This section concludes the findings of Chapters 3 and 4. Chapter 4 concentrates on the calculation and interpretation of consumption-related inequality in health care payment.
Two important indicators when researching financial inequity is Concentration index CI and Katwani index K. CI> 0 or CI<0 means that there is no inequality, K
>0 means that there is inequitytowards progressivity, the rich pay much more than theirability to pay, and contrary.
Results in 2012 and 2010 in this study showed that the overall picture of the first two periods. Data showed VHLSS and CI2012 = 0.344 , CI2010= 0.3396, says there are inequalities in health expenditure of households. Looking at the chart (figure 10) we see progressivity of OOP in 2012 more unclear than in 2010. K2012 almost equal to 0, it can be judged very little inequity according to data VHLSS, however K2010 equivalent to China, the mildly progressive
For the decomposition inequality, based on Table 9, we see spending for inpatient and outpatient contribute to inequalities in health care spending more than other factors. The reason is that ratios in spending towards these factors, the higher elasticity, and their contribution are more than in health care inequality
5.2. Policy implication
Results of this study reflect a real part of the state system of health care spending (according to data VHLSS) in Vietnam, helping policy makers with a view to quantify their suggestions for improving methods health care system, to reduce the inequity and inequality in payment for health care
OOP is an important incidence which contribute to inequality health care finance, we need to reduce OOP spending, and increased funding for health care
5.3. Limitation
This study is based on data from VHLSS 2012 and 2010, these factors should be considered in studies of health care spending can not find adequate in this data set.
Really inequity health care finance is one of the difficult research area, requiring a very high understanding of econometric knowledge, with knowledge of the author can not be universal, and this is a limitation of the subject
Research by health care finance inequity is one process includes two arrays goals: health care spending and government funding for health care of it. This study is only done the first array goal, the study is not considered in government funding.
This is a limitation of the subject, and need an in-depth study to improve them.
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