
|
Babamohamadi, Hassan, Semnan Univ Med Sci, Sch Nursing \& Allied Hlth, Dept Nursing,
|
|
|
|
|
Semnan, Iran.'
|
|
|
|
|
author: Nosratnejad, Shirin and Rashidian, Arash and Mehrara, Mohsen and Jafari, Nahid
|
|
|
|
|
and Moeeni, Maryam and Babamohamadi, Hassan
|
|
|
|
|
author-email: arashidian@tums.ac.ir
|
|
|
|
|
author_list:
|
|
|
|
|
- family: Nosratnejad
|
|
|
|
|
given: Shirin
|
|
|
|
|
- family: Rashidian
|
|
|
|
|
given: Arash
|
|
|
|
|
- family: Mehrara
|
|
|
|
|
given: Mohsen
|
|
|
|
|
- family: Jafari
|
|
|
|
|
given: Nahid
|
|
|
|
|
- family: Moeeni
|
|
|
|
|
given: Maryam
|
|
|
|
|
- family: Babamohamadi
|
|
|
|
|
given: Hassan
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
doi: 10.1002/wmh3.187
|
|
|
|
|
files: []
|
|
|
|
|
issn: 1948-4682
|
|
|
|
|
journal: WORLD MEDICAL \& HEALTH POLICY
|
|
|
|
|
keywords: 'basic health insurance; complementary health insurance; Iran; national
|
|
|
|
|
|
|
|
|
|
survey'
|
|
|
|
|
keywords-plus: WILLINGNESS-TO-PAY; UNIVERSAL HEALTH; COVERAGE; DEMAND; SECTOR
|
|
|
|
|
language: English
|
|
|
|
|
month: JUN
|
|
|
|
|
number: '2'
|
|
|
|
|
number-of-cited-references: '31'
|
|
|
|
|
orcid-numbers: 'Moeeni, Maryam/0000-0002-4525-6574
|
|
|
|
|
|
|
|
|
|
Jafari, Nahid/0000-0002-5936-2191
|
|
|
|
|
|
|
|
|
|
Babamohamadi, Hassan/0000-0003-3786-7348
|
|
|
|
|
|
|
|
|
|
Rashidian, Arash/0000-0002-4005-5183'
|
|
|
|
|
pages: 179-196
|
|
|
|
|
papis_id: 9eb38ef7bfaf3359742d6bf988582677
|
|
|
|
|
ref: Nosratnejad2016factorsinfluencing
|
|
|
|
|
researcherid-numbers: 'Moeeni, Maryam/K-3589-2016
|
|
|
|
|
|
|
|
|
|
Moeeni, Maryam/I-1344-2018
|
|
|
|
|
|
|
|
|
|
Jafari, Nahid/O-4556-2019
|
|
|
|
|
|
|
|
|
|
mehrara, mohsen/Y-3963-2019
|
|
|
|
|
|
|
|
|
|
Rashidian, Arash/E-5061-2011
|
|
|
|
|
|
|
|
|
|
Babamohamadi, Hassan/J-7002-2017
|
|
|
|
|
|
|
|
|
|
'
|
|
|
|
|
times-cited: '7'
|
|
|
|
|
title: 'Factors Influencing Basic and Complementary Health Insurance Purchasing Decisions
|
|
|
|
|
in Iran: Analysis of Data From a National Survey'
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000384644200005
|
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
|
usage-count-since-2013: '11'
|
|
|
|
|
volume: '8'
|
|
|
|
|
web-of-science-categories: Public, Environmental \& Occupational Health
|
|
|
|
|
year: '2016'
|
