Health Care Payments in Vietnam: Patients’ Quagmire of Caring for Health versus Economic Destitution
Identifieur interne : 000B09 ( Main/Exploration ); précédent : 000B08; suivant : 000B10Health Care Payments in Vietnam: Patients’ Quagmire of Caring for Health versus Economic Destitution
Auteurs : Andre Pekerti ; Quan-Hoang Vuong [Belgique] ; Tung Manh Ho [Viêt Nam] ; Thu-Trang VuongSource :
- International Journal of Environmental Research and Public Health [ 1661-7827 ] ; 2017.
Abstract
In the last three decades many developing and middle-income nations’ health care systems have been financed via out-of-pocket payments by individuals. User fees charges, however, may not be the best approach or thenmost equitable approach to finance and/or reform health services in developing nations. This study investigates the status of Vietnam’s current health system as a result of implementing user fees policies. A recent mandate by the government to increase the universal cover to 100% attempts to tackle inadequate insurance cover, one of the four major factors contributing to the high and increasing probability of destitution for Vietnamese patients (the other three being: non-residency, long stay in hospital, and high cost of treatment). Empirical results however suggest that this may be catastrophic for low-income earners: if insurance cover reimbursement decreases below 50% of actual health expenditures, the probability of Vietnamese falling into destitution will rise further. Our findings provide policy implications and directions to improve Vietnam’s health care system, in particular by ensuring the utilization of health services and financial protection for the people.
Url:
DOI: 10.3390/ijerph14101118
PubMed: 28946711
PubMed Central: 5664619
Affiliations:
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Sciences, Hanoi 100000, Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Institute of Philosophy, Vietnam Academy of Social Sciences, Hanoi 100000</wicri:regionArea><wicri:noRegion>Hanoi 100000</wicri:noRegion></affiliation></author><author><name sortKey="Vuong, Thu Trang" sort="Vuong, Thu Trang" uniqKey="Vuong T" first="Thu-Trang" last="Vuong">Thu-Trang Vuong</name><affiliation><nlm:aff id="af5-ijerph-14-01118">Sciences Po Paris—Campus de Dijon, 21000 Dijon, France;<email>thutrang.vuong@sciencespo.fr</email></nlm:aff></affiliation></author></analytic><series><title level="j">International Journal of Environmental Research and Public Health</title><idno type="ISSN">1661-7827</idno><idno type="eISSN">1660-4601</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>In the last three decades many developing and middle-income nations’ health care systems have been financed via out-of-pocket payments by individuals. User fees charges, however, may not be the best approach or thenmost equitable approach to finance and/or reform health services in developing nations. This study investigates the status of Vietnam’s current health system as a result of implementing user fees policies. A recent mandate by the government to increase the universal cover to 100% attempts to tackle inadequate insurance cover, one of the four major factors contributing to the high and increasing probability of destitution for Vietnamese patients (the other three being: non-residency, long stay in hospital, and high cost of treatment). Empirical results however suggest that this may be catastrophic for low-income earners: if insurance cover reimbursement decreases below 50% of actual health expenditures, the probability of Vietnamese falling into destitution will rise further. Our findings provide policy implications and directions to improve Vietnam’s health care system, in particular by ensuring the utilization of health services and financial protection for the people.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Akin, J S" uniqKey="Akin J">J.S. Akin</name></author><author><name sortKey="Birdsall, N" uniqKey="Birdsall N">N. Birdsall</name></author><author><name sortKey="De Ferranti, D" uniqKey="De Ferranti D">D. De Ferranti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bogg, L" uniqKey="Bogg L">L. Bogg</name></author><author><name sortKey="Hengjin, D" uniqKey="Hengjin D">D. Hengjin</name></author><author><name sortKey="Keli, W" uniqKey="Keli W">W. Keli</name></author><author><name sortKey="Wenwei, C" uniqKey="Wenwei C">C. Wenwei</name></author><author><name sortKey="Diwan, V" uniqKey="Diwan V">V. 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Vuong</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Belgique</li><li>Viêt Nam</li></country><region><li>Vienne (Autriche)</li></region><settlement><li>Bruxelles</li><li>Vienne (Autriche)</li></settlement><orgName><li>Université libre de Bruxelles</li></orgName></list><tree><noCountry><name sortKey="Pekerti, Andre" sort="Pekerti, Andre" uniqKey="Pekerti A" first="Andre" last="Pekerti">Andre Pekerti</name><name sortKey="Vuong, Thu Trang" sort="Vuong, Thu Trang" uniqKey="Vuong T" first="Thu-Trang" last="Vuong">Thu-Trang Vuong</name></noCountry><country name="Belgique"><region name="Vienne (Autriche)"><name sortKey="Vuong, Quan Hoang" sort="Vuong, Quan Hoang" uniqKey="Vuong Q" first="Quan-Hoang" last="Vuong">Quan-Hoang Vuong</name></region></country><country name="Viêt Nam"><noRegion><name sortKey="Ho, Tung Manh" sort="Ho, Tung Manh" uniqKey="Ho T" first="Tung Manh" last="Ho">Tung Manh Ho</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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