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Promoting the implementation of universal health insurance in Ho Chi Minh City - 1

MINISTRY OF EDUCATION AND TRAINING

HO CHI MINH CITY UNIVERSITY OF ECONOMICS

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NGUYEN MINH CHAU


Promoting the implementation of universal health insurance in Ho Chi Minh City - 1

PROMOTING THE IMPLEMENTATION OF UNIVERSAL HEALTH INSURANCE IN HO CHI MINH CITY


MASTER'S THESIS IN ECONOMICS


Ho Chi Minh City – 2016

MINISTRY OF EDUCATION AND TRAINING

HO CHI MINH CITY UNIVERSITY OF ECONOMICS

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NGUYEN MINH CHAU


PROMOTING THE IMPLEMENTATION OF UNIVERSAL HEALTH INSURANCE IN HO CHI MINH CITY


MASTER'S THESIS IN ECONOMICS

Major: Political Economy Code: 60310102

Scientific supervisor: Dr. NGUYEN VAN SANG


Ho Chi Minh City – 2016



COMMITMENT


I hereby certify that this is my own research work. The statistical data are processed and analyzed in the thesis in accordance with regulations. The information and research results in the thesis are researched, summarized and analyzed honestly by the author, in accordance with the actual situation.

Author


Nguyen Minh Chau

ACKNOWLEDGEMENTS


The author would like to sincerely thank Professor Dr. Nguyen Van Sang for his scientific orientation, pressure and motivation as well as dedicated and thoughtful guidance throughout the thesis process.

We would like to express our gratitude to:

Dear teachers and colleagues of the Faculty of Political Theory, Graduate Training Institute, University of Economics Ho Chi Minh City for creating favorable conditions for the author during his time studying at the school.

The leaders and colleagues of the Ho Chi Minh City Social Insurance Agency have created favorable conditions to help me complete the data and some opinions during the process of completing this thesis!


INDEX

Cover Page Pledge Table of Contents

List of abbreviations List of tables List of charts INTRODUCTION

CHAPTER 1: THEORETICAL BASIS OF HEALTH INSURANCE AND UNIVERSAL HEALTH INSURANCE 1

1.1. Concept: 1

1.1.1. Concept of Insurance, Health Insurance, Universal Health Insurance: 1

1.1.2. Basic principles of Insurance, Health Insurance, Universal Health Insurance 8

1.1.2.1 Basic principles of Insurance: The principles of insurance aim to achieve the following 5 goals 8

1.1.2.2 Basic principles of health insurance: 11

1.1.2.3 Principles of universal health insurance: 12

1.2. The necessity and role of universal health insurance 12

1.2.1 The need for universal health insurance 12

1.2.2 Role of universal health insurance: 14

1.3. Content and factors affecting universal health insurance: 16

1.3.1 Basic content of universal health insurance 16

1.3.1.1 Subjects participating in universal health insurance 16

1.3.1.2. Contribution level - support level for universal health insurance contribution: 17

1.3.1.3. Procedures for participating in health insurance: 18

1.3.1.4 Conditions and level of health insurance benefits: 19

1.3.1.5. Health Insurance Fund: 22

1.3.2. Factors affecting universal health insurance: 22

1.4. Experience with health insurance and universal health insurance in some countries: 26

CHAPTER 1 SUMMARY 30

CHAPTER 2: CURRENT STATUS OF IMPLEMENTING UNIVERSAL HEALTH INSURANCE IN HO CHI MINH CITY 31

2.1. General introduction to the Social Insurance Agency of Ho Chi Minh City 31

2.1.1.Location, Function 31

2.1.2. Duties and powers: 32

2.1.3. Organizational structure: 34

2.2 Current status of universal health insurance in Ho Chi Minh City 35

2.2.1 Data on universal health insurance payment in Ho Chi Minh City 35

2.2.2 Rate of universal health insurance payment in 24 districts of Ho Chi Minh City 40

2.2.3 Status of purchasing/owning universal health insurance cards in surveyed households: 41

2.2.4 Current status of medical examination and treatment of health insurance buyers: 43

2.2.5 Propaganda work for universal health insurance: 45

2.3 Some opinions of people in implementing universal health insurance: 46

2.3.1 Reasons for not participating in health insurance and opinions of people: 46

2.3.2. People's opinions on solutions to promote voluntary health insurance participation: 47

2.4 Issues raised in the implementation of universal health insurance in Ho Chi Minh City: 50

2.4.1 Limitations in universal health insurance: 50

2.4.2 Causes of limitations in universal health insurance work 50

CHAPTER 2 SUMMARY 52

CHAPTER 3: SOME SOLUTIONS TO IMPROVE THE EFFICIENCY OF IMPLEMENTING UNIVERSAL HEALTH INSURANCE IN HO CHI MINH CITY 53

3.1. Background and trends of universal health insurance: 53

3.1.1 World trends: 53

3.1.2 Vietnam Trends 54

3.2. Viewpoints and goals of universal health insurance: 56

3.2.1 Viewpoints on implementing universal health insurance: 56

3.2.2 Goals of universal health insurance: 58

3.2.2.2 Universal health insurance target in Ho Chi Minh City: 60

3.3. Solution: 62

3.3.1. Policy solution group: 62

3.3.1.1. Reducing administrative procedures for health insurance examination and treatment: 62

3.3.1.2. Implement a mechanism to support health insurance premiums and benefits so that 100% of near-poor people participate in health insurance. 63

3.3.1.3. Promote the enforcement of laws on health insurance participation for employees in enterprises. 64

3.3.1.4. Ensuring in-depth coverage of health insurance benefits 65

3.3.2. Operational solution group 65

3.3.2.1. Promote propaganda, health education, and dissemination of laws on universal health insurance. 65

3.3.2.2. Medical ethics education and improving the spirit and attitude of medical staff in serving patients 66

3.3.2.3. Ensuring the rights of health insurance participants: 67

3.4. Recommendation 69

3.4.1. Central Level: 69

3.4.2 Ho Chi Minh City Level 72

CHAPTER 3 SUMMARY 74

CONCLUDE


LIST OF ABBREVIATIONS


Health insurance: Health insurance Social insurance: Social insurance Medical examination and treatment CSSK: Health care State management: State management Socio-economic: Socio-economic IT: Information technology

BHTN: Unemployment insurance KBCB: Medical examination and treatment TNCS: Communist Youth

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