International Journal of Preventive Medicine (Int J Prev Med)2008-7802032015060715301530EN20150607<strong>Background:</strong> Health services for those in need. Inpatient care shows a more serious side of individual care and patients and their family members perceive a high level of stress and urge.<br />We conducted this study to determine inequalities of in-patient health care utilization in Iranian people and to assess factors that influence utilization.<br /><strong>Methods:</strong> In each province, the sample was comprised of 380 urban and 380 rural households that were recruited by a systematic random sampling method. A total of 23,560 households, which included around 102,000 individuals were recruited. We used the questionnaire for data<br />collection. Met admission need (MAN) was the main variable and was considered household assets for determining the economic status. We did all analyses using the STATA version 9.1.<br /><strong>Results:</strong> The rates of MAN for urban and rural areas were 83% and 81.3% respectively. The rate of MAN was significantly higher in patients with higher educational level. Patients with primary<br />health insurance coverage had significantly higher rate of MAN.<br /><strong>Conclusions: </strong>Meeting admission needs was estimated around 84% and it seems that modifying insurance coverage is the most feasible intervention for increasing utilization of health services.<br /><strong>Keywords:</strong> Inequality, inpatients, met admission need, utilizationhttp://ijpm.mui.ac.ir/index.php/ijpm/article/view/1530http://ijpm.mui.ac.ir/index.php/ijpm/article/download/1530/1825