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Moving toward universal coverage of social health insurance in Vietnam : assessment and options (English)

To address the growth in resultant out-of-pocket (OOP) payments and associated problems of financial barriers to access, the government issued several policies aimed at expanding coverage throughout the 1990s and 2000s, particularly for the poor and other vulnerable groups. Universal coverage (UC) can be an elusive concept and is about three objectives: (a) equity (linking care to need, and not to ability to pay); (b) financial protection (ensuring that health care use does not lead to impoverishment); (c) effective access to a comprehensive set of quality services (ensuring that providers make the right diagnosis and prescribe a treatment that is appropriate and affordable; and (d) to ensure that the financing needed to achieve UC is mobilized in a fiscally sustainable manner, and is used efficiently and equitably. The objective of this report is to assess the implementation of Vietnam social health insurance (SHI) and provide options for moving toward UC, with a view to contributing to the law revision process. It analyzes progress to date on the two major goals of the master plan. The report assesses Vietnam's readiness to meet these goals, the challenges it will face in achieving UC, and key reforms needed to overcome those challenges. It does so through a health financing lens, focusing on how resources are mobilized, pooled, and allocated, and how services are purchased. The report also examines the stewardship of financing that is, the organization, management, and governance of SHI as it has direct implications for achieving UC. The report ends by pulling together the recommendations in the form of an implementation road map.

Details

  • Author

    Dao,Huong Lan, Fuenzalida-Puelma,Hernan L., Hurt,Kari L., Somanathan,Aparnaa, Tandon,Ajay

  • Document Date

    2014/06/20

  • Document Type

    Publication

  • Report Number

    89066

  • Volume No

    1

  • Total Volume(s)

    1

  • Country

    Vietnam,

  • Region

    East Asia and Pacific,

  • Disclosure Date

    2014/07/10

  • Disclosure Status

    Disclosed

  • Doc Name

    Moving toward universal coverage of social health insurance in Vietnam : assessment and options

  • Keywords

    benefit package;center for health;financial protection;law;provider payment mechanisms;Human Resources for Health;enrollment rate;inefficiencies in resource allocation;universal coverage;vulnerable group;average length of stay;fiscal space for health;School of Public Health;social health insurance system;access to health service;demand for health care;hard to reach groups;pension and social assistance;united nations general assembly;financing need;maternal and child health;water and sanitation program;payment system;road map;health finance;global experience;district hospital;informal sector;degree of fragmentation;conflict resolution system;national health insurance;health insurance scheme;primary care services;clinical practice guidelines;risk pool;budgetary resource;financial barrier;point of service;expansion of coverage;ethnic minority population;general government expenditure;criteria for selection;public health service;payment for service;portability of insurance;quality of care;primary health care;health insurance law;health insurance policies;term of data;health technology assessment;quality health care service;provider payment method;Health System Strengthening;health financing reform;incentives facing providers;additional fiscal resource;health care establishments;health service provider;Human Immunodeficiency Virus;gross national income;privileges and immunity;health policy makers;medical benefit;consumer price index;health insurance premium;health care use;public health facility;formal sector worker;Governance and Accountability;Sexually Transmitted Infection;penalties for noncompliance;

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Citation

Dao,Huong Lan Fuenzalida-Puelma,Hernan L. Hurt,Kari L. Somanathan,Aparnaa Tandon,Ajay

Moving toward universal coverage of social health insurance in Vietnam : assessment and options (English). Directions in development,human development Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/383151468138892428/Moving-toward-universal-coverage-of-social-health-insurance-in-Vietnam-assessment-and-options