Health Insurance for the Poor : Initial Impacts of Vietnam's Health Care Fund for the Poor

Wagstaff, Adam

World Bank, Washington, DC

关键词: CLINICS;    COMMUNES;    DRESSINGS;    ESSENTIAL DRUGS;    FINANCIAL PROTECTION;   

DOI  :  10.1596/1813-9450-4134
RP-ID  :  WPS4134

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

Vietnam's Health Care Fund for thePoor (HCFP) uses government revenues to finance health carefor the poor, ethnic minorities living in selectedmountainous provinces designated as difficult, and allhouseholds living in communes officially designated ashighly disadvantaged. The program, which started in 2003,did not as of 2004 include all these groups, but those whowere included (about 15 percent of the population) weredisproportionately poor. Estimates of the program'simpact-obtained using single differences and propensityscore matching on a trimmed sample-suggest that HCFP hassubstantially increased service utilization, especiallyin-patient care, and has reduced the risk of catastrophicspending. It has not, however, reduced average out-of-pocketspending, and appears to have had negligible impacts onutilization among the poorest decile.