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Vietnamese Health Care System In Change
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Book Synopsis The Vietnamese Health Care System in Change by : Kerstin Priwitzer
Download or read book The Vietnamese Health Care System in Change written by Kerstin Priwitzer and published by Institute of Southeast Asian Studies. This book was released on 2012 with total page 397 pages. Available in PDF, EPUB and Kindle. Book excerpt: Within the last twenty years a large-scale bottom-up privatization has taken place in Vietnam, changing and dismantling the public health care system. This process has led to severe tensions inherent in the transitional society of Vietnam between equity and access to health care support - especially for the poor, elderly, migrants, and ethnic minorities - on the one hand, and its efficiency on the other hand. The book traces the reform efforts to modernize the health care system by the Communist Party of Vietnam and the Vietnamese government. The author bases her findings on little known primary literature and interviews with key stakeholders of the policy network involved in the reform of the health care system, thereby painting an authentic atmospheric picture of the profound changes in the health care system in Vietnam.
Book Synopsis Health and Health Care in Transition by : Eric Naterop
Download or read book Health and Health Care in Transition written by Eric Naterop and published by . This book was released on 1995 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Moving toward Universal Coverage of Social Health Insurance in Vietnam by : Aparnaa Somanathan
Download or read book Moving toward Universal Coverage of Social Health Insurance in Vietnam written by Aparnaa Somanathan and published by World Bank Publications. This book was released on 2014-06-26 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past two decades Vietnam has made enormous progress towards achieving universal coverage (UC) for its population. Significant challenges remain, however, in terms of improving equity with continuing low rates of enrollment. Ensuring financial protection also remains an elusive goal. The Master Plan for Universal Coverage approved in 2012 by the Prime Minister directly addresses both these deficiencies in coverage. The objective of this report is to assess the implementation of Vietnam SHI and provide options for moving towards UC. This is a joint assessment with development partners, World Health Organization, United Nations Children's Fund (Unicef) and Rockefeller Foundation. Expanding breadth of coverage, particularly for those hard to reach groups such as the near-poor and informal sector would require substantially increasing general revenue subsidies and fully subsidizing the premiums for the near-poor. High enrollment rates would, however, have little impact on financial protection and equity if OOP costs remain high. Achieving UC will require sustained efforts to improve efficiency in the system, and gain better value for money from available budgetary resources; without these efforts, any further progress towards UC would be financially unsustainable. There is considerable scope for improving efficiency in Vietnam. Fragmentation in the pooling of funds gives rise to unnecessary costs. Inefficiencies in resource allocation and purchasing arrangements include: (i) an overly generous benefits package; (ii) provider payment mechanisms and the mix of incentives facing providers which result in an oversupply of services; (iii) high prices, overconsumption and inappropriate use of pharmaceuticals; and (iv) the structure and incentives embedded within the delivery system. The organization, management and governance of SHI are fragmented and often dysfunctional. The present institutional setting for SHI needs to be assessed and changed.
Book Synopsis Protecting Health from Climate Change by : Kristie L. Ebi
Download or read book Protecting Health from Climate Change written by Kristie L. Ebi and published by . This book was released on 2014-03-31 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is now strong evidence that the earth's climate is changing rapidly, due mainly to human activities. Increasing temperatures, sea-level rises, changes in precipitation patterns and extreme events are expected to increase a range of health risks, from the direct effects of heat-waves, floods and storms, to more suitable conditions for the transmission of important infectious diseases, to impacts on the natural systems and socioeconomic sectors that ultimately underpin human health. Much of the potential health impact of climate change can, however, be avoided through a combination of strengthening key health system functions and improved management of the risks presented by a changing climate. The critical first step in this process is to carry out a vulnerability and adaptation assessment. This allows countries to assess which populations are most vulnerable to different kinds of health effects, to identify weaknesses in the systems that should protect them, and to specify interventions to respond. Assessments can also improve evidence and understanding of the linkages between climate and health within the assessment area, serve as a baseline analysis against which changes in disease risk and protective measures can be monitored, provide the opportunity for building capacity, and strengthen the case for investment in health protection. WHO has responded to this global demand by building on past guidance and technical tools to outline a flexible process for vulnerability and adaptation assessment. In 2009, the WHO Regional Office for the Americas and WHO prepared draft guidance for this process, which was pilot-tested in studies across all WHO Regions. In July 2010, representatives of ministries of health from 15 countries came together in Costa Rica with WHO and subject area experts to share their experiences and provide feedback on how to improve the guidance for the conduct of vulnerability assessments. This document is the result of this process. It is intended not as a final, definitive guide but as an important part of an evolving set of resources that will support effective and evidence-based action to protect health from climate change.
