Health Care System in Vietnam: Current Situation and Challenges

Le, Duc-Cuong; Kubo, Toshikazu; Fujino, Yoshihisa; Pham, Truong-Minh; Matsuda, Shinya

doi:10.7223/apjdm.4.23

Cited by 36 publications

(46 citation statements)

References 6 publications

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“…In Vietnam, pharmacist numbers have nearly doubled from 7800 to 13,900 between 2000 and 2008 (Le et al . ). In Malaysia and Indonesia, pharmacist numbers have exponentially increased over the last decade as universities have graduated more pharmacists annually (Chee et al .…”

Section: Introductionmentioning

confidence: 97%

Community pharmacy and emerging public health initiatives in developing Southeast Asian countries: a systematic review

Hermansyah

Sainsbury

Krass

2015

Health Soc Care Community

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The development of health and healthcare systems in South‐East Asia has influenced the practice of community pharmacy. Over the years, community pharmacy in the region has striven to expand services beyond dispensing to encompass more involvement in public health issues. Searches were conducted in Scopus, EMBASE, MEDLINE and PubMed for articles published between January 2000 and December 2014, with 21 studies in five countries meeting the inclusion criteria. The findings showed increasing interest in research into the delivery of pharmacy services and public health initiatives. Overall, the review found that provision of some health services in pharmacies was common; however, most public health initiatives appeared to be poorly implemented, had limited evidence and were not demonstrated to be sustainable across the sector. This indicates that the practice of community pharmacy in the region has not significantly changed over the past 14 years with respect to the scope and quality of pharmacy services provided, and fundamental policy changes are necessary to improve this situation.

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Section: Introductionmentioning

confidence: 97%

Community pharmacy and emerging public health initiatives in developing Southeast Asian countries: a systematic review

Hermansyah

Sainsbury

Krass

2015

Health Soc Care Community

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“…Healthcare facilities in Vietnam are divided into four levels by administrative structure: central (Level I); provincial (Level II), covering a population of 1–2 million; district (Level III), covering 100,000–200,000; and commune (Level IV), covering around 5000–10,000 [13]. This structure is set out in Article 81 of Chapter VIII of the 2009 Law on Examination and Treatment [6], which covers the organizational system of medical examination and treatment establishments.…”

Section: Introductionmentioning

confidence: 99%

“…Bed occupancy rates have reached 120–160%, especially in the central hospitals of some large cities [4]. Overcrowding in higher level healthcare facilities may have several causes, including limited healthcare quality in lower level facilities in districts and communes, and even in provincial hospitals; increasing expectations of service quality; improvement in convenience of transportation from remote areas to central areas; and limited differences in hospital fees at different administrative levels [13]. This may lead to a drain on resources in higher level hospitals and subsequent wastage at lower levels.…”

Section: Introductionmentioning

confidence: 99%

A review of Vietnam’s healthcare reform through the Direction of Healthcare Activities (DOHA)

Takashima¹,

Wada

Tra

et al. 2017

Environ Health Prev Med

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ObjectiveThis article provides a comprehensive review of the healthcare reform process driven by the Vietnamese Ministry of Health’s Direction of Healthcare Activities (DOHA) scheme.MethodsWe reviewed policy documents relating to DOHA, along with historical literature and background information describing its formation.ResultsDOHA (Chỉ đạo tuyến in Vietnamese) literally means guidance line or level in English. It requires healthcare facilities at higher government administration levels to support those at lower levels (the four levels being central, provincial, district, and commune), to help lower level hospitals to provide medical services for local communities in primary care settings and reduce the number of patients in higher level (central and provincial) hospitals. Since the 1990s, there have been too many patients attending higher level hospitals, and DOHA has therefore focused on technical skills transfer training to help alleviate this situation. Designated core central hospitals now provide technical skills transfer to provincial hospitals. Professional technical lists for each level of health facility have enabled strong commitment and proactive ownership of the process of training management in both higher and lower level hospitals.ConclusionThe DOHA scheme has accelerated the necessary up-skilling of healthcare at lower level public hospitals across Vietnam. These reforms are highly relevant for other countries with limited healthcare resources.

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“…Most of them also recommend us going to the hospitals of higher level, since they do not have enough facilities there” . The differences in health providers in Vietnam were described elsewhere [18] , [19] .…”

Section: Resultsmentioning

confidence: 99%

Factors affecting the access to health services among waste collectors in Hanoi, Vietnam: A qualitative study

et al. 2020

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Background Waste collection is a common practice in Vietnam. In general, the working and living conditions of waste collectors are poor. Thus, they might be exposed to occupational and environmental risk factors, which affect their health or could further exacerbate their health vulnerabilities. Moreover, they have difficulties to access to health services. Objective The aim of this study was to understand factors affecting the access to health services among waste collectors in Hanoi, Vietnam. Methods The qualitative design was used for this study. A total of 30 in-depth interviews with waste collectors and 3 focused group discussions were conducted in Hanoi, Vietnam in 2017. Results Findings showed the participants considered factors that affect the access to health services among waste collectors such as geographical accessibility, the availability of health facilities, the acceptance of the quality of health services, health insurance, and affordability. Conclusions Policy makers concerned with public health and social work need to have the suitable policies in order to promote actions on the access to health services among waste collectors.

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Health Care System in Vietnam: Current Situation and Challenges

Cited by 36 publications

References 6 publications

Community pharmacy and emerging public health initiatives in developing Southeast Asian countries: a systematic review

Community pharmacy and emerging public health initiatives in developing Southeast Asian countries: a systematic review

A review of Vietnam’s healthcare reform through the Direction of Healthcare Activities (DOHA)

Factors affecting the access to health services among waste collectors in Hanoi, Vietnam: A qualitative study

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