Vietnam : Learning from Smart Reforms on the Road to Universal Health Coverage

Universal Health Coverage is a powerful framework for a nation aiming to protect their population against health risks. However, countries face multiple challenges in implementing, achieving and sustaining UHC strategies. Sharing and learning from...

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Bibliographic Details
Main Authors:	Barroy, Helene, Jarawan, Eva, Bales, Sarah
Format:	Working Paper
Language:	English en_US
Published:	World Bank Group, Washington, DC 2014
Subjects:	ABILITY TO PAY ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ACCESS TO SERVICES ADMINISTRATIVE COSTS AGING ANTENATAL CARE ARTIFICIAL LIMBS BASIC HEALTH CARE BLOOD PRESSURE BLOOD TESTS BUDGET LAW CANCER CAPITATION CAPITATION PAYMENT CAPITATION SYSTEM CATASTROPHIC HEALTH EXPENDITURE CATASTROPHIC HEALTH SPENDING CENTRAL BUDGET CHILD HEALTH CHILD HEALTH SERVICES CITIZENS CLEAN WATER CLINICAL LABORATORY CLINICAL PRACTICE COMMUNICABLE DISEASES CONTRIBUTION RATE CONTRIBUTION RATES COST CONTROL COST SHARING COST-EFFECTIVENESS COSTS OF CARE CURATIVE HEALTH CARE DEBT DELIVERY SYSTEM DEMAND FOR SERVICES DENTAL CARE DEVELOPING COUNTRIES DEVELOPMENT PLANS DIABETES DIALYSIS DISABILITIES DISADVANTAGED GROUPS DISEASE CONTROL DRUG LIST DRUGS EARLY DETECTION ECONOMIC GROWTH EMERGENCY SERVICES EMPLOYMENT ENTITLEMENT EPIDEMICS EXPENDITURES FAMILIES FAMILY PLANNING FEE FOR SERVICE FEE SCHEDULE FINANCIAL INCENTIVES FINANCIAL PROTECTION FINANCIAL RESOURCES FINANCIAL RISK FOOD SAFETY GLOBAL EFFORT HEALTH CARE HEALTH CARE COSTS HEALTH CARE COVERAGE HEALTH CARE FINANCING HEALTH CARE PROVIDER HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CENTERS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FINANCING SYSTEM HEALTH INSURANCE HEALTH INSURANCE FUNDS HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROMOTION HEALTH PURCHASER HEALTH REFORMS HEALTH RISKS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPECIALIST HEALTH SPENDING SHARE HEALTH STRATEGY HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEM REFORM HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HEALTHCARE HEALTHCARE SYSTEM HEARING AIDS HEPATITIS B HIV/AIDS HOSPITAL AUTONOMY HOSPITAL SERVICES HOSPITALS HOUSEHOLD EXPENDITURE HUMAN RESOURCES HYPERTENSION IMMUNIZATION INCIDENCE ANALYSIS INCOME INCOME COUNTRIES INCOME ELASTICITY INCOME GROUPS INDUCED DEMAND INFANT INFANT MORTALITY INFECTIOUS DISEASE CONTROL INFECTIOUS DISEASES INFORMAL PAYMENTS INFORMAL SECTOR INJURIES INPATIENT ADMISSION INPATIENT HOSPITAL INPATIENT HOSPITAL SERVICES INSURANCE PACKAGE INSURANCE PREMIUMS INSURANCE SCHEMES INTEGRATION LAWS LEPROSY LIVE BIRTHS LIVING STANDARDS LONG-TERM CARE MEDICAL CARE MEDICAL CARE COSTS MEDICAL COSTS MEDICAL DOCTORS MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL EXAMINATION MEDICAL GOODS MEDICAL SERVICES MEDICAL TECHNOLOGIES MEDICAL TRAINING MEDICINES MENTAL ILLNESS MINISTRY OF HEALTH MORBIDITY MORTALITY NATIONAL DEVELOPMENT NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL POLICIES NURSES NURSING NUTRITION OUTPATIENT SERVICES PATIENT PATIENT DEMAND PATIENTS PEDIATRICS PHARMACISTS PHYSICIAN PHYSICIANS POLICY PROCESS POLICY RESEARCH POPULATION GROUPS PREVENTIVE CARE PREVENTIVE HEALTH CARE PRIMARY CARE PRIVATE SECTOR PRIVATE SERVICES PRIVATE SPENDING PROGRESS PROSTITUTION PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH PROGRAMS PUBLIC HEALTH SPENDING PUBLIC HOSPITAL PUBLIC HOSPITALS PUBLIC POLICY PUBLIC SECTOR PUBLIC SPENDING PURCHASER-PROVIDER SPLIT QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE REFERRALS REHABILITATION REPRODUCTIVE HEALTH RESOURCE ALLOCATION RISK ADJUSTMENT SCREENING SMOKING SOCIAL AFFAIRS SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SOCIAL MOBILIZATION SOCIAL SECURITY SOCIAL SECURITY BENEFITS SOCIAL WELFARE SUSTAINABLE DEVELOPMENT TUBERCULOSIS UNDER-FIVE MORTALITY UNIVERSAL HEALTH INSURANCE COVERAGE USE OF HEALTH SERVICES VACCINATION VISITS WORKERS WORLD HEALTH ORGANIZATION
Online Access:	http://documents.worldbank.org/curated/en/2014/08/20285736/vietnam-learning-smart-reforms-road-universal-health-coverage http://hdl.handle.net/10986/20739

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Summary:	Universal Health Coverage is a powerful framework for a nation aiming to protect their population against health risks. However, countries face multiple challenges in implementing, achieving and sustaining UHC strategies. Sharing and learning from diverse country experiences may enable to foster global and country progress toward that goal. The study seeks to contribute to the global effort of sharing potentially useful lessons to address policy concerns on the design and implementation of UHC strategies in LMICs. Vietnam is one of the LMICs that have taken relatively quick and effective actions to expand health coverage and improve financial protection in the last two decades. The country study, first, takes stock of UHC progress in Vietnam, examining both the breadth and the depth of health coverage and assessing financial protection and equity outputs (chapter one). Chapter two includes an in-depth analysis of some of the major success strategies and policy actions that the country took to expand health coverage and financial protection for all, including for the poor. Chapter three focuses on some of the UHC-related challenges that the country faces in pursuing expansion and sustaining UHC. Vietnam s experience suggests that, moving toward greater UHC outputs, the system must be constantly adjusted, and that UHC strategies must be adaptive, those used in the past to cover the formal sector and the poor may turn out inadequate to reach the uninsured in the informal sector.

Vietnam : Learning from Smart Reforms on the Road to Universal Health Coverage

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