Effect of Information and Communication Technology Deployment on Health Expenditures of Iranian Households: A Provincial Approach.

Authors

1 M.A. in Economics, Tarbiat Modares University

2 Associate Professor of Economics, Tarbiat Modares University

Abstract

Information and communication technology (ICT) has been rapidly developed in the last two decades and has directly or indirectly affected most areas of human life, including health, which is also referred to as e-health. On the other hand, in the past three decades, most countries in the world have experienced rapid growth in health expenditures, as health expenditures have become one of the most important items of household expenditure. Besides, in developing countries, including Iran, the main financial burden of using health goods and services is borne by households. Reducing the financial burden of health services on households has been one of the long-standing goals of policymakers. It seems that using the ICT capabilities in the form of e-health can be one of the effective solutions in this regard. The present study seeks to investigate this issue. For model estimation, the panel data method and the GLS model in the form of provincial data were applied. The results imply that besides other factors affecting the household health expenditures (such as income, education level, insurance coverage level, etc.), the development of ICT managed to have a significant effect on reducing the health expenditures. It seems developing ICT infrastructure, expanding its penetration rate and developing its applications in the form of e-health can be considered as a proper strategy in the field of health care.

Keywords


1- S. Karimzadegan, P. Salatin.“The Effect of Information and Communication Technology on Health Economics”. Economic modelling; 11(37),2017,129-146, www.sid.ir/fa/journal/
2- M. Miyazaki. “Global Health through EHealth / Tele health”, 2012 www.intechopen.com.
3- V. Farahmandian, M. Farahmandian, E. Mehrabanfar, & Afkhami M. “The Role of Information Technology in Contemporary Health Management in Irann in regard with a Future Outlook”. Smart Business Management Studies; 3(10), 21-38 (Persian(.
4- H. Oh, C. Rizo, M. Enkin, and A. Jadad “What is eHealth (3): a systematic review of published definitions”. medical Internet research, 7(1).  www.jmir.org/2005/1/e1/
5- A. Singh, “Quality of Service in Telemedicine Network”, International Journal of Advanced Research in Computer Science and Software Engineering, 2013; 265-268.
6- S. Ryu, “Telemedicine: Opportunities and Developments in Member States”: Report on the Second Global Survey on eHealth 2012.
7- K. Källander, J.K. Tibenderana, O.J. Akpogheneta, D.L. Strachan, Z. Hill, A.H.A Asbroek, L. Conteh, B.P. Kirkwood and S.R. Meek, “Mobile health (mHealth) approaches and lessons for increased performance and retention of community health workers in low-and middle-income countries: a review”. Medical Internet research; 15(1), 2013.
8- M.T. Majeed, and F.N.  Khan, “Do information and communication technologies (ICTs) contribute to health outcomes? An empirical analysis”. Quality & quantity; 53(1), 2019,183-206.
9- R. Safdari , M. Ghazi-Saeedi, and M. Zahmat-Kashan, “Information technology, a new development in the development of urban health”. Payavard Salamat; 6(3),2012, 170-181
10- V.G. Khurana, C.Teo, M.  Kundi, L. Hardell, and M. Carlberg, “Cell phones and brain tumors: a review including the long-term epidemiologic data”. Surgical Neurology; 72(3), 2009,205-214.
11- H.R. Amini,and R. Salehzadeh, “Design of a comprehensive electronic health system based on electronic monitoring. Shahid Ashrafi Isfahani University”. 2018; https://ganj.irandoc.ac.ir [cited 2021 July 7] .
12- R. Dehghan, and V. Ghorbani, “E-Health Development: A Strategic Necessity for the Health Care System”. Health Information Management; 1 (2),2004, 57-70 .
13- S. Lombardo, and M. Cosentino, “Internet use for searching information on medicines and disease: a community pharmacy–based survey among adult pharmacy customers”. Medical Research; 5(3),2016, 22.
