Effectively engaging the private sector through vouchers and contracting – A case for analysing health governance and context

Nachtnebel, Matthias; O'Mahony, Ashleigh; Pillai, N. Viyayamohanan; Hort, Krishna

doi:10.1016/j.socscimed.2015.05.021

Cited by 18 publications

(9 citation statements)

References 41 publications

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“…To address the heterogeneity in availability and quality of healthcare services, the HI scheme in Vietnam should involve the private sector in primary and secondary care to encourage the provision of primary care benefits in rural areas. For example, vouchers and contracting have been used as an effective mechanism to engage the private sector in underserved areas in countries across the Asia–Pacific region 43 …”

Section: Discussionmentioning

confidence: 99%

“…For example, vouchers and contracting have been used as an effective mechanism to engage the private sector in underserved areas in countries across the Asia-Pacific region. 43 However, compared to non-insured households, having more than one-third of household members insured is a protective factor from CHE, except for households in rural areas. This suggests that to achieve UHC, policymakers in Vietnam should continue expanding HI coverage and focus on health delivery systems in rural areas.…”

Section: Health Insurance and Catastrophic Health Expenditurementioning

confidence: 99%

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Determinants of catastrophic health expenditure in Vietnam

Thuong

Berg

Huy

et al. 2020

Health Planning & Management

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Background: The Government of Vietnam has set the goal of achieving universal health coverage (UHC) by 2025. Health insurance (HI) is being considered a tool to achieve this goal. However, out-of-pocket spending and catastrophic health expenditure (CHE) remain high. Research evidence on how to reduce these expenditures to achieve UHC is essential. Therefore, this study examines the determinants of CHE, especially the HI factor. Method: To identify HI participation status and other factors associated with CHE, we use logistic regression on a dataset from the 2016 Vietnam Household Living Standards Survey. Results: The study finds that HI is a protective factor against CHE, although this result is not always statistically significant across different subsamples. Moreover, the household head's age and employment status, household size, share of the elderly above 60 years, income, illness status, healthcare utilisation, availability of hospitals, commune health stations with medical doctors and place of residence all correlate with household CHE. Conclusion: Although there has been a rise in HI coverage, the financial protection capacity of HI schemes in Vietnam remains inadequate, particularly for households living in rural areas. Further investigations of the causal effect of HI, other health system factors and CHE in rural settings are necessary to reduce the incidence of CHE. Additionally, policies aimed at groups vulnerable to CHE, such as those

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Section: Discussionmentioning

confidence: 99%

Section: Health Insurance and Catastrophic Health Expenditurementioning

confidence: 99%

Determinants of catastrophic health expenditure in Vietnam

Thuong

Berg

Huy

et al. 2020

Health Planning & Management

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“…Regulation clearly needs adequate resources in order to be successfully implemented. Investment requirements to strengthen local capacity for health care regulation could be relatively high, but it will help countries secure their ability in the long run to address the challenges raised by the rapid growth of private health providers in resource constrained settings [ 45 , 46 ], independent of donor support. Thus it offers a potentially sustainable solution to a longstanding problem.…”

Section: Discussionmentioning

confidence: 99%

The case for stronger regulation of private practitioners to control tuberculosis in low- and middle-income countries

Mahendradhata

2015

BMC Res Notes

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Tuberculosis case management practices of private practitioners in low- and middle-income countries are commonly not in compliance with treatment guidelines, thus increasing the risk of drug resistance. National Tuberculosis control programs have long been encouraged to collaborate with private providers to improve compliance, but there is no example yet of a sustained, large scale collaborations with private practitioners in these settings. Regulations have long been realized as a potential response to poor quality care, however there has been a lack of interest from the international actors to invest in stronger regulation of private providers in these countries due to limited evidence and many implementation challenges. Regulatory strategies have now evolved beyond the costly conventional form of command and control. These new strategies need to be tested for addressing the challenge of poor quality care among private providers. Multilateral and bilateral funding agencies committed to tuberculosis control need to invest in facilitating strengthening government’s capacity to effectively regulate private providers.

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“…• One medium-quality review assessed possible roles for the private sector in the procurement and distribution of pharmaceuticals, finding that well-funded, private, diseasespecific programs could improve the stock management of pharmaceuticals (Nunan & Duke, 2011). • Two reviews examined the use of social franchising for the delivery of services or products and found that they were able to effectively deliver services and products to local communities and resulted in an overall increase in the utilization of services (Beyeler, York De La Cruz, & Montagu, 2013;Nachtnebel, O'Mahony, Pillai, & Hort, 2015).…”

Section: • Participants Spoke To the Limited Coordination That Existsmentioning

confidence: 99%

Enhancing Equitable Access to Assistive Technologies in Canada: Insights from Citizens and Stakeholders

et al. 2019

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RÉSUMÉLes besoins en technologies d’assistance augmentent au Canada, mais l’accès à ces technologies est inégal et fragmentaire, ce qui ferait en sorte que des besoins demeureraient non comblés. Cette étude visait à identifier les valeurs et préférences des citoyens concernant les moyens à utiliser pour favoriser un accès équitable aux technologies d’assistance. Elle visait également à impliquer les décideurs politiques, les parties prenantes et les chercheurs dans des discussions afin d’élaborer des actions dans ce domaine. Au printemps 2017, nous avons organisé trois panels de citoyens et un dialogue avec les parties prenantes. Les principales conclusions des panels ont été incluses dans une synthèse qui a été partagée avec les participants du dialogue. Trente-sept citoyens ont participé aux panels et ont souligné l’importance de l’accès à de l’information fiable, d’un accès équitable aux technologies d’assistance (et ce, quelle que soit la capacité de payer), et de la collaboration. Les vingt-deux participants au dialogue ont fait valoir la nécessité d’un cadre d’orientation pour appuyer l’évolution des pratiques dans l’ensemble au pays. Le cadre d’orientation proposé combinerait des politiques et programmes simplifiés incluant la collecte et l’évaluation de données robustes pour appuyer l’innovation et l’imputabilité à travers le pays.

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Effectively engaging the private sector through vouchers and contracting – A case for analysing health governance and context

Cited by 18 publications

References 41 publications

Determinants of catastrophic health expenditure in Vietnam

Determinants of catastrophic health expenditure in Vietnam

The case for stronger regulation of private practitioners to control tuberculosis in low- and middle-income countries

Enhancing Equitable Access to Assistive Technologies in Canada: Insights from Citizens and Stakeholders

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