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Presence of Severe Injuries and Financial Burden of Hospitalization: A Case of Vietnam

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Organizations and Performance in a Complex World (IECS 2019)

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Abstract

Using Vietnam’s Household Living Standard Survey of 2014 and a multivariate regression analysis, this paper compares inpatient out-of-pocket (OOP) expenditure among individuals reporting at least one severe injury and those reporting no severe injuries during the 12 months preceding the survey (n = 2771). Presence of severe injuries is found to increase inpatient OOP expenditure by 60% and the increase in OOP expenditure is more pronounced for contacts at a central hospital (154.7%) than at a district hospital (45.4%). Our findings suggest that the financial protection of health insurance is modest, reducing OOP expenditure by 31.5% for a contact at a central hospital and by 44–50% for a contact at district and provincial/city hospitals. Measures should be taken to strengthen the injury care at the community level while broadening the breadth and depths of insurance coverage.

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References

  • Ameratunga, S., Hijar, M., & Norton, R. (2006). Road-traffic injuries: Confronting disparities to address a global-health problem. Lancet, 367, 1533–1540.

    Article  Google Scholar 

  • Chandran, A., Hyder, A., & Peek-Asa, C. (2010). The global burden of unintentional injuries and an agenda for progress. Epidemiologic Reviews, 32, 110–120.

    Article  Google Scholar 

  • Chinh, N., Lap, C., Heip, N., et al. (2007). Preliminary results of injury surveillance at Viet Duc hospital. The Thai Journal of Surgery, 28, 83–89.

    Google Scholar 

  • General Statistical Office. (2015). Vietnam household living standard survey 2014. Hanoi: Statistical Publishing House.

    Google Scholar 

  • Hoang, T. H., Pham, L. T., Vo, T., et al. (2008). The costs of traumatic brain injury due to motorcycle accidents in Hanoi. Vietnam. Cost Effectiveness and Resource Allocation, 6, 17.

    Article  Google Scholar 

  • Kumar, A., Dilip, R., Dandona, L., & Dandona, R. (2012). Burden of out-of-pocket expenditure for road traffic injuries in urban India. BMC Health Services Research, 12, 285.

    Article  Google Scholar 

  • Lao, Z., Gifford, M., & Dalal, K. (2012). Economic cost of childhood unintentional injuries. International Journal of Preventive Medicine, 5, 303–312.

    Google Scholar 

  • Lieberman, S., & Wagstaff, A. (2009). Health financing and delivery in Vietnam: Looking forward. In Health, nutrition, and population discussion paper series. Washington, DC: World Bank.

    Google Scholar 

  • Lim, S. J., Chung, W. J., & Cho, W. H. (2011). Economic burden of injuries in South Korea. Injury Prevention, 17, 291–296.

    Article  Google Scholar 

  • Lozano, R., Naghavi, M., Foreman, K., et al. (2012). Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the global burden of disease study 2010. Lancet, 380, 2095–2128.

    Article  Google Scholar 

  • Nguyen, T. L., Nguyen, T. H., Morita, S., & Sakamoto, J. (2008). Injury and pre-hospital trauma care in Hanoi, Vietnam. Injury, 39, 1026–1033.

    Article  Google Scholar 

  • Nguyen, H., Ivers, R., Jan, S., et al. (2013a). The economic burden of road traffic injuries: Evidence from a provincial general hospital in Vietnam. Injury Prevention, 19, 79–84.

    Article  Google Scholar 

  • Nguyen, H., Ivers, R., Jan, S., Martiniuk, A., & Pham, C. (2013b). The economic burden of road traffic injuries: Evidence from a provincial general hospital in Vietnam. Injury, 44, 684–690.

    Article  Google Scholar 

  • 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, 365–376.

    Article  Google Scholar 

  • Rous, J., & Hotchkiss, D. (2003). Estimation of the determinants of household health care expenditures in Nepal with controls for endogenous illness and provider choice. Health Economics, 12, 431–451.

    Article  Google Scholar 

  • Sepehri, A. (2014). Does autonomization of public hospitals and exposure to market pressure complement or debilitate social health insurance systems? Evidence from a low-income country. International Journal of Health Services, 44, 73–79.

    Article  Google Scholar 

  • Sepehri, A. (2013). How much do I save if I use my health insurance card when seeking outpatient care? Evidence from a low-income country. Health Policy and Planning, 29, 246–256.

    Article  Google Scholar 

  • Sepehri, A., Sarma, S., & Simpson, W. (2006). Does non-profit health insurance reduce financial burden? Evidence from the Vietnam living standards survey panel. Health Economics, 15, 603–616.

    Article  Google Scholar 

  • Somanathan, A., Tandon, A., Dao, H., et al. (2014). Moving toward universal coverage of social health Insurance in Vietnam - assessment and options. Washington, DC: World Bank.

    Book  Google Scholar 

  • Son, N. T., Thu, N. H., Tu, N. T., & Mock, C. (2007). Assessment of the status of resources for essential trauma care in Hanoi and Khanh Hoa Vietnam. Injury, 38, 1014–1022.

    Article  Google Scholar 

  • Stewart, B., Lafta, R., Cherewick, M., et al. (2016). Road traffic injuries in Baghdad from 2003 to 2014: Results of a randomised household cluster survey. Injury Prevention, 22, 321–327.

    Article  Google Scholar 

  • Su, T., Pakhrel, S., Gbangou, A., & Flessa, S. (2006). Determinants of household health expenditure on western institutional care. European Journal of Health Economics, 7, 199–207.

    Article  Google Scholar 

  • Thanh, N. X., Hang, H., Chuc, N. T., et al. (2006). Does “the injury poverty trap” exist? A longitudinal study in Bavi Vietnam. Health Policy, 78, 249–257.

    Article  Google Scholar 

  • Thanh, N. X., Hang, H. M., Chuc, N. T., & Lindholm, L. (2003). The economic burden of unintentional injuries: A community-based cost analysis in Bavi Vietnam. Scandinavian Journal of Public Health, 62, 45–51.

    Article  Google Scholar 

  • Wagstaff, A. (2010). Estimating health insurance impacts under unobserved heterogeneity: The case of Vietnam’s health Care Fund for the Poor. Health Economics, 19, 189–208.

    Article  Google Scholar 

  • Wang, W., Temsah, G., & Carter, E. (2016). Levels and Determinants of Out-of-Pocket Health Expenditures in the Democratic Republic of the Congo, Liberia, Namibia, and Rwanda, DHS analytical studies no. 59. Rockville, MD: ICF International.

    Google Scholar 

  • Wesson, H., Boikhutso, N., Bachani, A., Hofman, K., & Hyder, A. (2014). The cost of injury and trauma care in low- and middle-income countries: A review of economic evidence. Health Policy and Planning, 29, 795–808.

    Article  Google Scholar 

  • World Bank. (2007). Vietnam development report 2008: Social protection. Hanoi: World Bank.

    Book  Google Scholar 

  • World Health Organization (WHO). (2008). The global burden of disease: 2004 update. Geneva: World Health Organization.

    Google Scholar 

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Correspondence to Ardeshir Sepehri .

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Vu, P., Sepehri, A. (2021). Presence of Severe Injuries and Financial Burden of Hospitalization: A Case of Vietnam. In: Orăștean, R., Ogrean, C., Mărginean, S.C. (eds) Organizations and Performance in a Complex World. IECS 2019. Springer Proceedings in Business and Economics. Springer, Cham. https://doi.org/10.1007/978-3-030-50676-6_32

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