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评估越南医疗法律框架中的路径依赖:探索新冠疫情危机期间胡志明市的公私合作。

Assessing Path Dependency in Vietnam's Healthcare Legal Framework: Exploring Public-Private Collaboration in Ho Chi Minh City during the COVID-19 Crisis.

作者信息

Dung Tran Viet, Vy Ngo Nguyen Thao

机构信息

Ho Chi Minh City University of Law, Ho Chi Minh City, Vietnam.

Vietnamese Journal of Legal Sciences, Ho Chi Minh City University of Law, Ho Chi Minh City, Vietnam.

出版信息

Asian Bioeth Rev. 2024 Apr 8;16(4):771-791. doi: 10.1007/s41649-023-00276-z. eCollection 2024 Oct.

Abstract

The COVID-19 pandemic prompted a nudge for public-private cooperation in healthcare to rapidly cope with limited resource. However, Vietnam's historical reliance on a public healthcare system, combined with a traditional emphasis on socialization in the Polanyian sense, hindered the swift integration of the private sector. This research investigates path dependency in Vietnam's public health sector, using theories including path dependency, Karl Polanyi's double movement with legal analysis method to analyze the interplay of historical decisions, and socialist policies in healthcare. Recognizing these institutional and market governance flaws, a deeper understanding of the role of law becomes vital in crafting strategies for a more resilient and sustainable healthcare system in Vietnam. In this article, Ho Chi Minh City is chosen as a case study due to its notable mix of public-private healthcare facilities and its status as a leading area in infection cases during the third COVID-19 wave. The article suggests that there should be a change in the way public and private sectors work together, one that is more in line with market-driven solutions which requires solid legal framework for cooperation beyond merely mobilizing resources.

摘要

新冠疫情促使公私部门在医疗保健领域开展合作,以迅速应对资源有限的问题。然而,越南长期以来对公共医疗体系的依赖,再加上传统上对波兰尼意义上的社会化的强调,阻碍了私营部门的迅速融入。本研究运用路径依赖、卡尔·波兰尼的双重运动等理论以及法律分析方法,调查越南公共卫生部门的路径依赖,分析历史决策与医疗保健领域社会主义政策之间的相互作用。认识到这些制度和市场治理缺陷后,深入理解法律的作用对于制定越南更具韧性和可持续性的医疗体系战略至关重要。在本文中,胡志明市因其公私医疗设施的显著混合以及在第三波新冠疫情期间作为感染病例高发地区的地位而被选为案例研究对象。文章建议,公私部门的合作方式应有所改变,应更符合市场驱动的解决方案,这需要坚实的法律框架来推动合作,而不仅仅是调动资源。

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