An assessment of the implementation of the Health Care Funds for the Poor policy in rural Vietnam

Health Policy
Nguyen Xuan ThanhLars Lindholm

Abstract

User fees at public health care facilities and out-of-pocket payments for health care services are major health financing problems in Vietnam. In 2002, the Government launched the Health Care Funds for the Poor (HCFP) policy which offered free public health care services to help the poor access public health services and reduce their health care expenditure (HCE). This paper is an assessment of the implementation of the HCFP in a rural district of Vietnam. The impacts of HCFP on household HCE as a percentage of total expenditure and health care utilization were assessed by a double-difference propensity score matching method using panel data of 10,711 households in 2001, 2003, 2005 and 2007. The results showed that the HCFP significantly reduced the HCE as a percentage of total expenditure and increased the use of the local public health care among the poor. However, the impacts of HCFP on the use of the higher levels of public health care and the use of go-to-pharmacies were not significant. In conclusion, this assessment indicates that the HCFP has met its objectives by reducing HCE for the poor and increasing their use of the local public health care services. However, further efforts are needed to help them access higher le...Continue Reading

References

Oct 28, 2003·Scandinavian Journal of Public Health. Supplement·Nguyen Thi Kim Chuc, Vinod Diwan
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Nov 20, 2013·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Jessica K LevyIlene S Speizer

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Citations

Sep 25, 2012·BMC Health Services Research·Nguyen Xuan Thanh, Lars Lindholm
Mar 19, 2013·International Journal for Equity in Health·Nguyen Thi Minh ThoaLars Lindholm
Jun 10, 2011·Health & Social Care in the Community·Yi WenUNKNOWN NIMH Collaborative HIV/STD Prevention Trial Group
Feb 11, 2018·BMC Health Services Research·Jiajia LiLingzhong Xu
May 1, 2015·Human Resources for Health·Mario Roberto Dal PozThais de Andrade Vidaurre Franco
Aug 5, 2017·BMC Health Services Research·Quyen Le Thi NguyenCarl A Latkin
Jan 27, 2018·BMC Public Health·Bridget ChatoraMutale Wilbroad
Apr 10, 2019·Asia-Pacific Journal of Public Health·Nguyen Duc ThanhHoang Van Minh
Mar 1, 2015·International Journal of Health Economics and Management·Khaled MakhloufiMohammad Abu-Zaineh
Oct 19, 2019·Journal of Pharmaceutical Policy and Practice·Azhar H AlostadEllen I Schafheutle
Jun 8, 2021·Health Services Insights·Nguyen Duc ThanhChu Huyen Xiem

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