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Nhan đề: Increasing HIV infected patients’ readiness for social health in-surance to cover partial antiretroviral therapy fee in Vietnam
Tác giả: Thanh, Tran Chi
An, Ngo Van
Van, Pham Tuong
Từ khoá: Antiretroviral Therapy (ART)
Patient’s readiness
Social health insurance
Viet Nam
Năm xuất bản: 23-May-2017
Tùng thư/Số báo cáo: Current Research on HIV/AIDS;Vol. 2017, No. 3, pp. 1 - 4
Tóm tắt: Background: HIV response in low and middle-income countries has been largely funded by international donors and gov-ernments. Currently, international funds were declined by almost 13% between 2014 and 2015. Vietnam Ministry of Health has applied this approach with health insurance as a co-payment mechanism with patients to cover Antiretroviral Therapy fee when international funds will be phased out completely by the end of year 2018. Study Objectives: Our study aimed to assess the social health insurance coverage proportion after the consultancy program provided by nurses and describe factors influencing the patients’readiness in order to accelerate this policy in Vietnam. Study Method: Cross sectional study with designed questionnaire on 569 patients under ART for social health insurance readiness at Bach Mai outpatient clinic. Results: Of 569 selected patients, the proportion of having social health insurance card was 87.8%, of pending 4.7%, of un affords ability 7.5%. The pending was assumed as having social health insurance card, the patient’s readiness for social health insurance card was increased from 72% to 92.5% after consultancy program. Patients who do not work for companies have higher rate of not having social health insurance card compare to patients working for companies (8.6% vs. 1.4%). Patients with “under high school” education level have higher rate of not having social health insurance card compare to patients with “high school & above” (9 % vs. 2.6%). Conclusion: Consultancy program provided by nurses helps to increase HIV-infected patients’ readiness for social health insurance. The two key factors associated to patient’s readiness were job kinds relevant to optional / volunteer social health insurance and “Under High School” education level. The consultancy program should be done frequently to keep patients attached to treatment and overcome two associated factors to the readiness for social health insurance.
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