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Inequalities in Universal Health Coverage: Evidence from Vietnam

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  • Palmer, Michael G.

Abstract

Exploiting a window of opportunity in Vietnam, this paper examines the impact of social health insurance on target population groups. Significant inequalities in the coverage of service utilization and financial protection are found across groups. Persons with disabilities, and retirees to a lesser extent, experienced relatively high rates of service utilization and were most at risk of health care-induced poverty. A higher level of targeting in the design of benefit packages is recommended.

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  • Palmer, Michael G., 2014. "Inequalities in Universal Health Coverage: Evidence from Vietnam," World Development, Elsevier, vol. 64(C), pages 384-394.
    • Handle: RePEc:eee:wdevel:v:64:y:2014:i:c:p:384-394
    DOI: 10.1016/j.worlddev.2014.06.008
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    2. Liem Nguyen & John Tayu Lee & Emily S. G. Hulse & Minh Van Hoang & Giang Bao Kim & Duong Bach Le, 2021. "Health Service Utilization and Out-of-Pocket Expenditure Associated with the Continuum of Disability in Vietnam," IJERPH, MDPI, vol. 18(11), pages 1-11, May.
    3. Lan Thi Thu Phan & Yusuke Jinnai, 2018. "Does health insurance matter in the hospital? New evidence from patient-level medical records in Vietnam," Working Papers EMS_2018_01, Research Institute, International University of Japan.
    4. Lena Morgon Banks & Shaffa Hameed & Sofoora Kawsar Usman & Hannah Kuper, 2020. "No One Left Behind? Comparing Poverty and Deprivation between People with and without Disabilities in the Maldives," Sustainability, MDPI, vol. 12(5), pages 1-13, March.
    5. Dang, Thang, 2017. "The Multiple Effects of Child Health Insurance in Vietnam," MPRA Paper 78614, University Library of Munich, Germany.
    6. Jacob Assa & Cecilia Calderon, 2020. "Privatization and Pandemic: A Cross-Country Analysis of COVID-19 Rates and Health-Care Financing Structures," Working Papers 2008, New School for Social Research, Department of Economics.
    7. 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.
    8. Michael Palmer & Nora Groce & Daniel Mont & Oanh Hong Nguyen & Sophie Mitra, 2015. "The Economic Lives of People with Disabilities in Vietnam," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-16, July.
    9. 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.
    10. Tess Bright & Hannah Kuper, 2018. "A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries," IJERPH, MDPI, vol. 15(9), pages 1-29, August.
    11. Austin, Kelly F. & DeScisciolo, Cristina & Samuelsen, Lene, 2016. "The Failures of Privatization: A Comparative Investigation of Tuberculosis Rates and the Structure of Healthcare in Less-Developed Nations, 1995–2010," World Development, Elsevier, vol. 78(C), pages 450-460.
    12. Le, Nga & Groot, Wim & Tomini, Sonila M. & Tomini, Florian, 2019. "Health insurance and self-employment transitions in Vietnam," MERIT Working Papers 2019-008, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
    13. Tien Thanh, Pham & Bao Duong, Pham, 2022. "The economic burden of non-communicable diseases on households and their coping mechanisms: Evidence from rural Vietnam," World Development, Elsevier, vol. 151(C).
    14. Huang, Xian & Wu, Bingxiao, 2020. "Impact of urban-rural health insurance integration on health care: Evidence from rural China," China Economic Review, Elsevier, vol. 64(C).
    15. Ullmann, Heidi & Cecchini, Simone & Atuesta, Bernardo & Rubio García, Mónica, 2021. "Non-contributory cash transfers: An instrument to promote the rights and well-being of children with disabilities in Latin America and the Caribbean," Documentos de Proyectos 46747, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    16. Nguyen Thi Thu Thuong & Yme Van Den Berg & Tran Quang Huy & Do Anh Tai & Bui Nu Hoang Anh, 2021. "Determinants of catastrophic health expenditure in Vietnam," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(2), pages 316-333, March.
    17. Myriam de Loenzien & Clémence Schantz & Bich Ngoc Luu & Alexandre Dumont, 2019. "Magnitude and correlates of caesarean section in urban and rural areas: A multivariate study in Vietnam," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-14, July.
    18. Le, Nga & Groot, Wim & Tomini, Sonila & Tomini, Florian, 2018. "Health insurance and self-employment transitions in Vietnam: A multinomial analysis," MERIT Working Papers 2018-039, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
    19. 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.

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