Health Insurance for the Poor: Initial Impacts of Vietnam's Health Care Fund for the Poor

33 Pages Posted: 20 Apr 2016

See all articles by Adam Wagstaff

Adam Wagstaff

World Bank - Development Research Group (DECRG)

Date Written: February 1, 2007

Abstract

Vietnam's Health Care Fund for the Poor (HCFP) uses government revenues to finance health care for the poor, ethnic minorities living in selected mountainous provinces designated as difficult, and all households living in communes officially designated as highly disadvantaged. The program, which started in 2003, did not as of 2004 include all these groups, but those who were included (about 15 percent of the population) were disproportionately poor. Estimates of the program's impact-obtained using single differences and propensity score matching on a trimmed sample-suggest that HCFP has substantially increased service utilization, especially in-patient care, and has reduced the risk of catastrophic spending. It has not, however, reduced average out-of-pocket spending, and appears to have had negligible impacts on utilization among the poorest decile.

Keywords: Health Monitoring & Evaluation, Health Economics & Finance, Housing & Human Habitats, Health Law, Health Systems Development & Reform

Suggested Citation

Wagstaff, Adam, Health Insurance for the Poor: Initial Impacts of Vietnam's Health Care Fund for the Poor (February 1, 2007). World Bank Policy Research Working Paper No. 4134. Available at SSRN: https://ssrn.com/abstract=961760

Adam Wagstaff (Contact Author)

World Bank - Development Research Group (DECRG) ( email )

1818 H. Street, N.W.
MSN3-311
Washington, DC 20433
United States

HOME PAGE: http://econ.worldbank.org/staff/awagstaff

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