Coverage of health insurance among the near-poor in rural Vietnam and associated factors
Objectives The Vietnamese government is committed to universal health care largely through social health insurance. The near-poor population is entitled to subsidized but not free insurance under this scheme, but remains under-represented compared to other groups. The aims of this research were to e...
Ausführliche Beschreibung
Autor*in: |
Nguyen, Thanh Duc [verfasserIn] |
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Sprache: |
Englisch |
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2016 |
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Anmerkung: |
© Swiss School of Public Health (SSPH+) 2016 |
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Übergeordnetes Werk: |
Enthalten in: Sozial- und Präventivmedizin - Basel : Birkhäuser, 1956, 62(2016), Suppl 1 vom: 28. Okt., Seite 63-73 |
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Übergeordnetes Werk: |
volume:62 ; year:2016 ; number:Suppl 1 ; day:28 ; month:10 ; pages:63-73 |
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DOI / URN: |
10.1007/s00038-016-0911-z |
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Katalog-ID: |
SPR000346411 |
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520 | |a Objectives The Vietnamese government is committed to universal health care largely through social health insurance. The near-poor population is entitled to subsidized but not free insurance under this scheme, but remains under-represented compared to other groups. The aims of this research were to estimate the health insurance coverage of the near-poor in rural Vietnam and identify the individual and household factors associated with health insurance status. Methods Rates of health insurance coverage were estimated from district-level administrative data. A cross-sectional survey was conducted in a representative sample of 2000 near-poor in Cao Lanh district, Dong Thap province, Vietnam. Face-to-face interviews were conducted with a standardized questionnaire. Multiple logistic regression was applied to identify the factors associated with insurance status. Results The insurance coverage of the near-poor in the selected communities was 20.3%. Enrollment in the health insurance scheme was significantly associated with poor health status (OR = 4.8, 95% CI = 2.4–9.8), good knowledge of health insurance (OR = 4.6, 95% CI = 3.4–6.2), interest in health insurance (OR = 30.1, 95% CI = 11.6–78.0), and the perceived cost of the insurance premium (OR = 2.4, 95% CI = 1.7–3.6). Conclusions The cost of insurance premiums is a barrier to enrollment. Information, education and communication campaigns together with modified insurance scheme for the near-poor are necessary to enhance insurance coverage in Vietnam. | ||
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10.1007/s00038-016-0911-z doi (DE-627)SPR000346411 (SPR)s00038-016-0911-z-e DE-627 ger DE-627 rakwb eng Nguyen, Thanh Duc verfasserin aut Coverage of health insurance among the near-poor in rural Vietnam and associated factors 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Swiss School of Public Health (SSPH+) 2016 Objectives The Vietnamese government is committed to universal health care largely through social health insurance. The near-poor population is entitled to subsidized but not free insurance under this scheme, but remains under-represented compared to other groups. The aims of this research were to estimate the health insurance coverage of the near-poor in rural Vietnam and identify the individual and household factors associated with health insurance status. Methods Rates of health insurance coverage were estimated from district-level administrative data. A cross-sectional survey was conducted in a representative sample of 2000 near-poor in Cao Lanh district, Dong Thap province, Vietnam. Face-to-face interviews were conducted with a standardized questionnaire. Multiple logistic regression was applied to identify the factors associated with insurance status. Results The insurance coverage of the near-poor in the selected communities was 20.3%. Enrollment in the health insurance scheme was significantly associated with poor health status (OR = 4.8, 95% CI = 2.4–9.8), good knowledge of health insurance (OR = 4.6, 95% CI = 3.4–6.2), interest in health insurance (OR = 30.1, 95% CI = 11.6–78.0), and the perceived cost of the insurance premium (OR = 2.4, 95% CI = 1.7–3.6). Conclusions The cost of insurance premiums is a barrier to enrollment. Information, education and communication campaigns together with modified insurance scheme for the near-poor are necessary to enhance insurance coverage in Vietnam. Health insurance (dpeaa)DE-He213 Near-poor (dpeaa)DE-He213 Universal health coverage (dpeaa)DE-He213 Wilson, Andrew aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 62(2016), Suppl 1 vom: 28. Okt., Seite 63-73 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:62 year:2016 number:Suppl 1 day:28 month:10 pages:63-73 https://dx.doi.org/10.1007/s00038-016-0911-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 62 2016 Suppl 1 28 10 63-73 |
