Advanced

Health insurance reform in Vietnam: a review of recent developments and future challenges.

Ekman, Björn LU ; Liem, Nguyen Thanh; Duc, Ha Anh and Axelson, Henrik (2008) In Health Policy and Planning 23. p.252-263
Abstract
Vietnam is undertaking health financing reform with a view to achieve universal coverage of health insurance within the coming years. To date, around half of the population is covered with some type of health insurance or prepayment. This review applies a conceptual framework of health financing to provide a coherent assessment of the reforms to date with respect to a set of key policy objectives of health financing, including financial sustainability, efficiency in service provision, and equity in health financing. Based on the assessment, the review discusses the main implications of the reforms focusing on achievements and remaining challenges, the nature of the Vietnamese reforms in an international perspective, and the role of the... (More)
Vietnam is undertaking health financing reform with a view to achieve universal coverage of health insurance within the coming years. To date, around half of the population is covered with some type of health insurance or prepayment. This review applies a conceptual framework of health financing to provide a coherent assessment of the reforms to date with respect to a set of key policy objectives of health financing, including financial sustainability, efficiency in service provision, and equity in health financing. Based on the assessment, the review discusses the main implications of the reforms focusing on achievements and remaining challenges, the nature of the Vietnamese reforms in an international perspective, and the role of the government. The main lessons from the Vietnamese experiences, from which other reforming countries may draw, are the need for sustained resource mobilization, comprehensive reform involving all functions of the health financing system, and to adopt a long-term view of health insurance reform. Future analysis should include continued evaluation of the reforms in terms of impacts on key outcomes and the political dimensions of health reform. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Health Policy and Planning
volume
23
pages
252 - 263
publisher
Oxford University Press
external identifiers
  • wos:000256977900004
  • pmid:18424793
  • scopus:45849130094
ISSN
0268-1080
DOI
10.1093/heapol/czn009
language
English
LU publication?
yes
id
55f3cfb4-658e-4e06-9aca-6d5872a094f5 (old id 1147212)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18424793?dopt=Abstract
date added to LUP
2008-05-08 11:12:06
date last changed
2017-10-29 04:31:22
@article{55f3cfb4-658e-4e06-9aca-6d5872a094f5,
  abstract     = {Vietnam is undertaking health financing reform with a view to achieve universal coverage of health insurance within the coming years. To date, around half of the population is covered with some type of health insurance or prepayment. This review applies a conceptual framework of health financing to provide a coherent assessment of the reforms to date with respect to a set of key policy objectives of health financing, including financial sustainability, efficiency in service provision, and equity in health financing. Based on the assessment, the review discusses the main implications of the reforms focusing on achievements and remaining challenges, the nature of the Vietnamese reforms in an international perspective, and the role of the government. The main lessons from the Vietnamese experiences, from which other reforming countries may draw, are the need for sustained resource mobilization, comprehensive reform involving all functions of the health financing system, and to adopt a long-term view of health insurance reform. Future analysis should include continued evaluation of the reforms in terms of impacts on key outcomes and the political dimensions of health reform.},
  author       = {Ekman, Björn and Liem, Nguyen Thanh and Duc, Ha Anh and Axelson, Henrik},
  issn         = {0268-1080},
  language     = {eng},
  pages        = {252--263},
  publisher    = {Oxford University Press},
  series       = {Health Policy and Planning},
  title        = {Health insurance reform in Vietnam: a review of recent developments and future challenges.},
  url          = {http://dx.doi.org/10.1093/heapol/czn009},
  volume       = {23},
  year         = {2008},
}