All human activity, including health care activity are strictly corelated with the relation between individual and social community. This relation must be harmonised in resfect of the equality. It is the criterion to appreciate the superiosity of any healthcare service. In our system health education and the organization must be paralelly conducted
Delivery of Health Care ; Health ; Health Systems Plans

When coming a innovative period, we mentioned directly the issues of health economics and health care finance, but this approach just only generalized that not enough thoroughness to overcome many challenges from dark side of market economy. If these issues weren’t paid attention, Vietnamese public health could be inconsiderable, arbitrary, and lack of method and thriftiness
Delivery of Health Care ; Vietnam ; Professional Practice ; Politics

The health service system planning and implementing is as important as working out the plan of campaign. It's necessary to appreciate and improve this work if we really want to develop Vietnam health service system in the right and methodical direction, and in global integration. In the short term, we should learn about and have a firm grasp on health indices and targets of UN Millennium Development Goals, their roles in sustainable development. On this foundation, it's necessary to consider adding or cutting some indices in order to reflect comprehensively and completely the truth face of healthcare system in Vietnam
Delivery of Health Care ; Health Services ; Indicators and Reagents

When confronted with situation of rapid development of HIV/AIDS pandemic, there was a solution called 'harm reduction' for decrease the transmission of HIV. This article explained why we have to do this solution, and introduce the contents of solution: to educate and exchange experiences through peer education; provide HIV voluntary counseling and test, help HIV/AIDS infected people being aware of their situation and received useful advice; guide them using safe syringe; prevent STDs by using condom; introduce and use heroine-replacement drugs. Finally, authors also mentioned advantages of using 'harm reduction' solution
HIV ; Acquired Immunodeficiency Syndrome ; Disease Outbreaks

After 10 years of implementation the 4th resolution of the Party Centre Committee, session VII, the Health sector had received many significant results. The health care system had established throughout the country, especially the grass roat health care level from stood at "the abyss of collapsing" to little by little recoverd and gradually developed. Otherwise, the Health sector remained some issues, such as the price of medical services was not calculated; The financial resources of the hospitals was not substainable and always in deficiciency in this conditions, it was said that it should changed from the form that the State had supplied the finances for the health care units to the forms of subsidy to the users by buying health insurance or health services
Delivery of Health Care ; Hospitals, Public ; Materials Management, Hospital

The conception of health care or health services socialization was the first mentioned in the resolution of the fourth conference held by the seventh Party Central Committee. In the last twelve years, we reached many achievements in order to translate the policy of health services socialization into reality: People have many improvements in terms of self-defense consciousness and health care. There are many new organizational forms: health insurance, charity fund, health care fund for the poor. Besides public health establishments, there are many private health establishments with various economic forms. However, the socialization of health services has many limits: the contrary of market mechanism put new pressures on health sector. On the other hand, health establishments lack of budget to pay essential health services
Health Services ; Socialization

To evaluate user fee the situation of, in 2001, at the Khammouane provincial hospital Lao PDR by a cross study. 109 in-patients and 204 out- patients were interviewed and, 20 groups of health staffs were discussed and the information (2001) on statistic, finances and exemptions in the hospital office were analyzed. The results showed that: With the minus government budget, the very low fees and many free services, the quality of the health service is not progressive and it is very difficult to apply the exemptions. The rate of using the patients' bed is very low because both the rich and poor patients don't like to take health care in this hospital. When the patients come to hospital, all of them prepare enough money to pay because they don't know who will be exemption. If they can't get enough money, they don't come yet. Both the patients and health staffs accepted the low user fees but the providers need to raise the quality of health services and apply better the exemptions. The very low fees and many free services in the hospital aren't the suitable solution to help the poor patients can take health care when the another sources can't supply sufficiently for these services.
Hospitals ; Health Services

We analyzed the active information of Khammouane provincial in 2001, and adjust the hospital fee models by researcher's formula. The results showed that: In the hospital, when the outcomes is bigger than the incomes without fees, we have to take hospital fees, contrary to, we don't take it. The fees are correct when outcomes are equal or smaller than incomes with fees and exemption payments need to equal or bigger than these incomes without fees, therefore the average fee collection need to equal or bigger than average hospital payment. At Khammouane provincial hospital, in 2001, the correct models of hospital fees are 'collect all of medical services with the cost of 3 factors: salary, administration cost and drugs-consumer equipment'. The correct models of hospital fees can provide the expenditure on health care in the hospital throughout the year, can raise medical service quality and make more the context for the poor patients can use the health care service without the fees.
Hospitals ; Fee-for-Service Plans

In Vietnam, the development of the health information should focus on the disease management and primary health care. Which included the back up of medical record, patient registration, professional development and support to the primary health care, concurrently establishment of telemedicine, telehealthcare, and remote health care system for remote and deep areas.
Information Management ; Health Care Sector

Flood and typhoon are main causes of disaster in Vietnam. To prevent and overcome consequences, the health sector should implement and perform following approaches: awareness, organization, resource, and practice, drug kits, food, fresh water and cooperation with other branches. During flood and typhoon, should organize the task teams and ambulatory health teams, cooperate with military health system, move the patients, support resources, protect material facilities and praise timely. After flood and typhoon, should control environmental sanitary and food, monitor insecticide stores, control disease outbreaks and restore the health resource.
Health Services ; Environmental Health ; Disasters ; Health Care Sector