healthcare system in vietnam module
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- 1. Healthcare system in Vietnam Reprinted from Wikimedia Commons, 20083
- 2. Objectives Vietnam History of Healthcare system Healthcare Infrastructure Health Financing in Vietnam Medical Education Common Diseases Prevention Traditional Medicine Challenges Opportunities Collaboration
- 3. Pre-module Questions 1. What are the most hospital admissions during Vietnam War? 2. What percentage of health insurance coverage? 3. Who is responsible for setting hospital services fee and drug prices? 4. How long is the undergraduate medical program? 5. What is the physician-to-population ratio in Vietnam? 6. What is the current leading cause of death in Vietnam? 7. How many percent of people using traditional medicine for treatment? 8. What are barriers that prevent traditional medicine from developing in the right direction? 9. What the Ministry of Health have done to address the shortage of health workers in rural areas? 10. Which health topic that younger generations are concerning?
- 4. Vietnam Total population: 93,448,000 (54 ethnic groups) Language: Vietnamese GDP per capita: $2,111.1 Life expectancy: 72.8 (WHO 2015) Health expenditure, total (% of GDP) : 7.1 (2014) Reprinted from Flickr, 20114
- 5. History of the Healthcare System 1945 to Vietnam War (1955-1975): + Medical University in Viet Bac war zone (1949) + Hospital Admissions: Battle Injuries and Malaria Post-war (1976-1980): + Lack of funds and qualified physicians + Black markets in medicine + Health impacts in Vietnamese veterans (Agent Orange) i Mi Renovation (1980s): + Increase GDP in Healthcare spending (1.1%) + Provide free basic health care + Introduce new healthcare reforms + Three Cleans movement and Three Exterminations movement Reprinted from Wikimedia Commons, 19681
- 6. Healthcare Infrastructure National level Province Peoples Committee Districts Communes Ministry of Health (MOH) National general and specialist hospital Research institutes Medical universities Provincial Health Departments Provincial hospitals Preventive health center + reproductive health centers. Medical colleges Health Offices District hospitals/ centers Commune Health Centers Village Health Workers Skilled Birth Attendants
- 7. Healthcare Infrastructure Public-private mix of providers model Outpatient care: 40% public (60% private) Inpatient care: 96% public (4% private) Hospital capacity: 2.45 beds/1,000 populations (2014) Physician-to-population ratio: 1.2 physicians/ 1,000 populations (2013)
- 8. Health Financing in Vietnam Social Health Insurance Health care funds for the poor policy (2003) High rate of out-of-pocket payments
- 9. Medical Education 12 medical schools (no private medical schools) 4-6 years for undergraduate medical education Graduate education: three specialized tracks (Clinical training, academic training, and residency training) Reprinted from Wikimedia Common, 20155
- 10. Common Diseases Malaria Dengue Tuberculosis (TB) Hepatitis B HIV-AIDS Stroke Reprinted from Wikimedia Commons, 20096
- 11. A Shift Toward NCD 9% 16% 10% 3%8% 14% 40% Proportional Mortality in 2010 (WHO) Injuries Communicable, Maternal, Perinatal and Nutritional Conditions Other noncommunicable diseases Diabetes Respiratory Diseases Cancers Cardiovascular Diseases
- 12. Prevention 99% of children are vaccinated. Self-diagnostic equipment (e.g. blood pressure monitor and blood glucose monitors) 30% of total health care expenditure on preventive medicine Food borne diseases and street food culture
- 13. Traditional Medicines 30% of patients receive treatment with traditional medicine (WHO 2001) Health insurance cover costs Encourage people to plant medicinal vegetables. Reprinted from Wikimedia Commons, 20102 Barriers: High self-evaluated knowledge and skills Friends, family, or neighbor advices Unqualified practitioners and unlicensed healthcare facilities.
- 14. Challenges Shortage of health workers in remote areas Inadequate capacity (Access to health care) Limited resources Health disparity Health education among ethnic minority
- 15. Opportunities High profit rate in the medical instruments market The development of the private healthcare The interest for the personal healthcare equipment and services among younger generation. Promote access to online health resources
- 16. Collaboration Strengthening Medical skills training Training on designing healthcare infrastructure Introducing new medicines and diagnostic technology Funding for public health campaigns Reprinted from Wikimedia Commons, 20107
- 17. Pre-module Questions 1. What are the most hospital admissions during Vietnam War? 2. What percentage of health insurance coverage in 2015? 3. Who is responsible for setting hospital services fee and drug prices? 4. How long is the undergraduate medical program? 5. What is the physician-to-population ratio in Vietnam? 6. What is the leading cause of death in Vietnam? 7. How many percent of people using traditional medicine for treatment? 8. What are barriers that prevent traditional medicine from developing in the right direction? 9. What the Ministry of Health have done to address the shortage of health workers in rural areas? 10. Which health topic that younger generations are concerning?
- 18. Answers 1. Malaria & battle injuries. 2. 70% 3. The minister of Health, the minister of Finance, and the social health insurance agency 4. 4 to 6 years 5. 7.5 physicians per 10,000 population 6. Non-communicable diseases (75%) 7. 30% 8. Self-evaluated knowledge, acquaintances' advices, and unqualified practitioners 9. Training rotations between central hospitals and lower-level hospitals. 10. Personal health devices.
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