Short Communication

Sociodemographic Factors Influencing Vietnamese Patient Satisfaction with Healthcare Services and Some Meaningful Empirical Thresholds


Background: This short communication report some new results obtained from a medical survey among 900 Vietnamese patients in 2015, looking into possibly influential sociodemographic factors as far as patient satisfaction is concerned, to establish empirical relationships between them for policy implications.

Methods: The study employed the baseline category logit models to establish empirical relationships between predictor variables and responses, which reflect different levels of satisfaction.

Results: Income, medical expenditure, and insurance coverage have the positive influence on improving patient satisfaction. However, insurance reimbursement rate has the negative influence. Patients with residency status are more demanding than those without. The more seriously ill, the less likely a patient finds the health services to be satisfactory. The probability of satisfaction conditional on insurance reimbursement is lower for patients with residency status, and higher for those without.

Conclusion: There exist thresholds of income, expenditures, and insurance reimbursement rate, surpassing which probabilistic trends shift. The expenditure threshold for resident patients is almost three times of that for non-residents. An insurance threshold exists only within the group of non-resident patients, ~65%, suggesting that getting a reimbursement rate higher than this can be very difficult. Therefore, the government’s ambitious goal of universal coverage may be both unrealistic and too rigid as patients with different conditions show different perceptions toward healthcare services.


Ekman B, Nguyen TL, Ha AD, Axelson H (2008). Health insurance reform in Vi-etnam: a review of recent developments and future challenges. Health Policy Plan, 23(4): 252-263.

Ensor T (1995). Introducing health insur-ance in Vietnam. Health Policy Plan, 10(2): 154-163.

Habib SS, Perveen S, Khuwaja HMA (2016). The role of micro health insurance in providing financial risk protection in de-veloping countries-a systematic review. BMC Public Health, 16: 281.

Vietnamese National Assembly (2014). Law No. 46/2014/QH13: Amendments to the Law on Health Insurance.

Vuong QH (2015). Be rich or don’t be sick: estimating Vietnamese patients’ risk of falling into destitution. Springerplus, 4: 529.

Cramton P, Katzman B (2010). Reducing healthcare costs requires good market de-sign.

Hoang VM, Oh J, Tran TA et al (2015). Pat-terns of health expenditures and financial protections in Vietnam 1992-2012. J Kore-an Med Sci, 30(Suppl 2): S134-8.

Jowett M, Contoyannis P, Vinh ND (2003). The impact of public voluntary health in-surance on private health expenditures in Vietnam. Soc Sci Med, 56(2): 333-342.

Lagomarsino G, Garabrant A, Adyas A et al (2012). Moving towards universal health coverage: health insurance reforms in nine developing countries in Africa and Asia. Lancet, 380(9845): 933-943.

Lofgren C, Thanh NX, Chuc NT et al (2008). People’s willingness to pay for health insurance in rural Vietnam. Cost Eff Resour Alloc, 6: 16.

Mitra S, Palmer M, Mont D, Groce N (2016). Can households cope with health shocks in Vietnam? Health Econ, 25(7): 888–907.

Nguyen C (2016). The impact of health in-surance programs for children: evidence from Vietnam. Health Econ Rev, 6: 34.

Whitehead M, Dahlgren G, Evans T (2001). Equity and health sector reforms: can low-income countries escape the medical poverty trap? Lancet, 358(9284): 833-836.

Wagstaff A, Lieberman SS (2009). Health fi-nancing and delivery in Vietnam. World Bank: Washington D.C.;

Tran VT, Hoang TP, Mathauer I, Nguyen TKP (2011). A health financing review of Vietnam with a focus on social health in-surance. World Health Organization: Ge-neva.

Wagstaff A, Nguyen HTH, Dao H, Bales S (2016). Encouraging health insurance for the informal sector: a cluster randomized experiment in Vietnam. Health Econ, 25(6): 663-674.

Somanathan A, Tandon A, Dao HL et al (2014). Moving toward universal coverage of social health insurance in Vietnam: as-sessment and options. World Bank: Washington D.C.;

Agresti A (2013). Categorical Data Analysis. 3rd ed. Hoboken: Wiley. New Jersey.

Penn State Science. Analysis of discrete data: further topic on logistic regression.

Vuong QH (2017). Survey data on Vietnam-ese propensity to attend periodic general health examinations. Sci Data, 4: 2017142.

IssueVol 47 No 1 (2018) QRcode
SectionShort Communication(s)
Health insurance Threshold Medical expenditures Healthcare policy Vietnam

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
VUONG Q-H. Sociodemographic Factors Influencing Vietnamese Patient Satisfaction with Healthcare Services and Some Meaningful Empirical Thresholds. Iran J Public Health. 2017;47(1):119-126.