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Record Nr. |
UNINA9910828282103321 |
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Autore |
Somanathan Aparnaa |
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Titolo |
Moving toward universal coverage of social health insurance in Vietnam : assessment and options / / Aparnaa Somanathan, Ajay Tandon, Huong Lan Dao, Kari Hurt, Hernan L. Fuenzalida-Puelma |
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Pubbl/distr/stampa |
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Washington, DC : , : The World Bank, , [2014] |
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ISBN |
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Edizione |
[1st ed.] |
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Descrizione fisica |
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1 online resource (pages cm) |
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Collana |
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Directions in development. |
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Disciplina |
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Soggetti |
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Health insurance - Vietnam |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Note generali |
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Description based upon print version of record. |
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Nota di bibliografia |
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Includes bibliographical references at the end of each chapters. |
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Nota di contenuto |
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Front Cover; Contents; Foreword; Acknowledgments; Abbreviations; Overview; Table O.1 Legislative and Regulatory Measures; Tables; Table O.2 Health Systems Strengthening Measures; Table O.3 Data and Information Gaps to Be Addressed; Chapter 1 Moving toward Universal Coverage? Assessing the Way Forward; Major Achievements and Shortcomings on the Path to Universal Coverage; Figure 1.1 Evolution of Social Health Insurance in Vietnam (1989-2020); Figures; Figure 1.2 Health Expenditure Trends and Composition (2000-11); Figure 1.3 Sources of Financing for SHI Revenues |
Figure 1.4 Physicians and Nurses to Population Ratios by Geographical Region (2002-11)Figure 1.5 Distribution of Health Professionals at the Commune Level; Figure 1.6 Share of Population Aged 65+ in Selected Countries (1950-2070); Government of Vietnam's Agenda for Moving toward Universal Coverage; A Guide to This Report; Table 1.1 Road Map for Health Insurance Law Revision; Figure 1.7 Functions of Health Financing; Methodology and Consultation Process; Notes; Table 1.2 Components of the Review; References; Chapter 2 Master Plan Goal 1: Increasing Enrollment Rates |
Understanding Where the Gaps in Coverage AreFigure 2.1 Enrollment Rates as a Share of the Population; Figure 2.2 Health Insurance Coverage by Economic Decile (2010); Boxes; Box 2.1 Survey of the Knowledge, Attitudes, and Behavior of Parents Related to the Use of SHI for Children Under Six Years of Age in Vietnam; Global Experiences with |
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Increasing Enrollment Rates and Coverage; Figure 2.3 Informal Employment and GDP Per Capita in 41 Countries; Box 2.2 The Role of General Revenues in Subsidizing Enrollment: The Global Experience |
Box 2.3 Challenges of Voluntary, Contributory-Based Enrollment in the Philippines and ThailandBox 2.4 Evidence That Tax Financing for the Informal Sector Increases Informality; Box 2.5 Experience with Family-Based Enrollment from the EAP Region; Box 2.6 The Role of Information, Education, and Communication in Expanding Coverage; Recommendations; Table 2.1 Simulations of the Incremental Costs of Covering All Eligible Families; Notes; References; Chapter 3 Master Plan Goal 2: Improving Financial Protection and Equity |
Implications of High Out-of-Pocket Payments for Financial Protection and EquityFigure 3.1 OOP Share of Total Health Spending and SHI Coverage in Vietnam (1995-2011); Figure 3.2 OOP Share of Spending in Vietnam and Other EAP Countries (2011); Figure 3.3 Total OOP Spending by Economic Decile (2010); Figure 3.4 Share of Poor Households Experiencing Catastrophic and Impoverishing OOPs; Table 3.1 Poorest and Richest Quintile Shares (Percent) of Total Utilization (2006-10) |
Table 3.2 Distribution (Percent) of Last Health Facility Used by Poverty Status, Ethnicity, and Health Insurance Coverage (2009) |
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Sommario/riassunto |
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Over the past two decades Vietnam has made enormous progress towards achieving universal coverage (UC) for its population. Significant challenges remain, however, in terms of improving equity with continuing low rates of enrollment. Ensuring financial protection also remains an elusive goal. The Master Plan for Universal Coverage approved in 2012 by the Prime Minister directly addresses both these deficiencies in coverage. The objective of this report is to assess the implementation of Vietnam SHI and provide options for moving towards UC. This is a joint assessment with development partners, |
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