Please use this identifier to cite or link to this item: http://dspace.agu.edu.vn:8080/handle/AGU_Library/8530
Nhan đề: Health insurance for patients with HIV/AIDS in Vietnam: coverage and barriers.
Tác giả: Quyen, Nguyen Thi Le
Tuong, Phan Van
Long, Nguyen Hoang
Bach, Tran Xuan
Chau, Ngo
Latkin, Carl A.
Huong, Phan Thi Thu
Từ khoá: Health insurance
Coverage and barriers
HIV/AIDS
Health finance
Policy
Năm xuất bản: 2017
Tùng thư/Số báo cáo: BMC Health Services Research;Volume 17, 519 Pages
Tóm tắt: Background Health insurance (HI) plays an important role in ensuring the financial equity by the risk pooling mechanism and reducing the economic burden of healthcare for HIV/AIDS patients. However, there is a lack of evidence to clearly understand HI coverage in regard to people living with HIV (PLWH). We conducted this study to explore the coverage and barriers of HI among PLWH in Vietnam. Methods A cross- sectional study was conducted in multi-sites including 3 hospitals and 5 outpatient clinics in Hanoi and Nam Dinh in 2013. A convenience sampling approach was used to recruit the participants. A structured questionnaire was used to examine current status of using HI, lacking information about HI, feeling difficulties in accessing, using and paying HI. Multivariate logistic regression was conducted to examine factors associated with HI use and barriers. Results Among 1133 HIV/AIDS patients, the coverage of HI was 46.0%. About 36.4% lacked information about HI, 21.0% felt difficulty in accessing HI. Meanwhile, the proportions of patients feeling difficulty in using HI and paying HI were 19.9 and 18.6%, respectively. Multivariate regression found that lacking information about HI and feeling difficulty in accessing HI were main barriers of having HI among PLWH. Conclusion This study found a high proportion of PLWH was not covered by HI. Lacking information about HI and feeling difficulty in accessing HI were primary barriers that should be resolved via timely educational campaigns and consultations as well as supports from families in order to expand effectively the HI coverage.
Định danh: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5543590/pdf/12913_2017_Article_2464.pdf
http://dspace.agu.edu.vn:8080/handle/AGU_Library/8530
Appears in Collections:Health care

Files in This Item:
File Description SizeFormat 
Health insurance for patients.pdf509,92 kB  Download


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.