Publication:
Getting Incentives Right : An Impact Evaluation of District Hospital Capitation Payment in Vietnam

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dc.contributor.authorNguyen, Ha Thi Hong
dc.contributor.authorBales, Sarah
dc.contributor.authorWagstaff, Adam
dc.contributor.authorDao, Huyen
dc.date.accessioned2014-02-04T22:31:51Z
dc.date.available2014-02-04T22:31:51Z
dc.date.issued2013-11
dc.description.abstractWith the movement toward universal health coverage gaining momentum, the global health research community has made significant efforts to advance knowledge about the impact of various schemes to expand population coverage. The impacts on efficiency, quality, and gaps in service utilization of reforms to provider payment methods are less well studied and understood. The current paper contributes to this limited knowledge by evaluating the impact of a shift by Vietnam's social health insurance agency from reimbursing hospitals on a fee-for-service basis to making a capitation payment to the district hospital where the enrollee lives. The analysis uses panel data on hospitals over the period 2005-2011 and multiple cross-section data sets from the Vietnam Household Living Standards Surveys to estimate impacts on efficiency, quality, and equity. The paper finds that capitation increases hospitals' efficiency, as measured by recurrent expenditure and drug expenditure per case, but has no effect on surgery complication rates or in-hospital deaths. In response to the shift to capitation, hospitals scaled down service provision to the insured and increased provision to the uninsured (who continue to pay out-of-pocket on a fee-for-service basis). The study points to the need to anticipate the intended and unintended effects of any payment reform and the trade-offs among policy objectives.en
dc.identifierhttp://documents.worldbank.org/curated/en/2013/11/18533462/getting-incentives-right-impact-evaluation-district-hospital-capitation-payment-vietnam
dc.identifier.doi10.1596/1813-9450-6709
dc.identifier.urihttps://hdl.handle.net/10986/16904
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Working Paper;No. 6709
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO HEALTH CARE
dc.subjectADVERSE EVENTS
dc.subjectC-SECTION
dc.subjectC-SECTIONS
dc.subjectCANCER
dc.subjectCAPITATION
dc.subjectCAPITATION BASIS
dc.subjectCITIES
dc.subjectCLINICAL PROTOCOLS
dc.subjectCOMMUNITY HEALTH
dc.subjectCOMPLICATIONS
dc.subjectDEATHS
dc.subjectDEVELOPING COUNTRIES
dc.subjectDEVELOPMENT POLICY
dc.subjectDIAGNOSIS
dc.subjectDIALYSIS
dc.subjectDISCHARGE PATIENTS
dc.subjectDOCTORS
dc.subjectDRUGS
dc.subjectECONOMIC STATUS
dc.subjectENROLLEES
dc.subjectEPIDEMICS
dc.subjectEPILEPSY
dc.subjectEXPENDITURES
dc.subjectFAMILIES
dc.subjectFAMILY MEDICINE
dc.subjectFEE-FOR-SERVICE
dc.subjectFEE-FOR-SERVICE BASIS
dc.subjectFINANCIAL RISK
dc.subjectGLOBAL HEALTH
dc.subjectHAZARD
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE COVERAGE
dc.subjectHEALTH CARE FINANCE
dc.subjectHEALTH CARE FINANCING
dc.subjectHEALTH CARE PROVIDER
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CENTERS
dc.subjectHEALTH CENTRE
dc.subjectHEALTH COVERAGE
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROMOTION
dc.subjectHEALTH REFORM
dc.subjectHEALTH RESEARCH
dc.subjectHEALTH RISKS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE PROVIDERS
dc.subjectHEALTH SERVICE UTILIZATION
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STATUS
dc.subjectHEALTH STRATEGY
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH WORKFORCE
