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  • Article


  • Authors: Nguyen, Hoang Long (2015)

  • Background Patient satisfaction is an important component of quality in healthcare delivery. To inform the expansion of Methadone Maintenance Treatment (MMT) services in Vietnam, we exam-ined the satisfaction of patients with regards to different services delivery models and identi-fied its associated factors. Methods We interviewed 1,016MMT patients at 5 clinics in Hanoi and Nam Dinh province. Themodi-fied SATIS instrument, a 10-item scale, was used tomeasure three dimensions:“Services quality and convenience”,“Health workers’capacity and responsiveness”and“Inter-profes-sional care”. Results The average score was high across three SATIS dimensions. However, only one third of patients completely satisfied with general health services and treatment outcomes. Older age, highe...

  • Article


  • Authors: Nguyen, Hoang Long (2015)

  • Background:Smoking cessation treatment service is concerned to be a critical element in methadone maintenance treatment (MMT) in order to diminish the effect of smoke on health outcomes. To implement the smoking cessation services in Vietnam, we examined the stages of change to quit and determined associated factors among MMT patients. Methods:We conducted a cross-sectional survey with 1016 MMT patients in five clinics in Hanoi and Nam Dinh province, of those, 932 (91.7 %) were ever-smokers. Patients were classified into four groups:“pre-contemplation,” “contemplation,”“preparation,” and“action and maintenance” by using the transtheoretical model. Multivariate logistic regression was applied to determine the associated factor for intention and action to quit smoking. Results...

  • Article


  • Authors: Nguyen, Hoang Long (2016)

  • Background:The rapid expansion of methadone maintenance treatment (MMT) services has significantly improved health status and quality of life of patients. However, little is known about its impacts on addiction-related stigma and associated factors. Methods:A cross-sectional survey was conducted in 2013 in Vietnam’s capital, Hanoi, and Nam Dinh province among 1016 methadone maintenance patients; 26.6 % at provincial AIDS centers (PAC) and 73.4 % at district health centers (DHC), respectively. Drug addiction history and related stigma, health status, MMT-related covariates, and sociodemographic characteristics were interviewed. Results:More than one-sixth of the sample reported experiencing felt or enacted stigma, including Blame or Judgement (17.2 %), Shame (19.9 %), or Othe...

  • Article


  • Authors: Nguyen, Hoang Long (2014)

  • Cost effective threshold is essential in an economic evaluation. This study aimed to estimate the willingness to pay (WTP) for a Quality Adjusted Life Year (QALY) in Bavi district, Hanoi 2014 and examine some associated factors. Method: 360 respondents from Bavi district, Hanoi were interviewed. Dichotomous bidding choice followed by open-ended question was employed in this study. Results:Mean of willingness to pay for a Quality Adjusted life year in Bavi, Hanoi, 2014 ranged from 13,934,010 to 20,737,620 VND (~667.3 – 993.1$ US). The WTP per QALY for worse health states are higher than those for better states. Gender, utility of health status assessed by respondents and monthly household income were determined as associated factors. Conclusions: The WTP/QALY values...

  • Article


  • Authors: Nguyen, Hoang Long (2015)

  • Background:Utility estimates are important health outcomes for economic evaluation of care and treatment interventions for patients with HIV/AIDS. We conducted a systematic review and meta-analysis of utility measurements to examine the performance of preference-based instruments, estimate health utility of patients with HIV/AIDS by disease stages, and investigate changes in their health utility over the course of antiretroviral treatment. Methods:We searched PubMed/Medline, Cochrane Database of Systematic Review, NHS Economic Evaluation Database and Web of Science for English-language peer-reviewed papers published during 2000–2013. We selected 49 studies that used 3 direct and 6 indirect preference based instruments to make a total of 218 utility measurements. Random effect...

  • Article


  • Authors: Nguyen, Hoang Long (2015)

  • Background:Integrating and decentralizing services are essential to increase the accessibility and provide comprehensive care for methadone patients. Moreover, they assure the sustainability of a HIV/AIDS prevention program by reducing the implementation cost. This study aimed to measure the preference of patients enrolling in a MMT program for integrated and decentralized MMT clinics and then further examine related factors. Methods:A cross-sectional study was conducted among 510 patients receiving methadone at 3 clinics in Hanoi. Structured questionnaires were used to collect data about the preference for integrated and decentralized MMT services. Covariates including socio-economic status; health-related quality of life (using EQ-5D-5 L instrument) and HIV status; history ...

  • Article


  • Authors: Nguyen, Hoang Long (2016)

  • Background:Traditional medicine (TM) still plays an important role in a number of health care systems around the world, especially across Asian and African countries. In Vietnam, however, little is known about preference for traditional medicine use. This study assessed the prevalence of use, preference, satisfaction, and willingness to pay for TM services amongst rural ethnic minority community. Methods:A cross-sectional survey in three provinces in the North and South of Vietnam. Results:The results showed a high level of satisfaction with TM services, with more than 90 % of respondents reporting improved health status given the use of TM. Indicators for preference of TM over modern medicine are a longer distance to health station; being in an ethnic minority; being female;...

  • Article


  • Authors: Nguyen, Hoang Long (2016)

  • A multi-site survey was conducted on a sample of 365 clients to assess their willingness to pay for HIV voluntary counseling and testing (VCT) services in Ha Noi and Nam Dinh province, two epicenters of Vietnam. By using contingent valuation technique, the results showed that most of respondents (95.1 %) were willing to pay averagely 155 (95 % CI 132–177) thousands Vietnam Dong (*US $7.75, 2013) for a VCT service. Clients who were female, had middle income level, and current opioid users were willing to pay less; meanwhile clients who had university level of education were willing to pay more for a VCT service. The results highlighted the high rate of willingness to pay for the service at a high amount by VCT clients. These findings contribute to the implementation of ...

  • Article


  • Authors: Nguyen, Hoang Long (2016)

  • This study aimed to describe the current available and readiness of resources of commune health centers (CHCs) in selected areas in Vietnam for the prevention and control of diabetes and hypertension in 2014. A cross-sectional study was conducted on 90 CHCs in Hoa Binh, Ha Tinh and Kien Giang provinces. Service availability and readiness assessment (SARA) instrument was used to assess the capacity of CHCs. The results showed that most of CHCs achieved <70% of standards for diabetes diagnosis and management (83.3%), especially in difficult-to-reach areas (97.8%). Meanwhile, the proportion of CHCs having sufficient capacity for hypertension service delivery was high. Most of CHCs reached from 70% to <100% of standards for hypertension management and treatment (59.8%). The results sugg...

  • Article


  • Authors: Nguyen, Hoang Long (2016)

  • 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...