Template-type: ReDIF-Paper 1.0
Author-Name: Le, Nga
Author-Email: nga.le@maastrichtuniversity.nl
Author-Workplace-Name: UNU-MERIT
Author-Name: Groot, Wim
Author-Email: wn.groot@maastrichtuniversity.nl
Author-Workplace-Name: UNU-MERIT and CAPHRI, Maastricht University,
Author-Name: Tomini, Sonila
Author-Email: sonila.tomini@maastrichtuniversity.nl
Author-Workplace-Name: UNU-MERIT
Author-Name: Tomini, Florian
Author-Email: f.tomini@ucl.ac.uk
Author-Workplace-Name: Institute of Epidemiology and Health Care,
	 UCL Medical School
Title: Health insurance and patient satisfaction: Evidence from the poorest regions of 
	 Vietnam
Abstract: Even though health insurance is expanding rapidly in Vietnam, its 
	 coverage is not effective. There remain inefficiencies in the healthcare 
	 system with quality concerns, especially at primary care and in remote 
	 areas. However, very little is known about how health insurance is 
	 valued by people and whether health insurance coverage can translate 
	 into quality healthcare. This paper investigates the relationship 
	 between health insurance and patient satisfaction with medical care in 
	 the poorest regions of Vietnam. We use multi-level models for ordinal 
	 responses on a cross-sectional dataset of the poorest regions of Vietnam 
	 in 2012. We find that it is not health insurance coverage per se but the 
	 financial coverage that matters to improve patient satisfaction with 
	 medical care. Patient satisfaction depends on the breadth and depth of 
	 insurance coverage (i.e. services and medicines covered, co-payment rate 
	 for each service) and the ability to use health insurance to reduce 
	 medical costs via the co-payment mechanism.
Classification-JEL: I13
Keywords: Health insurance, patient satisfaction, Vietnam
Series: UNU-MERIT Working Papers
Creation-Date: 20181105
Number: 2018-040
File-URL: https://unu-merit.nl/publications/wppdf/2018/wp2018-040.pdf
File-Format: application/pdf
File-Size: 275 Kb
Handle: RePEc:unm:unumer:2018040