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• W2097627830 abstract "Dear Editor-in-ChiefThe Iranian Constitution Law has recognized so-cial security as inalienable rights of people and government's duty (1). The establishment of a trustworthy system for providing healthcare ex-penses and access to an on time and efficient medical services are among the important con-cerns of governments. Some countries, depending on their status and economic and cultural growth, have made progress in this area. As one of those countries, Iran has formed a comprehensive sys-tem of social welfare and security based on the principles of public welfare and social security ob-jectives. The fulfillment of these objectives con-stitutes an effective step towards social justice, as several studies reveled that inequality can nega-tively influence on health condition (2-4).Identifying the degree of capability in achieving the goals and the quality of medical insurance sys-tem performance of the country could direct the future plans of the country in this area; the per-ception of authorities and officials of the country on the effects and success of these efforts will serve as grounds for better evaluation and promo-tion of processes, planning and executive actions for the optimization of medical insurance and re-sponding to the inalienable rights of people (5-8).This cross-sectional study conducted from Febru-ary 2001 to February 2002 by using the non-ran-dom sampling method. The study population was 250 patients attended at Shahid Mostafa Kho-meini, Shohadaye Tajrish and Imam Hossein hos-pitals in Tehran. Following data collection, the study population was divided into two groups, including insured and uninsured subjects. In this manuscript we are presenting our preliminary findings. One hundred and fifty seven of the study subjects were insured and ninety three were not under any insurance coverage. The insured sub-jects were individuals who had coverage from at least one of the medical insurance systems in the country whereas the uninsured subjects had no medical insurance coverage. Subsequently, the ability to pay and accessibility of the individuals of the two insured and uninsured groups were com-pared in different diagnostic and medical parts, including physicians, pharmacies, medical labora-tories, radiology (plain-film radiograph), magnetic resonance imaging (MRI) and computed tomo-graphic (CT) scan, hospitalization (for medical treatment) and internment in surgical wards.Of the 250 patients, one hundred and fifty five patients were male and the rest were female. The youngest and oldest patient had 15 year-old and 78 year-old respectively. The patients had medical insurance coverage from 6 months to 22 years. By comparing between the ability to pay medical costs in different diagnostic and medical sections, a statistically significant difference was found be-tween the insured and uninsured subjects, the mean of those potentials in different sections was as follows: Twenty seven percent of the insured subjects expressed their ability to pay as very low, 68% as moderate and high and a very limited number mentioned very high. Whereas, sixty per-cent of the insured subjects expressed their abil-ity to pay as very low, thirty two percent as mod-erate and high and a very limited number men-tioned very high. The analysis showed significant difference (PNinety seven percent of the insured subjects and 90% of the uninsured subjects believed that medi-cal insurance brings peace of mind and reduces stress in the insured people; however, 18% of the insured subjects claimed that effect to be very low, 61% as moderate and high and 21% as very high. …" @default.
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• W2097627830 date "2013-11-01" @default.
• W2097627830 modified "2023-09-27" @default.
• W2097627830 title "Consequences of Medical Insurance on Social Welfare; an Evidenced Based Study." @default.
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