Pros And Cons Of Vietnamese Socialization Of Health Care

Published Jun 30, 2014
Alberta, Canada & Hanoi, Vietnam - Until 1989, health care in Vietnam was publically funded, but faced with a limited health care budget, the health care system has since undergone a process of “socialization,” or mobilization of society’s resources towards health care. Socialization of health care has included the creation of private hospitals and clinics and the partial privatization of public hospitals, and has shifted much of health care spending to out-of-pocket spending by patients on a fee-for-service basis. The socialization of health care has been a long, gradual process, and has had both positive and negative effects on the quality and accessibility of health care in Vietnam. In the article, “Socialization of Health care in Vietnam: What Is It and What are Its Pros and Cons,” Dr. Thanh Nguyen, MD, PhD, MPH, and colleagues discuss these pros and cons of socialization of health care, and what it means for the health care system in Vietnam. The authors state that the benefits of health care socialization include an increase in available health care funding, lighter workloads for public hospital staff, and an improvement in health care quality through increased access to medical technology. However, the authors go on to highlight the potential for “induced demand,” in which hospitals with the need to generate revenue overuse technology, overprescribe drugs, or keep patients in the hospital when a quick outpatient visit would have sufficed. These strategies have the effect of both increasing the cost of health care and even compromising patient safety, through the over-prescription of antibiotics. “Currently, the problem of induced demand is only supported by qualitative evidence. Given the significant implications of this problem in terms of cost and quality of health care, it is vital that researchers explore this problem further using both qualitative and quantitative methods.” cautions Dr. Thanh Nguyen, MD, PhD, MPH, lead author on the article and health economist at The Institute of Health Economics in Edmonton, Alberta, Canada.

Value in Health Regional Issues (ISSN 2212-1099) is a scientific journal that encourages and enhances the science of pharmacoeconomic/health economic and health outcomes research and its use in health care decisions. The journal is published up to three times a year with one issue focusing on the Asia region, one issue focusing on the Latin America region, and one issue focusing on the Central & Eastern Europe, Western Asia and Africa regions.

The International Society for Pharmacoeconomics and Outcomes Research (ISPOR) is a nonprofit, international, educational and scientific organization that strives to increase the efficiency, effectiveness, and fairness of health care resource use to improve health.

Follow Value in Health Regional Issues on Twitter: @ISPORJournals

Related Stories

Value in Health Regional Issues Expands Editorial Scope and Reveals Plans to Transition to Gold Open Access Model

Jan 23, 2024

Value in Health Regional Issues, an official journal of ISPOR—The Professional Society for Health Economics and Outcomes Research, announced the expansion of its editorial scope and its plan to transition to a gold open access journal.

Empowering Change: Transforming Health Systems in Low- and Middle-Income Countries

Jan 22, 2024

ISPOR announced the publication of a special themed section of research papers in Value in Health Regional Issues that highlight innovative approaches to improving health outcomes in low- and middle-income countries through partnerships between health economics researchers and policy makers.

ISPOR’s Value in Health Regional Issues Receives Its First Impact Factor Score

Aug 7, 2023

Value in Health Regional Issues, the regionally focused journal of ISPOR, received its first-ever impact factor score this year. Value in Health, one of the top-ranked journals in the HEOR field, maintained its high ranking on the prestigious list of scholarly journals.
Your browser is out-of-date

ISPOR recommends that you update your browser for more security, speed and the best experience on ispor.org. Update my browser now

×