Use of high-level health facilities and catastrophic expenditure in Vietnam: can health insurance moderate this relationship?

ABSTRACT:

Background

Overcrowding of high-level health facilities is a major concern in a Vietnamese health system. This may increase an economic burden to the households since health insurance is still insufficient in providing financial risk protection. This paper sought to examine the association between the use of high-level health facilities and household-level expenditure status such as out-of-pocket (OOP), and catastrophic expenditure on health, as well as a moderating effect of health insurances in rural and urban districts of Vietnam.

Methods

Data utilized a health system community survey collected between 2015 and 2017 in two districts of Vietnam (one from rural area in northern part, and the other one from urban area in sourthern part). The world Health Organization's defin

SUBMITTER: Lee HY 

PROVIDER: S-EPMC6528376 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature