Improving Efficiency in the Health Sector : An Assessment of Vietnam's Readiness for Integration of Care
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 d...
| Main Authors: | , |
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| Format: | Report |
| Language: | English |
| Published: |
World Bank, Washington, DC
2020
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/549541589431736979/Improving-Efficiency-in-the-Health-Sector-An-Assessment-of-Vietnam-s-Readiness-for-Integration-of-Care http://hdl.handle.net/10986/33772 |
| Summary: | 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. |
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