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Improving Efficiency in the Health Sector: An Assessment of Vietnam's Readiness for Integration of Care

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dc.contributor.authorTeo, Hui Sin
dc.contributor.authorHuong, Dao Lan
dc.date.accessioned2020-05-19T18:53:30Z
dc.date.available2020-05-19T18:53:30Z
dc.date.issued2020-04
dc.description.abstractVietnam 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.en
dc.identifierhttp://documents.worldbank.org/curated/en/549541589431736979/Improving-Efficiency-in-the-Health-Sector-An-Assessment-of-Vietnam-s-Readiness-for-Integration-of-Care
dc.identifier.doi10.1596/33772
dc.identifier.urihttps://hdl.handle.net/10986/33772
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectINTEGRATED CARE
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectPRIMARY HEALTH CARE
dc.subjectHEALTH SYSTEM PERFORMANCE
dc.subjectHEALTH SYSTEM REFORM
dc.titleImproving Efficiency in the Health Sectoren
dc.title.subtitleAn Assessment of Vietnam's Readiness for Integration of Careen
dc.typeReporten
dc.typeRapportfr
dc.typeInformees
dspace.entity.typePublication
okr.crossref.titleImproving Efficiency in the Health Sector
okr.date.disclosure2020-05-14
okr.doctypeEconomic & Sector Work
okr.doctypeEconomic & Sector Work::Health Sector Review
okr.docurlhttp://documents.worldbank.org/curated/en/549541589431736979/Improving-Efficiency-in-the-Health-Sector-An-Assessment-of-Vietnam-s-Readiness-for-Integration-of-Care
okr.guid549541589431736979
okr.identifier.doi10.1596/33772
okr.identifier.doihttps://doi.org/10.1596/33772
okr.identifier.externaldocumentum090224b087c301dd_2_0
okr.identifier.internaldocumentum32032254
okr.identifier.report148451
okr.importedtruefr
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/549541589431736979/pdf/Improving-Efficiency-in-the-Health-Sector-An-Assessment-of-Vietnam-s-Readiness-for-Integration-of-Care.pdffr
okr.region.administrativeEast Asia and Pacific
okr.region.countryViet Nam
okr.topicHealth, Nutrition and Population::Disease Control & Prevention
okr.topicHealth, Nutrition and Population::Health Service Management and Delivery
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.topicIndustry::Health Care Services Industry
okr.unitHealth, Nutrition and Population Global Practice
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