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10.1007/s00038-016-0911-z doi (DE-627)SPR000346411 (SPR)s00038-016-0911-z-e DE-627 ger DE-627 rakwb eng Nguyen, Thanh Duc verfasserin aut Coverage of health insurance among the near-poor in rural Vietnam and associated factors 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Swiss School of Public Health (SSPH+) 2016 Objectives The Vietnamese government is committed to universal health care largely through social health insurance. The near-poor population is entitled to subsidized but not free insurance under this scheme, but remains under-represented compared to other groups. The aims of this research were to estimate the health insurance coverage of the near-poor in rural Vietnam and identify the individual and household factors associated with health insurance status. Methods Rates of health insurance coverage were estimated from district-level administrative data. A cross-sectional survey was conducted in a representative sample of 2000 near-poor in Cao Lanh district, Dong Thap province, Vietnam. Face-to-face interviews were conducted with a standardized questionnaire. Multiple logistic regression was applied to identify the factors associated with insurance status. Results The insurance coverage of the near-poor in the selected communities was 20.3%. Enrollment in the health insurance scheme was significantly associated with poor health status (OR = 4.8, 95% CI = 2.4–9.8), good knowledge of health insurance (OR = 4.6, 95% CI = 3.4–6.2), interest in health insurance (OR = 30.1, 95% CI = 11.6–78.0), and the perceived cost of the insurance premium (OR = 2.4, 95% CI = 1.7–3.6). Conclusions The cost of insurance premiums is a barrier to enrollment. Information, education and communication campaigns together with modified insurance scheme for the near-poor are necessary to enhance insurance coverage in Vietnam. Health insurance (dpeaa)DE-He213 Near-poor (dpeaa)DE-He213 Universal health coverage (dpeaa)DE-He213 Wilson, Andrew aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 62(2016), Suppl 1 vom: 28. Okt., Seite 63-73 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:62 year:2016 number:Suppl 1 day:28 month:10 pages:63-73 https://dx.doi.org/10.1007/s00038-016-0911-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 62 2016 Suppl 1 28 10 63-73 |
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10.1007/s00038-016-0911-z doi (DE-627)SPR000346411 (SPR)s00038-016-0911-z-e DE-627 ger DE-627 rakwb eng Nguyen, Thanh Duc verfasserin aut Coverage of health insurance among the near-poor in rural Vietnam and associated factors 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Swiss School of Public Health (SSPH+) 2016 Objectives The Vietnamese government is committed to universal health care largely through social health insurance. The near-poor population is entitled to subsidized but not free insurance under this scheme, but remains under-represented compared to other groups. The aims of this research were to estimate the health insurance coverage of the near-poor in rural Vietnam and identify the individual and household factors associated with health insurance status. Methods Rates of health insurance coverage were estimated from district-level administrative data. A cross-sectional survey was conducted in a representative sample of 2000 near-poor in Cao Lanh district, Dong Thap province, Vietnam. Face-to-face interviews were conducted with a standardized questionnaire. Multiple logistic regression was applied to identify the factors associated with insurance status. Results The insurance coverage of the near-poor in the selected communities was 20.3%. Enrollment in the health insurance scheme was significantly associated with poor health status (OR = 4.8, 95% CI = 2.4–9.8), good knowledge of health insurance (OR = 4.6, 95% CI = 3.4–6.2), interest in health insurance (OR = 30.1, 95% CI = 11.6–78.0), and the perceived cost of the insurance premium (OR = 2.4, 95% CI = 1.7–3.6). Conclusions The cost of insurance premiums is a barrier to enrollment. Information, education and communication campaigns together with modified insurance scheme for the near-poor are necessary to enhance insurance coverage in Vietnam. Health insurance (dpeaa)DE-He213 Near-poor (dpeaa)DE-He213 Universal health coverage (dpeaa)DE-He213 Wilson, Andrew aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 62(2016), Suppl 1 vom: 28. Okt., Seite 63-73 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:62 year:2016 number:Suppl 1 day:28 month:10 pages:63-73 https://dx.doi.org/10.1007/s00038-016-0911-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 62 2016 Suppl 1 28 10 63-73 |
