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dc.contributor.authorNguyen, Huy Van
dc.contributor.authorDebattista, Joseph
dc.contributor.authorPham, Minh Duc
dc.contributor.authorMinh Dao, An Thi
dc.contributor.authorGilmour, Stuart
dc.contributor.authorNguyen, Hoa L
dc.contributor.authorNguyen, Tien Van
dc.contributor.authorLe, Phuong Mai
dc.contributor.authorNguyen, Phuong The
dc.contributor.authorNgoc Tran, Anh Thi
dc.contributor.authorVu, Kien Duy
dc.contributor.authorDinh, Son Thai
dc.contributor.authorHoang, Minh Van
dc.date2022-08-11T08:08:10.000
dc.date.accessioned2022-08-23T15:44:53Z
dc.date.available2022-08-23T15:44:53Z
dc.date.issued2021-02-28
dc.date.submitted2021-04-12
dc.identifier.citation<p>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: <a href="https://doi.org/10.24083/apjhm.v16i1.619" title="view article on publisher's site">https://doi.org/10.24083/apjhm.v16i1.619</a></p>
dc.identifier.doi10.24083/apjhm.v16i1.619
dc.identifier.urihttp://hdl.handle.net/20.500.14038/27415
dc.description.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.
dc.language.isoen_US
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectHealthcare system
dc.subjectGlobal health crises
dc.subjectCovid-19 pandemic
dc.subjectLow- and middle-income countries (LMICs)
dc.subjectPublic health responses
dc.subjectVietnam
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectInfectious Disease
dc.subjectInternational Public Health
dc.subjectVirus Diseases
dc.titleVietnam’s Healthcare System Decentralization: how well does it respond to global health crises such as Covid-19 pandemic?
dc.typeJournal Article
dc.source.journaltitleAsia Pacific Journal of Health Management
dc.source.volume16
dc.source.issue1
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1213&amp;context=covid19&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/covid19/210
dc.identifier.contextkey22444207
refterms.dateFOA2022-08-23T15:44:53Z
html.description.abstract<p>This 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.</p>
dc.identifier.submissionpathcovid19/210
dc.contributor.departmentDepartment of Population and Quantitative Health Sciences
dc.source.pages47-51


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