Abstract:
:Out-of-pocket expenditure/payment (OOP) is one of the indicators measuring the achievement of Universal Health Coverage. This article aimed to compare OOP among the insured and uninsured for their outpatient and inpatient health care services. The data of 6710 individuals using outpatient care and 924 individuals using inpatient care at 78 district hospitals and 246 commune health centers in 6 provinces from the World Bank survey, "The 2015 Vietnam District and Commune Health Facility," were used for analysis. In the ordinary least square model, the estimated coefficient of the insurance status variable suggested that insurance reduced OOP by 31.1% for outpatient care and 31.5% for inpatient care of the insured as compared with the uninsured (P <0.001). For outpatient care, insurance reduced OOP more for those enrollees using commune health centers than those using district health facilities, 42.3% and 20.2%, respectively. For inpatient care at district health facilities, insurance reduced OOP by 34.9% as compared with the uninsured (P <0.001). The study suggested that more active solutions should be created to promote the universal health insurance in Vietnam.
journal_name
Asia Pac J Public Healthjournal_title
Asia-Pacific journal of public healthauthors
Thanh ND,Anh BTM,Xiem CH,Van Minh Hdoi
10.1177/1010539519833549subject
Has Abstractpub_date
2019-04-01 00:00:00pages
210-218issue
3eissn
1010-5395issn
1941-2479journal_volume
31pub_type
杂志文章abstract::As every year 5 million children die in developing countries because of infectious diseases, the government of Thailand in 1976 initiated an expanded program for immunization. Although vaccine coverage of the under 1 year of age population with BCG, diphtheria, pertussis, and tetanus is over 80%, the dropout rates ar...
journal_title:Asia-Pacific journal of public health
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journal_title:Asia-Pacific journal of public health
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