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10.1007/s00038-016-0911-z doi (DE-627)SPR000346411 (SPR)s00038-016-0911-z-e DE-627 ger DE-627 rakwb eng Nguyen, Thanh Duc verfasserin aut Coverage of health insurance among the near-poor in rural Vietnam and associated factors 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Swiss School of Public Health (SSPH+) 2016 Objectives The Vietnamese government is committed to universal health care largely through social health insurance. The near-poor population is entitled to subsidized but not free insurance under this scheme, but remains under-represented compared to other groups. The aims of this research were to estimate the health insurance coverage of the near-poor in rural Vietnam and identify the individual and household factors associated with health insurance status. Methods Rates of health insurance coverage were estimated from district-level administrative data. A cross-sectional survey was conducted in a representative sample of 2000 near-poor in Cao Lanh district, Dong Thap province, Vietnam. Face-to-face interviews were conducted with a standardized questionnaire. Multiple logistic regression was applied to identify the factors associated with insurance status. Results The insurance coverage of the near-poor in the selected communities was 20.3%. Enrollment in the health insurance scheme was significantly associated with poor health status (OR = 4.8, 95% CI = 2.4–9.8), good knowledge of health insurance (OR = 4.6, 95% CI = 3.4–6.2), interest in health insurance (OR = 30.1, 95% CI = 11.6–78.0), and the perceived cost of the insurance premium (OR = 2.4, 95% CI = 1.7–3.6). Conclusions The cost of insurance premiums is a barrier to enrollment. Information, education and communication campaigns together with modified insurance scheme for the near-poor are necessary to enhance insurance coverage in Vietnam. Health insurance (dpeaa)DE-He213 Near-poor (dpeaa)DE-He213 Universal health coverage (dpeaa)DE-He213 Wilson, Andrew aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 62(2016), Suppl 1 vom: 28. Okt., Seite 63-73 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:62 year:2016 number:Suppl 1 day:28 month:10 pages:63-73 https://dx.doi.org/10.1007/s00038-016-0911-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 62 2016 Suppl 1 28 10 63-73 |
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10.1007/s00038-016-0911-z doi (DE-627)SPR000346411 (SPR)s00038-016-0911-z-e DE-627 ger DE-627 rakwb eng Nguyen, Thanh Duc verfasserin aut Coverage of health insurance among the near-poor in rural Vietnam and associated factors 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Swiss School of Public Health (SSPH+) 2016 Objectives The Vietnamese government is committed to universal health care largely through social health insurance. The near-poor population is entitled to subsidized but not free insurance under this scheme, but remains under-represented compared to other groups. The aims of this research were to estimate the health insurance coverage of the near-poor in rural Vietnam and identify the individual and household factors associated with health insurance status. Methods Rates of health insurance coverage were estimated from district-level administrative data. A cross-sectional survey was conducted in a representative sample of 2000 near-poor in Cao Lanh district, Dong Thap province, Vietnam. Face-to-face interviews were conducted with a standardized questionnaire. Multiple logistic regression was applied to identify the factors associated with insurance status. Results The insurance coverage of the near-poor in the selected communities was 20.3%. Enrollment in the health insurance scheme was significantly associated with poor health status (OR = 4.8, 95% CI = 2.4–9.8), good knowledge of health insurance (OR = 4.6, 95% CI = 3.4–6.2), interest in health insurance (OR = 30.1, 95% CI = 11.6–78.0), and the perceived cost of the insurance premium (OR = 2.4, 95% CI = 1.7–3.6). Conclusions The cost of insurance premiums is a barrier to enrollment. Information, education and communication campaigns together with modified insurance scheme for the near-poor are necessary to enhance insurance coverage in Vietnam. Health insurance (dpeaa)DE-He213 Near-poor (dpeaa)DE-He213 Universal health coverage (dpeaa)DE-He213 Wilson, Andrew aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 62(2016), Suppl 1 vom: 28. Okt., Seite 63-73 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:62 year:2016 number:Suppl 1 day:28 month:10 pages:63-73 https://dx.doi.org/10.1007/s00038-016-0911-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 62 2016 Suppl 1 28 10 63-73 |
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coverage of health insurance among the near-poor in rural vietnam and associated factors |
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Coverage of health insurance among the near-poor in rural Vietnam and associated factors |
