Vietnam's medical ethics framework: aspirations, challenges and the risk of physician burnout.

Abstract

Medical ethics play a fundamental role in global healthcare, ensuring that patients receive care marked by dignity, compassion and fairness. Vietnam's 12 ethical principles, codified in 1996, integrate universal ethical standards with local sociocultural and ideological traditions, particularly emphasising emotional sacrifice, holistic care and social responsibility. While these principles promote professional excellence and community service, this essay argues that their application within Vietnam's under-resourced healthcare system has unintended consequences for physician well-being. An analysis of key domains-including emotional burden from holistic care expectations, administrative and educational overload, emergency care pressures and end-of-life responsibilities-reveals how systemic shortcomings intensify professional strain. Evidence from Vietnam and international comparisons shows that without structured delegation of non-clinical duties, protected working conditions and integrated palliative care systems, physicians face escalating risks of emotional exhaustion, moral injury and career attrition. Unlike healthcare models in developed countries, where ethical standards are balanced by institutional safeguards, Vietnam's framework demands near-unlimited commitment without corresponding systemic support. Unless ethical expectations are recalibrated and support structures are modernised, Vietnam's medical ethics, though noble in aspiration, risk undermining the very sustainability of its healthcare workforce. This essay highlights the need for urgent reform to align Vietnam's ethical ideals with contemporary clinical realities, ensuring that both patient-centred care and physician resilience are protected.