Book Synopsis Health Insurance for the Poor by : Adam Wagstaff
Download or read book Health Insurance for the Poor written by Adam Wagstaff and published by World Bank Publications. This book was released on 2007 with total page 33 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vietnam's Health Care Fund for the Poor (HCFP) uses government revenues to finance health care for the poor, ethnic minorities living in selected mountainous provinces designated as difficult, and all households living in communes officially designated as highly disadvantaged. The program, which started in 2003, did not as of 2004 include all these groups, but those who were included (about 15 percent of the population) were disproportionately poor. Estimates of the program's impact-obtained using single differences and propensity score matching on a trimmed sample-suggest that HCFP has substantially increased service utilization, especially in-patient care, and has reduced the risk of catastrophic spending. It has not, however, reduced average out-of-pocket spending, and appears to have had negligible impacts on utilization among the poorest decile.
Book Synopsis The Health of Vietnam by : Anna G. Shillabeer
Download or read book The Health of Vietnam written by Anna G. Shillabeer and published by Springer. This book was released on 2015-09-30 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents a detailed overview of the healthcare environment in Viet Nam. Given the general lack of understanding of healthcare in the Vietnamese context, it discusses the background and history, current status and the future of healthcare in the country. The first part of the book provides a summary of the current state of Vietnamese healthcare, incorporating discussions on the training and professional practice environment and the development, implementation and impact of national insurance policies. In addition, it highlights the cultural aspects of health provision and behaviours, technology integration and health trends from a number of angles based on standard global reporting dimensions. The second part elaborates on the 5-year strategic plan for national healthcare management and the top 5 barriers to meeting these planned objectives. It documents key investors and project objectives and outcomes, as well as the top 10 health issues in Vietnam including an overview of national and international initiatives to tackle these issues, addressing financial and social burdens in the process. In the third part, the book outlines the opportunities and barriers for improvement in healthcare outcomes for Viet Nam, providing evidence to support future work by local or international researchers. It is a fundamental text for anyone looking to work or research in the Vietnamese healthcare environment and provides an outline for project planning and targeted programs of work to achieve measureable improvements in Viet Nam.
Book Synopsis Health Care Seeking by the Poor in Transitional Economies by : Malcolm Segall
Download or read book Health Care Seeking by the Poor in Transitional Economies written by Malcolm Segall and published by . This book was released on 2000 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health Financing and Delivery in Vietnam by : Samuel S. Lieberman
Download or read book Health Financing and Delivery in Vietnam written by Samuel S. Lieberman and published by World Bank Publications. This book was released on 2009 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vietnam's successes in the health sector are legendary. Its rates of infant and under-five mortality are comparable to those of countries with substantially higher per capita incomes. However, challenges remain in how to further expand coverage, increase quality of care, and contain the rapidly increasing health care costs.
Book Synopsis Health and Cultural Change by : Hendry Ton
Download or read book Health and Cultural Change written by Hendry Ton and published by . This book was released on 1996 with total page 452 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Improving Efficiency in the Health Sector by : Dao Lan Huong
Download or read book Improving Efficiency in the Health Sector written by Dao Lan Huong and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Vietnam has achieved impressive improvements in its health outcomes over the last few decades. Life expectancy has increased significantly over the years, and mortality rates have declined substantially. The prevalence of chronic, noncommunicable diseases (NCDs) in Vietnam has also risen sharply. These trends imply a shift in the health needs of Vietnam's population away from acute episodic care, towards disease management for NCDs. Ensuring that care is appropriate for the changing needs of the population, including older persons, will require a paradigm shift in the way services are delivered. Today, Vietnam's health service delivery system is hospital-centric, which is both expensive and not well-suited to the management of chronic conditions and NCDs. An important contributor to the persistence of the hospital-centric model of service delivery and hospital overcrowding is a weak primary health care (PHC) system, especially for NCD management. In theory, most patients with NCDs and chronic conditions can be managed in the community, where care is closer to home, more appropriate, and cheaper. Putting this into practice in Vietnam will entail a new orientation in health service delivery - one which focuses on shifting the delivery of low complexity care out of hospitals to PHC and other intermediate units. Globally, there has been a push towards service delivery models which are more responsive to individual health needs and can deliver the right care in appropriate settings. Such service models typically promote a person-centered approach and involve integration of care.
