Analysis of people
Analysis of people's abilities to pay for health care in order to propose a suitable
Model of finance mobilization for health
Pham Huy Dung, Nguyen Khanh Phuong,
Nguyen Thi Kim Chuc
Place of publication: Health strategy and policy institute
Year of publication: 2001
Objectives: Analysis of the abilities to pay for health care of people with different levels of income, then propose the construction of a model of finance mobilization for health in accordance with these paying abilities.
Methods: This research was based mostly on secondary data analysis and analysis of available documents, only a small part was based on the data of cross-sectional surveys in eight provinces: Ha Noi, Thai Binh, BacKan, Hai Phong, Da Nang, Kon Tum, Ho Chi Minh city and Can Tho.
Findings: In general, people's ability to pay for health care is increasing. The gap in paying ability between the rich and the poor groups is also increasing. For the same level of health services (in both quality and quantity), paying ability of the rich group is 6-7 times higher than that of the poor group. Paying ability of people in the northern mountainous and northern central areas is the lowest. Paying ability of people in eastern south and Mekong delta areas is the highest. In general, two thirds of the patients pay for health carefrom available sources of money. The other one third of patients have to borrow money, sell properties or ask relatives for help; The ability to pay for preventive health services is higher than for curative health services; The majority of patients accept the current level of health care fee. Moreover, some people of the rich group are ready to pay more for better services.
Results: The ability to pay for health care is increasing in all the population groups. However, there is a difference in paying ability for health care of different groups of people. Rich people have high ability to pay and tend to pay more for better health services. It is necessary to have a suitable model of finance mobilization for health for different groups of people.