ArticleBMJ open2020
Impact of health insurance on healthcare utilisation patterns in Vietnam: a survey-based analysis with propensity score matching method.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Pooled it
- What improves access to primary healthcare services in rural communities? A systematic review.BMC primary care · 2022Pooled it
- Temporal Trends in Patient Choice of Outpatient Care Provider Among Vietnam's Insured Rural Residents, 2006-2020.The International journal of health planning and management · 2025Article
- The impact of periodic updates to health benefits plan: access gains without cost savings?International journal of health economics and management · 2025Article
- Effects of private health insurance on medical expenditure and health service utilization in South Korea: a quantile regression analysis.BMC health services research · 2023Article
- A cross-sectional analysis of the impact of health insurance on the use of health care in Rwanda.Heliyon · 2023Article
- Health facility utilization and Healthcare-seeking behaviour of the elderly population in India.Journal of family medicine and primary care · 2023Article
- Mental health of people with limited access to health services: a retrospective study of patients attending a humanitarian clinic network in Germany in 2021.BMC psychiatry · 2023Article
- Effectiveness and impact of community-based health insurance on health service utilization in northwest Ethiopia: a quasi-experimental evaluation.Frontiers in public health · 2023Article
- Article
- Direct Medical Costs of Tetanus, Dengue, and Sepsis Patients in an Intensive Care Unit in Vietnam.Frontiers in public health · 2022Article
- Utilisation of community care services and self-rated health among elderly population in China: a survey-based analysis with propensity score matching method.BMC public health · 2021Article
- Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe study aims to evaluate the impact of the Revised Health Insurance Law 2014 on the utilisation of outpatient and inpatient care services, healthcare services utilisation at different levels of providers, types of providers and types of visits across different entitlement groups. DESIGN/
settingSecondary data from two waves of the Vietnam Household Living Standard Survey (VHLSS) 2016, VHLSS 2014 were used. A cross-sectional study applying propensity score matching was conducted.
participantsA total of 4900 individuals who reported using healthcare services are analysed. OUTCOMES MEASURE: Numbers of outpatient and inpatient visits, frequency of healthcare service utilisation at commune health stations, district hospitals, provincial hospitals, public and private health facilities, number of visits at health facility for medical treatment and health checks per year.
resultsThe result indicates that health insurance (HI) policy increased the number of outpatient visits for the enrolled between 0.87 and 1.29. The greatest impact was found on participants of heavily subsidised health insurance (HSHI) programmes with 1.29 visits per person per year. Similarly, an increase between 0.08 and 0.16 in the number of inpatient admissions was because of participation in HI. With regard to type of healthcare providers, the study found that participation in HI has the most effect on the use of healthcare services at district hospitals. However, the study demonstrated that the impacts of HI on the increase in the frequency of visiting commune health stations, number of visits at the provincial hospital for HSHI groups, and number of visits at health facilities for health check and consultation were sensitive to unobserved characteristics.
conclusionOur findings imply that policy-makers in Vietnam could continue expanding health insurance coverage to increase access to healthcare services for citizens, especially vulnerable groups. In addition, the government should draw more attention to primary healthcare level.
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