{"id":"https://openalex.org/W2947640474","doi":"https://doi.org/10.1186/s12913-019-4115-0","title":"Use of high-level health facilities and catastrophic expenditure in Vietnam: can health insurance moderate this relationship?","display_name":"Use of high-level health facilities and catastrophic expenditure in Vietnam: can health insurance moderate this relationship?","publication_year":2019,"publication_date":"2019-05-21","ids":{"openalex":"https://openalex.org/W2947640474","doi":"https://doi.org/10.1186/s12913-019-4115-0","mag":"2947640474","pmid":"https://pubmed.ncbi.nlm.nih.gov/31113490","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6528376"},"language":"en","primary_location":{"id":"doi:10.1186/s12913-019-4115-0","doi":"https://doi.org/10.1186/s12913-019-4115-0","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-019-4115-0","pdf_url":"https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-019-4115-0","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-019-4115-0","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5100681504","display_name":"Hwa\u2010Young Lee","orcid":"https://orcid.org/0000-0003-2591-1436","observed_orcids":["https://orcid.org/0000-0003-2591-1436"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I139264467","display_name":"Seoul National University","ror":"https://ror.org/04h9pn542","country_code":"KR","type":"education","lineage":["https://openalex.org/I139264467"]}],"countries":["KR","US"],"is_corresponding":false,"raw_author_name":"Hwa-Young Lee","raw_affiliation_strings":["Department of Global Health and Population, Takemi Program in International Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA","JW LEE Center for Global Medicine, Seoul National University College of Medicine, 71 Ihwajang-gil, Jongno-gu, Seoul, 110-810, South Korea"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Global Health and Population, Takemi Program in International Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"JW LEE Center for Global Medicine, Seoul National University College of Medicine, 71 Ihwajang-gil, Jongno-gu, Seoul, 110-810, South Korea","institution_ids":["https://openalex.org/I139264467"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042429881","display_name":"Juhwan Oh","orcid":"https://orcid.org/0000-0003-0983-4872","observed_orcids":["https://orcid.org/0000-0003-0983-4872"]},"institutions":[{"id":"https://openalex.org/I139264467","display_name":"Seoul National University","ror":"https://ror.org/04h9pn542","country_code":"KR","type":"education","lineage":["https://openalex.org/I139264467"]}],"countries":["KR"],"is_corresponding":true,"raw_author_name":"Juhwan Oh","raw_affiliation_strings":["JW LEE Center for Global Medicine, Seoul National University College of Medicine, 71 Ihwajang-gil, Jongno-gu, Seoul, 110-810, South Korea. oh328@snu.ac.kr","JW LEE Center for Global Medicine, Seoul National University College of Medicine, 71 Ihwajang-gil, Jongno-gu, Seoul, 110-810, South Korea"],"raw_orcid":"https://orcid.org/0000-0003-0983-4872","affiliations":[{"raw_affiliation_string":"JW LEE Center for Global Medicine, Seoul National University College of Medicine, 71 Ihwajang-gil, Jongno-gu, Seoul, 110-810, South Korea. oh328@snu.ac.kr","institution_ids":["https://openalex.org/I139264467"]},{"raw_affiliation_string":"JW LEE Center for Global Medicine, Seoul National University College of Medicine, 71 Ihwajang-gil, Jongno-gu, Seoul, 110-810, South Korea","institution_ids":["https://openalex.org/I139264467"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Van Minh Hoang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405278275","display_name":"Trung t\u00e2m Nghi\u00ean c\u1ee9u Khoa h\u1ecdc S\u1ee9c kh\u1ecfe","ror":"https://ror.org/05j8xfq43","country_code":"VN","type":"facility","lineage":["https://openalex.org/I4405278275"]}],"countries":["VN"],"is_corresponding":false,"raw_author_name":"Van Minh Hoang","raw_affiliation_strings":["Center for Population Health Sciences, Hanoi University of Public Health, Hanoi, Vietnam"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Population Health Sciences, Hanoi University of Public Health, Hanoi, Vietnam","institution_ids":["https://openalex.org/I4405278275"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101863103","display_name":"J. Robin Moon","orcid":"https://orcid.org/0000-0002-1793-936X","observed_orcids":["https://orcid.org/0000-0002-1793-936X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J. Robin Moon","raw_affiliation_strings":["Bronx Partners for Health Communities New York City, Bronx, NY, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bronx Partners for Health Communities New York City, Bronx, NY, USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5083923676","display_name":"S. V. Subramanian","orcid":"https://orcid.org/0000-0003-2365-4165","observed_orcids":["https://orcid.org/0000-0003-2365-4165"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"S. V. Subramanian","raw_affiliation_strings":["Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA","Harvard Center for Population and Development Studies, Harvard T.H. Chan School of Public Health, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Harvard Center for Population and Development Studies, Harvard T.H. Chan School of Public