越南少数民族地区老年人的医疗保健支持计划和医疗保健利用情况

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Social Science & Medicine Pub Date : 2024-09-25 DOI:10.1016/j.socscimed.2024.117357
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引用次数: 0

摘要

在过去的几十年里,越南的卫生成果得到了显著改善,为低收入国家在缺乏资源的情况下在公共卫生领域取得重大成就提供了一个范例。然而,穷人、少数民族和其他弱势群体在获得医疗服务方面仍然存在不平等。为解决这一问题,越南政府于 2013 年在少数民族地区实施了一项医疗支持计划。我们研究了该计划对 55-74 岁老年人使用医疗服务的影响。采用差分法和 2008 年至 2018 年越南家庭生活水平调查的数据,我们发现该计划对公立医疗机构的住院就诊率有积极影响。但是,该计划对门诊量没有影响。其他分析显示,该计划增加了乡镇卫生站的门诊量和县级医院的住院量。此外,还有证据表明,私立医疗机构向公立医疗机构转变。我们的研究结果表明,向贫困地区提供医疗资源可以提高老年人对医疗服务的利用率,进而改善他们的健康状况。
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The healthcare support program and healthcare utilization of older adults in ethnic minority areas in Vietnam
Over the past few decades, Vietnam has experienced a substantial improvement in health outcomes, providing an example of a low-income country that has achieved a major success in public health despite the lack of resources. However, inequalities in access to healthcare services persist among the poor, ethnic minorities, and other vulnerable groups. To address this issue, the Vietnamese government implemented a healthcare support program in ethnic minority areas in 2013. We examine the effects of this program on healthcare utilization among older individuals aged 55–74. Employing a difference-in-differences approach and data from the Vietnam Household Living Standards Survey from 2008 to 2018, we find that the program has a positive effect on inpatient visits at public health facilities. However, the program has no impact on outpatient visits. Additional analysis reveals that the program increases outpatient visits at commune health stations and inpatient visits at district hospitals. There is also suggestive evidence of a switch from private to public facilities. Our results suggest that providing healthcare resources to disadvantaged areas can increase healthcare utilization of older people, which can, in turn, improve their health outcomes.
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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