How Could Private Healthcare Better Contribute to Healthcare Coverage in Vietnam?

Document Type: Perspective

Authors

1 Department of Medical Services Administration, Ministry of Health, Hanoi, Vietnam

2 The Menzies Centre for Health Policy, University of Sydney, Sydney, Australia

Abstract

Private healthcare services in Vietnam are seen as a major part of the solution to the rapid increase in need and demand for healthcare services. Formally recognized over 20 years ago, the private health services coexist with public services and are available all over the country. However, the scale and size of private sector is still small compared to the public sector and public acceptance and reputation still limited. There are substantial concerns with the quality of services and the adequacy of regulation. Human resource for health is currently inadequate to support growth in both public and private sectors. The role of the private sector in achieving Vietnam’s population health objectives is not clear. In this emerging economy, there is significant potential for increased dependency on private healthcare to increase health access inequities. This paper discusses how private healthcare could better contribute to healthcare coverage in Vietnam.

Keywords

Main Subjects


  1. Vietnam National Assembly. Vietnam Constitution. Vietnam; 1992.
  2. GSO. Statistics Yearbooks. Vietnam: Statistical Publishing House; 2014.
  3. World Bank. 2006-2013. http://data.worldbank.org/indicator/SH.XPD.PCAP. Accessed March 30, 2016.
  4. Ministry of Health. Joint Annual Health Review. Hanoi: Vietnam Ministry of Health;2009.
  5. General Statistics Office. Vietnam's Health activities through the 2012 Etablishment Census. Hanoi: Statistical Publishing House; 2014.
  6. Oanh TTM, Hort K, Tuan KA, Hieu NTM, Thanh TN. Assessing current situation of private health sector in vietnam. http://en.hspi.org.vn/vclen/ASSESSING-CURRENT-SITUATION-OF-PRIVATE-HEALTH-SECTOR--IN-VIETNAM---t15972-7976.html. Published 2011.
  7. Ha NTH, Berman P, Larsen U. Household utilization  and expenditure on private and public health services in Vietnam. Health Policy Plan. 2002;17(1):61-67.
  8. Hoan LT, Thu NT, Allebeck P. Self treatment and use of health services among children under 5 years of age in a rural district in vietnam. Int J Child Health Hum Dev. 2009;2(2):169-176.
  9. Cuong DV, Oanh TTM, Luong DH, Tuan KA, Thang NT. An assessment of healthcare for the elderly in Vietnam. http://en.hspi.org.vn/vclen/An-assessment-of-healthcare-for-the-elderly-in-Vietnam-t15971-1051.html. Published 2009.
  10. Ngo AD, Hill PS. The use of reproductive healthcare at commune health stations in a changing health system in Vietnam. BMC Health Serv Res. 2011;11:237. doi:10.1186/1472-6963-11-237
  11. Tran TK, Nguyen CT, Nguyen HD, et al. Urban-rural disparities in antenatal care utilization: a study of two cohorts of pregnant women in Vietnam. BMC Health Ser Res. 2011;11:120.
  12. Drake J. Developing a Total Market Plan for Family Planning in Vietnam. Seattle: PATH; 2011.
  13. Medical Practitioners society of Ho Chi Minh city. Investment in private hospitals is rising. http://www.ytetunhantphcm.com.vn/vi/hoat-dong/hanh-nghe-y-tai-bv-tu/96-bo-y-te-dau-tu-benh-vien-tu-nhan-se-tang-cao. Accessed October 30, 2016. Published 2009.
  14. Morgan R, Ensor T, Waters H. Performance of private sector health care: implications for universal health coverage. Lancet. 2016;388(10044):606-612. doi:10.1016/s0140-6736(16)00343-3
  15. Boston Consulting Group. Middle income and affluent class by 2020. AmCham Vietnam 2014. http://www.amchamvietnam.com/vietnams-middle-class-set-to-double-by-2020-bcg/
  16. Tuan T, Dung VT, Neu I, Dibley MJ. Comparative quality of private and public health services in rural Vietnam. Health Policy Plan. 2005;20(5):319-327. doi:10.1093/heapol/czi037
  17. Hort K, Tuan KA, Oanh TTM, Thanh TN, Phong NH, Hieu NTM. The growth of non-state-hospitals in Vietnam: Implications for policy and regulatory options. In: Strengthening health systems through evidence in Asia and the Pacific. The Nossal Institute For Global Health; 2011.
  18. Vietnam National Assembly. Law on medical examination and treatment. 40/2009/QH12. Vietnam; 2009.