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Health Financing and Delivery in Vietnam : Looking Forward


  • Samuel S. Lieberman
  • Adam Wagstaff


This book reviews Vietnam's successes and the challenges it faces, and goes on to suggest some options for further reforming the country's health system. Options for expanding coverage to 100 percent of the population are compared. The issue of how to deepen coverage, so that insurance reduces out-of-pocket spending by more than it does at present, is also discussed, as is the issue of how to put downward pressure on the cost of health care. The book also looks at the issues of how to improve the quality of care, both overall and at the hospital level, and how to reform provider payment methods. It also looks at the issue of stewardship, what different parts of government (the health ministry, the health insurer, and so on) should be doing at each level of government, and what different levels of government (the central government, provincial government, and so forth) ought to be doing.

Suggested Citation

  • Samuel S. Lieberman & Adam Wagstaff, 2009. "Health Financing and Delivery in Vietnam : Looking Forward," World Bank Publications, The World Bank, number 2594, March.
  • Handle: RePEc:wbk:wbpubs:2594

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    References listed on IDEAS

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    14. Sepehri, Ardeshir & Simpson, Wayne & Sarma, Sisira, 2006. "The influence of health insurance on hospital admission and length of stay--The case of Vietnam," Social Science & Medicine, Elsevier, vol. 63(7), pages 1757-1770, October.
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    17. Eddy van Doorslaer & Owen O'Donnell & Ravindra P. Rannan-Eliya & Aparnaa Somanathan & Shiva Raj Adhikari & Charu C. Garg & Deni Harbianto & Alejandro N. Herrin & Mohammed Nazmul Huq & Shamsia Ibragimo, 2007. "Catastrophic payments for health care in Asia," Health Economics, John Wiley & Sons, Ltd., vol. 16(11), pages 1159-1184.
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    Cited by:

    1. World Bank, 2010. "Meeting the Challenges of Health Transition in the Middle East and North Africa : Building Partnerships for Results - Time for Strategic Action," World Bank Other Operational Studies 12986, The World Bank.
    2. Grigorakis, Nikolaos & Floros, Christos & Tsangari, Haritini & Tsoukatos, Evangelos, 2016. "Out of pocket payments and social health insurance for private hospital care: Evidence from Greece," Health Policy, Elsevier, vol. 120(8), pages 948-959.
    3. repec:bla:asiaec:v:31:y:2017:i:2:p:139-164 is not listed on IDEAS
    4. Nguyen, Kim Thuy & Hai Khuat, Oanh Thi & Ma, Shuangge & Pham, Duc Cuong & Hong Khuat, Giang Thi & Ruger, Jennifer Prah, 2012. "Coping with health care expenses among poor households: Evidence from a rural commune in Vietnam," Social Science & Medicine, Elsevier, vol. 74(5), pages 724-733.
    5. Thu Trang Vuong & Ha Nguyen & Quan-Hoang Vuong, 2016. "Health insurance thresholds and policy implications: a Vietnamese medical survey in 2015," Working Papers CEB 16-039, ULB -- Universite Libre de Bruxelles.
    6. Ha Trong Nguyen & Luke B Connelly, 2017. "Cost-sharing in health insurance and its impact in a developing country: evidence from a quasi-natural experiment," Bankwest Curtin Economics Centre Working Paper series WP1702, Bankwest Curtin Economics Centre (BCEC), Curtin Business School.
    7. Axel Demenet, 2016. "Health Shocks and Permanent Income Loss: the Household Business Channel," Working Papers DT/2016/11, DIAL (Développement, Institutions et Mondialisation).
    8. Adam Wagstaff & Daniel Cotlear & Patrick Hoang-Vu Eozenou & Leander R. Buisman, 2016. "Measuring progress towards universal health coverage: with an application to 24 developing countries," Oxford Review of Economic Policy, Oxford University Press, vol. 32(1), pages 147-189.
    9. Palmer, Michael G., 2014. "Inequalities in Universal Health Coverage: Evidence from Vietnam," World Development, Elsevier, vol. 64(C), pages 384-394.
    10. Lohmann, Steffen & Lechtenfeld, Tobias, 2015. "The Effect of Drought on Health Outcomes and Health Expenditures in Rural Vietnam," World Development, Elsevier, vol. 72(C), pages 432-448.
    11. Mendolia, Silvia & Nguyen, Thi & Yerokhin, Oleg, 2017. "The Impact of Parental Health on Children's Schooling and Labour Force Participation: Evidence from Vietnam," IZA Discussion Papers 10651, Institute for the Study of Labor (IZA).
    12. Giang Thanh Long, 2011. "Reaching a Universal Health Insurance in Viet Nam: Challenges and the Role of Government," Asia-Pacific Development Journal, United Nations Economic and Social Commission for Asia and the Pacific (ESCAP), vol. 18(1), pages 47-72, June.
    13. Palmer, Michael & Mitra, Sophie & Mont, Daniel & Groce, Nora, 2015. "The impact of health insurance for children under age 6 in Vietnam: A regression discontinuity approach," Social Science & Medicine, Elsevier, vol. 145(C), pages 217-226.
    14. Wagstaff, Adam & Nguyen, Ha Thi Hong & Dao, Huyen & Balesd, Sarah, 2014. "Encouraging health insurance for the informal sector : a cluster randomized trial," Policy Research Working Paper Series 6910, The World Bank.


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