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Multiple Sclerosis and Catastrophic Health Expenditure in Iran
Yaser Juyani1, Dorsa Hamedi, Seyede Sedighe Hosseini Jebeli
1Health Management and Economics Research Centre, Iran University of Medical Sciences, Tehran, Iran. yasserjouyani@yahoo.com.
Insights
A small percentage of Multiple Sclerosis (MS) patients faced catastrophic health expenditures. Factors like drug brand, housing, income, and insurance significantly impacted these costs, highlighting the need for risk-pooling mechanisms.
Area of Science:
- Health Economics
- Public Health
- Neurology
Background:
- Disabling medical conditions like Multiple Sclerosis (MS) can lead to catastrophic health expenditures for families worldwide.
- MS is recognized as a leading cause of high medical costs, significantly impacting household finances.
Purpose of the Study:
- To investigate the extent to which patients with Multiple Sclerosis experience catastrophic health costs.
- To identify key factors associated with catastrophic health expenditure in MS patients.
Main Methods:
- Cross-sectional study conducted in Ahvaz, Iran, in 2014.
- Inclusion criteria: households with at least one member diagnosed with MS.
- Data analysis performed using Logit regression model in STATA 12.
Main Results:
- 3.37% of households studied incurred catastrophic health expenditures.
- Significant correlations were found between catastrophic expenditure and drug brand, housing status, income level, and health insurance coverage.
Conclusions:
- While a minority of MS patients faced catastrophic health costs, the findings underscore the necessity of risk-pooling and cost-sharing mechanisms.
- Health insurance and similar systems are crucial for protecting patients and enhancing financial equity and healthcare access for individuals with MS.
Background:
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.
Method:
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.
Results:
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.
Conclusions:
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.
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