神戸大学附属図書館デジタルアーカイブ
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https://doi.org/10.24546/81009880
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2024-04-20
13:01 集計
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81009880 (fulltext)
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メタデータID
81009880
アクセス権
open access
出版タイプ
Version of Record
タイトル
Patient Choice of Healthcare Facilities in the Central Region of Vietnam
著者
Morooka, Ikumi ; Le ho Quynh Anh ; Shimamura, Yasuharu ; Yamada, Hiroyuki ; Nguyen Minh Tam
著者名
Morooka, Ikumi
著者名
Le ho Quynh Anh
著者ID
A1259
研究者ID
1000050541637
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=1687ce5bbf64ea81520e17560c007669
著者名
Shimamura, Yasuharu
島村, 靖治
シマムラ, ヤスハル
所属機関名
国際協力研究科
著者名
Yamada, Hiroyuki
著者名
Nguyen Minh Tam
収録物名
国際協力論集
巻(号)
25(1)
ページ
47-64
出版者
神戸大学大学院国際協力研究科
刊行日
2017-07
公開日
2017-08-17
抄録
A series of recent policy changes in Vietnam, including the introduction of social health insurance programs, has likely altered patients’ demand for healthcare services. However, few studies have quantified the changes in patients’ demand and scrutinized their healthcare-seeking behavior. This study explores the patterns of patient health facility choice with a sample of 816 episodes of illness of 712 individuals collected in the central region of Vietnam in 2014. One important finding of this study is that 16.7 percent of individuals who reported an episode of illness chose self-treatment even after the introduction of various health insurance schemes. A multinomial probit regression analysis confirmed that some individual and household characteristics are predictors of the patterns of choosing health facilities. After controlling for the influence of these factors, enrolling in a health insurance scheme is negatively associated with the likelihood of patients choosing self-treatment and positively associated with patients visiting their designated health facility. It seems that the introduction of various types of health insurance schemes, on average, reduced self-treatment and strengthened the link between patients and their designated health facility, although it is highly likely that some problems occurred due to asymmetric information.
カテゴリ
国際協力研究科
国際協力論集
>
25巻
>
25巻1号(2017-07)
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資源タイプ
departmental bulletin paper
言語
English (英語)
ISSN
0919-8636
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NCID
AN10418744
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URI
http://www.research.kobe-u.ac.jp/gsics-publication/jics/
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