Vietnam’s healthcare system decentralization : how well does it respond to global health crises such as COVID-19 pandemic?
- Nguyen, Huy, Debattista, Joseph, Pham, Minh, Dao, An, Gilmour, Stuart
- Authors: Nguyen, Huy , Debattista, Joseph , Pham, Minh , Dao, An , Gilmour, Stuart
- Date: 2021
- Type: Text , Journal article , Review
- Relation: Asia Pacific Journal of Health Management Vol. 16, no. 1 (2021), p.
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- Description: This article discussed Vietnam’s ongoing efforts to decentralize the health system and its fitness to respond to global health crises as presented through the Covid-19 pandemic. We used a general review and expert’s perspective to explore the topic. We found that the healthcare system in Vietnam continued to decentralize from a pyramid to a wheel model. This system shifts away from a stratified technical hierarchy of higher- and lower-level health units (pyramid model) to a system in which quality healthcare is equally expected among all health units (wheel model). This decentralization has delivered more quality healthcare facilities, greater freedom for patients to choose services at any level, a more competitive environment among hospitals to improve quality, and reductions in excess capacity burden at higher levels. It has also enabled the transformation from a patient-based traditional healthcare model into a patient-centered care system. However, this decentralization takes time and requires long-term political, financial commitment, and a working partnership among key stakeholders. This perspective provides Vietnam’s experience of the decentralization of the healthcare system that may be consider as a useful example for other countries to strategically think of and to shape their future system within their own socio-political context. Copyright © 2020 Via Medica
- Authors: Nguyen, Huy , Debattista, Joseph , Pham, Minh , Dao, An , Gilmour, Stuart
- Date: 2021
- Type: Text , Journal article , Review
- Relation: Asia Pacific Journal of Health Management Vol. 16, no. 1 (2021), p.
- Full Text:
- Reviewed:
- Description: This article discussed Vietnam’s ongoing efforts to decentralize the health system and its fitness to respond to global health crises as presented through the Covid-19 pandemic. We used a general review and expert’s perspective to explore the topic. We found that the healthcare system in Vietnam continued to decentralize from a pyramid to a wheel model. This system shifts away from a stratified technical hierarchy of higher- and lower-level health units (pyramid model) to a system in which quality healthcare is equally expected among all health units (wheel model). This decentralization has delivered more quality healthcare facilities, greater freedom for patients to choose services at any level, a more competitive environment among hospitals to improve quality, and reductions in excess capacity burden at higher levels. It has also enabled the transformation from a patient-based traditional healthcare model into a patient-centered care system. However, this decentralization takes time and requires long-term political, financial commitment, and a working partnership among key stakeholders. This perspective provides Vietnam’s experience of the decentralization of the healthcare system that may be consider as a useful example for other countries to strategically think of and to shape their future system within their own socio-political context. Copyright © 2020 Via Medica
To remain, migrate abroad or resettle : a complex dynamic process affecting Pakistani physicians' career decisions
- Arif, Muhammad, Cruickshank, Mary, Fraser, John
- Authors: Arif, Muhammad , Cruickshank, Mary , Fraser, John
- Date: 2019
- Type: Text , Journal article
- Relation: Asia Pacific Journal of Health Management Vol. 14, no. 3 (2019), p.
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- Description: OBJECTIVE This study investigated Pakistani physicians' decision-making concerning their decisions to stay in Pakistan, migrate abroad, or resettle back into their country after working abroad. METHODS This qualitative study employed a phenomenological research design. Thirteen Pakistani physicians characterised as 'stayers', 'leavers' and 'resettlers' were interviewed via telephone to explore their lived experience in 2008-2009. RESULTS Results show a dynamic nature of the physicians' career decision-making depending on their constant weighing of complex personal, family, professional and societal factors. Stayers, leavers and resettlers are not mutually exclusive groups but rather individual physicians' can move between these groups at different stages of career and life. Physicians vary in their decision making. Stayers and resettlers place more emphasis on personal and family reasons and societal factors providing there is a permanent job for them. Leavers focus on health system problems and recent societal problems of personal and societal insecurity. CONCLUSIONS The findings of this study indicates that physician migration, retention and resettlement is a complex issue and there are multiple personal, social, political and economic factors that affect their decisions to stay, move abroad or resettle back into their countries. Therefore, it is recommended that future research focusing on health workers retention, migration and resettlement issues look at it from a holistic perspective rather than focusing only on the economic and professional imperatives. The findings of this study have international implications for health care managers dealing with a highly mobile international medical workforce. Strategies considering different stages of the physician career/ life cycle need to highlight the importance of identity, belonging and place as doctors weigh this with career goals. © 2019 Asia Pacific Journal of Health Management. All Rights Reserved.
- Authors: Arif, Muhammad , Cruickshank, Mary , Fraser, John
- Date: 2019
- Type: Text , Journal article
- Relation: Asia Pacific Journal of Health Management Vol. 14, no. 3 (2019), p.
