Vietnam : Learning from Smart Reforms on the Road to Universal Health Coverage

Barroy, Helene; Jarawan, Eva; Bales, Sarah

Vietnam : Learning from Smart Reforms on the Road to Universal Health Coverage

Autores

Barroy, Helene

Jarawan, Eva

Bales, Sarah

Editor

World Bank Group, Washington, DC

Descripción

Universal Health Coverage is a powerful framework for a nation aiming to protect their population against health risks. However, countries face multiple challenges in implementing, achieving and sustaining UHC strategies. Sharing and learning from diverse country experiences may enable to foster global and country progress toward that goal. The study seeks to contribute to the global effort of sharing potentially useful lessons to address policy concerns on the design and implementation of UHC strategies in LMICs. Vietnam is one of the LMICs that have taken relatively quick and effective actions to expand health coverage and improve financial protection in the last two decades. The country study, first, takes stock of UHC progress in Vietnam, examining both the breadth and the depth of health coverage and assessing financial protection and equity outputs (chapter one). Chapter two includes an in-depth analysis of some of the major success strategies and policy actions that the country took to expand health coverage and financial protection for all, including for the poor. Chapter three focuses on some of the UHC-related challenges that the country faces in pursuing expansion and sustaining UHC. Vietnam s experience suggests that, moving toward greater UHC outputs, the system must be constantly adjusted, and that UHC strategies must be adaptive, those used in the past to cover the formal sector and the poor may turn out inadequate to reach the uninsured in the informal sector.

