Thi Thuy Nga Nguyen, FitzGerald Gerard, Dunne Michael P
1 Hanoi University of Public Health, Hanoi, Vietnam.
2 Queensland University of Technology, Brisbane, Queensland, Australia.
Asia Pac J Public Health. 2018 Sep;30(6):512-520. doi: 10.1177/1010539518799785. Epub 2018 Sep 15.
The study aimed to assess willingness to pay for family-based social health insurance and its determining factors among informal workers in Vietnam. A double-bounded dichotomous choice approach was used to elicit the willingness to pay of 391 heads of uninsured households. The study indicates that 48.8% of 391 uninsured households were willing to pay for family-based health insurance. The households were willing to pay about 921.9 thousand Vietnamese dongs per household per year (US$42). The factors that significantly affected willingness to pay were household income, number of uninsured members in a household, and sickness of the household head. The study suggests that a feasible premium for family-based health insurance supported by government subsidy, along with attention to the quality improvements of health services, could be an effective means to increase coverage among the informal sector workers.
该研究旨在评估越南非正规就业人员为家庭社会医疗保险支付费用的意愿及其决定因素。采用双边界二分选择法来获取391户未参保家庭户主的支付意愿。研究表明，391户未参保家庭中有48.8%愿意为家庭医疗保险付费。这些家庭愿意每户每年支付约92.19万越南盾（42美元）。显著影响支付意愿的因素包括家庭收入、家庭中未参保成员数量以及户主的疾病情况。该研究表明，由政府补贴支持的家庭医疗保险可行保费，再加上对医疗服务质量提升的关注，可能是提高非正规部门工人参保率的有效手段。
