Estimating Out Of Pocket payments (oop) for medical cares in Qazvin province in 2009

Who has declared that protected of people against medical expenditures is as one of the three important objectives of the health system. The criticized of the economic situation urges the policy makers and academician area to pay more attention to this issue. This study was conducted to estimate the patient’s out of pocket for medical expenditure in Qazvin province in per income decentiles in 2009. This was a descriptive –analytic study performed on 384 urban ouseholds in Qazvin in 2009. The data were collected through interviews which used questionnaire consists of 25 stems. The data were analyzed by descriptive statistical index. The average of out of pocket money in patients was 59/7% of total medical enditures.The highest percent (67/5%) belongs to first income level and fifth income decentile has lowest percent (45/5%). Total average oop divided by total household income which was %7/3, that the highest percent belongs to the first income decentile (lowest income) 19%, and tenth income decentile has the lowest percent (3.6%). Despite coverage of general insurance, results of this study reveals that OOP ercentage of studied urban households is relatively was high (59/7%) and lower income decentiles (first decentile), OOP consists of substantial percent of household’s income (19%).