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The current situation of provision and payment of health insurance services before conducting the pilot project to revise the provider payment method based on capitation

Within the framework of project "The current situation of provision and payment of health insurance services before conducting the pilot project to revise the provider payment method based on capitation", a research team of the Health Strategy and Policy Institute collaborated with the Department of Planning and Finance to conduct fieldwork in four selected provinces: Bac Ninh and Ninh Binh (10th-13th of March); Thua Thien Hue (18th – 21st of March) and Khanh Hoa (24th – 26th of March). In each province, the team had a meeting with Provincial Department of Health and Provincial Social Security. At the district level, the survey team worked with the District Social Security Agencies and the District Hospitals in Tien Du and Thuan Thanh districts – Bac Ninh; Yen Mo and Yen Khanh districts – Ninh Binh, Huong Tra and Quang Dien districts – Thua Thien Hue, Dien Trung and Dien Khanh districts – Khanh Hoa.

Bac Ninh

Ninh Binh

Thua Thien Hue

Khanh Hoa

 

At each surveyed facility, besides finding out the current situation and constrains related to implementation of the capitation payment at the district; the researchers collected data including structured forms, case records of pre-determined diseases, prescriptions, bills of HI payment, self-filled questionnaire with  doctors, and interviewed questionnaire with insured patient towards their satisfaction from provided HI services. In each district, one commune located nearly the hospital and another that far from the hospital were chosen to survey. At the commune health station (CHS), the team worked with health staff of CHS, interviewed patients and conducted group discussion with the community in order to investigate the situation of the implementation of health insurance service at the commune-level. With the supportive collaboration at the localities and the surveyed facilities, the research team had worked hard and completed timely the given plan.

07/04/2014
Department of Health Economics  
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