Health Financing and Equity in Healthcare for Disadvantaged Groups in Vietnam

Abstract

Equity in health means that all people in general and disadvantaged groups in particular receive the same healthcare services, according to their needs, regardless of each person's financial ability and social status. In Vietnam, equity in healthcare for the disadvantaged is expressed in the Party's guiding viewpoints, guidelines, and legal policies. This study has employed a combination of quantitative and qualitative research methods to understand the impact of health financing in advancing health equity for disadvantaged people. Quantitative and qualitative research methods have helped us evaluate the current health financing and equity in healthcare for disadvantaged people in Vietnam. The study assessed the health financing activities, including the distribution of free health insurance cards to disadvantaged groups, medical examination and treatment available, and the services of social workers at hospitals and localities. Based on the results of this analysis, we identify existing gaps and their causes. Based on the findings we build and propose solutions for government agencies, training activities, medical facilities, and social work organizations. The significance of the proposed solutions is to improve fairness and efficiency in financial use and healthcare for disadvantaged groups in Vietnam.