Factors influencing the out -of-pocket payments by patients in the hospital in Tabriz-Iran

The most important goals of the health and cure services are promotion of life quality and equal access of all the people to aforementioned services. Higher health care costs and its financial pressures upon household's shoulders is one of the barriers of equal access to these services that policy-makers and academics have concerned about these rising costs.Methods and material: Using Heckman 2 stages model this research attempts to find out the effects of the factors cause to the out of pocket payment. The data is collected through a questionnaire. To do so, a sample of 312 patients admitted to hospitals in the city of Tabriz has been surveyed. The results indicate that, income, age, being in private hospital, rural and having an underlying disease have positive impact on the out of pocket cost. Also it found that, being in a private hospitals and having an underlying disease significantly have positive effect (due to greater than 2 t-statistic), and being a local patient and also type of admission, have significant negative impact on out of pocket Income, age, being a private hospital, rural and has an underlying disease has positive impact on the out of pocket cost. So the government extending the insurance coverage for People and do the appropriate action for Reduce direct payments out of pocket in the elderly and non-native Persons.