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Nhan đề: The impact of economic growth on health care utilization: a longitudinal study in rural Vietnam.
Tác giả: Thoa, Nguyen Thi
Thanh, Nguyen Xuan
Chuc, Nguyen Thi
Lindholm, Lars
Từ khoá: Economic growth
Health care utilization
Household expenditure Vietnam
Tùng thư/Số báo cáo: Journal Article - Int J Equity Health;Volume 12
Tóm tắt: -- Introduction: In many developing countries, including Vietnam, out-of-pocket payment is the principal source of health financing. The economic growth is widening the gap between rich and poor people in many aspects, including health care utilization. While inequitiesin health between high- and low-income groups havebeen well investigated, this study aims to investigate how the health care utilization changes when the economiccondition is changing at a household level. -- Method: We analysed a panel data of 11,260 households in a rural district of Vietnam. Of the sample, 74.4% having an income increase between 2003 and 2007 were defined as households with economic growth. We used a double-differences propensity score matching technique to compare the changes in health care expenditure as percentage of total expenditure and health care utilization from 2003 to 2005, from 2003 to 2007, and from 2005 to 2007, between households with and without economic growth. -- Results: Households with economic growth spent less percentage of their expenditure for health care, but used more provincial/central hospitals (higher quality health care services) than households without economic growth. The differences were statistically significant. -- Conclusions: The results suggest that householdswith economic growth are better off also in terms of health services utilization. Efforts for reducing inequalities in health should therefore consider the inequality in income growth over time.
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Appears in Collections:Economic development

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