Changes in the Health Care System of Vietnam in Response to the Emerging Market Economy

This paper discusses the impact on the Vietnamese health care system of the change from a centralized socialist system to a market economy. It discusses recent policies based on expectations in relation to actual outcomes, and the impacts these changes have had on health care delivery and health inf...

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Bibliographic Details
Published inJournal of public health policy Vol. 21; no. 1; pp. 82 - 98
Main Authors Ladinsky, Judith L., Nguyen, Hoang Thuy, Volk, Nancy D.
Format Journal Article
LanguageEnglish
Published England Journal of Public Health Policy 01.01.2000
Palgrave Macmillan
Subjects
Clinical outcomes
Communes
Delivery of Health Care - economics
Delivery of Health Care - organization & administration
Delivery Systems
Deterioration
Economic Change
Educational systems
Emerging markets
Fees
Free enterprise
Geographic distribution
Geographical distribution
Health care
Health care delivery
Health care economics
Health Care Sector
Health Care Services
Health Education
Health Policy
Health services
Human resources
Impact analysis
Infrastructure
Market economies
Market Economy
Medical equipment
Medical personnel
Medical sector
Medical service
Medications
Pharmaceutical preparations
Physicians
Prescription drugs
Rural areas
Rural communities
Socialized Medicine
Urban areas
Urban poverty
Vietnam
Vietnam
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Summary:This paper discusses the impact on the Vietnamese health care system of the change from a centralized socialist system to a market economy. It discusses recent policies based on expectations in relation to actual outcomes, and the impacts these changes have had on health care delivery and health infrastructure in Vietnam. It has become clear that the private medical sector is draining resources from the State rather than complementing the weakened national health system. Impacts on health education, pharmaceuticals, infrastructure support, geographic distribution of physicians, and equity are all discussed in terms of recent economic changes. It is suggested that adjustments must be made to ensure adequate health care for all Vietnamese including those in rural areas and the urban poor. The State must develop mechanisms to support the national health service before further deterioration occurs.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0197-5897
1745-655X
DOI:10.2307/3343475