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Medical Cost and Out-of-Pocket Expenditure for Preterm Infants: Evidence from Vietnam


van Eeuwijk, Peter; Nguyen, Thi Binh An; Hoang, Phuong Minh; Phan, Phuc Huu; Fink, Günther (2019). Medical Cost and Out-of-Pocket Expenditure for Preterm Infants: Evidence from Vietnam. Southeast Asian journal of tropical medicine and public health, 50(6):1155-1168.

Abstract

Preterm birth is a leading cause of death in children under 5 years in low and middle income countries, and a major determinant of neonatal mortal-ity and morbidity globally. The aim of this study was to assess the total cost of preterm infant treatment, as well as the financial contribution made by families in provincial and national hospitals. Cross-sectional medical and financial data were collected in one purposely chosen provincial, as well as in one purposely chosen national hospital. Cost data for all infants discharged from the two hospitals in 2017 were collected and analyzed. Average total medical cost per child was USD 1,643.52 in the national hospital and USD 668.94 in the provincial hospital. Mean medical out-of-pocket expenditure was USD 60 at the national hospital. No medical out of pocket expenditure was reported at the provincial hospital when parents complied with national health insurance policies. Substantial financial penalties were found for bypassing lower level facilities. Parents seeking care at specialized hospitals without medical authorization paid on average an additional USD 240, which corresponds to 111% of the average monthly wage in Vietnam.

Abstract

Preterm birth is a leading cause of death in children under 5 years in low and middle income countries, and a major determinant of neonatal mortal-ity and morbidity globally. The aim of this study was to assess the total cost of preterm infant treatment, as well as the financial contribution made by families in provincial and national hospitals. Cross-sectional medical and financial data were collected in one purposely chosen provincial, as well as in one purposely chosen national hospital. Cost data for all infants discharged from the two hospitals in 2017 were collected and analyzed. Average total medical cost per child was USD 1,643.52 in the national hospital and USD 668.94 in the provincial hospital. Mean medical out-of-pocket expenditure was USD 60 at the national hospital. No medical out of pocket expenditure was reported at the provincial hospital when parents complied with national health insurance policies. Substantial financial penalties were found for bypassing lower level facilities. Parents seeking care at specialized hospitals without medical authorization paid on average an additional USD 240, which corresponds to 111% of the average monthly wage in Vietnam.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:06 Faculty of Arts > Department of Social Anthropology and Cultural Studies
Dewey Decimal Classification:790 Sports, games & entertainment
390 Customs, etiquette & folklore
300 Social sciences, sociology & anthropology
Language:English
Date:2019
Deposited On:09 Feb 2021 07:28
Last Modified:09 Feb 2021 07:28
Publisher:SEAMO Regional Tropical Medicine and Public Health Network
ISSN:0125-1562
OA Status:Green
Free access at:Official URL. An embargo period may apply.
Official URL:https://journal.seameotropmednetwork.org/index.php/jtropmed/article/view/49

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