Effect of cost sharing on utilization of general physician care: A cross-sectional survey from Shiraz, Iran

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, multistag...

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Main Authors: Zahra Kavosi, Mohsen Bayati, Masoud Arefnezhad, Enayatollah Homaie Rad, Abdosaleh Jaafari
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2018;volume=9;issue=1;spage=96;epage=96;aulast=Kavosi
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author Zahra Kavosi
Mohsen Bayati
Masoud Arefnezhad
Enayatollah Homaie Rad
Abdosaleh Jaafari
author_facet Zahra Kavosi
Mohsen Bayati
Masoud Arefnezhad
Enayatollah Homaie Rad
Abdosaleh Jaafari
author_sort Zahra Kavosi
collection DOAJ
description 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 (n = 1610) was done to collect general physician utilization and quality of life. Count data model was used to analyze the effect of cost sharing and other factor on the ratio of referring to the general physician. Negative binomial regression was employed to analyze the utilization model. 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 (P < 0.05). Gender and age variables showed a significant effect on the demand for the general physician visit (P < 0.05). 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.
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spelling doaj.art-80059b7a3642400d86e660a3be6659212022-12-21T17:45:55ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132018-01-0191969610.4103/ijpvm.IJPVM_133_16Effect of cost sharing on utilization of general physician care: A cross-sectional survey from Shiraz, IranZahra KavosiMohsen BayatiMasoud ArefnezhadEnayatollah Homaie RadAbdosaleh JaafariIntroduction: 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 (n = 1610) was done to collect general physician utilization and quality of life. Count data model was used to analyze the effect of cost sharing and other factor on the ratio of referring to the general physician. Negative binomial regression was employed to analyze the utilization model. 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 (P < 0.05). Gender and age variables showed a significant effect on the demand for the general physician visit (P < 0.05). 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.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2018;volume=9;issue=1;spage=96;epage=96;aulast=KavosiCost sharinggeneral physicianhealth
spellingShingle Zahra Kavosi
Mohsen Bayati
Masoud Arefnezhad
Enayatollah Homaie Rad
Abdosaleh Jaafari
Effect of cost sharing on utilization of general physician care: A cross-sectional survey from Shiraz, Iran
International Journal of Preventive Medicine
Cost sharing
general physician
health
title Effect of cost sharing on utilization of general physician care: A cross-sectional survey from Shiraz, Iran
title_full Effect of cost sharing on utilization of general physician care: A cross-sectional survey from Shiraz, Iran
title_fullStr Effect of cost sharing on utilization of general physician care: A cross-sectional survey from Shiraz, Iran
title_full_unstemmed Effect of cost sharing on utilization of general physician care: A cross-sectional survey from Shiraz, Iran
title_short Effect of cost sharing on utilization of general physician care: A cross-sectional survey from Shiraz, Iran
title_sort effect of cost sharing on utilization of general physician care a cross sectional survey from shiraz iran
topic Cost sharing
general physician
health
url http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2018;volume=9;issue=1;spage=96;epage=96;aulast=Kavosi
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