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自愿医疗保险对医疗保健利用和自付费用的影响:越南的新证据。

The impact of voluntary health insurance on health care utilization and out-of-pocket payments: new evidence for Vietnam.

机构信息

Indochina Research and Consulting, Hanoi, Vietnam.

出版信息

Health Econ. 2012 Aug;21(8):946-66. doi: 10.1002/hec.1768. Epub 2011 Jul 21.

DOI:10.1002/hec.1768
PMID:21780239
Abstract

Vietnam aims to achieve full coverage of health insurance in 2015. An increasing type of health insurance in Vietnam is voluntary health insurance. Although there are many studies on the implementation of voluntary health insurance in Vietnam, little is known on the causal impact of voluntary health insurance. This paper measures the impact of voluntary health insurance on health care utilization and out-of-pocket payments using Vietnam Household Living Standard Surveys in 2004 and 2006. It was found out that voluntary health insurance helps the insured people increase the annual outpatient and inpatient visits by around 45% and 70%, respectively. However, the effect of voluntary health insurance on out-of-pocket expenses on health care services is not statistically significant.

摘要

越南力争在 2015 年实现医疗保险全覆盖。越南日益普及的一种医疗保险是自愿医疗保险。尽管有许多关于越南实施自愿医疗保险的研究,但对自愿医疗保险的因果影响知之甚少。本文利用 2004 年和 2006 年越南家庭生活水平调查数据,衡量了自愿医疗保险对医疗服务利用和自付费用的影响。研究发现,自愿医疗保险帮助被保险人增加了每年的门诊和住院就诊次数,分别约为 45%和 70%。然而,自愿医疗保险对医疗服务自付费用的影响在统计上并不显著。

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