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Impact of health insurance on health care treatment and cost in Vietnam: A health capability approach to financial protection

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  • Nguyen, K.T.
  • Khuat, O.T.H.
  • Ma, S.
  • Pham, D.C.
  • Khuat, G.T.H.
  • Ruger, J.P.

Abstract

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 Hlth. Outcomes Using Bivariate and Multivariable Regression Analyses. Insured Respondents Had Lower Outpatient and Inpatient Treatm. Costs and Longer Hosp. Stays but Fewer Days of Missed Wk. or Sch. Than the Uninsured. Ins. Reform Reduced Household Vulnerability to High Hlth. Care Costs Through Direct Reduction of Med. Costs and Indirect Reduction of Income Lost to Illness. However, from A Normative Perspective, Outof-pocket Costs Are Still Too High, and Accessibility Issues Persist; A Compreh. Ins. Package and Additional Hlth. Syst. Reforms Are Needed.

Suggested Citation

  • Nguyen, K.T. & Khuat, O.T.H. & Ma, S. & Pham, D.C. & Khuat, G.T.H. & Ruger, J.P., 2012. "Impact of health insurance on health care treatment and cost in Vietnam: A health capability approach to financial protection," American Journal of Public Health, American Public Health Association, vol. 102(8), pages 1450-1461.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300618_7
    DOI: 10.2105/AJPH.2011.300618
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    Cited by:

    1. Yinjun Zhao & Bowei Kang & Yawen Liu & Yichong Li & Guoqing Shi & Tao Shen & Yong Jiang & Mei Zhang & Maigeng Zhou & Limin Wang, 2014. "Health Insurance Coverage and Its Impact on Medical Cost: Observations from the Floating Population in China," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-9, November.
    2. Sophie Mitra & Michael Palmer & Shannon Pullaro & Daniel Mont & Nora Groce, 2017. "Health Insurance and Children in Low- and Middle-income Countries: A Review," The Economic Record, The Economic Society of Australia, vol. 93(302), pages 484-500, September.
    3. Emmanuel Nshakira-Rukundo & Essa Chanie Mussa & Nathan Nshakira & Nicolas Gerber & Joachim von Braun, 2021. "Impact of community-based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach," International Journal of Health Economics and Management, Springer, vol. 21(2), pages 203-227, June.
    4. Phuong Hung Vu & Ardeshir Sepehri & Linh Thi Thuy Tran, 2023. "Trends in out-of-pocket expenditure on facility-based delivery and financial protection of health insurance: findings from Vietnam’s Household Living Standard Survey 2006–2018," International Journal of Health Economics and Management, Springer, vol. 23(2), pages 237-254, June.
    5. Quan-Hoang Vuong & Tung-Manh Ho & Hong-Kong Nguyen & Thu-Trang Vuong, 2018. "Healthcare consumers’ sensitivity to costs: a reflection on behavioural economics from an emerging market," Palgrave Communications, Palgrave Macmillan, vol. 4(1), pages 1-10, December.
    6. Nshakira-Rukundo, Emmanuel & Mussa, Essa Chanie & Gerber, Nicolas & von Braun, Joachim, 2020. "Impact of voluntary community-based health insurance on child stunting: Evidence from rural Uganda," Social Science & Medicine, Elsevier, vol. 245(C).
    7. Chaw-Yin Myint & Milena Pavlova & Khin-Ni-Ni Thein & Wim Groot, 2019. "A systematic review of the health-financing mechanisms in the Association of Southeast Asian Nations countries and the People’s Republic of China: Lessons for the move towards universal health coverag," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-18, June.
    8. Thuong, Nguyen Thi Thu, 2021. "Catastrophic health expenditure and impoverishment in Vietnam: Evidence from national Household Living Standards Surveys 2008–2018," Economic Analysis and Policy, Elsevier, vol. 72(C), pages 668-684.
    9. Yang Li & Yinjun Zhao & Danhui Yi & Xiaojun Wang & Yan Jiang & Yu Wang & Xinchun Liu & Shuangge Ma, 2017. "Differences exist across insurance schemes in China post-consolidation," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-13, November.
    10. Yan Jiang & Yu Wang & Le Zhang & Yang Li & Xiaojun Wang & Shuangge Ma, 2013. "Access to Healthcare and Medical Expenditure for the Middle-Aged and Elderly: Observations from China," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-10, May.

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