Health, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5042429881"],"corresponding_institution_ids":["https://openalex.org/I139264467"],"apc_list":{"value":2390,"currency":"USD","value_usd":2390},"apc_paid":{"value":2390,"currency":"USD","value_usd":2390},"fwci":5.2154,"has_fulltext":true,"cited_by_count":39,"citation_normalized_percentile":{"value":0.95706469,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":99},"biblio":{"volume":"19","issue":"1","first_page":"318","last_page":"318"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/catastrophic-health-expenditure","display_name":"catastrophic health expenditure","score":0.9039999842643738},{"id":"https://openalex.org/keywords/out-of-pocket-health-expenditure","display_name":"out-of-pocket health expenditure","score":0.9350000023841858},{"id":"https://openalex.org/keywords/health-insurance","display_name":"health insurance","score":0.8190000057220459},{"id":"https://openalex.org/keywords/financial-protection","display_name":"financial protection","score":0.7379999756813049},{"id":"https://openalex.org/keywords/family-financial-burden","display_name":"family financial burden","score":0.7620000243186951},{"id":"https://openalex.org/keywords/hospital-overcrowding","display_name":"hospital overcrowding","score":0.6449999809265137},{"id":"https://openalex.org/keywords/visit-frequency","display_name":"visit frequency","score":0.7739999890327454},{"id":"https://openalex.org/keywords/urban-rural-differences","display_name":"urban-rural differences","score":0.718999981880188},{"id":"https://openalex.org/keywords/vietnam","display_name":"Vietnam","score":0.8740000128746033}],"concepts":[{"id":"https://openalex.org/C166866094","wikidata":"https://www.wikidata.org/wiki/Q1307251","display_name":"Tobit model","level":2,"score":0.6485722064971924},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.628696620464325},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5359485745429993},{"id":"https://openalex.org/C2778000068","wikidata":"https://www.wikidata.org/wiki/Q5051575","display_name":"Catastrophic illness","level":2,"score":0.5264801979064941},{"id":"https://openalex.org/C103621254","wikidata":"https://www.wikidata.org/wiki/Q9199","display_name":"Vietnamese","level":2,"score":0.43662604689598083},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.43209895491600037},{"id":"https://openalex.org/C137992405","wikidata":"https://www.wikidata.org/wiki/Q1137608","display_name":"Health administration","level":3,"score":0.42966118454933167},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.42007583379745483},{"id":"https://openalex.org/C2775949068","wikidata":"https://www.wikidata.org/wiki/Q4260475","display_name":"Health facility","level":4,"score":0.4163854718208313},{"id":"https://openalex.org/C45355965","wikidata":"https://www.wikidata.org/wiki/Q1643441","display_name":"Socioeconomics","level":1,"score":0.3746829926967621},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.344083696603775},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3379034399986267},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.21150347590446472},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.12842431664466858},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.1010095477104187},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.09526801109313965},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.09165889024734497},{"id":"https://openalex.org/C149782125","wikidata":"https://www.wikidata.org/wiki/Q160039","display_name":"Econometrics","level":1,"score":0.0},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002388","descriptor_name":"Catastrophic Illness","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D005102","descriptor_name":"Health Expenditures","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005191","descriptor_name":"Family Characteristics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005382","descriptor_name":"Financing, Personal","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006268","descriptor_name":"Health Facilities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008483","descriptor_name":"Medical Assistance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012424","descriptor_name":"Rural Population","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012959","descriptor_name":"Socioeconomic Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014744","descriptor_name":"Vietnam","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014944","descriptor_name":"World Health Organization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016015","descriptor_name":"Logistic Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018672","descriptor_name":"Community Health Planning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1186/s12913-019-4115-0","doi":"https://doi.org/10.1186/s12913-019-4115-0","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-019-4115-0","pdf_url":"https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-019-4115-0","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},{"id":"pmid:31113490","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31113490","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC health services research","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:6528376","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6528376/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Serv Res","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:f14dc0b33b1d48a78427e3e22f066efb","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/f14dc0b33b1d48a78427e3e22f066efb","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Health Services Research, Vol 19, Iss 1, Pp 1-12 (2019)","raw_type":"article"},{"id":"pmh:oai:s-space.snu.ac.kr:10371/156023","doi":null,"is_oa":false,"landing_page_url":"https://hdl.handle.net/10371/156023","pdf_url":null,"source":{"id":"https://openalex.org/S4306401345","display_name":"Seoul National University Open Repository (Seoul National University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I139264467","host_organization_name":"Seoul National University","host_organization_lineage":["https://openalex.org/I139264467"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Article"}],"best_oa_location":{"id":"doi:10.1186/s12913-019-4115-0","doi":"https://doi.org/10.1186/s12913-019-4115-0","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-019-4115-0","pdf_url":"https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-019-4115-0","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3"},{"display_name":"No poverty","score":0.666700005531311,"id":"https://metadata.un.org/sdg/1"},{"display_name":"Reduced inequalities","score":0.4000000059604645,"id":"https://metadata.un.org/sdg/10"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320321292","display_name":"Seoul National University","ror":"https://ror.org/04h9pn542"},{"id":"https://openalex.org/F4320334061","display_name":"College of Medicine, Seoul National University","ror":null}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2947640474.pdf","grobid_xml":"https://content.openalex.org/works/W2947640474.grobid-xml"},"referenced_works_count":22,"referenced_works":["https://openalex.org/W1506964279","https://openalex.org/W1540993353","https://openalex.org/W1841733224","https://openalex.org/W1978157104","https://openalex.org/W2035468404","https://openalex.org/W2069632135","https://openalex.org/W2115152795","https://openalex.org/W2125849337","https://openalex.org/W2147580046","https://openalex.org/W2150356900","https://openalex.org/W2153568084","https://openalex.org/W2157800900","https://openalex.org/W2162802625","https://openalex.org/W2166815587","https://openalex.org/W2170964814","https://openalex.org/W2335962826","https://openalex.org/W2531734542","https://openalex.org/W2915046561","https://openalex.org/W3125381165","https://openalex.org/W4235321056","https://openalex.org/W4236443795","https://openalex.org/W4253754543"],"related_works":["https://openalex.org/W6977901140","https://openalex.org/W4223909100","https://openalex.org/W2966055672","https://openalex.org/W1978157104","https://openalex.org/W4408598096","https://openalex.org/W3092555225","https://openalex.org/W4295758322","https://openalex.org/W2122655557","https://openalex.org/W3137271022","https://openalex.org/W3209868541"],"abstract_inverted_index":{"BACKGROUND:":[0],"Overcrowding":[1],"of":[2,45,68,76,94,118,155,176,216,243,254],"high-level":[3,46,146,177,217,245],"health":[4,13,25,47,69,82,139,156,167,178,211,255],"facilities":[5,48,147,179,218],"is":[6,27,263],"a":[7,11,65,81],"major":[8],"concern":[9],"in":[10,30,71,91,100,110,145,186,197,225,257],"Vietnamese":[12],"system.":[14],"This":[15,35],"may":[16],"increase":[17],"an":[18],"economic":[19],"burden":[20],"to":[21,38,150,266],"the":[22,40,43,104,152,268],"households":[23],"since":[24],"insurance":[26,140,160,212,256],"still":[28],"insufficient":[29],"providing":[31],"financial":[32,241,249,270],"risk":[33],"protection.":[34],"paper":[36],"sought":[37],"examine":[39],"association":[41],"between":[42,87,138,210],"use":[44,215],"and":[49,57,73,89,103,125,133,142,195,199,214,251],"household-level":[50],"expenditure":[51,59,120,132,168,171,221],"status":[52,141,161,213,250],"such":[53],"as":[54,62,64],"out-of-pocket":[55],"(OOP),":[56],"catastrophic":[58,119,131,170,190,220],"on":[60,219,247],"health,":[61],"well":[63],"moderating":[66,153],"effect":[67,154],"insurances":[70],"rural":[72,98],"urban":[74,108],"districts":[75,93],"Vietnam.":[77],"METHODS:":[78],"Data":[79],"utilized":[80],"system":[83],"community":[84],"survey":[85],"collected":[86],"2015":[88],"2017":[90],"two":[92],"Vietnam":[95],"(one":[96],"from":[97,107],"area":[99,109],"northern":[101,198],"part,":[102],"other":[105],"one":[106],"sourthern":[111],"part).":[112],"The":[113,236],"world":[114],"Health":[115,159],"Organization's":[116],"definition":[117],"was":[121,148,162,180,223],"used.":[122],"Multivariate":[123],"tobit":[124],"logistic":[126],"regression":[127],"were":[128],"employed":[129],"for":[130,189,265],"OOP":[134,166],"respectively.":[135],"Interaction":[136],"term":[137],"visit":[143,174],"frequency":[144,175],"included":[149],"investigate":[151],"insurance.":[157],"RESULTS:":[158],"associated":[163,182],"with":[164,183],"neither":[165],"nor":[169],"occurrence,":[172],"whereas":[173],"strongly":[181],"both":[184,187],"outcomes":[185],"districts(e.g.,":[188],"expenditure,":[191],"ORs":[192],"are":[193,205],"1.77":[194],"1.30":[196],"southern":[200],"district":[201,228],"respecitvely.":[202],"P":[203],"values":[204],"<":[206,233],"0.001).":[207],"Significant":[208],"interaction":[209],"occurrence":[222],"found":[224],"Quoc":[226],"Oai":[227],"(OR":[229],"=":[230],"0.68,":[231],"p":[232],"0.05).":[234],"CONCLUSIONS:":[235],"present":[237],"study":[238],"demonstrated":[239],"negative":[240],"impact":[242],"utilizing":[244],"facility":[246],"household":[248],"weak":[252],"role":[253],"decreasing":[258],"this":[259],"impact.":[260],"Multi-faceted":[261],"approach":[262],"called":[264],"mitigate":[267],"patient's":[269],"burden.":[271]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":7},{"year":2021,"cited_by_count":12},{"year":2020,"cited_by_count":4}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2019-06-07T00:00:00"}