Vietnam’s Healthcare System Decentralization: how well does it respond to global health crises such as Covid-19 pandemic?
AuthorsNguyen, Huy Van
Pham, Minh Duc
Minh Dao, An Thi
Nguyen, Hoa L.
Nguyen, Tien Van
Le, Phuong Mai
Nguyen, Phuong The
Ngoc Tran, Anh Thi
Vu, Kien Duy
Dinh, Son Thai
Hoang, Minh Van
UMass Chan AffiliationsDepartment of Population and Quantitative Health Sciences
Document TypeJournal Article
Global health crises
Low- and middle-income countries (LMICs)
Public health responses
Health Services Administration
Health Services Research
International Public Health
MetadataShow full item record
AbstractThis article discussed Vietnam’s ongoing efforts to decentralize the health system and its fitness to respond to global health crises as presented through the Covid-19 pandemic. We used a general review and expert’s perspective to explore the topic. We found that the healthcare system in Vietnam continued to decentralize from a pyramid to a wheel model. This system shifts away from a stratified technical hierarchy of higher- and lower-level health units (pyramid model) to a system in which quality healthcare is equally expected among all health units (wheel model). This decentralization has delivered more quality healthcare facilities, greater freedom for patients to choose services at any level, a more competitive environment among hospitals to improve quality, and reductions in excess capacity burden at higher levels. It has also enabled the transformation from a patient-based traditional healthcare model into a patient-centered care system. However, this decentralization takes time and requires long-term political, financial commitment, and a working partnership among key stakeholders. This perspective provides Vietnam’s experience of the decentralization of the healthcare system that may be consider as a useful example for other countries to strategically think of and to shape their future system within their own socio-political context.
Nguyen HV, Debattista J, Pham MD, Dao ATM, Gilmour S, Nguyen HL, Nguyen TV, Le PM, Nguyen PT, Tran ATN, Vu KD, Dinh ST, Hoang MV. Vietnam’s Healthcare System Decentralization: how well does it respond to global health crises such as covid-19 pandemic?. APJHM [Internet]. 2021Feb.28 [cited 2021Apr.12];16(1):47-51. Available from: https://doi.org/10.24083/apjhm.v16i1.619
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/27415
RightsThis work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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