Homaie Rad Enayatollah, Kavosi Zahra, Moghadamnia Mohammad Taghi, Arefnezhad Masoud, Arefnezhad Masoumeh, Felezi Nasiri Banfashe
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.
School of Health Management and Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
Med J Islam Repub Iran. 2017 Sep 9;31:59. doi: 10.14196/mjiri.31.59. eCollection 2017.
Studies have shown that people using complementary health insurances have more access to health services than others. In the present study, we aimed at finding the differences between out- of- pocket payments and health service utilizations in complementary health insurances (CHIs) users and nonusers. Propensity score matching was used to compare the 2 groups. First, confounder variables were identified, and then propensity score matching was used to compare out- of- pocket expenditures with dental, general physician, hospital inpatient, emergency services, nursing, midwifery, laboratory services, specialists and rehabilitation services utilization. Our results revealed no significant differences between the 2 groups in out- of- pocket health expenditures. Also, the specialist visits, inpatient services at the hospital, and dental services were higher in people who used CHIs compared to nonusers. People did not change their budget share for health care services after using CHIs. The payments were equal for people who were not CHIs users due to the increase in the quantity of the services.
研究表明，使用补充健康保险的人比其他人更容易获得医疗服务。在本研究中，我们旨在找出补充健康保险（CHIs）使用者和非使用者在自付费用和医疗服务利用方面的差异。倾向得分匹配法用于比较这两组。首先，确定混杂变量，然后使用倾向得分匹配法比较自付费用与牙科、全科医生、住院病人、急诊服务、护理、助产、实验室服务、专科医生和康复服务的利用情况。我们的结果显示，两组在自付医疗费用方面没有显著差异。此外，与非使用者相比，使用CHIs的人看专科医生、住院服务和牙科服务的次数更多。人们在使用CHIs后并没有改变他们在医疗保健服务上的预算份额。由于服务数量的增加，非CHIs使用者的支付费用是相等的。
