Moving toward Universal Coverage of Social Health Insurance in Vietnam : Assessment and Options

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

Washington, DC:World Bank

关键词: ABILITY TO PAY;    ACCESS TO HEALTH SERVICES;    ACCESS TO SERVICES;    ADMINISTRATIVE COSTS;    ADMINISTRATIVE EFFICIENCY;   

DOI  :  10.1596/978-1-4648-0261-4
RP-ID  :  89066

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

To address the growth in resultantout-of-pocket (OOP) payments and associated problems offinancial barriers to access, the government issued severalpolicies aimed at expanding coverage throughout the 1990sand 2000s, particularly for the poor and other vulnerablegroups. Universal coverage (UC) can be an elusive conceptand is about three objectives: (a) equity (linking care toneed, and not to ability to pay); (b) financial protection(ensuring that health care use does not lead toimpoverishment); (c) effective access to a comprehensive setof quality services (ensuring that providers make the rightdiagnosis and prescribe a treatment that is appropriate andaffordable; and (d) to ensure that the financing needed toachieve UC is mobilized in a fiscally sustainable manner,and is used efficiently and equitably. The objective of thisreport is to assess the implementation of Vietnam socialhealth insurance (SHI) and provide options for moving towardUC, with a view to contributing to the law revision process.It analyzes progress to date on the two major goals of themaster plan. The report assesses Vietnam's readiness tomeet these goals, the challenges it will face in achievingUC, and key reforms needed to overcome those challenges. Itdoes so through a health financing lens, focusing on howresources are mobilized, pooled, and allocated, and howservices are purchased. The report also examines thestewardship of financing that is, the organization,management, and governance of SHI as it has directimplications for achieving UC. The report ends by pullingtogether the recommendations in the form of animplementation road map.