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Willingness to use and pay for options of care for community-dwelling older people in rural Vietnam

BMC health services research, 2012-02, Vol.12 (1), p.36-36, Article 36 [Peer Reviewed Journal]

COPYRIGHT 2012 BioMed Central Ltd. ;2012 Hoi et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ;Copyright ©2012 Hoi et al; licensee BioMed Central Ltd. 2012 Hoi et al; licensee BioMed Central Ltd. ;ISSN: 1472-6963 ;EISSN: 1472-6963 ;DOI: 10.1186/1472-6963-12-36 ;PMID: 22333517

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  • Title:
    Willingness to use and pay for options of care for community-dwelling older people in rural Vietnam
  • Author: Van Hoi, Le ; Thi Kim Tien, Nguyen ; Van Tien, Nguyen ; Van Dung, Dao ; Thi Kim Chuc, Nguyen ; Goran Sahlen, Klas ; Lindholm, Lars
  • Subjects: Activities of Daily Living ; Aged ; Aging ; Community Health Services - economics ; Data collection ; Economic conditions ; Family ; Financing, Personal - standards ; Focus Groups ; Growth ; Health aspects ; Health care access ; Health insurance ; Health Services for the Aged - economics ; Health Services Needs and Demand - economics ; Households ; Humans ; Life expectancy ; Medical research ; Middle Aged ; Mobile Health Units - economics ; Mortality ; Older people ; Population ; Population Dynamics ; Rural Health Services - economics ; Socioeconomic factors ; Statistics ; Surveys and Questionnaires ; Urban areas ; Vietnam
  • Is Part Of: BMC health services research, 2012-02, Vol.12 (1), p.36-36, Article 36
  • Description: The proportion of people in Vietnam who are 60 years and over has increased rapidly. The emigration of young people and impact of other socioeconomic changes leave more elderly on their own and with less family support. This study assesses the willingness to use and pay for different models of care for community-dwelling elderly in rural Vietnam. In 2007, people aged 60 and older and their family representatives, living in 2,240 households, were randomly selected from the FilaBavi Demographic Surveillance Site. They were interviewed using structured questionnaires to assess dependence in activities of daily living (ADLs), willingness to use and to pay for day care centres, mobile care teams, and nursing centres. Respondent socioeconomic characteristics were extracted from the FilaBavi repeated census. Percentages of those willing to use models and the average amount (with 95% confidence intervals) they are willing to pay were estimated. Multivariate analyses were performed to measure the relationship of willingness to use services with ADL index and socioeconomic factors. Four focus group discussions were conducted to explore people's perspectives on the use of services. The first discussion group was with the elderly. The second discussion group was with their household members. Two other discussion groups included community association representatives, one at the communal level and another at the village level. Use of mobile team care is the most requested service. The fewest respondents intend to use a nursing centre. Households expect to use services for their elderly to a greater extent than do the elderly themselves. Willingness to use services decreases when potential fees increase. The proportion of respondents who require that services be free-of-charge is two to three times higher than the proportion willing to pay full cost. Households are willing to pay more than the elderly for day care and nursing centres. The elderly are more willing to pay for mobile teams than are their households. Age group, sex, literacy, marital status, living arrangement, living area, working status, poverty, household wealth and dependence in ADLs are factors related to willingness to use services. Community-centric elderly care will be used and partly paid for by individuals if it is provided by the government or associations. Capacity building for health professional networks and informal caregivers is essential for developing formal care models. Additional support is needed for the most vulnerable elderly to access services.
  • Publisher: England: BioMed Central Ltd
  • Language: English
  • Identifier: ISSN: 1472-6963
    EISSN: 1472-6963
    DOI: 10.1186/1472-6963-12-36
    PMID: 22333517
  • Source: Geneva Foundation Free Medical Journals at publisher websites
    Springer Open Access
    MEDLINE
    PubMed Central
    SWEPUB Freely available online
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
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