Moving toward universal coverage of health insurance in Vietnam: barriers, facilitating factors, and lessons from Korea.
Moving toward universal coverage of health insurance in Vietnam: barriers, facilitating factors, and lessons from Korea.
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DOI：
10.3346/jkms.2014.29.7.919
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发表时间：
2014-07
影响因子：
4.5
通讯作者：
Lee JS
中科院分区：
文献类型：
--
作者：
Do N;Oh J;Lee JS
越南推行全民医疗保险已有二十年，但尚未完全实现这一目标。本文调查了实现全民覆盖的障碍，并检验了促进因素的有效性，以缩短越南的过渡期。一项对越南和韩国实现全民覆盖的促进因素的比较研究揭示了越南进一步发展国民健康保险计划的重要内部力量。1977年的韩国与2009年的越南虽然在人口分布和经济结构上存在差异，但在收入水平、高素质的行政能力、团结传统、强有力的政治领导等方面具有相似之处，有利于实现全民覆盖。从比较的角度来看，越南可以考虑韩国在实施强制登记方式、家庭资格单位、缴费和福利计划设计以及健康保险资源分配方面的经验，以实现可持续的政府补贴，从而实现和维持健康保险的全民覆盖。
Vietnam has pursued universal health insurance coverage for two decades but has yet to fully achieve this goal. This paper investigates the barriers to achieve universal coverage and examines the validity of facilitating factors to shorten the transitional period in Vietnam. A comparative study of facilitating factors toward universal coverage of Vietnam and Korea reveals significant internal forces for Vietnam to further develop the National Health Insurance Program. Korea in 1977 and Vietnam in 2009 have common characteristics to be favorable of achieving universal coverage with similarities of level of income, highly qualified administrative ability, tradition of solidarity, and strong political leadership although there are differences in distribution of population and structure of the economy. From a comparative perspective, Vietnam can consider the experience of Korea in implementing the mandatory enrollment approach, household unit of eligibility, design of contribution and benefit scheme, and resource allocation to health insurance for sustainable government subsidy to achieve and sustain the universal coverage of health insurance.
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影响因子：
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