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Public Health Insurance in Vietnam towards Universal Coverage: Identifying the challenges, issues, and problems in its design and organizational practices

Author

Listed:
  • Midori Matsushima

    (Assistant Professor, Osaka University of Commerce)

  • Hiroyuki Yamada

    (Assistant Professor, Osaka School of International Public Policy (OSIPP))

Abstract

Vietnam is attempting to achieve universal health insurance coverage by 2014. Despite great progress, the country faces some challenges, issues and problems. This paper reviewed official documents, existing reports, and related literature to address: (1) grand design for achieving universal health coverage, (2) current insurance coverage, (3) health insurance premium and subsidies by the government, (4) benefit package and payment rule, and (5) organizational practices. From the review, it became apparent that the insurance system is broadly speaking complex and there are huge ambiguities, which seems hindering universal coverage of health insurance. Also, hidden distorted incentives and lack of financial stability are the main challenges in the current public health insurance system in the country.

Suggested Citation

  • Midori Matsushima & Hiroyuki Yamada, 2013. "Public Health Insurance in Vietnam towards Universal Coverage: Identifying the challenges, issues, and problems in its design and organizational practices," OSIPP Discussion Paper 13E003, Osaka School of International Public Policy, Osaka University.
  • Handle: RePEc:osp:wpaper:13e003
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    File URL: http://www.osipp.osaka-u.ac.jp/archives/DP/2013/DP2013E003.pdf
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    References listed on IDEAS

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    1. Paul Gertler & Jonathan Gruber, 2002. "Insuring Consumption Against Illness," American Economic Review, American Economic Association, vol. 92(1), pages 51-70, March.
    2. Ardeshir Sepehri & Sisira Sarma & Wayne Simpson, 2006. "Does non-profit health insurance reduce financial burden? Evidence from the Vietnam living standards survey panel," Health Economics, John Wiley & Sons, Ltd., vol. 15(6), pages 603-616.
    3. Adam Wagstaff, 2010. "Estimating health insurance impacts under unobserved heterogeneity: the case of Vietnam's health care fund for the poor," Health Economics, John Wiley & Sons, Ltd., vol. 19(2), pages 189-208.
    4. Fwu-Ranq Chang & Pravin K. Trivedi, 2003. "Economics of self-medication: theory and evidence," Health Economics, John Wiley & Sons, Ltd., vol. 12(9), pages 721-739.
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    Cited by:

    1. Hiroyuki Yamada & Tien Manh Vu, 2016. "Health insurance coverage and firm performance: Evidence using firm level data from Vietnam," OSIPP Discussion Paper 16E007, Osaka School of International Public Policy, Osaka University.

    More about this item

    Keywords

    Health Insurance; universal coverage; Vietnam;

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