ArticleHealth research policy and systems2022
The influence of the National Health Insurance scheme of the Lao People's Democratic Republic on healthcare access and catastrophic health expenditures for patients with chronic renal disease, and the possibility of integrating organ transplantation into the health financing system.
Article in Health research policy and systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 11 citations in OpenAlex.
- Assessing intervention effects on healthcare-related financial protection in low- and middle-income countries: a rapid evidence review.Health policy and planning · 2026Review
- Equity in health insurance coverage among women with children under two years of age in Laos: a cross-sectional study of sociodemographic disparities and implications for universal health coverage.Journal of health, population, and nutrition · 2026Article
- Strategies for financial protection for patients with cancer or special diseases in the health system: A scoping review.Health research policy and systems · 2025Article
- Machine learning based classification of catastrophic health expenditures: a cross-sectional study of Korean low-income households.BMC health services research · 2025Article
- Trust in healthcare: methodological and conceptual insights from mixed-method research in Lao People's Democratic Republic.BMJ global health · 2024Article
- Do patients need additional coverage for chronic ailments? Insights from hospital data.Journal of education and health promotion · 2024Article
- Cost analysis of the management of end-stage renal disease patients in Abuja, Nigeria.Cost effectiveness and resource allocation : C/E · 2023Article
- Primary health care situations in remote rural villages of the Savannakhet province, Lao People's Democratic Republic.Tropical medicine and health · 2022Article
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2 authors at 1 institution in 1 country.
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Abstract
Citizens of the Lao People's Democratic Republic have difficulties in obtaining proper health services compared to more developed countries, due to the lack of available health facilities and health financing programmes. Haemodialysis (HD) is currently included under the coverage of the National Health Insurance (NHI) scheme. However, there are several technical barriers related to health service utilization. This study aims to analyse the effects of the Lao NHI on issues of accessibility and the possibility of encountering catastrophic health expenditures for patients with chronic kidney disease. In addition, the study provides policy recommendations for policy-makers regarding the provision of organ transplantation under NHI in the future. Savannakhet Province was purposively selected as a study site, where 342 respondents participated in the study. Two logistic regression models are used to assess the effectiveness of the NHI in terms of accessibility and financial protection against catastrophic health expenditures. The Andersen behavioural model is applied as a guideline to identify factors that affect accessibility and economic catastrophe. NHI is found to improve accessibility to health service utilization for household members with chronic kidney disease. However, due to the limited HD services, there are barriers to accessing health services and a risk of financial hardship due to nonmedical expenditures. Chronic conditions, in addition to kidney issues, dramatically increase the chances of suffering catastrophic health expenditures. In the short run, collaboration with neighbouring countries' hospitals through copayment programmes is strongly recommended for NHI's policy-makers. For long-term policy guidelines, the government should move forward to include kidney transplantation in the NHI healthcare system.
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