Health insurance for patients with HIV/AIDS in Vietnam: coverage and barriers

Abstract 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 wit...

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Main Authors: Quyen Le Thi Nguyen, Tuong Van Phan, Bach Xuan Tran, Long Hoang Nguyen, Chau Ngo, Huong Thi Thu Phan, Carl A. Latkin
Format: Article
Language:English
Published: BMC 2017-08-01
Series:BMC Health Services Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12913-017-2464-0
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spelling doaj-045cbbcf9583474d99096991064d52d12020-11-25T00:49:16ZengBMCBMC Health Services Research1472-69632017-08-0117111010.1186/s12913-017-2464-0Health insurance for patients with HIV/AIDS in Vietnam: coverage and barriersQuyen Le Thi Nguyen0Tuong Van Phan1Bach Xuan Tran2Long Hoang Nguyen3Chau Ngo4Huong Thi Thu Phan5Carl A. Latkin6Institute for Global Health Innovation, Duy Tan UniversityInstitute of Health Management, Hanoi University of Public HealthInstitute for Preventive Medicine and Public Health, Hanoi Medical UniversitySchool of Medicine and Pharmacy, Vietnam National UniversityJohns Hopkins Bloomberg School of Public HealthAuthority of HIV/AIDS Control, Ministry of HealthJohns Hopkins Bloomberg School of Public HealthAbstract 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.http://link.springer.com/article/10.1186/s12913-017-2464-0Health insuranceHIV/AIDSCoverage and barriersHealth financePolicy
collection DOAJ
language English
format Article
sources DOAJ
author Quyen Le Thi Nguyen
Tuong Van Phan
Bach Xuan Tran
Long Hoang Nguyen
Chau Ngo
Huong Thi Thu Phan
Carl A. Latkin
spellingShingle Quyen Le Thi Nguyen
Tuong Van Phan
Bach Xuan Tran
Long Hoang Nguyen
Chau Ngo
Huong Thi Thu Phan
Carl A. Latkin
Health insurance for patients with HIV/AIDS in Vietnam: coverage and barriers
BMC Health Services Research
Health insurance
HIV/AIDS
Coverage and barriers
Health finance
Policy
author_facet Quyen Le Thi Nguyen
Tuong Van Phan
Bach Xuan Tran
Long Hoang Nguyen
Chau Ngo
Huong Thi Thu Phan
Carl A. Latkin
author_sort Quyen Le Thi Nguyen
title Health insurance for patients with HIV/AIDS in Vietnam: coverage and barriers
title_short Health insurance for patients with HIV/AIDS in Vietnam: coverage and barriers
title_full Health insurance for patients with HIV/AIDS in Vietnam: coverage and barriers
title_fullStr Health insurance for patients with HIV/AIDS in Vietnam: coverage and barriers
title_full_unstemmed Health insurance for patients with HIV/AIDS in Vietnam: coverage and barriers
title_sort health insurance for patients with hiv/aids in vietnam: coverage and barriers
publisher BMC
series BMC Health Services Research
issn 1472-6963
publishDate 2017-08-01
description Abstract 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.
topic Health insurance
HIV/AIDS
Coverage and barriers
Health finance
Policy
url http://link.springer.com/article/10.1186/s12913-017-2464-0
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