Impact of Health Insurance on Health Care Treatment and Cost in Vietnam: A Health Capability Approach to Financial Protection.

Autor:	Thuy Nguyen, Kim, Hai Khuat, Oanh Thi, Ma, Shuangge, Cuong Pham, Duc, Hong Khuat, Giang Thi, Prah Ruger, Jennifer
Předmět:	CONCEPTUAL structures EPIDEMIOLOGY FACTOR analysis HEALTH services accessibility LENGTH of stay in hospitals INCOME HEALTH insurance EVALUATION of medical care MEDICAL care use MEDICAL care costs QUESTIONNAIRES RESEARCH funding RURAL conditions STATISTICAL sampling SOCIAL security STATISTICS SURVEYS DATA analysis MULTIPLE regression analysis RESIDENTIAL patterns STATISTICAL models DESCRIPTIVE statistics
Zdroj:	American Journal of Public Health; Aug2012, Vol. 102 Issue 8, p1450-1461, 12p, 5 Charts
Abstrakt:	We applied an alternative conceptual framework for analyzing health insurance and financial protection grounded in the health capability paradigm. Through an original survey of 706 households in Dai Dong, Vietnam, we examined the impact of Vietnamese health insurance schemes on inpatient and outpatient health care access, costs, and health outcomes using bivariate and multivariable regression analyses. Insured respondents had lower outpatient and inpatient treatment costs and longer hospital stays but fewer days of missed work or school than the uninsured. Insurance reform reduced household vulnerability to high health care costs through direct reduction of medical costs and indirect reduction of income lost to illness. However, from a normative perspective, out-of-pocket costs are still too high, and accessibility issues persist; a comprehensive insurance package and additional health system reforms are needed. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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