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

IF 1.3 Q3 ETHICS

Asian Bioethics Review Pub Date : 2024-04-08 DOI:10.1007/s41649-023-00276-z

Tran Viet Dung, Ngo Nguyen Thao Vy

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引用次数: 0

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.

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评估越南医疗保健法律框架中的路径依赖：探索 COVID-19 危机期间胡志明市的公私合作

COVID-19 大流行促使公私部门在医疗保健领域开展合作，以迅速应对有限的资源。然而，越南历史上对公共医疗系统的依赖，加上传统上强调波兰尼意义上的社会化，阻碍了私营部门的迅速整合。本研究调查了越南公共医疗部门的路径依赖，运用路径依赖、卡尔-波兰尼的双重运动和法律分析方法等理论，分析了历史决策与社会主义医疗政策之间的相互作用。认识到这些制度和市场治理缺陷，加深对法律作用的理解对于制定更具弹性和可持续性的越南医疗保健系统战略至关重要。在本文中，胡志明市被选为案例研究对象，因为该市的公私合营医疗机构数量众多，而且在 COVID-19 第三波感染病例中，胡志明市是感染病例的主要地区。文章建议，应改变公共和私营部门的合作方式，使其更符合市场驱动的解决方案，这就要求建立坚实的合作法律框架，而不仅仅是调动资源。

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来源期刊

Asian Bioethics Review Multiple-

CiteScore

6.20

自引率

3.40%

发文量

期刊介绍： Asian Bioethics Review (ABR) is an international academic journal, based in Asia, providing a forum to express and exchange original ideas on all aspects of bioethics, especially those relevant to the region. Published quarterly, the journal seeks to promote collaborative research among scholars in Asia or with an interest in Asia, as well as multi-cultural and multi-disciplinary bioethical studies more generally. It will appeal to all working on bioethical issues in biomedicine, healthcare, caregiving and patient support, genetics, law and governance, health systems and policy, science studies and research. ABR provides analyses, perspectives and insights into new approaches in bioethics, recent changes in biomedical law and policy, developments in capacity building and professional training, and voices or essays from a student’s perspective. The journal includes articles, research studies, target articles, case evaluations and commentaries. It also publishes book reviews and correspondence to the editor. ABR welcomes original papers from all countries, particularly those that relate to Asia. ABR is the flagship publication of the Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore. The Centre for Biomedical Ethics is a collaborating centre on bioethics of the World Health Organization.