Vietnam Healthcare Expenditure

Cover Page

Cite item

Full Text

Abstract

Household health expenditure is important in shaping human capital for developing countries, including Vietnam. This study aims to examine the factors affecting household health expenditure in Vietnam. The study used a combination of descriptive and multivariate regression analysis based on the Vietnam Household Living Standards Survey (VHLSS) 2016. As a result of the regression analysis, demographic factors such as gender, ethnicity, age, education level, and region are the most important determinants of healthcare spending in Vietnam. This result is similar to other studies conducted in Vietnam and other countries. For developing countries including Vietnam, the determinants of personal health expenditure raise several issues that need to be addressed by health planners. Some policy implications are suggested, including (i) improving the health care system in rural areas, (ii) strengthening the existing social safety net for the elderly, and (iii) developing health insurance covering the entire population.

About the authors

Phuong Hung Vu

National Economics University

Author for correspondence.
Email: phuongvh@neu.edu.vn
ORCID iD: 0000-0002-5342-6975

Ph.D. (Economics), Lecturer

Viet Nam, Hanoi

Linh Thi Thuy Tran

Thang Long University

Email: linhttt@thanglong.edu.vn
ORCID iD: 0009-0000-1296-6871

Ph.D. (Economics), Lecturer

Viet Nam, Hanoi

References

  1. Aparnaa, S.A.T., Dao, L.H., Kari L.H., & Hernan L.F. (2014) Moving towards universal health insurance coverage in Vietnam: Assessment and Solutions. World Bank. https://doi.org/10.1596/978-1-4648-0261-4
  2. Do, T.P.L., Nguyen, T.L., Tran, T.B.V., & Vu, T.N. (2001) Health, 171-184, in: D. Haughton, J. Haughton & Nguyen Phong (Eds.). Living Standards During an Economic Boom: The Case of Vietnam. Hanoi: Statistical Publishing House and UNDP.
  3. General Statistics Office (2016). Vietnam Household Living Standard Survey 2014. Statistical Publishing House.
  4. Grossman, M. (1972) On the Concept of Health Capital and the Demand for Health. The Journal of Political Economy, 80 (2): 223–255. https://doi.org/10.1086/259880
  5. Hoang, V. M., Phuong, K.N.T., Saksena, P., James, C.D,, & Xu, K. (2013). The financial burden of household out-of-pocket health expenditure in Vietnam: findings from the national living standard survey 2002- 2010. Social Science and Medicine, 96: 258–263. https://doi.org/10.1016/j.socscimed.2012.11.028
  6. Vu Duy Kien, Hoang Van Minh, Giang, Kim Bao Giang, Dao, A., Le.Thanh Tuan, & Nguyen N. (2016) Socioeconomic inequalities in catastrophic health expenditure and impoverishment associated with non-communicable diseases in urban Hanoi, Vietnam. International Journal for Equity in Health, 15: 169–178. https://doi.org/10.1186/s12939-016-0460-3
  7. Kynn, I.K., Amonov, M., Myo, O., & Nobuyuki, H. (2015) Healthcare expenditure of households in Magway, Myanmar. Nagoya J Med Sci., 77(1-2): 203–212.
  8. Lahga, A.E. (2001). Demand for Health Services in Tunisia: Equity in the Delivery of Health Services. Faculté de Droit et des Sciences Economiques et Politiques de Sousse Tunisie.
  9. Nguyen Thi Minh, Hoang Bich Phuong, & Nguyen Thi Thao. (2012) The Impact of Asymmetric Information in Vietnam's Health Insurance: An Empirical Analysis. Journal of Economics and Development, 14 (3): 5–21. https://doi.org/ 10.33301/2012.14.03.01
  10. Ministry of Health (2018). General Report overview of the health sector in 2016: Towards the goal of healthy aging in Vietnam. Hanoi Medical Publishing House, Vietnam.
  11. Mocan, H.N., Tekin, E. & Zax, J. S. (2000) The Demand for Medical Care in Urban China. NBER Working Paper 7673. https://doi.org/10.1016/j.worlddev.2003.07.006
  12. Nguyen Viet Cuong (2012). The impact of voluntary health insurance on healthcare utilization and out-of-pocket payments: new evidence for Vietnam. Health Economics, 21(8): 946-966. https://doi.org/10.1002/hec.1768
  13. Okunade, A.A., Suraratdecha C., & Benson, D.A. (2010) Determinants of Thailand household healthcare expenditure: the relevance of permanent resources and other correlates. Health Economics, 19(3): 365–376. https://doi.org/: 10.1002/hec.1471
  14. Sepehri, A., & Vu, P.H. (2019) Severe injuries and household catastrophic health expenditure in Vietnam: findings from the Household Living Standard Survey 2014. Public Health, 174: 145–153. https://doi.org/10.1016/j.puhe.2019.06.006
  15. Sepehri, A., Nguyen, K.M & Vu, P.H.(2023). Challenges in moving toward universal health coverage: rising cost of outpatient care among Vietnam's insured rural residents, 2006-2018. Public Health, 215: 56–65. https://doi.org/10.1016/j.puhe.2022.12.002
  16. Trivedi, P.K. & Hall, W. (2002) Patterns of Healthcare Utilization in Vietnam: Analysis of 1997-98 Vietnam Living Standards Survey Data. Department of Economics, Indiana University, Bloomington, IN 47405, USA. https://doi.org/10.1596/1813-9450-2775
  17. Worldbank (2017). Annual Report 2017.
  18. Xu, Y., Ma, J., Wu, N., Fan, X., Zhang, T., Zhou, Z., Gao, J., Ren, J., & Chen, G. (2018) Catastrophic health expenditure in households with chronic disease patients: A pre-post comparison of the New Health Care Reform in Shaanxi Province, China. PLOS ONE, 13,3, e0194539. https://doi.org/10.1371/journal.pone.0194539

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig 1. Spending on healthcare by demographic factors. Source: compilations by authors based on VHLSS 2016

Download (30KB)

Copyright (c) 2024 Vu P.H., Tran L.T.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).