Economic transition should come with a health warning: the case of Vietnam

Economic transition should come with a health warning: the case of Vietnam
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DOI:
10.1136/jech.56.7.497
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发表时间:
2002-07-01
影响因子:
6.3
通讯作者:
Huong, DL
Huong, DL
中科院分区:
医学2区
文献类型:
--
作者:
Segall, M;Tipping, G;Huong, DL

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Study objectives: To assess the affordability of health care to poor rural households in Vietnam under conditions of transition from a planned to a market economy and, in light of other transitional experience, inform policy on increasing access of the poor to affordable care of acceptable quality.Design: Observational study by cross sectional socioeconomic survey, longitudinal healthcare seeking survey, and qualitative semi-structured interviews and focus group discussions; qualitative follow up over six years.Setting: Four rural communes in north of Vietnam between 1992 and 1998.Survey participants: 656 households (2995 people) selected by systematic random sampling.Main results: Compared with non-poor households, poor households had significantly lower average per capita rates of healthcare consultation and expenditure (p