dc.subjectHOSPITAL
dc.subjectHOSPITAL ADMISSIONS
dc.subjectHOSPITAL AUTONOMY
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITAL CARE
dc.subjectHOSPITAL MANAGERS
dc.subjectHOSPITALIZATIONS
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectILLNESS
dc.subjectINCOME
dc.subjectINDUCED DEMAND
dc.subjectINPATIENT ADMISSION
dc.subjectINPATIENT ADMISSIONS
dc.subjectINSURANCE COVERAGE
dc.subjectINSURANCE SCHEMES
dc.subjectINTERVENTION
dc.subjectKIDNEY DIALYSIS
dc.subjectLAB TESTS
dc.subjectLACK OF INFORMATION
dc.subjectLIVING STANDARDS
dc.subjectMEDICAL CARE
dc.subjectMEDICAL EQUIPMENT
dc.subjectMEDICAL PRACTICE
dc.subjectMEDICAL SERVICES
dc.subjectMEDICINE
dc.subjectMICRO HEALTH
dc.subjectMINISTRY OF HEALTH
dc.subjectMORTALITY
dc.subjectMORTALITY RATE
dc.subjectNEGATIVE EFFECTS
dc.subjectNUTRITION
dc.subjectPATIENT
dc.subjectPATIENT SATISFACTION
dc.subjectPATIENTS
dc.subjectPHYSICIANS
dc.subjectPOLICY DISCUSSIONS
dc.subjectPOLICY MAKERS
dc.subjectPOLICY RESEARCH
dc.subjectPOLICY RESEARCH WORKING PAPER
dc.subjectPRESCRIPTIONS
dc.subjectPREVALENCE
dc.subjectPRIMARY CARE
dc.subjectPROBABILITY
dc.subjectPROGRESS
dc.subjectPROVIDER INCENTIVES
dc.subjectPROVIDER PAYMENT
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC SERVICES
dc.subjectPURCHASING POWER
dc.subjectQUALITATIVE INFORMATION
dc.subjectQUALITY OF CARE
dc.subjectQUALITY OF LIFE
dc.subjectREFERRALS
dc.subjectRESEARCH COMMUNITY
dc.subjectRESOURCE USE
dc.subjectRISK GROUPS
dc.subjectSCREENING
dc.subjectSERVICE PROVISION
dc.subjectSEX
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSOCIAL MOBILIZATION
dc.subjectSOCIAL SCIENCE
dc.subjectSOCIAL SECURITY
dc.subjectSTD
dc.subjectSURGERY
dc.subjectTREATMENT
dc.subjectUSER FEES
dc.subjectVISITS
dc.subjectWAR
dc.subjectWORKERS
dc.subjectWORLD HEALTH ORGANIZATION
dc.titleGetting Incentives Right : An Impact Evaluation of District Hospital Capitation Payment in Vietnamen
dspace.entity.typePublication
okr.crossref.titleGetting Incentives Right: An Impact Evaluation of District Hospital Capitation Payment in Vietnam
okr.date.disclosure2013-11-01
okr.date.doiregistration2025-04-10T11:42:37.297050Z
okr.doctypePublications & Research::Policy Research Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2013/11/18533462/getting-incentives-right-impact-evaluation-district-hospital-capitation-payment-vietnam
okr.globalpracticeHealth, Nutrition, and Population
okr.globalpracticeGovernance
okr.globalpracticeHealth, Nutrition, and Population
okr.guid676741468125693144
okr.identifier.doi10.1596/1813-9450-6709
okr.identifier.externaldocumentum000158349_20131120100843
okr.identifier.internaldocumentum18533462
okr.identifier.reportWPS6709
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2013/11/20/000158349_20131120100843/Rendered/PDF/WPS6709.pdfen
okr.region.administrativeEast Asia and Pacific
okr.region.countryViet Nam
okr.topicHealth Monitoring and Evaluation
okr.topicLaw and Development::Health Law
okr.topicHealth Systems Development and Reform
okr.topicDisease Control and Prevention
okr.topicHealth, Nutrition and Population::Population Policies
okr.unitHealth, Nutrition and Population Team, Human Development Network; and Human Development and Public Services Team, Development Research Group
relation.isAuthorOfPublication5d38fde2-5803-56c6-b733-3866ea5be265
relation.isAuthorOfPublication.latestForDiscovery5d38fde2-5803-56c6-b733-3866ea5be265
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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