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私人医疗如何能更好地为越南的医疗保健覆盖做出贡献?

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

机构信息

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

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

出版信息

Int J Health Policy Manag. 2017 Jun 1;6(6):305-308. doi: 10.15171/ijhpm.2017.05.

DOI:10.15171/ijhpm.2017.05
PMID:28812822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5458791/
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.

摘要

越南的私立医疗服务被视为满足医疗服务需求快速增长的主要解决方案之一。私立医疗服务正式得到认可已有 20 多年,与公共服务并存,并遍布全国各地。然而,与公共部门相比,私营部门的规模仍然较小,公众的接受度和声誉仍然有限。服务质量和监管充分性方面存在重大问题。卫生人力资源目前不足以支持公共和私营部门的增长。私营部门在实现越南人口健康目标方面的作用尚不清楚。在这个新兴经济体中,对私立医疗的依赖可能会显著增加,从而导致医疗可及性的不平等。本文探讨了私立医疗如何能更好地为越南的医疗保障做出贡献。

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本文引用的文献

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Performance of private sector health care: implications for universal health coverage.私营部门医疗保健的绩效:对全民健康覆盖的影响。
Lancet. 2016 Aug 6;388(10044):606-12. doi: 10.1016/S0140-6736(16)00343-3. Epub 2016 Jun 26.
2
The use of reproductive healthcare at commune health stations in a changing health system in Vietnam.越南不断变化的卫生系统中,社区卫生站对生殖保健的利用。
BMC Health Serv Res. 2011 Sep 27;11:237. doi: 10.1186/1472-6963-11-237.
3
Urban - rural disparities in antenatal care utilization: a study of two cohorts of pregnant women in Vietnam.城乡产前保健利用差距:越南两批孕妇研究。
BMC Health Serv Res. 2011 May 23;11:120. doi: 10.1186/1472-6963-11-120.
4
Comparative quality of private and public health services in rural Vietnam.越南农村地区私立与公立卫生服务的质量比较
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5
Household utilization and expenditure on private and public health services in Vietnam.越南家庭对私营和公共卫生服务的利用情况及支出
Health Policy Plan. 2002 Mar;17(1):61-70. doi: 10.1093/heapol/17.1.61.