Book Synopsis Moving Toward Universal Coverage of Social Health Insurance in Vietnam by : Aparnaa Somanathan
Download or read book Moving Toward Universal Coverage of Social Health Insurance in Vietnam written by Aparnaa Somanathan and published by . This book was released on 2014-08-09 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past two decades Vietnam has made enormous progress towards achieving universal coverage (UC) for its population. Significant challenges remain, however, in terms of improving equity with continuing low rates of enrollment. Ensuring financial protection also remains an elusive goal. The Master Plan for Universal Coverage approved in 2012 by the Prime Minister directly addresses both these deficiencies in coverage. The objective of this report is to assess the implementation of Vietnam SHI and provide options for moving towards UC. This is a joint assessment with development partners, World Health Organization, United Nations Children's Fund (Unicef) and Rockefeller Foundation. Expanding breadth of coverage, particularly for those hard to reach groups such as the near-poor and informal sector would require substantially increasing general revenue subsidies and fully subsidizing the premiums for the near-poor. High enrollment rates would, however, have little impact on financial protection and equity if OOP costs remain high. Achieving UC will require sustained efforts to improve efficiency in the system, and gain better value for money from available budgetary resources; without these efforts, any further progress towards UC would be financially unsustainable. There is considerable scope for improving efficiency in Vietnam. Fragmentation in the pooling of funds gives rise to unnecessary costs. Inefficiencies in resource allocation and purchasing arrangements include: (i) an overly generous benefits package; (ii) provider payment mechanisms and the mix of incentives facing providers which result in an oversupply of services; (iii) high prices, overconsumption and inappropriate use of pharmaceuticals; and (iv) the structure and incentives embedded within the delivery system. The organization, management and governance of SHI are fragmented and often dysfunctional. The present institutional setting for SHI needs to be assessed and changed.
Book Synopsis Public Health and Disasters by : Emily Ying Yang Chan
Download or read book Public Health and Disasters written by Emily Ying Yang Chan and published by Springer Nature. This book was released on 2020-02-24 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents the health emergency and disaster risk management (H-EDRM) research landscape, with examples from Asia. In recent years, the intersection of health and disaster risk reduction (DRR) has emerged as an important interdisciplinary field. In several landmark UN agreements adopted in 2015–2016, including the Sendai Framework for Disaster Risk Reduction 2015–2030, the 2030 Sustainable Development Goals (SDGs), the Paris climate agreement, and the New Urban Agenda (Habitat III), health is acknowledged as an inevitable outcome and a natural goal of disaster risk reduction, and the cross-over of the two fields is essential for the successful implementation of the Sendai Framework. H-EDRM has emerged as an umbrella field that encompasses emergency and disaster medicine, DRR, humanitarian response, community health resilience, and health system resilience. However, this fragmented, nascent field has yet to be developed into a coherent discipline. Key challenges include redundant research, lack of a strategic research agenda, limited development of multisectoral and interdisciplinary approaches, deficiencies in the science–policy–practice nexus, absence of standardized terminology, and insufficient coordination among stakeholders. This book provides a timely and invaluable resource for undergraduate and postgraduate students, researchers, scholars, and frontline practitioners as well as policymakers from across the component domains of H-EDRM.
Book Synopsis Innovations in Global Mental Health by : Samuel O. Okpaku
Download or read book Innovations in Global Mental Health written by Samuel O. Okpaku and published by Springer Nature. This book was released on 2021-11-02 with total page 2272 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the course of the last decade, political and mental entities at large have embraced global mental health: the idea that psychiatric health is vital to improved quality of life. Physicians globally have implemented guidelines recommended by the National Institute of Mental Health (NIMH) in 2007, thereby breaking down barriers to care and improving quality of life in areas where these practices have been implemented. Programs for training and education have expanded as a result. Clinicians benefit more from both local resources in some regions as well as in international collaboration and technological advancements. Even amidst all of these positive outcomes, clinicians still face some stumbling blocks. With worldwide statistics estimating that 450 million people struggle with mental, neuropsychiatric, and neurological disorders—25 percent of the world’s non-communicable disease burden—rising to these challenges prove to be no small feat, even in wealthy Western nations. Various articles and books have been published on global mental health, but few of them thoroughly cover the clinical, research, innovative, and social implications as they pertain to psychiatry; often, only one of these aspects is covered. A comprehensive text that can keep pace with the rapidly evolving literature grows more and more valuable each day as clinicians struggle to piece together the changes around the world that leave open the possibility for improved outcomes in care. This book seeks to boldly rectify this situation by identifying innovative models of service delivery, training, education, research funding, and payment systems that have proven to be exemplary in implementation and scalability or have potential for scalability. Chapters describe specific barriers and challenges, illuminating effective strategies for improved outcomes. This text is the first peer-reviewed resource to gather prestigious physicians in global mental health from around the world and disseminate their expertise in the medical community at large in a format that is updateable, making it a truly cutting-edge resource in a world constantly changed by medical, scientific, and technological advances. Innovations in Global Mental Health is the ultimate resource for psychiatrists, psychologists, primary care physicians, hospitalists, policy makers, and all medical professionals at the forefront of global mental health and its implications for the future.
