Financial Barriers to Access to Health Services for Adult People with Disability in Iran: The Challenges for Universal Health Coverage

  • Shahin SOLTANI 1. Research Center for Environmental Determinants of Health (RCEDH), Kermanshah University of Medical Sciences, Kermanshah, Iran 2. Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Amirhossein TAKIAN 1. Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 2. Department of Global Health and Public Policy, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 3. Health Equity Research Center (HERC), Tehran University of Medical Sciences, Tehran, Iran
  • Ali AKBARI SARI Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Reza MAJDZADEH Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Mohammad KAMALI Department of Rehabilitation Management, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
Keywords: Access; Disability; Health services; Universal health coverage; Financial barriers

Abstract

Abstract Background: Reducing inequities in access to healthcare is one of the most important goals for all health systems. Financial barriers play a fundamental role here. People with disability (PWD) experience further financial barriers in access to their needed healthcare services. This study aimed to explore the causes of barriers in access to health services for PWD in Tehran, Iran. Methods: In this qualitative study, we used semi-structured in-depth interviews to collect data and selected participants through purposeful sampling with maximum variation. We conducted 56 individual interviews with people with disability, healthcare providers and policymakers from Sep 2015 until May 2016, at different locations in Tehran, Iran. Results: We identified four categories and eight subcategories of financial barriers affecting access to healthcare services among PWD. Four categories were related to health insurance (i.e. lack of insurance coverage for services like dentistry, occupational therapy and speech therapy), affordability (low income for PWD and their family), financial supports (e.g. low levels of pensions for people with disabilities) and transportation costs (high cost of transportation to reach healthcare facilities for PWD). Conclusion: Financial problems can lead to poor access to health care services. To achieve universal health coverage, government should reduce health insurance barriers and increase job opportunities and sufficient financial support for PWD.     

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Published
2019-03-12
How to Cite
1.
SOLTANI S, TAKIAN A, AKBARI SARI A, MAJDZADEH R, KAMALI M. Financial Barriers to Access to Health Services for Adult People with Disability in Iran: The Challenges for Universal Health Coverage. Iran J Public Health. 48(3):508-15.
Section
Original Article(s)