Serveur d'exploration Hippolyte Bernheim

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Be rich or don’t be sick: estimating Vietnamese patients’ risk of falling into destitution

Identifieur interne : 000115 ( Ncbi/Merge ); précédent : 000114; suivant : 000116

Be rich or don’t be sick: estimating Vietnamese patients’ risk of falling into destitution

Auteurs : Quan Hoang Vuong [Belgique]

Source :

RBID : PMC:4577521

Abstract

This paper represents the first research attempt to estimate the probabilities of Vietnamese patients falling into destitution due to financial burdens occurring during a curative hospital stay. The study models risk against such factors as level of insurance coverage, residency status of patient, and cost of treatment, among others. The results show that very high probabilities of destitution, approximately 70 %, apply to a large group of patients, who are non-residents, poor and ineligible for significant insurance coverage. There is also a probability of 58 % that seriously ill low-income patients who face higher health care costs would quit their treatment. These facts put the Vietnamese government’s ambitious plan of increasing both universal coverage (UC) to 100 % of expenditure and the rate of UC beneficiaries to 100 %, to a serious test. The current study also raises issues of asymmetric information and alternative financing options for the poor, who are most exposed to risk of destitution following market-based health care reforms.

Electronic supplementary material

The online version of this article (doi:10.1186/s40064-015-1279-x) contains supplementary material, which is available to authorized users.


Url:
DOI: 10.1186/s40064-015-1279-x
PubMed: 26413435
PubMed Central: 4577521

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PMC:4577521

Le document en format XML

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<name sortKey="Evans, T" uniqKey="Evans T">T Evans</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Zhang, Y" uniqKey="Zhang Y">Y Zhang</name>
</author>
<author>
<name sortKey="Tang, W" uniqKey="Tang W">W Tang</name>
</author>
<author>
<name sortKey="Zhang, X" uniqKey="Zhang X">X Zhang</name>
</author>
<author>
<name sortKey="Zhang, Y" uniqKey="Zhang Y">Y Zhang</name>
</author>
<author>
<name sortKey="Zhang, L" uniqKey="Zhang L">L Zhang</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Springerplus</journal-id>
<journal-id journal-id-type="iso-abbrev">Springerplus</journal-id>
<journal-title-group>
<journal-title>SpringerPlus</journal-title>
</journal-title-group>
<issn pub-type="epub">2193-1801</issn>
<publisher>
<publisher-name>Springer International Publishing</publisher-name>
<publisher-loc>Cham</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">26413435</article-id>
<article-id pub-id-type="pmc">4577521</article-id>
<article-id pub-id-type="publisher-id">1279</article-id>
<article-id pub-id-type="doi">10.1186/s40064-015-1279-x</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Be rich or don’t be sick: estimating Vietnamese patients’ risk of falling into destitution</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Vuong</surname>
<given-names>Quan Hoang</given-names>
</name>
<address>
<email>qvuong@ulb.ac.be</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<aff id="Aff1">Centre Emile Bernheim, Université Libre de Bruxelles, 50 Ave F.D. Roosevelt, Brussels, 1050 Belgium</aff>
</contrib-group>
<pub-date pub-type="epub">
<day>21</day>
<month>9</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>21</day>
<month>9</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection">
<year>2015</year>
</pub-date>
<volume>4</volume>
<elocation-id>529</elocation-id>
<history>
<date date-type="received">
<day>18</day>
<month>12</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>27</day>
<month>8</month>
<year>2015</year>
</date>
</history>
<permissions>
<copyright-statement>© Vuong. 2015</copyright-statement>
<license license-type="OpenAccess">
<license-p>
<bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract id="Abs1">
<p>This paper represents the first research attempt to estimate the probabilities of Vietnamese patients falling into destitution due to financial burdens occurring during a curative hospital stay. The study models risk against such factors as level of insurance coverage, residency status of patient, and cost of treatment, among others. The results show that very high probabilities of destitution, approximately 70 %, apply to a large group of patients, who are non-residents, poor and ineligible for significant insurance coverage. There is also a probability of 58 % that seriously ill low-income patients who face higher health care costs would quit their treatment. These facts put the Vietnamese government’s ambitious plan of increasing both universal coverage (UC) to 100 % of expenditure and the rate of UC beneficiaries to 100 %, to a serious test. The current study also raises issues of asymmetric information and alternative financing options for the poor, who are most exposed to risk of destitution following market-based health care reforms.</p>
<sec>
<title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1186/s40064-015-1279-x) contains supplementary material, which is available to authorized users.</p>
</sec>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Health insurance</kwd>
<kwd>Government policy on health care</kwd>
<kwd>Risk of destitution</kwd>
</kwd-group>
<kwd-group xml:lang="--">
<title>JEL Classification</title>
<kwd>I13</kwd>
<kwd>I18</kwd>
<kwd>I19</kwd>
</kwd-group>
<custom-meta-group>
<custom-meta>
<meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2015</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Belgique</li>
</country>
<region>
<li>Région de Bruxelles-Capitale</li>
</region>
<settlement>
<li>Bruxelles</li>
</settlement>
<orgName>
<li>Université libre de Bruxelles</li>
</orgName>
</list>
<tree>
<country name="Belgique">
<region name="Région de Bruxelles-Capitale">
<name sortKey="Vuong, Quan Hoang" sort="Vuong, Quan Hoang" uniqKey="Vuong Q" first="Quan Hoang" last="Vuong">Quan Hoang Vuong</name>
</region>
</country>
</tree>
</affiliations>
</record>

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