- Full Text:
- Reviewed:
- Description: OBJECTIVE This study investigated Pakistani physicians' decision-making concerning their decisions to stay in Pakistan, migrate abroad, or resettle back into their country after working abroad. METHODS This qualitative study employed a phenomenological research design. Thirteen Pakistani physicians characterised as 'stayers', 'leavers' and 'resettlers' were interviewed via telephone to explore their lived experience in 2008-2009. RESULTS Results show a dynamic nature of the physicians' career decision-making depending on their constant weighing of complex personal, family, professional and societal factors. Stayers, leavers and resettlers are not mutually exclusive groups but rather individual physicians' can move between these groups at different stages of career and life. Physicians vary in their decision making. Stayers and resettlers place more emphasis on personal and family reasons and societal factors providing there is a permanent job for them. Leavers focus on health system problems and recent societal problems of personal and societal insecurity. CONCLUSIONS The findings of this study indicates that physician migration, retention and resettlement is a complex issue and there are multiple personal, social, political and economic factors that affect their decisions to stay, move abroad or resettle back into their countries. Therefore, it is recommended that future research focusing on health workers retention, migration and resettlement issues look at it from a holistic perspective rather than focusing only on the economic and professional imperatives. The findings of this study have international implications for health care managers dealing with a highly mobile international medical workforce. Strategies considering different stages of the physician career/ life cycle need to highlight the importance of identity, belonging and place as doctors weigh this with career goals. © 2019 Asia Pacific Journal of Health Management. All Rights Reserved.
The use of infographics, tables and graphs in the hospitals and health services quality account in Australia
- Authors: Halabi, Abdel , Brown, Lee
- Date: 2022
- Type: Text , Journal article
- Relation: Asia Pacific Journal of Health Management Vol. 17, no. 1 (2022), p.
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- Description: OBJECTIVE: This study will investigate whether removing the Quality Accounts purpose and aim led to differences in the number of Infographics, Tables and Graphs used over four years. DESIGN: A content analysis was performed on the Quality Accounts of six Hospitals and Health Services from 2016 to 2019. Statistical analysis was then performed to examine differences in the use of Infographics, Tables and Graphs in the Quality Account SETTING: The six Hospitals and Health Services were operating in a rural geographical area in the state of Victoria, Australia. RESULTS: Even though some significant differences were found, this was largely due to yearly variability in the use of Infographic s, Tables and Graphs. The six Hospitals were quite different in their Quality Account presentations because these reports are structured to a particular community. CONCLUSIONS: The removal of the purpose and aim has not affected the number of Infographics, Tables and Graphs. While limitations are noted, a number of future research opportunities stem from this study to enhance the Quality Account and overall understandability of Hospital reports. © 2022 Australasian College of Health Service Management. All right reserved.
- Authors: Halabi, Abdel , Brown, Lee
- Date: 2022
- Type: Text , Journal article
- Relation: Asia Pacific Journal of Health Management Vol. 17, no. 1 (2022), p.
- Full Text:
- Reviewed:
- Description: OBJECTIVE: This study will investigate whether removing the Quality Accounts purpose and aim led to differences in the number of Infographics, Tables and Graphs used over four years. DESIGN: A content analysis was performed on the Quality Accounts of six Hospitals and Health Services from 2016 to 2019. Statistical analysis was then performed to examine differences in the use of Infographics, Tables and Graphs in the Quality Account SETTING: The six Hospitals and Health Services were operating in a rural geographical area in the state of Victoria, Australia. RESULTS: Even though some significant differences were found, this was largely due to yearly variability in the use of Infographic s, Tables and Graphs. The six Hospitals were quite different in their Quality Account presentations because these reports are structured to a particular community. CONCLUSIONS: The removal of the purpose and aim has not affected the number of Infographics, Tables and Graphs. While limitations are noted, a number of future research opportunities stem from this study to enhance the Quality Account and overall understandability of Hospital reports. © 2022 Australasian College of Health Service Management. All right reserved.
The use of infographics, tables and graphs in the hospitals and health services quality account in Australia
- Authors: Halabi, Abdel , Brown, Lee
- Date: 2022
- Type: Text , Journal article
- Relation: Asia Pacific Journal of Health Management Vol. 17, no. 1 (2022), p.
- Full Text:
- Reviewed:
- Description: OBJECTIVE: This study will investigate whether removing the Quality Accounts purpose and aim led to differences in the number of Infographics, Tables and Graphs used over four years. DESIGN: A content analysis was performed on the Quality Accounts of six Hospitals and Health Services from 2016 to 2019. Statistical analysis was then performed to examine differences in the use of Infographics, Tables and Graphs in the Quality Account SETTING: The six Hospitals and Health Services were operating in a rural geographical area in the state of Victoria, Australia. RESULTS: Even though some significant differences were found, this was largely due to yearly variability in the use of Infographic s, Tables and Graphs. The six Hospitals were quite different in their Quality Account presentations because these reports are structured to a particular community. CONCLUSIONS: The removal of the purpose and aim has not affected the number of Infographics, Tables and Graphs. While limitations are noted, a number of future research opportunities stem from this study to enhance the Quality Account and overall understandability of Hospital reports. © 2022 Australasian College of Health Service Management. All right reserved.
- Authors: Halabi, Abdel , Brown, Lee
- Date: 2022
- Type: Text , Journal article
- Relation: Asia Pacific Journal of Health Management Vol. 17, no. 1 (2022), p.
- Full Text:
- Reviewed:
- Description: OBJECTIVE: This study will investigate whether removing the Quality Accounts purpose and aim led to differences in the number of Infographics, Tables and Graphs used over four years. DESIGN: A content analysis was performed on the Quality Accounts of six Hospitals and Health Services from 2016 to 2019. Statistical analysis was then performed to examine differences in the use of Infographics, Tables and Graphs in the Quality Account SETTING: The six Hospitals and Health Services were operating in a rural geographical area in the state of Victoria, Australia. RESULTS: Even though some significant differences were found, this was largely due to yearly variability in the use of Infographic s, Tables and Graphs. The six Hospitals were quite different in their Quality Account presentations because these reports are structured to a particular community. CONCLUSIONS: The removal of the purpose and aim has not affected the number of Infographics, Tables and Graphs. While limitations are noted, a number of future research opportunities stem from this study to enhance the Quality Account and overall understandability of Hospital reports. © 2022 Australasian College of Health Service Management. All right reserved.
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