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Coping with health care expenses among poor households: Evidence from a rural commune in Vietnam

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  • Nguyen, Kim Thuy
  • Hai Khuat, Oanh Thi
  • Ma, Shuangge
  • Pham, Duc Cuong
  • Hong Khuat, Giang Thi
  • Ruger, Jennifer Prah

Abstract

With the 1980s “Doi Moi” economic reforms, Vietnam transitioned from state-funded health care to a privatized user fee system. Out-of-pocket payments became a major source of funding for treatments received at both public and private health facilities. We studied coping strategies used by residents of Dai Dong, a rural commune of Hanoi, for paying health care costs, assessing the effects of such costs on economic and health stability.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:5:p:724-733
    DOI: 10.1016/j.socscimed.2011.10.027
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    References listed on IDEAS

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    Cited by:

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    2. Axel Demenet, 2016. "Health Shocks and Permanent Income Loss: the Household Business Channel," Working Papers DT/2016/11, DIAL (Développement, Institutions et Mondialisation).
    3. Anshul Kastor & Sanjay K Mohanty, 2018. "Disease-specific out-of-pocket and catastrophic health expenditure on hospitalization in India: Do Indian households face distress health financing?," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-18, May.
    4. Murphy, Adrianna & Kowal, Paul & Albertini, Marco & Rechel, Bernd & Chatterji, Somnath & Hanson, Kara, 2018. "Family transfers and long-term care: An analysis of the WHO Study on global AGEing and adult health (SAGE)," The Journal of the Economics of Ageing, Elsevier, vol. 12(C), pages 195-201.
    5. Anushree S. Panikkassery, 2020. "Impact of Out of Pocket Health Expenditure on Consumption Pattern of Below Poverty Line Households in India," Millennial Asia, , vol. 11(1), pages 27-53, April.
    6. Jeyle Ortiz-Rodriguez & Eusebius Small, 2017. "The Financial Burden of Healthcare Cost: Coping Strategies for Medical Expenses in Mexico," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 133(1), pages 275-284, August.
    7. Kim Thuy Nguyen & Oanh Thi Hai Khuat & Shuangge Ma & Duc Cuong Pham & Giang Thi Hong Khuat & Jennifer Prah Ruger, 2012. "Effect of Health Expenses on Household Capabilities and Resource Allocation in a Rural Commune in Vietnam," PLOS ONE, Public Library of Science, vol. 7(10), pages 1-11, October.
    8. Tazeen Tahsina & Nazia Binte Ali & Md Abu Bakkar Siddique & Sameen Ahmed & Mubashshira Rahman & Sajia Islam & Md Mezanur Rahman & Bushra Amena & D M Emdadul Hoque & Tanvir M Huda & Shams El Arifeen, 2018. "Determinants of hardship financing in coping with out of pocket payment for care seeking of under five children in selected rural areas of Bangladesh," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-17, May.
    9. Masako Hasegawa, 2017. "Risk-Coping Measures against Health Shocks during the Process of Penetration of Health Insurance in Vietnam," Asian Economic Journal, East Asian Economic Association, vol. 31(2), pages 139-164, June.
    10. Vo, Thang T. & Van, Pham Hoang, 2019. "Can health insurance reduce household vulnerability? Evidence from Viet Nam," World Development, Elsevier, vol. 124(C), pages 1-1.
    11. Geoffrey A Anderson & Lenka Ilcisin & Peter Kayima & Lenard Abesiga & Noralis Portal Benitez & Joseph Ngonzi & Mayanja Ronald & Mark G Shrime, 2017. "Out-of-pocket payment for surgery in Uganda: The rate of impoverishing and catastrophic expenditure at a government hospital," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-13, October.
    12. 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.
    13. Nhan, Nguyen Thanh, 2021. "Healthcare expenses for poor households, how can large- scale poverty reduction programs help?," OSF Preprints 8m9ea, Center for Open Science.
    14. Andrew J. Mirelman & Antonio J. Trujillo & Louis W. Niessen & Sayem Ahmed & Jahangir A.M. Khan & David H. Peters, 2019. "Household coping strategies after an adult noncommunicable disease death in Bangladesh," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 203-218, January.
    15. Sophie Mitra & Michael Palmer & Daniel Mont & Nora Groce, 2016. "Can Households Cope with Health Shocks in Vietnam?," Health Economics, John Wiley & Sons, Ltd., vol. 25(7), pages 888-907, July.

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