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Article
Be rich or don’t be sick: estimating Vietnamese patients’ risk of falling into destitution
SpringerPlus (2015)
  • Quan-Hoang Vuong, Universite Libre de Bruxelles
Abstract
This paper represents the first research attempt to estimate the probabilities of Vietnamese patients falling into destitution due to financial burdens occurring during a curative hospital stay. The study models risk against such factors as level of insurance coverage, residency status of patient, and cost of treatment, among others. The results show that very high probabilities of destitution, approximately 70 %, apply to a large group of patients, who are non-residents, poor and ineligible for significant insurance coverage. There is also a probability of 58 % that seriously ill low-income patients who face higher health care costs would quit their treatment. These facts put the Vietnamese government’s ambitious plan of increasing both universal coverage (UC) to 100 % of expenditure and the rate of UC beneficiaries to 100 %, to a serious test. The current study also raises issues of asymmetric information and alternative financing options for the poor, who are most exposed to risk of destitution following market-based health care reforms.
Keywords
  • Health insurance,
  • Government policy on health care,
  • Risk of destitution
Publication Date
Fall September 21, 2015
DOI
10.1186/s40064-015-1279-x
Citation Information
Quan-Hoang Vuong. "Be rich or don’t be sick: estimating Vietnamese patients’ risk of falling into destitution" SpringerPlus Vol. 4 Iss. Art.529 (2015) p. 1 - 31 ISSN: 2193-1801
Available at: http://works.bepress.com/quan-hoang-vuong/3/
Creative Commons license
Creative Commons License
This work is licensed under a Creative Commons CC_BY-NC-SA International License.