A dominance approach to analyze the incidence of catastrophic health expenditures in Iran

Justine Hsu, Reza Majdzadeh, Anne Mills and Kara Hanson

Social Science & Medicine, 2021, vol. 285, issue C

Abstract: Financial protection is a health system goal for all countries. Assessing progress on this relies on measuring the incidence of catastrophic health expenditures (proportion of the population whose out-of-pocket (OOP) payments for health surpass a certain threshold of household resources). Standard approaches rely on selective thresholds, however this masks varying intensities of financial hardship and poses a measurement challenge as incidence is sensitive to the choice of the threshold. We address this problem by applying the dominance approach, which tests differences in catastrophic incidence curves over a continuous range of thresholds.

Keywords: Iran; Dominance; Catastrophic health expenditures; Out-of-pocket payments for health; Financial protection; Equity; Health financing; Health system reforms (search for similar items in EconPapers)
Date: 2021
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Citations: View citations in EconPapers (1)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:socmed:v:285:y:2021:i:c:s0277953621003543

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DOI: 10.1016/j.socscimed.2021.114022

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