Display options
Share it on

Int J Prev Med. 2018 Nov 05;9:96. doi: 10.4103/ijpvm.IJPVM_133_16. eCollection 2018.

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

International journal of preventive medicine

Zahra Kavosi, Mohsen Bayati, Masoud Arefnezhad, Enayatollah Homaie Rad, Abdosaleh Jaafari

Affiliations

  1. Health Human Resource Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
  2. Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.

PMID: 30533208 PMCID: PMC6238355 DOI: 10.4103/ijpvm.IJPVM_133_16

Abstract

INTRODUCTION: High-cost sharing in physician care may result in worse health outcomes and financial burdens for individuals, and it reduces needed health-care utilization. Hence, this study examines the impact of cost sharing on utilization of Physician care.

METHODS: In the present study, multistage sampling (

RESULTS: People who have high-cost sharing had used general physician services much less, so that ratio of incidence among them was 0.18 less than individuals with low-cost sharing (

CONCLUSIONS: A low cost-sharing policy would remove the clinically and financial threat from the patient decision-making so as to provide them with access to needed care.

Keywords: Cost sharing; general physician; health

Conflict of interest statement

There are no conflicts of interest.

References

  1. East Mediterr Health J. 2009 Sep-Oct;15(5):1192-200 - PubMed
  2. Int J Health Care Finance Econ. 2011 Dec;11(4):267-85 - PubMed
  3. Circulation. 2015 Oct 20;132(16):1580-5 - PubMed
  4. Med J Islam Repub Iran. 2016 Sep 07;30:412 - PubMed
  5. N Engl J Med. 1981 Dec 17;305(25):1501-7 - PubMed
  6. Am J Manag Care. 2005 Nov;11(11):730-40 - PubMed
  7. Med Care. 1974 Dec;12(12 suppl):1-303 - PubMed
  8. Inquiry. 2007 Spring;44(1):26-40 - PubMed
  9. Qual Life Res. 2005 Apr;14(3):875-82 - PubMed
  10. Appl Health Econ Health Policy. 2010;8(6):393-405 - PubMed
  11. Health Econ. 2009 Jan;18(1):103-19 - PubMed
  12. Int J Aging Hum Dev. 2017 Mar;84(3):313-323 - PubMed
  13. Med Care. 1986 Sep;24(9):873-6 - PubMed
  14. Med Care. 1989 Nov;27(11):1036-45 - PubMed
  15. Am Econ Rev. 1987 Jun;77(3):251-77 - PubMed
  16. Epidemiol Health. 2017 Jul 18;39:e2017029 - PubMed
  17. Med Care Res Rev. 2008 Aug;65(4):437-49 - PubMed
  18. N Engl J Med. 1996 Mar 7;334(10):635-41 - PubMed
  19. Health Policy Plan. 2012 Oct;27(7):613-23 - PubMed
  20. Med J Islam Repub Iran. 2016 Jun 13;30:387 - PubMed
  21. Med J Islam Repub Iran. 2016 Jan 04;30:313 - PubMed
  22. Health Care Financ Rev. 1980 Fall;2(2):25-31 - PubMed
  23. J Res Health Sci. 2009 Dec 28;9(2):36-40 - PubMed
  24. Med Care. 1980 Aug;18(8):787-806 - PubMed

Publication Types