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在金融风险保护方面取得的进展和不平等,以实现全民健康覆盖:越南的见解
Phuong The Nguyen1,2, Phuong Mai Le3
1Research Center for Health Policy and Economics, Hitotsubashi Institute for Advanced Study (HIAS), Hitotsubashi University, Tokyo, Japan. nguyenthephuong.hmu@gmail.com.
International journal for equity in health
|October 24, 2025
概括
越南不太可能在2030年之前实现全面的金融风险保护,原因是温和的改进和低UHC目标实现概率. 持续的不平等需要针对弱势群体进行有针对性的医疗融资改革.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 健康 公平 研究 健康 公平 研究
背景情况:
- 金融风险保护 (FRP) 对全民健康保险 (UHC) 至关重要,保护个人免受医疗保健引起的财务困难.
- 越南的目标是实现UHC,需要强大的FRP机制.
研究的目的:
- 估计越南FRP指标趋势和预测 (2010-2030年).
- 评估实现UHC目标的可能性.
- 分析FRP的人口,地理和社会经济不平等情况.
主要方法:
- 来自6项全国代表性调查 (2010-2020年) 的168,812个家庭的分析.
- 使用诸如灾难性卫生支出 (CHE) 和贫困性卫生支出 (IHE) 等指标评估FRP覆盖范围.
- 贝叶斯趋势预测和UHC目标实现概率,对各种人口和社会经济因素进行不平等分析.
主要成果:
- 2020年,国家FRP覆盖率为78.1%-94.9%,预计到2030年将改善至81.4%-95.4%.
- 实现UHC目标的可能性很低,除了保护IHE (83.6%).
- 显著的不平等性持续并扩大,不成比例地影响少数民族,农村家庭和受教育程度最低的家庭,区域差异也被注意到.
结论:
- 越南不太可能在2030年之前实现全面的金融风险保护.
- 针对性的医疗融资改革对于解决持续和日益扩大的不平等至关重要.
- 加强社会医疗保险,并将金融保护与社会发展计划相结合,对于UHC的进步至关重要.
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