Juyani Yaser, Hamedi Dorsa, Hosseini Jebeli Seyede Sedighe, Qasham Maryam
Health Management and Economics Research Centre, Iran University of Medical Sciences, Tehran, Iran.
Glob J Health Sci. 2016 Sep 1;8(9):53778. doi: 10.5539/gjhs.v8n9p194.
There are many disabling medical conditions which can result in catastrophic health expenditure. Multiple Sclerosis is one of the most costly medical conditions through the world which encounter families to the catastrophic health expenditures. This study aims to investigate on what extent Multiple sclerosis patients face catastrophic costs.
This study was carried out in Ahvaz, Iran (2014). The study population included households that at least one of their members suffers from MS. To analyze data, Logit regression model was employed by using the default software STATA12.
3.37% of families were encountered with catastrophic costs. Important variables including brand of drug, housing, income and health insurance were significantly correlated with catastrophic expenditure.
This study suggests that although a small proportion of MS patients met the catastrophic health expenditure, mechanisms that pool risk and cost (e.g. health insurance) are required to protect them and improve financial and access equity in health care.
有许多致残性疾病会导致灾难性医疗支出。多发性硬化症是全球最昂贵的疾病之一，会使家庭面临灾难性医疗支出。本研究旨在调查多发性硬化症患者面临灾难性费用的程度。
本研究于2014年在伊朗阿瓦士进行。研究人群包括至少有一名家庭成员患有多发性硬化症的家庭。为了分析数据，使用默认软件STATA12采用Logit回归模型。
3.37%的家庭遭遇了灾难性费用。包括药品品牌、住房、收入和医疗保险在内的重要变量与灾难性支出显著相关。
本研究表明，尽管一小部分多发性硬化症患者遭遇了灾难性医疗支出，但仍需要风险和成本分担机制（如医疗保险）来保护他们，并改善医疗保健中的财务和获取公平性。
