The promises and perils of hospital autonomy. Reform by decree in Viet Nam

Jonathan D. London

doi:10.1016/j.socscimed.2013.07.009

The promises and perils of hospital autonomy. Reform by decree in Viet Nam

Jonathan D. London

Research output: Journal Publications and Reviews › RGC 21 - Publication in refereed journal › peer-review

30 Citations (Scopus)

95 Downloads (CityUHK Scholars)

Abstract

This article investigates impacts of hospital autonomization in Viet Nam employing a "decision-space" framework that examines how hospitals have used their increased discretion and to what effect. Analysis suggests autonomization is associated with increased revenue, increasing staff pay, and greater investment in infrastructure and equipment. But autonomization is also associated with more costly and intensive treatment methods of uncertain contribution to the Vietnamese government's stated goal of quality healthcare for all. Impacts of autonomization in district hospitals are less striking. Despite certain limitations, the analysis generates key insights into early stages of hospital autonomization in Viet Nam. © 2013 The Author.

Original language	English
Pages (from-to)	232-240
Journal	Social Science and Medicine
Volume	96
Online published	30 Jul 2013
DOIs	https://doi.org/10.1016/j.socscimed.2013.07.009
Publication status	Published - Nov 2013

Research Keywords

Decentralization
Governance
Health policy
Health Sector
Hospitals
Viet Nam

Publisher's Copyright Statement

This full text is made available under CC-BY-NC-SA 3.0. https://creativecommons.org/licenses/by-nc-sa/3.0/

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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AB - This article investigates impacts of hospital autonomization in Viet Nam employing a "decision-space" framework that examines how hospitals have used their increased discretion and to what effect. Analysis suggests autonomization is associated with increased revenue, increasing staff pay, and greater investment in infrastructure and equipment. But autonomization is also associated with more costly and intensive treatment methods of uncertain contribution to the Vietnamese government's stated goal of quality healthcare for all. Impacts of autonomization in district hospitals are less striking. Despite certain limitations, the analysis generates key insights into early stages of hospital autonomization in Viet Nam. © 2013 The Author.

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KW - Governance

KW - Health policy

KW - Health Sector

KW - Hospitals

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DO - 10.1016/j.socscimed.2013.07.009

M3 - RGC 21 - Publication in refereed journal

C2 - 23958453

SN - 0277-9536

VL - 96

SP - 232

EP - 240

JO - Social Science and Medicine

JF - Social Science and Medicine

ER -

The promises and perils of hospital autonomy. Reform by decree in Viet Nam

Abstract

Research Keywords

Publisher's Copyright Statement

UN SDGs

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