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:: Volume 23, Issue 6 (Bimonthly 2019) ::
Feyz 2019, 23(6): 698-705 Back to browse issues page
Prioritizing influential financial indicators in equitable health financing based on the fairness benchmarking framework
Reihaneh Mojdehkar , Kamran Hajinabi * , Katayoun Jahangiri , Leila Riahi
Department of Health Services Administration, Faculty of Medical Science and Technology, Science and Research Branch, Islamic Azad University, Tehran, I.R. Iran. , hajinabi@srbiau.ac.ir
Abstract:   (2000 Views)
Background: Choosing the right tool for assessing inequalities of the distribution and allocation of health financial resources is one of the major challenges in health financing. The Fairness Benchmarks are the comprehensive policy tools for evaluation of fairness in the health system which includes Financial Barriers to Equitable Access, Equitable Financing, Administrative Efficiency, and Accountability. This study aimed to determine the most influential financial indicators on the distribution and allocation of health resources based on the fairness benchmarking framework.
Materials and Methods: The present descriptive-analytic study was conducted in 2019. Fifty health system financial indicators were selected from three sources: WHO, the Equity and Human Rights Commission, and the United State Agency of International Development and were compared with the national health and health equity indicators. After experts' accreditation, 15 financial indicators were selected and by survey among 206 experts from 31 provinces and using the confirmatory factor analysis, the effect of each indicator on the distribution and allocation of financial resources were evaluated.
Results: Factor analysis showed that the ratio of out of pocket to total health expenditures and the share of health expenditure as percent of GDP in equitable financing, the need-based health resource allocation, in accountability, and the health insurance coverage based on vulnerability, in financial barriers to equitable access were the most influential indicators.
Conclusion: Health policy makers can be used indicators to assess inequalities in the allocation and distribution of financial resources, based on fairness benchmarks, to assess and determine the ethical priorities of reform in health financing.
Keywords: Fairness benchmarking framework, Fairness, Health financing, Fairness benchmark, Health financing indicators
Full-Text [PDF 321 kb]   (601 Downloads)    
Type of Study: Research | Subject: General
Received: 2019/09/2 | Accepted: 2019/12/29 | Published: 2020/02/12
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Mojdehkar R, Hajinabi K, Jahangiri K, Riahi L. Prioritizing influential financial indicators in equitable health financing based on the fairness benchmarking framework. Feyz 2019; 23 (6) :698-705
URL: http://feyz.kaums.ac.ir/article-1-3967-en.html

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Volume 23, Issue 6 (Bimonthly 2019) Back to browse issues page
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