Effect of Cost Sharing on Utilization of General Physician Care: A Cross-Sectional Survey from Shiraz, Iran

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Zahra Kavosi1, Mohsen Bayati1, Masoud Arefnezhad1

  • 1Health Human Resource Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

International Journal of Preventive Medicine
|December 12, 2018
PubMed

Insights

High cost-sharing significantly reduces general physician use, impacting patient health outcomes and financial well-being. Lowering cost-sharing policies can improve access to essential medical care.

Area of Science:

  • Health Services Research
  • Health Economics

Background:

  • High cost-sharing for physician care can lead to adverse health outcomes and financial strain.
  • It also contributes to reduced utilization of necessary healthcare services.

Purpose of the Study:

  • To investigate the impact of cost-sharing on the utilization of general physician services.
  • To analyze factors influencing the referral ratio to general physicians.

Main Methods:

  • Multistage sampling with 1610 participants to collect data on physician utilization and quality of life.
  • Count data models and negative binomial regression were used to analyze the effects of cost-sharing and other variables on physician visit ratios.

Main Results:

  • Individuals with high cost-sharing utilized general physician services significantly less (incidence ratio 0.18 lower, P < 0.05).
  • Gender and age were found to significantly influence the demand for general physician visits (P < 0.05).

Conclusions:

  • Implementing low cost-sharing policies can alleviate clinical and financial pressures on patients.
  • This approach can enhance patient access to necessary healthcare services.
Abstract

Keywords:
Cost sharinggeneral physicianhealth

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