Economic vulnerability of methadone maintenance patients: Implications for policies on co-payment services
Background: Co-payment for methadone maintenance treatment (MMT) services is a strategy to ensure the financial sustainability of the HIV/AIDS programs in Vietnam. In this study, we examined health services utilization and expenditure among MMT patients, and furth...
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| Tác giả chính: | |
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| Định dạng: | Bài trích |
| Ngôn ngữ: | English |
| Thông tin xuất bản: |
Elsevier
2016
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| Chủ đề: | |
| Truy cập trực tuyến: | http://repository.vnu.edu.vn/handle/VNU_123/11466 |
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| Tóm tắt: | Background: Co-payment for methadone maintenance treatment (MMT) services is a strategy to ensure
the financial sustainability of the HIV/AIDS programs in Vietnam. In this study, we examined health
services utilization and expenditure among MMT patients, and further explored factors associated with
catastrophic health expenditure among affected households.
Methods: A multi-site cross-sectional study was conducted among 1016 patients in two epicentres:
Hanoi and Nam Dinh province in 2013.
Results: Overall, 8.2% and 28.7% respondents used inpatient and outpatient health care services in the
past 12 months apart from receiving MMT. There were 12.8% respondents experiencing catastrophic
health expenditure given MMT is provided free-of-charge, otherwise 63.5% patients would suffer from
health care costs. MMT integrated with general health or HIV services may encourage health care
services utilization of patients. Patients, who were single, lived in the rural, had inpatient care and
reported problems in Mobility were more likely to experience catastrophic health expenditure than
other patient groups.
Conclusions: The health care costs are still financially burden to many drug users and remained over the
course of MMT that implies the necessity of continuous supports from the program. Scaling-up and
decentralizing integrated MMT clinics together with economic empowerments for treated drug users
and their families should be prioritized in Vietnam |
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