LEADER 05316oam 22006255 450 001 9910786661003321 005 20230929175941.0 010 $a1-4648-0262-9 024 7 $a10.1596/978-1-4648-0261-4 035 $a(CKB)3710000000164928 035 $a(EBL)1757564 035 $a(MiAaPQ)EBC1757564 035 $a(Au-PeEL)EBL1757564 035 $a(CaPaEBR)ebr10888099 035 $a(CaONFJC)MIL633621 035 $a(OCoLC)880672275 035 $a(DNLM)101632742 035 $a(US-djbf)18155711 035 $a(EXLCZ)993710000000164928 100 $a20140515d2014 uf 0 101 0 $aeng 135 $aurcn||||||||| 181 $2rdacontent 182 $2rdamedia 183 $2rdacarrier 200 10$aMoving toward universal coverage of social health insurance in Vietnam $eassessment and options /$fAparnaa Somanathan, Ajay Tandon, Huong Lan Dao, Kari Hurt, Hernan L. Fuenzalida-Puelma 210 1$aWashington, DC :$cThe World Bank,$d[2014] 215 $a1 online resource (pages cm) 225 1 $aDirections in development. 300 $aDescription based upon print version of record. 311 $a1-4648-0261-0 320 $aIncludes bibliographical references at the end of each chapters. 327 $aFront 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 327 $aFigure 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 327 $aUnderstanding 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 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 327 $aBox 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 327 $aImplications 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) 327 $aTable 3.2 Distribution (Percent) of Last Health Facility Used by Poverty Status, Ethnicity, and Health Insurance Coverage (2009) 330 $aOver the past two decades Vietnam has made enormous progress towards achieving universal coverage (UC) for its population. Significant challenges remain, however, in terms of improving equity with continuing low rates of enrollment. Ensuring financial protection also remains an elusive goal. The Master Plan for Universal Coverage approved in 2012 by the Prime Minister directly addresses both these deficiencies in coverage. The objective of this report is to assess the implementation of Vietnam SHI and provide options for moving towards UC. This is a joint assessment with development partners, 410 0$aDirections in development (Washington, D.C.). 410 0$aWorld Bank e-Library. 606 $aHealth insurance$zVietnam 615 0$aHealth insurance 676 $a368.38/2009597 700 $aSomanathan$b Aparnaa$01510879 702 $aSomanathan$b Aparnaa 702 $aHorner$b Jeremy 702 $aNaylor$b Debra 712 02$aWorld Bank, 801 0$bDNLM/DLC 801 1$bDLC 906 $aBOOK 912 $a9910786661003321 996 $aMoving toward universal coverage of social health insurance in Vietnam$93743784 997 $aUNINA