Tandon, AjaySomanathan, AparnaaDao, Huong LanHurt, Kari L.Fuenzalida-Puelma, Hernan L.2014-07-142014-07-142014-06-26978-1-4648-0261-410.1596/978-1-4648-0261-4https://hdl.handle.net/10986/18885To address the growth in resultant out-of-pocket (OOP) payments and associated problems of financial barriers to access, the government issued several policies aimed at expanding coverage throughout the 1990s and 2000s, particularly for the poor and other vulnerable groups. Universal coverage (UC) can be an elusive concept and is about three objectives: (a) equity (linking care to need, and not to ability to pay); (b) financial protection (ensuring that health care use does not lead to impoverishment); (c) effective access to a comprehensive set of quality services (ensuring that providers make the right diagnosis and prescribe a treatment that is appropriate and affordable; and (d) to ensure that the financing needed to achieve UC is mobilized in a fiscally sustainable manner, and is used efficiently and equitably. The objective of this report is to assess the implementation of Vietnam social health insurance (SHI) and provide options for moving toward UC, with a view to contributing to the law revision process. It analyzes progress to date on the two major goals of the master plan. The report assesses Vietnam's readiness to meet these goals, the challenges it will face in achieving UC, and key reforms needed to overcome those challenges. It does so through a health financing lens, focusing on how resources are mobilized, pooled, and allocated, and how services are purchased. The report also examines the stewardship of financing that is, the organization, management, and governance of SHI as it has direct implications for achieving UC. The report ends by pulling together the recommendations in the form of an implementation road map.en-USCC BY 3.0 IGOABILITY TO PAYACCESS TO HEALTH SERVICESACCESS TO SERVICESADMINISTRATIVE COSTSADMINISTRATIVE EFFICIENCYADVERSE SELECTIONAGEDAGINGAUDITORSBUDGETARY IMPACTBUDGETARY RESOURCESCAPITATIONCAPITATION PAYMENTSCASE MANAGEMENTCATASTROPHIC HEALTH SPENDINGCHILD HEALTHCITIESCLINICAL PRACTICECOMPETENCIESCONSULTATION PROCESSCONSUMERSCONTRIBUTION RATECONTRIBUTORY INSURANCECOST EFFECTIVENESSCOUNSELINGDELIVERY SYSTEMDEMAND FOR HEALTHDEMAND FOR HEALTH CAREDIAGNOSISDIAGNOSTIC ASSESSMENTDRUGSEMPLOYMENTENROLLEESENTITLEMENTEPIDEMIOLOGICAL TRANSITIONEXPANSION OF COVERAGEEXPENDITURESFAMILIESFEE SCHEDULESFEE-FOR-SERVICEFINANCIAL BARRIERSFINANCIAL CATASTROPHEFINANCIAL INCENTIVESFINANCIAL PROTECTIONFINANCIAL RISKFLAT RATEGYNECOLOGYHARD TO REACH GROUPSHEALTH CAREHEALTH CARE COSTSHEALTH CARE FINANCINGHEALTH CARE PROFESSIONALSHEALTH CARE PROVIDERHEALTH CARE USEHEALTH CENTERSHEALTH COVERAGEHEALTH EXPENDITUREHEALTH EXPENDITURESHEALTH FACILITIESHEALTH FINANCINGHEALTH INSURANCEHEALTH INSURANCE COVERAGEHEALTH INSURANCE PROGRAMHEALTH INSURANCE SCHEMEHEALTH INSURANCE SCHEMESHEALTH INSURANCE SYSTEMHEALTH INTERVENTIONSHEALTH ORGANIZATIONHEALTH POLICYHEALTH PROFESSIONALSHEALTH PROJECTHEALTH PURCHASERSHEALTH SECTORHEALTH SERVICEHEALTH SERVICE PROVIDERSHEALTH SERVICESHEALTH SHAREHEALTH SPENDINGHEALTH STRATEGYHEALTH SYSTEMHEALTH SYSTEM FINANCINGHEALTH SYSTEM GOALSHEALTH SYSTEM STRENGTHENINGHEALTH SYSTEMSHEALTH SYSTEMS STRENGTHENINGHEALTH WORKERSHEALTHCAREHEALTHCARE SERVICESHOSPITAL BEDSHOSPITAL REVENUESHOSPITAL SERVICESHOSPITALSHUMAN DEVELOPMENTHUMAN RESOURCESHUMAN RESOURCES DEVELOPMENTILLNESSIMMUNODEFICIENCYINCENTIVES FACING PROVIDERSINCOMEINCOME COUNTRIESINCOME ELASTICITYINCOME GROUPSINFORMAL SECTORINFORMAL SECTOR WORKERSINFORMATION SYSTEMSINPATIENT ADMISSIONINSURANCE LAWINSURANCE POLICIESINSURANCE PREMIUMINSURANCE PREMIUMSLAWSLIBERALIZATIONLIVING STANDARDSLOW-INCOME COUNTRIESMEDICAL BENEFITMEDICAL DOCTORSMEDICAL EDUCATIONMEDICAL TRAININGMEDICINESMIGRANTSMIGRATIONNATIONAL HEALTHNATIONAL HEALTH INSURANCENEEDS ASSESSMENTNURSESNUTRITIONPATIENTSPHARMACEUTICAL COSTSPHARMACEUTICAL SECTORPHARMACEUTICAL SPENDINGPHARMACISTSPHYSICIANSPOCKET PAYMENTSPOLICY DISCUSSIONSPOLICY RESEARCHPRIMARY CAREPRIMARY HEALTH CAREPROBABILITYPROGRAMSPROVIDER PAYMENTPROVISION OF SERVICESPUBLIC HEALTHPUBLIC HEALTH SERVICESPUBLIC HOSPITALPUBLIC SPENDINGQUALITY OF CAREREIMBURSEMENT RATESRISK GROUPSSAVINGSSCREENINGSOCIAL ASSISTANCESOCIAL HEALTH INSURANCESOCIAL MOBILIZATIONSOCIAL SECURITYSOCIAL WORKERSSUSTAINABILITYTUBERCULOSISVACCINATIONWORKERS10.1596/978-1-4648-0261-4