Evidence map›Paper›PMID 25095780›Full record

ArticleGlobal health action2014

Horizontal inequity in public health care service utilization for non-communicable diseases in urban Vietnam.

Vu Duy Kien, Hoang Van Minh, Kim Bao Giang, Lars Weinehall, Nawi Ng

Open access · goldAbstract read
In one paragraph

Article in Global health action, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Horizontal Inequity in Health Care Utilization among the Middle-Aged and Elderly in China.International journal of environmental research and public health · 2017
    Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Vu Duy KienCenter for Health System Research, Hanoi Medical University, Hanoi, Vietnam; Department of Public Health and Clinical Medicine, Unit of Epidemiology and Global Health, Umeå University, Umeå, Sweden; vuduykien@gmail.com.
Hoang Van MinhCenter for Health System Research, Hanoi Medical University, Hanoi, Vietnam; Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
Kim Bao GiangCenter for Health System Research, Hanoi Medical University, Hanoi, Vietnam; Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
Lars WeinehallDepartment of Public Health and Clinical Medicine, Unit of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Nawi NgDepartment of Public Health and Clinical Medicine, Unit of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Hanoi Medical University · VNUmeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA health system that provides equitable health care is a principal goal in many countries. Measuring horizontal inequity (HI) in health care utilization is important to develop appropriate and equitable public policies, especially policies related to non-communicable diseases (NCDs).

designA cross-sectional survey of 1,211 randomly selected households in slum and non-slum areas was carried out in four urban districts of Hanoi city in 2013. This study utilized data from 3,736 individuals aged 15 years and older. Respondents were asked about health care use during the previous 12 months; information included sex, age, and self-reported NCDs. We assessed the extent of inequity in utilization of public health care services. Concentration indexes for health care utilization and health care needs were constructed via probit regression of individual utilization of public health care services, controlling for age, sex, and NCDs. In addition, concentration indexes were decomposed to identify factors contributing to inequalities in health care utilization.

resultsThe proportion of healthcare utilization in the slum and non-slum areas was 21.4 and 26.9%, respectively. HI in health care utilization in favor of the rich was observed in the slum areas, whereas horizontal equity was achieved among the non-slum areas. In the slum areas, we identified some key factors that affect the utilization of public health care services.

conclusionOur results suggest that to achieve horizontal equity in utilization of public health care services, policy should target preventive interventions for NCDs, focusing more on the poor in slum areas.

Indexed as

Chronic DiseaseHealthcare DisparitiesUrban HealthAdolescentAdultAlgorithmsCross-Sectional StudiesFemaleHealth ServicesHumansMaleMiddle AgedSocial ClassSurveys and QuestionnairesVietnamYoung Adultdecompositionhealthcare utilizationhorizontal equitynon-communicable diseasesurban Vietnam

Identifiers

PMID25095780
PMCPMC4122820
OpenAlexW2127944969

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.