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| Main Authors: | , |
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| 格式: | Recurso digital |
| 語言: | 古英语 |
| 出版: |
Zenodo
2025
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| 主題: | |
| 在線閱讀: | https://doi.org/10.5281/zenodo.17863973 |
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書本目錄:
- <p>Children living in Vietnam’s mountainous and ethnic-minority regions continue to face substantial disparities in health outcomes and access to essential healthcare services. Geographic isolation, limited infrastructure, and socio-economic disadvantage contribute to heightened levels of child malnutrition, low healthcare utilization, and reduced access to preventive services such as immunization. Despite national progress in child health indicators, these remote areas remain disproportionately affected by hidden economic and social barriers that are often overlooked in conventional analyses of healthcare access. This study investigates the influence of economic and social hidden costs on children’s healthcare access in mountainous areas of Vietnam, drawing on Andersen’s Behavioral Model and the Health Belief Model. The research examines how direct non-medical expenses, opportunity costs, long-term economic impacts, time and social burdens, cultural barriers, social opportunity costs, and information gaps affect health service utilization among children under ten years old. Using a cross-sectional survey of 215 households and multiple linear regression analysis, the findings show that non-medical costs, long-term economic impacts, and social opportunity costs are positively associated with healthcare use, while information gaps significantly reduce utilization. In contrast, opportunity costs, time burdens, and cultural barriers do not exhibit significant effects. These results indicate that hidden costs function both as consequences of healthcare utilization and as structural barriers within the decision-making process. The study advances theoretical understanding of hidden costs within health access frameworks and provides practical guidance for policymakers seeking to improve equitable child healthcare in remote mountainous regions.</p>