Table 2 The data extraction (patient level)
From: Determinants of catastrophic health expenditures in Iran: a systematic review and meta-analysis
n | Author (year) | Study design | Publication type—language | Years of study | Population | Sample size | Data collection method | CHE (%) | Study quality |
|---|---|---|---|---|---|---|---|---|---|
1 | Kavosi et al. (2014) | Descriptive-analytical study | Article—English | 2011 | Cancer Namazi Hospital in Shiraz | 245 | Questionnaires | 67.9% | Good |
Determinants of exposure to CHE: type of insurance (relief committee–medical services) (+)—distance of the residence of the medical center—use of outpatient services—type of treatment (chemotherapy) (+)—refrained from using healthcare services (+) | |||||||||
2 | Moghimi et al. (2009) | Crosssectional, descriptive study | Article—Persian | 2007 and 2008 | Cancer-Valiasr Hospital in Zanjan | 60–70 | Questionnaires | 52% (1386) 42% (1387) | Weak |
Determinants of exposure to CHE | |||||||||
3 | Salehi et al. (2013) | Crosssectional (descriptive) study | Thesis—Persian | Not reported | Dialysis Patients-Hospital Dialysis Center Buali in Ardabil | 200 | Questionnaires | 72.5% | Medium |
Determinants of exposure to CHE | |||||||||
4 | Panahi et al. (2014) | Descriptive-analytical study | Article—Persian | 2011–2012 | Hospitalized patients in Tabriz | 300 | Questionnaires | 30% | Medium |
Determinants of exposure to CHE: gender of the household head (male) (−)—members over 60 years (+)—members under 12 years (+)—member with chronic illness—Non-native (+)—health insurance—access to safe water (−)—self-employed head of household (+)—education status of household head (+)—age of household head (+)- admission to a private hospital (+)—household size (+)—living in the rural (−)—wealth index (−)—marital status of household head (not married head) (−)—gender (female patients) (+)—age ) patients) (+) | |||||||||
5 | Anbari et al. (2014) | Cross‑sectional study | Article—English | Not reported | Markazi province | 758 (total) 284 (hospitalized) | Questionnaire | 11.2% (all participated) 42.6% (hospitalized) | Medium |
Determinants of exposure to CHE: members aged 40–59 years old (+)—wealth index (lower levels) (+) | |||||||||
6 | Hajizadeh et al. (2011) | Cross‑sectional study | Article—English | 2003 | Inpatient services in Iran | 3339 | Secondary data | – | Medium |
Determinants of exposure to CHE: length of stay (+)—age patients (−)—sex of the patients (male) (+)—education status of patients (−)—medical treatment insurance- social security insurance—armed forces insurance—private insurance—special organisations insurance—Imdad (relief) committee insurance- hospital owned by private sector (+)—household size (−) –wealth quintile (−) | |||||||||
7 | Ghiasvand et al. (2010) | Cross‑sectional study | Article—Persian | 2008–2009 | Hospitalized patients in 5 hospitals affiliated to Iran University of Medical Sciences | 314 | Questionnaire | – | Medium |
Determinants of exposure to CHE: gender of the head of household (female) (+)—being native(−)—disease of family members—supplementary health insurance—household size(+)—number of hospitalizations—Household income level—housing ownership (−) | |||||||||
8 | Moradi et al. (2017) | Descriptive-analytical study—cross-sectional | Article—English | 2015 | Households with members suffering from dialysis-kidney transplant (MS)—Kurdistan province | Dialysis (87) MS (141) Kidney transplant patient (107) | Questionnaire— telephone conversations | MS (20.6%) Dialysis (13.8%) Kidney transplant patient (18.7%) | Good |
Determinants of exposure to CHE: Economic status (−)—level of education (patient) (−)—supplementary insurance status (patient)—type of disease (MS)—members with special diseases in the household—living in the rural (+)—frequency of using inpatient services- use of dental care—use of rehabilitation services | |||||||||
9 | Almasi et al. (2016) | Analytical study—cross-sectional | Article—Persian | 2014 | Dialysis patients referred to Ayatollah Taleghani Hospital in Urrmia | 108 | Questionnaire | 30% | Medium |
Determinants of exposure to CHE: wealth index (−)—gender of household head (male) (−)—frequency of using dialysis services (+)—health insurance—Supplemental insurance—Members in need of care(+)—being native (−)—employment situation of the head of household | |||||||||
10 | Ghiasvand et al. (2014) | Cross‑sectional study | Article—English | 2012 | Five hospitals with tehran university of Medical Sciences | 359 | Questionnaire | 15.05% | Good |
Determinants of exposure to CHE: household Head Educational level (−)—gender of the head of household (female) (+)—hospitalization day numbers (+)—having made any out of hospital payments—quartiles’ of annual income of household (−) | |||||||||
11 | Juyani et al. (2016) | Cross‑sectional study | Article—English | 2014 | Households that at least one of their members suffers from MS—Ahvaz, Iran | 322 | Questionnaire | 3.37% | Medium |
Determinants of exposure to CHE: age of household head (−)—number of visits—gender of the household head (male) (−)—having basic health insurance coverage—household income level—house ownership (+)—household size (+)- brand of drug (foreign drugs) (+) | |||||||||
12 | Ghiasvand et al. (2010) | Analytical—cross-sectional study | Article—Persian | 2009 | Hospitalized patients in 5 hospitals affiliated to Iran University of Medical Sciences | 400 | Questionnaire | – | Medium |
Determinants of exposure to CHE: gender of the household head (female) (+)—being native (−)—disease of family members—supplementary health insurance—household size (+)—frequency of using inpatient services—house ownership (−)—household income level (−) | |||||||||
13 | Rezapour et al. (2016) | Cross-sectional study | Article—English | 2014 | Hospitals in Hamedan | 772 | Questionnaire by interviews and observation | 20.7% | Good |
Determinants of exposure to CHE: age of household head (+)—household head educational level (−)—household size (−)—having member < 6 years (−)—having Member < 14 years (−)—having member > 60 years (+)—having own house (+)—income quintile (−)—household head employment—existence of a certain financial sources to get healthcare services (−)—disabled member in households—complementary health insurance | |||||||||