Document Type : Original Article
Department of Health Management, Policy making & Economics, School of Management and Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Economics, School of Economics and Political Sciences, Shahid Beheshti University, Tehran, Iran
Department of Health Management & Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran
Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
The projection of levels and composition of financial resources for the Healthcare expenditure (HCE) and relevant trends can provide a basis for future health financing reforms. This study aimed to project Iran’s healthcare expenditures by the sources of funds until 2030.
The structural macro-econometric modeling in the Eviews 9 software was employed to simulate and project Iran’s (HCE) by the sources of funds (Government (GHCE), Social Security Organization (SOHCE), Out-of-Pocket Payments (OOP), and Prepaid Private Health Spending (PPHCE)). The behavioral equations were estimated by Autoregressive Distributed Lag (ARDL) approach.
If there is a 5%-increase in Iran’s oil revenues, the mean growth rate of GDP is about 2% until 2030. By this scenario, the Total HCE(THCE), GHCE, SOHCE, OOP, and PPHCE increases about 30.5%, 25.9%, 34.4%, 31.2%, and 33.9%, respectively. Therefore, the THCE as a percentage of the GDP(Gross Domestic Product)) will increase from 9.6% in 2016 to 10.7% in 2030. It is predicted that Iran’s THCE will cover 22.2%, 23.3%, 40%, and 14.5% by the government, Social Security Organization, households OOP, and other private sources, respectively, in 2030.
Until 2030, Iran’s health expenditures will grow faster than the GDP, government revenues, and non-health spending. Despite the increase in GHCE and total government expenditure, the share of the GHCE from THCE has a decreasing trend. OOP payments remain among the major sources of financing for Iran’s HCE.