ArticleHealth services insights2021
Factors Influencing the Vietnamese Older Persons in Choosing Healthcare Facilities.
Article in Health services insights, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- 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
- Can collaboration among health and social care workers play a role in addressing geriatric care challenges? A qualitative case study in Central Vietnam.International health · 2024Article
- Exploring the medical decision-making patterns and influencing factors among the general Chinese public: a binary logistic regression analysis.BMC public health · 2024Article
- Gaps and opportunities in addressing the needs of older adults in the Philippines and Vietnam: a qualitative exploration of health and social workers' experiences in urban care settings.Frontiers in public health · 2024Article
- Assessing the choice of National Health Insurance Fund contracted outpatient facilities in Kenya: A qualitative study.The International journal of health planning and management · 2023Article
- Health insurance ownership among female workers in Indonesia: does socioeconomic status matter?BMC public health · 2022Article
- Enablers and Barriers of Accessing Health Care Services among Older Adults in South-East Asia: A Scoping Review.International journal of environmental research and public health · 2022Article
- Hospital utilization in Indonesia in 2018: do urban-rural disparities exist?BMC health services research · 2022Article
- The Mediating Role of Social Support on Unmet Healthcare Needs in Vietnamese Older People During the COVID-19.Inquiry : a journal of medical care organization, provision and financingArticle
- Prevalence and Correlates of Mild Cognitive Impairment in Older Outpatients: A Cross-Sectional Study.Inquiry : a journal of medical care organization, provision and financingArticle
- Differences in Healthcare Services Utilization Between Urban and Rural Older Persons in Vietnam: Evidence from a National Survey.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe rapidly growing aging population poses major challenges for health systems in Vietnam. This study was therefore aimed to examine factors influencing the choices of healthcare facilities among older patients in Vietnam, using a national survey on older people.
methodsWe applied multinomial logistic regression models based on Andersen's Behavioral Model with various predisposing factors, enabling factors and healthcare-needs factors associated with different types of healthcare facilities where older patients utilized services. DATA: We used data from the Vietnam Aging Survey (VNAS) in 2011. This was the first-ever nationally representative survey on older persons in Vietnam.
resultsAmong those who used healthcare services, 15.1% visited central hospitals; 23.6% visited provincial hospitals; 28.0% visited district hospitals; 8.8% visited commune heath centres; 18.3% visited private hospitals/clinics; and 6.2% visited other facilities. The results showed that "having to pay cost" and "having sufficient income" were strong predictors for using commune health centres, district hospitals, and private facilities, while "having health insurance" was not a significant predictor for using these facilities. Also, we showed that apart from enabling factors (such as age, gender, educational levels, employment status, living regionand place of residence), predisposing factor (such as health insurance, perceived sufficient income, household wealth and having to pay medical cost) as well as need factors (such as self-rated health and chronic disease) were also associated with the choice of healthcare facilities.
conclusionsBased on the findings, we discussed the implications of the results for organizing healthcare finance and delivery to achieve efficiency and equity for older people in Vietnam.
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