TY - JOUR JF - Koomesh JO - Koomesh VL - 20 IS - 2 PY - 1397 Y1 - 1397/1/01 TI - Catastrophic health expenditures and impoverishment in the households receiving expensive interventions before and after health sector evolution plan in Iran: Evidence from a big hospital TT - مواجهه با هزینه‌های کمرشکن سلامت و فقر قبل و بعد از اجرای طرح تحول سلامت در خانوارهای دریافت‌کننده مداخلات گران‌قیمت: بررسی میدانی در یک بیمارستان بزرگ N2 - Introduction: Household financial contribution (HFC) in health is one of the most important goals of health systems. The purpose of this study was to compare the exposure of households to catastrophic health expenditures and impoverishment before and after the health sector evolution (HSE) plan in Iran in a big governmental Hospital. Materials and Methods: This study investigates the households with hospitalization history in public and tertiary referral hospital, CHE is calculated using representative data from Households receiving expensive interventions in the imam Reza hospital. Data related to treatment expenditures were obtained from Hospital Information System (HIS) and data related to households’ food and non-food expenditures were obtained using questionnaire in expenditure-income survey of Iran’s Statistics Center as well as phone calls to the households. Households who had dedicated ≥40% of their Capacity to Pay (CTP) to health expenditures experienced catastrophic health expenditures. Results: Exposure to catastrophic health expenditures in the households decreased from 81.1% before the implementation of HSE to 66.7% after the implementation of HSE (p SP - 283 EP - 290 AU - Shojaei, Salman AU - Yousefi, Mehdi AU - Ebrahimipour, Hossein AU - Valinejadi, A. li AU - Tabesh, Hamed AU - Fazaeli, Somayeh AU - khorsand, A. li AD - 2- Social determinants of health research center, Mashhad University of Medical Sciences, Mashhad, Iran KW - Catastrophic Health Expenditures KW - Impoverishment KW - Financial Contribution KW - Health Sector Evolution UR - http://koomeshjournal.semums.ac.ir/article-1-4174-en.html ER -