Author :Damjan P. DeNoble Publisher :Health Intelligence Asia LLC & Rubicon Strategy Group LLC ISBN 13 : Total Pages :123 pages Book Rating :4./5 ( download)
Book Synopsis Vietnam Healthcare Report by : Damjan P. DeNoble
Download or read book Vietnam Healthcare Report written by Damjan P. DeNoble and published by Health Intelligence Asia LLC & Rubicon Strategy Group LLC. This book was released on 2015-03-13 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the course of several weeks in June and July of 2014, Rubicon Strategy Group conducted close to forty interviews with country managers of pharmaceutical and device companies, director level administrators in public and private hospitals, successful pharmacy and medical device shop owners, and entrepreneurs at the forefront of the cutting edge in the Vietnam healthcare market. In addition the team went out and conducted a validated survey questionnaire of consumers to judge their preference for particular products, and their preference for healthcare access options in the public and the private sector. The goal of this paper revealed itself in the course of compiling the data: to bring out insights from the front lines of the sales channels and the business models that make up the pharmaceutical and medical device markets in Vietnam. It is the hope of the authors that the information presented in this way can help inform sales strategies and the development of value add services for companies involved in the marketing and/or distribution of drug and medical device products in Vietnam. On the eve of a pair of large negotiations, - a free trade agreement negotiation between the EU and Vietnam, set to be finalized in October 2014, and the negotiation of the Trans Pacific Asean partnership – it was found that much of the conversation with healthcare system company representatives and sales channel participants turned to the issue of the public tender system as well as some of the hardships brought on by Vietnam’s ongoing healthcare market reform. Consequently, one section of this report is geared towards exploring how the policy and regulatory level challenges of the current tender process. However, in constructing this section it became clear that the value of the research conducted during this study is not simply in explaining the tender process as it is supposed to function at the policy level and the attendant issues that stem from that design, but also highlighting how the tender process impacts the decision making of pharmaceutical and medical device executives in-country, in real time, as well as how it impacts the various operators across sales channels. In other words, a core value of the study is necessarily attendant to its exploration of the strategies currently being employed by executives active in Vietnam’s healthcare market. In trying to present a picture of the ground-level impacts of policies and regulatory structures impacting Vietnam’s healthcare space, it is of course important to present a clear outline of the issues that the research revealed. At the same time, it became apparent to fully communicate the ground-level happenings as they related to the tender process, it was also helpful to present a series of case studies that would help add color and nuance to the issues clearly presented.
Book Synopsis Poverty and Survival Prospects of Vietnamese Children Under Doi Moi by : Adam Wagstaff
Download or read book Poverty and Survival Prospects of Vietnamese Children Under Doi Moi written by Adam Wagstaff and published by World Bank Publications. This book was released on 2002 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: By international standards, and given its relatively low per capita income, Vietnam has achieved substantial reductions in, and low levels of, infant and under-five mortality. Wagstaff and Nguyen review existing evidence and provide new evidence on whether, under the economic liberalization program known as Doi Moi, this reduction in child mortality has been sustained. They conclude that it has, but that the gains have been concentrated among the better-off. As a result, socioeconomic inequalities in child survival are evident in Vietnam"a change from the early 1990s when none were apparent. The authors develop survival models to find the causes of this differential decline in child mortality, and conclude that a number of factors have been at work, including reductions among the poor (but not among the better-off) in coverage of health services and in women's educational attainment. They argue that if the experience of the late 1990s is a guide to the future, the lack of progress among the poor will jeopardize Vietnam's chances of achieving the international development goals for child mortality. The authors examine various policy scenarios, including expanding coverage of health services, water and sanitation, and find that such measures, while useful, will have only a limited effect on the mortality of poor children. They find that programs aimed at narrowing the gap between the poor and better-off may have large beneficial effects on the various determinants of child survival. This paper"a product of Public Services, Development Research Group"is part of a larger effort in the group to investigate the links between health and poverty. The authors may be contacted at awagstaff@@worldbank.org or nnga@@worldbank.org.
Book Synopsis Economic Growth, Poverty, and Household Welfare in Vietnam by : Paul Glewwe
Download or read book Economic Growth, Poverty, and Household Welfare in Vietnam written by Paul Glewwe and published by World Bank Publications. This book was released on 2004-01-01 with total page 644 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the adoption of new market-oriented policies, Vietnam has transformed itself from one of the world's poorest countries during the 1980s, into an economy with one of the highest growth rates during the 1990s. Using macroeconomic and household survey data, this publication examines a range of issues including: the causes of Vietnam's economic growth and future prospects; the impact on household welfare and poverty levels, school enrolment, child health and other socioeconomic outcomes; and the nature of poverty in Vietnam and the effectiveness of government policies for poverty reduction, drawing lessons for Vietnam and for other low-income developing countries.
Book Synopsis Vietnam's Health Care System by : Susan J. Adams
Download or read book Vietnam's Health Care System written by Susan J. Adams and published by . This book was released on 2005 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt:
