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Integrating the Poor Into Universal Health Coverage in Vietnam

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Release : 2013
Genre : Electronic book
Kind : eBook
Book Rating : /5 ( reviews)

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Book Synopsis Integrating the Poor Into Universal Health Coverage in Vietnam by : Aparnaa Somanathan

Download or read book Integrating the Poor Into Universal Health Coverage in Vietnam written by Aparnaa Somanathan. This book was released on 2013. Available in PDF, EPUB and Kindle. Book excerpt:

Moving toward Universal Coverage of Social Health Insurance in Vietnam

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Author :
Release : 2014-06-26
Genre : Medical
Kind : eBook
Book Rating : 629/5 ( reviews)

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Book Synopsis Moving toward Universal Coverage of Social Health Insurance in Vietnam by : Aparnaa Somanathan

Download or read book Moving toward Universal Coverage of Social Health Insurance in Vietnam written by Aparnaa Somanathan. This book was released on 2014-06-26. Available in PDF, EPUB and Kindle. Book excerpt: Over the past two decades Vietnam has made enormous progress towards achieving universal coverage (UC) for its population. Significant challenges remain, however, in terms of improving equity with continuing low rates of enrollment. Ensuring financial protection also remains an elusive goal. The Master Plan for Universal Coverage approved in 2012 by the Prime Minister directly addresses both these deficiencies in coverage. The objective of this report is to assess the implementation of Vietnam SHI and provide options for moving towards UC. This is a joint assessment with development partners, World Health Organization, United Nations Children's Fund (Unicef) and Rockefeller Foundation. Expanding breadth of coverage, particularly for those hard to reach groups such as the near-poor and informal sector would require substantially increasing general revenue subsidies and fully subsidizing the premiums for the near-poor. High enrollment rates would, however, have little impact on financial protection and equity if OOP costs remain high. Achieving UC will require sustained efforts to improve efficiency in the system, and gain better value for money from available budgetary resources; without these efforts, any further progress towards UC would be financially unsustainable. There is considerable scope for improving efficiency in Vietnam. Fragmentation in the pooling of funds gives rise to unnecessary costs. Inefficiencies in resource allocation and purchasing arrangements include: (i) an overly generous benefits package; (ii) provider payment mechanisms and the mix of incentives facing providers which result in an oversupply of services; (iii) high prices, overconsumption and inappropriate use of pharmaceuticals; and (iv) the structure and incentives embedded within the delivery system. The organization, management and governance of SHI are fragmented and often dysfunctional. The present institutional setting for SHI needs to be assessed and changed.

Universal Health Coverage for Inclusive and Sustainable Development

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Author :
Release : 2014-07-03
Genre : Medical
Kind : eBook
Book Rating : 98X/5 ( reviews)

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Book Synopsis Universal Health Coverage for Inclusive and Sustainable Development by : Akiko Maeda

Download or read book Universal Health Coverage for Inclusive and Sustainable Development written by Akiko Maeda. This book was released on 2014-07-03. Available in PDF, EPUB and Kindle. Book excerpt: The goals of universal health coverage (UHC) are to ensure that all people can access quality health services, to safeguard all people from public health risks, and to protect all people from impoverishment due to illness, whether from out-of-pocket payments for health care or loss of income when a household member falls sick. Countries as diverse as Brazil, France, Japan, Thailand, and Turkey have shown how UHC can serve as vital mechanisms for improving the health and welfare of their citizens, and lay the foundation for economic growth and competitiveness grounded in the principles of equity and sustainability. Ensuring universal access to affordable, quality health services will be an important contribution to ending extreme poverty by 2030 and boosting shared prosperity in low-income and middle-income countries (LMICs), where most of the world's poor live. The book synthesizes the experiences from 11 countries – Bangladesh, Brazil, France, Ethiopia, Ghana, Indonesia, Japan, Peru, Thailand, Turkey and Vietnam – in implementing policies and strategies to achieve and sustain UHC. These countries represent diverse geographic and economic conditions, but all have committed to UHC as a key national aspiration and are approaching it in different ways. The study examined the UHC policies for each country around three common themes: (i) the political economy and policy process for adopting, achieving, and sustaining UHC; (ii) health financing policies to enhance health coverage; and (iii) human resources for health policies for achieving UHC. The findings from these country studies are intended to provide lessons that can be used by countries aspiring to adopt, achieve, and sustain UHC. Although the path to UHC is specific to each country, countries can benefit from the experiences of others in learning about different approaches and avoiding potential risks.

Moving Toward Universal Coverage of Social Health Insurance in Vietnam

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Author :
Release : 2014-08-09
Genre :
Kind : eBook
Book Rating : 700/5 ( reviews)

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Book Synopsis Moving Toward Universal Coverage of Social Health Insurance in Vietnam by : Aparnaa Somanathan

Download or read book Moving Toward Universal Coverage of Social Health Insurance in Vietnam written by Aparnaa Somanathan. This book was released on 2014-08-09. Available in PDF, EPUB and Kindle. Book excerpt: Over the past two decades Vietnam has made enormous progress towards achieving universal coverage (UC) for its population. Significant challenges remain, however, in terms of improving equity with continuing low rates of enrollment. Ensuring financial protection also remains an elusive goal. The Master Plan for Universal Coverage approved in 2012 by the Prime Minister directly addresses both these deficiencies in coverage. The objective of this report is to assess the implementation of Vietnam SHI and provide options for moving towards UC. This is a joint assessment with development partners, World Health Organization, United Nations Children's Fund (Unicef) and Rockefeller Foundation. Expanding breadth of coverage, particularly for those hard to reach groups such as the near-poor and informal sector would require substantially increasing general revenue subsidies and fully subsidizing the premiums for the near-poor. High enrollment rates would, however, have little impact on financial protection and equity if OOP costs remain high. Achieving UC will require sustained efforts to improve efficiency in the system, and gain better value for money from available budgetary resources; without these efforts, any further progress towards UC would be financially unsustainable. There is considerable scope for improving efficiency in Vietnam. Fragmentation in the pooling of funds gives rise to unnecessary costs. Inefficiencies in resource allocation and purchasing arrangements include: (i) an overly generous benefits package; (ii) provider payment mechanisms and the mix of incentives facing providers which result in an oversupply of services; (iii) high prices, overconsumption and inappropriate use of pharmaceuticals; and (iv) the structure and incentives embedded within the delivery system. The organization, management and governance of SHI are fragmented and often dysfunctional. The present institutional setting for SHI needs to be assessed and changed.

Health Insurance for the Poor

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Author :
Release : 2007
Genre : Child development
Kind : eBook
Book Rating : /5 ( reviews)

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Book Synopsis Health Insurance for the Poor by : Adam Wagstaff

Download or read book Health Insurance for the Poor written by Adam Wagstaff. This book was released on 2007. Available in PDF, EPUB and Kindle. Book excerpt: Vietnam's Health Care Fund for the Poor (HCFP) uses government revenues to finance health care for the poor, ethnic minorities living in selected mountainous provinces designated as difficult, and all households living in communes officially designated as highly disadvantaged. The program, which started in 2003, did not as of 2004 include all these groups, but those who were included (about 15 percent of the population) were disproportionately poor. Estimates of the program's impact-obtained using single differences and propensity score matching on a trimmed sample-suggest that HCFP has substantially increased service utilization, especially in-patient care, and has reduced the risk of catastrophic spending. It has not, however, reduced average out-of-pocket spending, and appears to have had negligible impacts on utilization among the poorest decile.

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