The policy of free healthcare for children under the age of 6 years in Vietnam: Assessment of the uptake for children hospitalised with acute diarrhoea in Ho Chi Minh City
Objective: To assess the proportion of, and reasons for, households not utilising the policy of free healthcare for children under 6 years of age (FCCU6) for hospitalisation with diarrhoea, and assess the risk of catastrophic expenditure for households that forgo FCCU6 and pay out of pocket. Methods...
| Main Authors: | , , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
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2013
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| _version_ | 1797101571710910464 |
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| author | Shieh, M Thompson, C Phan Vu Tra, M Thi Thuy Linh, V Tediosi, F Merson, L Farrar, J Manh Tuan, H Lu Viet, H Thi Ngoc Tuyet, P Baker, S |
| author_facet | Shieh, M Thompson, C Phan Vu Tra, M Thi Thuy Linh, V Tediosi, F Merson, L Farrar, J Manh Tuan, H Lu Viet, H Thi Ngoc Tuyet, P Baker, S |
| author_sort | Shieh, M |
| collection | OXFORD |
| description | Objective: To assess the proportion of, and reasons for, households not utilising the policy of free healthcare for children under 6 years of age (FCCU6) for hospitalisation with diarrhoea, and assess the risk of catastrophic expenditure for households that forgo FCCU6 and pay out of pocket. Methods: Invoices detailing insurance information and charges incurred from 472 hospitalised diarrhoeal cases in one paediatric hospital in Ho Chi Minh City were retrieved. Hospital charges and the utilisation of elective services were analysed for patients utilising and not utilising FCCU6. Associations between socio-economic factors with non-utilisation of FCCU6 were evaluated. Results: Overall, 29% of patients were FCCU6 non-users. The FCCU6 non-users paid a median hospital charge of $29.13 (interquartile range, IQR: $18.57-46.24), consuming no more than 1.4% of a medium-income household's annual income. Seventy per cent of low-income FCCU6 non-users utilised less-expensive elective services, whereas only 43% of medium income patients and 21% of high-income patients did (P = 0.036). Patients from larger households and those with a parent working in government were more likely to use FCCU6. Conclusions: The rate of FCCU6 non-usage in this study population was 29%. A significant proportion of those that did not use FCCU6 was from lower income households and may perceive a justifiable cost-benefit ratio when forgoing FCCU6. Although a single diarrhoeal hospitalisation is unlikely to induce a catastrophic expenditure, FCCU6 non-usage may disproportionately increase the risk of catastrophic expenditure for lower income households over multiple illnesses. © 2013 John Wiley and Sons Ltd. |
| first_indexed | 2024-03-07T05:53:44Z |
| format | Journal article |
| id | oxford-uuid:e9cd52c7-572b-4d5b-b987-2b7b21c8e26c |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T05:53:44Z |
| publishDate | 2013 |
| record_format | dspace |
| spelling | oxford-uuid:e9cd52c7-572b-4d5b-b987-2b7b21c8e26c2022-03-27T10:56:52ZThe policy of free healthcare for children under the age of 6 years in Vietnam: Assessment of the uptake for children hospitalised with acute diarrhoea in Ho Chi Minh CityJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e9cd52c7-572b-4d5b-b987-2b7b21c8e26cEnglishSymplectic Elements at Oxford2013Shieh, MThompson, CPhan Vu Tra, MThi Thuy Linh, VTediosi, FMerson, LFarrar, JManh Tuan, HLu Viet, HThi Ngoc Tuyet, PBaker, SObjective: To assess the proportion of, and reasons for, households not utilising the policy of free healthcare for children under 6 years of age (FCCU6) for hospitalisation with diarrhoea, and assess the risk of catastrophic expenditure for households that forgo FCCU6 and pay out of pocket. Methods: Invoices detailing insurance information and charges incurred from 472 hospitalised diarrhoeal cases in one paediatric hospital in Ho Chi Minh City were retrieved. Hospital charges and the utilisation of elective services were analysed for patients utilising and not utilising FCCU6. Associations between socio-economic factors with non-utilisation of FCCU6 were evaluated. Results: Overall, 29% of patients were FCCU6 non-users. The FCCU6 non-users paid a median hospital charge of $29.13 (interquartile range, IQR: $18.57-46.24), consuming no more than 1.4% of a medium-income household's annual income. Seventy per cent of low-income FCCU6 non-users utilised less-expensive elective services, whereas only 43% of medium income patients and 21% of high-income patients did (P = 0.036). Patients from larger households and those with a parent working in government were more likely to use FCCU6. Conclusions: The rate of FCCU6 non-usage in this study population was 29%. A significant proportion of those that did not use FCCU6 was from lower income households and may perceive a justifiable cost-benefit ratio when forgoing FCCU6. Although a single diarrhoeal hospitalisation is unlikely to induce a catastrophic expenditure, FCCU6 non-usage may disproportionately increase the risk of catastrophic expenditure for lower income households over multiple illnesses. © 2013 John Wiley and Sons Ltd. |
| spellingShingle | Shieh, M Thompson, C Phan Vu Tra, M Thi Thuy Linh, V Tediosi, F Merson, L Farrar, J Manh Tuan, H Lu Viet, H Thi Ngoc Tuyet, P Baker, S The policy of free healthcare for children under the age of 6 years in Vietnam: Assessment of the uptake for children hospitalised with acute diarrhoea in Ho Chi Minh City |
| title | The policy of free healthcare for children under the age of 6 years in Vietnam: Assessment of the uptake for children hospitalised with acute diarrhoea in Ho Chi Minh City |
| title_full | The policy of free healthcare for children under the age of 6 years in Vietnam: Assessment of the uptake for children hospitalised with acute diarrhoea in Ho Chi Minh City |
| title_fullStr | The policy of free healthcare for children under the age of 6 years in Vietnam: Assessment of the uptake for children hospitalised with acute diarrhoea in Ho Chi Minh City |
| title_full_unstemmed | The policy of free healthcare for children under the age of 6 years in Vietnam: Assessment of the uptake for children hospitalised with acute diarrhoea in Ho Chi Minh City |
| title_short | The policy of free healthcare for children under the age of 6 years in Vietnam: Assessment of the uptake for children hospitalised with acute diarrhoea in Ho Chi Minh City |
| title_sort | policy of free healthcare for children under the age of 6 years in vietnam assessment of the uptake for children hospitalised with acute diarrhoea in ho chi minh city |
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