TITLE

Household out-of-pocket payments for illness: Evidence from Vietnam

AUTHOR(S)
Nguyen Bich Thi Thuan; Lofgren, Curt; Nguyen Kim Thi Chuc; Janlert, Urban; Lindholm, Lars
PUB. DATE
January 2006
SOURCE
BMC Public Health;2006, Vol. 6, p283
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: In Vietnam, illnesses create high out-of-pocket health care expenditures for households. In this study, the burden of illness in the Bavi district, Vietnam is measured based upon individual household health expenditures for communicable and non-communicable illnesses. The focus of the paper is on the relative effect of different illnesses on the total economic burden of health care on households in general and on households that have catastrophic health care spending in particular. Methods: The study was performed by twelve monthly follow-up interviews of 621 randomly selected households. The households are part of the FilaBavi project sample -- Health System Research Project. The heads of household were interviewed at monthly intervals from July 2001 to June 2002. Results: For the population in the Bavi district, communicable illnesses predominate among the episodes of illness and are the reason for most household health care expenditure. This is the case for almost all groups within the study and for the study population as a whole. However, communicable illnesses are more dominant in the poor population compared to the rich population, and are more dominant in households that have very large, or catastrophic, health care expenditure, compared to those without such expenditures. Conclusion: The main findings indicate that catastrophic health care spending for a household is not usually the result of one single disastrous event, but rather a series of events and is related more to "every-day illnesses" in a developing country context than to more spectacular events such as injuries or heart illnesses.
ACCESSION #
29362420

 

Related Articles

  • Chapter 42: UNDERSTANDING HOUSEHOLD CATASTROPHIC HEALTH EXPENDITURES: A MULTI-COUNTRY ANALYSIS. Ke Xu; Evans, David B.; Kawabata, Kei; Zeramdini, Riadh; Klavus, Jan; Murray, Christopher J. L. // Health Systems Performance Assessment;2003, p565 

    Chapter 42 of the book "Health Systems Performance Assessment" is presented. The chapter explores the conditions under which catastrophic health expenditures occur more frequently taking advantage of the increasing household income and expenditure surveys that are available. It defines...

  • Catastrophic and impoverishing effects of out-of-pocket payments for health care in Albania: evidence from Albania Living Standards Measurement Surveys 2002, 2005 and 2008. Tomini, Sonila M; Packard, Truman G; Tomini, Florian // Health Policy & Planning;Jul2013, Vol. 28 Issue 4, p419 

    The absence of or poorly functioning risk pooling mechanisms and high amounts of out-of-pocket payments for health care expose households to financial risks associated with major illnesses or accidents. The aim of this article is to analyse the extent to which out-of-pocket health spending...

  • Demographic Change and Catastrophic Health Expenditure in India. Dhak, Biplab // Social Indicators Research;Jul2015, Vol. 122 Issue 3, p723 

    This paper focuses on the magnitude and changes in out-of-pocket (OOP) health care expenditure taking into account demographic transition, through which India has been going, using National Sample Survey data. With the very high levels of OOP expenditure, it is observed that OOP expenditure has...

  • Measurement and explanation of socioeconomic inequality in catastrophic health care expenditure: evidence from the rural areas of Shaanxi Province. Yongjian Xu; Jianmin Gao; Zhongliang Zhou; Qinxiang Xue; Jinjuan Yang; Hao Luo; Yanli Li; Sha Lai; Gang Chen // BMC Health Services Research;Jul2015, Vol. 15 Issue 1, p1 

    Background: Policy interventions have been taken to protect households from facing unpredictable economic changes that may cause catastrophe in China. This study aims to estimate the change of overall proportion of households incurring catastrophic health care expenditure (CHE) and its...

  • Catastrophic health expenses and impoverishment of households of patients with rheumatoid arthritis. Álvarez-Hernández, Everardo; Peláez-Ballestas, Ingris; Boonen, Annelies; Vázquez-Mellado, Janitzia; Hernández-Garduño, Adolfo; Rivera, Fernando Carlos; Teran-Estrada, Leobardo; Ventura-Ríos, Lucio; Ramos-Remus, César; Skinner-Taylor, Cassandra; Goycochea-Robles, Maria Victoria; Bernard-Medina, Ana Guislaine; Burgos-Vargas, Rubén // Reumatologia Clinica;jul/ago2012, Vol. 8 Issue 4, p168 

    Background: The cost of certain diseases may lead to catastrophic expenses and impoverishment of households without full financial support by the state and other organizations. Objective: To determine the socioeconomic impact of the rheumatoid arthritis (RA) cost in the context of catastrophic...

  • An Estimation of Private Household Costs to Receive Free Oral Cholera Vaccine in Odisha, India. Mogasale, Vittal; Kar, Shantanu K.; Kim, Jong-Hoon; Mogasale, Vijayalaxmi V.; Kerketta, Anna S.; Patnaik, Bikash; Rath, Shyam Bandhu; Puri, Mahesh K.; You, Young Ae; Khuntia, Hemant K.; Maskery, Brian; Wierzba, Thomas F.; Sah, Binod // PLoS Neglected Tropical Diseases;9/9/2015, Vol. 9 Issue 9, p1 

    Background: Service provider costs for vaccine delivery have been well documented; however, vaccine recipients’ costs have drawn less attention. This research explores the private household out-of-pocket and opportunity costs incurred to receive free oral cholera vaccine during a mass...

  • Product in focus CRITICAL ILLNESS. Wilkinson, Amanda // Employee Benefits;Mar2008, p66 

    The article discusses the critical illness insurance policy schemes offered by employers Great Britain. Some insurers offer a core level of cover at a set premium, which can be extended to include extra conditions for a higher premium. The Association of British Insurers has published model...

  • Household catastrophic health expenditure: evidence from Georgia and its policy implications. Gotsadze, George; Zoidze, Akaki; Rukhadze, Natia // BMC Health Services Research;2009, Vol. 9, Special section p1 

    Background: To quantify extent of catastrophic household health expenditures, determine factors influencing it and estimate Fairness in Financial Contribution (FFC) index in Georgia to establish the baseline for expected reforms and contribute to the design and fine-tuning of the major reforms...

  • Critical economics of life and death: Intense + Expensive care = Intensive care? Ramakrishnan, Nagarajan // Indian Journal of Critical Care Medicine;Mar/Apr2013, Vol. 17 Issue 2, p87 

    The author reflects on the healthcare costs in a resource-limited settings serving a price-sensitive population. He states that inpatient hospital expenditures account 27-31% of medicare expenses in the U.S. Furthermore, he also mentions that providing intensive care for elderly and critical ill...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics