Abstract

One of the most fundamental aspects of healthcare for the elderly is planning to reduce challenges associated with their healthcare costs. The present study aimed to assess the status of the elderly health care costs in North Khorasan Province in 2013. In this descriptive-analytical study, all elderly citizens in North Khorasan Province comprised the study population. Sample size was found 400 people using cluster sampling method. Study tools for collecting data consisted of a questionnaire that was completed through interviews with the elderly or their first degree family members. Data were analyzed with SPSS-16 software using descriptive statistical tests of chi square and Kruskal-Wallis. Of the 400 participating elderly, 50.7% were female and the rest male. Mean total healthcare costs of the elderly were 3,335,200 IRR, with mean outpatient care costs of 2151900 IRR and mean in-patient service costs of 1183290 IRR. Mean costs in urban and rural areas were 2609220 IRR and 4039720 IRR, respectively. There was a significant relationship between variables of gender and the service providing center. Given the results obtained, mean costs incurred for the elderly in the province is high, particularly in the male elderly group. Outpatient costs are higher than the in-patient service costs. Furthermore, compared to the urban areas, costs are higher in rural areas.

Highlights

  • Conditions, all affect this process (Riahi et al, 2010)

  • Mean outpatient, in-patient and total costs was higher in the elderly living in rural areas compared to those in urban areas

  • Mean burden of elderly healthcare costs is high in the North Khorasan province, so in the male gender

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Summary

Introduction

Conditions, all affect this process (Riahi et al, 2010). Aging involves three interlinked processes. A population is tending toward aging that consists of 7-14%, 65 years old and over This proportion in an aging society is 14-20% and in an elderly society, 20% and higher (Fathi, 2009). Given the WHO report (2006), in the near future Iran will be faced with explosion in the elderly population (by 2030) and 25 to 30% of the population will be 50 years of age and older (Joftavi, 2010). This will double by 2050, making up 15.6% of the population. In a not so distant future, Iran will be faced with the aging population phenomenon and soon after, with old population (Fathi, 2009; Farzianpour et al, 2010; 2012)

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