Be rich or don’t be sick: Estimating Vietnamese patients’ risk of falling into destitution

This paper represents the first research attempt to estimate the probabilities for Vietnamese patients to fall into destitution facing financial burdens occurring during their curative stay in hospital. The study models the risk against such factors as level of insurance coverage, location of patient, costliness of treatment, among others. The results show that very high probabilities of destitution, approximately 70%, apply to a large group of patients, who are nonresident, poor and ineligible for significant insurance coverage. There is also a probability of 58% that low-income patients who are seriously ill and face higher health care costs would quit their treatment. These facts will put Vietnamese government’s ambitious plan of increasing both universal coverage (UC) to 100% of expenditure and rate of UC beneficiaries to 100% at a serious test. The study also raises issues of asymmetric information and alternative financing options for the poor, who are most exposed to risk of destitution, following market-based health care reforms.

Experimental investigation of thermal structures in regular three-dimensional falling films

Interfacial waves on the surface of a falling liquid film are known to modify heat and mass transfer. Under non-isothermal conditions, the wave topology is strongly influenced by the presence of thermocapillary (Marangoni) forces at the interface which leads to a destabilization of the film flow and potentially to critical film thinning. In this context, the present study investigates the evolution of the surface topology and the evolution of the surface temperature for the case of regularly excited solitary-type waves on a falling liquid film under the influence of a wall-side heat flux. Combining film thickness (chromatic confocal imaging) and surface temperature information (infrared thermography), interactions between hydrodynamics and thermocapillary forces are revealed. These include the formation of rivulets, film thinning and wave number doubling in spanwise direction. Distinct thermal structures on the films’ surface can be associated to characteristics of the surface topology.