Palabras clave

ABILITY TO PAY, ACCESS TO HEALTH CARE, ACCESS TO HEALTH SERVICES, ACCESS TO SERVICES, ADMINISTRATIVE COSTS, AGING, ANTENATAL CARE, ARTIFICIAL LIMBS, BASIC HEALTH CARE, BLOOD PRESSURE, BLOOD TESTS, BUDGET LAW, CANCER, CAPITATION, CAPITATION PAYMENT, CAPITATION SYSTEM, CATASTROPHIC HEALTH EXPENDITURE, CATASTROPHIC HEALTH SPENDING, CENTRAL BUDGET, CHILD HEALTH, CHILD HEALTH SERVICES, CITIZENS, CLEAN WATER, CLINICAL LABORATORY, CLINICAL PRACTICE, COMMUNICABLE DISEASES, CONTRIBUTION RATE, CONTRIBUTION RATES, COST CONTROL, COST SHARING, COST-EFFECTIVENESS, COSTS OF CARE, CURATIVE HEALTH CARE, DEBT, DELIVERY SYSTEM, DEMAND FOR SERVICES, DENTAL CARE, DEVELOPING COUNTRIES, DEVELOPMENT PLANS, DIABETES, DIALYSIS, DISABILITIES, DISADVANTAGED GROUPS, DISEASE CONTROL, DRUG LIST, DRUGS, EARLY DETECTION, ECONOMIC GROWTH, EMERGENCY SERVICES, EMPLOYMENT, ENTITLEMENT, EPIDEMICS, EXPENDITURES, FAMILIES, FAMILY PLANNING, FEE FOR SERVICE, FEE SCHEDULE, FINANCIAL INCENTIVES, FINANCIAL PROTECTION, FINANCIAL RESOURCES, FINANCIAL RISK, FOOD SAFETY, GLOBAL EFFORT, HEALTH CARE, HEALTH CARE COSTS, HEALTH CARE COVERAGE, HEALTH CARE FINANCING, HEALTH CARE PROVIDER, HEALTH CARE SERVICES, HEALTH CARE SYSTEM, HEALTH CARE SYSTEMS, HEALTH CENTERS, HEALTH COVERAGE, HEALTH EXPENDITURE, HEALTH EXPENDITURES, HEALTH FACILITIES, HEALTH FINANCING, HEALTH FINANCING SYSTEM, HEALTH INSURANCE, HEALTH INSURANCE FUNDS, HEALTH INSURANCE PROGRAM, HEALTH INSURANCE SCHEME, HEALTH ORGANIZATION, HEALTH OUTCOMES, HEALTH POLICY, HEALTH PROFESSIONALS, HEALTH PROMOTION, HEALTH PURCHASER, HEALTH REFORMS, HEALTH RISKS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICE DELIVERY, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH SPENDING SHARE, HEALTH STRATEGY, HEALTH SYSTEM, HEALTH SYSTEM PERFORMANCE, HEALTH SYSTEM REFORM, HEALTH SYSTEMS, HEALTH WORKERS, HEALTH WORKFORCE, HEALTHCARE, HEALTHCARE SYSTEM, HEARING AIDS, HEPATITIS B, HIV/AIDS, HOSPITAL AUTONOMY, HOSPITAL SERVICES, HOSPITALS, HOUSEHOLD EXPENDITURE, HUMAN RESOURCES, HYPERTENSION, IMMUNIZATION, INCIDENCE ANALYSIS, INCOME, INCOME COUNTRIES, INCOME ELASTICITY, INCOME GROUPS, INDUCED DEMAND, INFANT, INFANT MORTALITY, INFECTIOUS DISEASE CONTROL, INFECTIOUS DISEASES, INFORMAL PAYMENTS, INFORMAL SECTOR, INJURIES, INPATIENT ADMISSION, INPATIENT HOSPITAL, INPATIENT HOSPITAL SERVICES, INSURANCE PACKAGE, INSURANCE PREMIUMS, INSURANCE SCHEMES, INTEGRATION, LAWS, LEPROSY, LIVE BIRTHS, LIVING STANDARDS, LONG-TERM CARE, MEDICAL CARE, MEDICAL CARE COSTS, MEDICAL COSTS, MEDICAL DOCTORS, MEDICAL EDUCATION, MEDICAL EQUIPMENT, MEDICAL EXAMINATION, MEDICAL GOODS, MEDICAL SERVICES, MEDICAL TECHNOLOGIES, MEDICAL TRAINING, MEDICINES, MENTAL ILLNESS, MINISTRY OF HEALTH, MORBIDITY, MORTALITY, NATIONAL DEVELOPMENT, NATIONAL HEALTH, NATIONAL HEALTH INSURANCE, NATIONAL POLICIES, NURSES, NURSING, NUTRITION, OUTPATIENT SERVICES, PATIENT, PATIENT DEMAND, PATIENTS, PEDIATRICS, PHARMACISTS, PHYSICIAN, PHYSICIANS, POLICY PROCESS, POLICY RESEARCH, POPULATION GROUPS, PREVENTIVE CARE, PREVENTIVE HEALTH CARE, PRIMARY CARE, PRIVATE SECTOR, PRIVATE SERVICES, PRIVATE SPENDING, PROGRESS, PROSTITUTION, PROVIDER PAYMENT, PUBLIC EXPENDITURE, PUBLIC HEALTH, PUBLIC HEALTH PROGRAMS, PUBLIC HEALTH SPENDING, PUBLIC HOSPITAL, PUBLIC HOSPITALS, PUBLIC POLICY, PUBLIC SECTOR, PUBLIC SPENDING, PURCHASER-PROVIDER SPLIT, QUALITY OF CARE, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, REFERRALS, REHABILITATION, REPRODUCTIVE HEALTH, RESOURCE ALLOCATION, RISK ADJUSTMENT, SCREENING, SMOKING, SOCIAL AFFAIRS, SOCIAL HEALTH INSURANCE, SOCIAL INSURANCE, SOCIAL MOBILIZATION, SOCIAL SECURITY, SOCIAL SECURITY BENEFITS, SOCIAL WELFARE, SUSTAINABLE DEVELOPMENT, TUBERCULOSIS, UNDER-FIVE MORTALITY, UNIVERSAL HEALTH INSURANCE COVERAGE, USE OF HEALTH SERVICES, VACCINATION, VISITS, WORKERS, WORLD HEALTH ORGANIZATION