14- S. Savojipour, A. Asari-Arani, L. Aqeli, and A. Hassanzadeh, “Study of factors affecting the health expenditures of urban households”. Economic Policy; 10(19), 2018, 25-52.
15- S.W.Parker, and R. Wong,  “Household income and health care expenditures in Mexico”. Health Policy; 40(3), 1997, 237-255.
16- M. Grossman, “On the concept of health capital and the demand for health”. Political Economy; 80(2), 1972, 223-255.
17- P. Frijters, P.J. Haisken-DeNew, and M.A. Shields, “The causal effect of income on health: Evidence from German reunification”. Health Economics; 24(5), 2005, 997-1017.
18- R.S. Kahn , P.H. Wise, P.B. Kennedy,  and I. Kawachi, “State income inequality, household income, and maternal mental and physical health: cross sectional national survey”; Bmj 321(7272), 2000, 1311-1315.
19- A. Sanwald, and E. Theurl, “Out-of-pocket payments in the Austrian healthcare system–a distributional analysis”. Equity in Health; 14(1), 2015, 94.
20- M. Martiskainen, and J. Coburn, “The role of information and communication technologies (ICTs) in household energy consumption—prospects for the UK”. Energy Efficiency; 4(2), 2011, 209-221.
21- S. Bhabesh, and S.R.  Himanshu,  “Determinants of household health expenditure: Case of Urban Orissa”. Utkal Economic Papers; 1(2007), 17-23.
22- X. Zhang, G. Zong, and D. Xiao,  “Effects of Government Healthcare Expenditure on Economic Growth Based on Spatial Durbin Model: Evidence from China”; 49(2), 2020, 283-293. www.ncbi.nlm.nih.gov/pmc/articles/PMC7231708.
23- S. Qingyuan, B. Chang, Y. Guoyu, and W. Wang, “The Impact of Health Investment on Economic Growth: Evidence from China”; 49(4), 2020, 684-692. www.ncbi.nlm.nih.gov/pmc/ articles/PMC7231708.
24- S. Brown, A.R. Hole, and D. Kilic, “Out-of-pocket health care expenditure in Turkey: Analysis of the 2003–2008 Household Budget Surveys”. Economic Modelling, 41,2014, 211-218.
25- A.M. Malik, and S.I. Syed, “Socio-economic determinants of household out-of-pocket payments on healthcare in Pakistan”. Equity in Health; 11(1), 2012, 51.
26- P. Zweifel, S. Felder, and M. Meiers, “Ageing of population and health care expenditure: a red herring?”Health economics; 8(6), 1999, 485-496. https://onlinelibrary.wiley.com/ .
27- S. Felder, M. Meier, and H. Schmitt, “Health care expenditure in the last months of life”. Health Economics; 19(5), 2000, 679-695.
28- W.C. Lee, L. Jiang, C.D. Phillips, and R.L. Ohsfeldt, “Rural-urban differences in health care expenditures: empirical data from US households”. Advances in Public Health. Volume 2014, Article ID 435780. 1-8.
29- A.A. Okunade,  C. Suraratdecha, and D.A. Benson, “Determinants of Thailand household healthcare expenditure: the relevance of permanent resources and other correlates”. Health Economics; 19(3), 2010, 365-376.
30- O.E. Onwujekwe, B.S.C. Uzochukwu, E.N. Obikeze, L. Okoronkwo, O.G. Ochonma, C.A. Onoka, G. Madubuko, and c.Okoli, “Investigating determinants of out-of-pocket spending and strategies for coping with payments for healthcare in southeast Nigeria”. BMC Health Services Research; 10(1), 2010, 67.
31- A.M. Ahmadi, a. Nikravan, A. Naseri, and A. Asari-Arani, “Effective determinants in household out of pocket payments in health system of Iran”, using two part regression model. Health Administration; 17(56), 2014, 18-39.
32- M. Shahraki, and S.  Ghaderi, “The Effect of Socioeconomic Factors on Household Health Expenditures: Heckman Two-Step Method.” Payavard Salamat; 13(2), 2019, 160-171.
33- S, Rezaei, A, Dindar, and A. Rezapour, “Health care expenditures and their determinants: Iran provinces (2006-2011)”. Health Administration; 19(63), 2016, 81-90.
34- M. Yousefi, A. Asari-Arani, B. Sahabi, and A. Kazemnejad, “Develop e-Health and Reduce Household Health Expenditures”. Health Information Management; 10 (6), 2013, 876-886 .
35- M. Rezai-Rad, R. Vaezi, and F. Nattagh, “E-health readiness assessment framework in Iran”; 41(10), 2012, 43-51 www.ncbi.nlm.nih.gov/pmc/articles/PMC3494230/.