abstract |
Objectives The Vietnamese government is committed to universal health care largely through social health insurance. The near-poor population is entitled to subsidized but not free insurance under this scheme, but remains under-represented compared to other groups. The aims of this research were to estimate the health insurance coverage of the near-poor in rural Vietnam and identify the individual and household factors associated with health insurance status. Methods Rates of health insurance coverage were estimated from district-level administrative data. A cross-sectional survey was conducted in a representative sample of 2000 near-poor in Cao Lanh district, Dong Thap province, Vietnam. Face-to-face interviews were conducted with a standardized questionnaire. Multiple logistic regression was applied to identify the factors associated with insurance status. Results The insurance coverage of the near-poor in the selected communities was 20.3%. Enrollment in the health insurance scheme was significantly associated with poor health status (OR = 4.8, 95% CI = 2.4–9.8), good knowledge of health insurance (OR = 4.6, 95% CI = 3.4–6.2), interest in health insurance (OR = 30.1, 95% CI = 11.6–78.0), and the perceived cost of the insurance premium (OR = 2.4, 95% CI = 1.7–3.6). Conclusions The cost of insurance premiums is a barrier to enrollment. Information, education and communication campaigns together with modified insurance scheme for the near-poor are necessary to enhance insurance coverage in Vietnam. © Swiss School of Public Health (SSPH+) 2016 |
abstractGer |
Objectives The Vietnamese government is committed to universal health care largely through social health insurance. The near-poor population is entitled to subsidized but not free insurance under this scheme, but remains under-represented compared to other groups. The aims of this research were to estimate the health insurance coverage of the near-poor in rural Vietnam and identify the individual and household factors associated with health insurance status. Methods Rates of health insurance coverage were estimated from district-level administrative data. A cross-sectional survey was conducted in a representative sample of 2000 near-poor in Cao Lanh district, Dong Thap province, Vietnam. Face-to-face interviews were conducted with a standardized questionnaire. Multiple logistic regression was applied to identify the factors associated with insurance status. Results The insurance coverage of the near-poor in the selected communities was 20.3%. Enrollment in the health insurance scheme was significantly associated with poor health status (OR = 4.8, 95% CI = 2.4–9.8), good knowledge of health insurance (OR = 4.6, 95% CI = 3.4–6.2), interest in health insurance (OR = 30.1, 95% CI = 11.6–78.0), and the perceived cost of the insurance premium (OR = 2.4, 95% CI = 1.7–3.6). Conclusions The cost of insurance premiums is a barrier to enrollment. Information, education and communication campaigns together with modified insurance scheme for the near-poor are necessary to enhance insurance coverage in Vietnam. © Swiss School of Public Health (SSPH+) 2016 |
abstract_unstemmed |
Objectives The Vietnamese government is committed to universal health care largely through social health insurance. The near-poor population is entitled to subsidized but not free insurance under this scheme, but remains under-represented compared to other groups. The aims of this research were to estimate the health insurance coverage of the near-poor in rural Vietnam and identify the individual and household factors associated with health insurance status. Methods Rates of health insurance coverage were estimated from district-level administrative data. A cross-sectional survey was conducted in a representative sample of 2000 near-poor in Cao Lanh district, Dong Thap province, Vietnam. Face-to-face interviews were conducted with a standardized questionnaire. Multiple logistic regression was applied to identify the factors associated with insurance status. Results The insurance coverage of the near-poor in the selected communities was 20.3%. Enrollment in the health insurance scheme was significantly associated with poor health status (OR = 4.8, 95% CI = 2.4–9.8), good knowledge of health insurance (OR = 4.6, 95% CI = 3.4–6.2), interest in health insurance (OR = 30.1, 95% CI = 11.6–78.0), and the perceived cost of the insurance premium (OR = 2.4, 95% CI = 1.7–3.6). Conclusions The cost of insurance premiums is a barrier to enrollment. Information, education and communication campaigns together with modified insurance scheme for the near-poor are necessary to enhance insurance coverage in Vietnam. © Swiss School of Public Health (SSPH+) 2016 |
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Coverage of health insurance among the near-poor in rural Vietnam and associated factors |
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