Shiraz E-Medical Journal

Published by: Kowsar

Catastrophic Healthcare Expenditures of Hospitalized Patients in the Hospitals of Shiraz in 2013

Nahid Hatam 1 , Parivash Heidari Orejlu 1 , Abdolsaleh Jafari 2 and Zahra Kavosi 3 , *
Authors Information
1 School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, IR Iran
2 Health Human Resource Research Center, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, IR Iran
3 Social Determinants of Health Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, IR Iran
Article information
  • Shiraz E-Medical Journal: May 01, 2015, 16 (5); e22231
  • Published Online: May 10, 2015
  • Article Type: Research Article
  • Received: July 22, 2014
  • Revised: December 30, 2014
  • Accepted: March 7, 2015
  • DOI: 10.17795/semj22231

To Cite: Hatam N, Heidari Orejlu P, Jafari A, Kavosi Z. Catastrophic Healthcare Expenditures of Hospitalized Patients in the Hospitals of Shiraz in 2013, Shiraz E-Med J. 2015 ; 16(5):e22231. doi: 10.17795/semj22231.

Copyright © 2015, Shiraz University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Fairness of financial contribution Methodology. 2002;
  • 2. The world health report 2000 - Health systems: improving performance. 2000;
  • 3. World development report 2000/2001: Attacking Poverty. 2000;
  • 4. Technical consulatation on fairness on financial contribution to health systems . 2001;
  • 5. World Health Organization Regional Office for the Eastern Mediterranean . Report on the health care financing Policy consulative meeting. 2005;
  • 6. Razavi SM, Hassanzadeh A, Basmeni K. Fairness in financial contribution in the health system. 2005;
  • 7. Asefzadeh S, Alijanzadeh M, Gholamalipoor S, Farzaneh A. Households Encountering with Catastrophic Health Expenditures in Qazvin, Iran. Dir Gen. 2013; 10(1)
  • 8. Soofi M, Rashidian A, Aabolhasani F, Akbari Sari A, Bazyar M. [Measurement of households facing possible catastrophic healthcare costs in 1380 in Iran approach the World Health Organization and the World Bank] Hospital J. 2013; 12(2): 39-50
  • 9. Kavosi Z, Rashidian A, Purmalek F, Majdzadeh SR, Pourreza A. Measurement of households faced with catastrophic health expenditure: a longitudinal study in district 17 of Tehran. Hakim Res J. 2009; 12(2): 38-47
  • 10. Wagstaff A, Van Doorslaer E. Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993-1998. Health Econ. 2003; 12(11): 921-34[DOI][PubMed]
  • 11. Xu K, Evans D, Carrin G, Aguilar Rivera A. Designing health financing systems to reduce catastrophic health expenditure. Techl Brief Policy-make. 2005;
  • 12. Qyasvnd H, Hadian M, Maleki MR, Shaban Nejad H. [Determines the face of crippling expenses related to medical care in hospitalized patients of Iran University of Medical Sciences]. Hakim Res J. 2010; 13(3): 145-54
  • 13. World Health Organization . World health report The World Health Report 2006 - working together for health. 2006;
  • 14. Karami M, Najafi F, Karami Matin B. Catastrophic health expenditures in kermanshah, west of iran: magnitude and distribution. J Res Health Sci. 2009; 9(2): 36-40[PubMed]
  • 15. Rivero CC, Ruiz GAL, Barrera RM, Levet CGC. Catastrophic expenditure in health and income elasticities by item of expenditure in health services in Mexico. Well Being Soc Policy. 2006; 2(1): 47-69
  • 16. Alexandria . Managing the Cost of Cancer Care . 2012;
  • 17. Su TT, Kouyate B, Flessa S. Catastrophic household expenditure for health care in a low-income society: a study from Nouna District, Burkina Faso. Bull World Health Organ. 2006; 84(1): 21-7[PubMed]
  • 18. Xu K, Evans DB, Kawabata K, Zeramdini R, Klavus J, Murray CJL. Household catastrophic health expenditure: a multicountry analysis. lancet. 2003; 362(9378): 111-7[DOI]
  • 19. Doshmangir L, Rashidian A, Akbari Sari A. [Unresolved issues in medical tariffs: Challenges and respective solutions to improve tariff system in Iranian health sectors.] Hospital J. 2011; 10(4): 2-10
  • 20. Nasiriad N, Rashidian A, Joodaki H, Akbari Haghighi F, Arab M. [Assessing issues and problems in relatioship between basic insurance organizations and university hospitals: a qualitative research.] Hospital J. 2010; 9(1): 5-18
  • 21. Bazyar M, PourReza A, Harirchi I, Akbari F, Mahmoudi M. [Review of medical expenses and Ghyrdrmany cancer patients at the Cancer Center, Imam Khomeini Hospital in Tehran.] Hospital J. 2012; 11(1): 39-50
  • 22. Murray CJ, Frenk J. A framework for assessing the performance of health systems. Bull World Health Organ. 2000; 78(6): 717-31[PubMed]
  • 23. Mehrara M, Fazaeli AA. Health finance equity in Iran: an analysis of household survey data (1382-1386). J Health Adm. 2010; 13(40): 51-62
  • 24. Ranson MK. Reduction of catastrophic health care expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges. Bull World Health Org . 2002; 80(8): 613-21
  • 25. Keshavarz A, Kalhor R, Javadi A, Asef Zadeh A. [Estimating the direct payment out of pocket for the cost of treating patients in Qazvin.] Hospital J. 2012; 10(4): 71-7
  • 26. Whitehead M, Dahlgren G, Evans T. Equity and health sector reforms: can low-income countries escape the medical poverty trap? lancet. 2001; 358: 833-6
  • 27. Damme WV, Leemput LV, Hardeman W, Meessen B. Out‐of‐pocket health expenditure and debt in poor households: evidence from Cambodia. Trop Med Int Health. 2004; 9(2): 273-80[DOI]
  • 28. Ensor T, San PB. Access and payment for health care: the poor of Northern Vietnam. Int J Health Plann Manage. 1996; 11(1): 69-83[DOI][PubMed]
  • 29. Morduch J, Sharma M. Strengthening public safety nets from the bottom up. Dev Policy Rev. 2002; 20(5): 569-88
  • 30. Skarbinski J, Walker HK, Baker LC, Kobaladze A, Kirtava Z, Raffin TA. The burden of out-of-pocket payments for health care in Tbilisi, Republic of Georgia. JAMA. 2002; 287(8): 1043-9[PubMed]
  • 31. Kamolratanakul P, Sawert H, Kongsin S, Lertmaharit S, Sriwongsa J, Na-Songkhla S, et al. Economic impact of tuberculosis at the household level. Int J Tuberculosis Lung Dis. 1999; 3(7): 596-602[DOI]
  • 32. Peters DH. Better Health Systems for India's Poor: Findings, Analysis, and Options. 2002;
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments