Quality healthcare access for Vietnam

SOCIAL INNOVATION PLAYBOOK SERIES

eden strategy institute

H E A LT H C A R E

Qual i ty Healthcare Access For V ietnam

S O C I A L I N N O V A T I O N P L A Y B O O K S E R I E S

M I N I S T R Y O F H E A LT H

C E N T R A L H O S P I TA L S

T E A C H I N G H O S P I TA L S

P R O V I N C I A L H O S P I TA L S

P R O V I N C I A L S P E C I A LT Y H O S P I TA L S

C E N T R A L H O S P I TA L S

D I S T R I C T H O S P I TA L S

C O M M U N E S TAT I O N S

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34

63

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11,699

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Vietnam’s healthcare system is broad in coverage …

2edenstrategyinstitute.com


… due to a multi-prong government strategy


1. Strengthen quality of doctors in rural areas

Strengthen quality of doctor in rural areas

Invest / grants for hospital equipment & infrastructure

Equip hospitals with adequate devices in rural areas

Regulate healthcare system

Health workers Equipment Investment Policies

T R A I N t h e T R A I N E R program to strengthen quality of doctors in rural areas

M A N D A T O R Y R O T A T I O N of 425 doctors in 85 rural districts under Decision 1816

P R E R E Q U I S I T E 2-year rural practice for entry to specialist training

I N C E N T I V E S C H E M E S VND 3 mil for doctors to work in remote areas for 2 years

M A N A G E M E N T T R A I N I N G program offered by the Hanoi School of Public Health

T A R G E T 80% of doctors at grassroots commune level by 2015


2. Equip hospitals with adequate devices in rural areas






M O H ’ s F O C U S last 5 years to equip district hospitals with proper medical devices

M O H ’ s T A R G E T focus this year onwards to upgrade / replace X-rays, CTs and Ultrasounds in Provincial & Central

D E C I S I O N 9 5 0 to outfit Commune health stations with Ultrasounds for basic checks


3. Invest / grants for hospital equipment & infrastructure






J I C A biggest ODA in Vietnam placing USD 1.9 bil. in 2010 in the form of loans, grants and technical assistance, with about 10% of that going into Healthcare

M O H has been managing 62 ODA projects (KOICA, Finland, Germany, France, etc.) and over 100 NGO projects for a value of over USD 1 bil



4. Regulate healthcare system





I N S U R A N C E 50% less reimbursement for skipping referral pathways

D E C I S I O N 1 8 1 6 Tier 1 Central hospitals oversee monthly progress, share findings ,and consult medical cases with lower tier hospitals

M O H to standardize brands and technical standards of devices in Vietnam

P R I C I N G differentiated pricing across hospital tiers


Yet, the Patient Experience suffers from quality inconsistencies

P a ti e n t t o b e d r a ti o3 t o 1

W a i ti n g f o r c r i ti c a l s u r g e r y2 d a y

C o m m u n e s w i t h o u t d o c t o r s7 0 %

O l d m e d i c a l d e v i c e s1 5 - 2 0 y e a r

M o r e X - r a y t e s t i n u r b a n t h a n r u r a l h o s p i t a l s2 0 X


C e n t r a l

P r o v i n c i a l

D i s t r i c t

C o m m u n e

N G O

T r a i n i n g

D e v i c e s

F a c i l i ti e s

N A T I O N A L B U D G E T

O D A

H O S P I T A L S

INSURANCE

PHARMACEUTICAL

ETC.

IMMUNIZATION

… and funding is expected to be cut by 15-20% in coming years


P O L I C I E S

I N V E S T M E N T

E Q U I P M E N T

H E A L T H W O R K F O R C E

S O C I A L I N N O VAT I O N S I N

Social innovations are needed to break through healthcare constraints

Local Challenges

Lack of skills

Lack of equipment

Lack of quality

Lack of funding


Partnerships with universities

Local online support

Sponsorships

m-Health

Re-skilling

… and the private sector needs to play an integral role

Strengthen quality of doctors in rural areas




Infrastructure planning

Equipment leasing programs

Equipment maintenance packages

Facility audits & accreditation

Joint Public-Private Partnership

Government grants

Corporate sponsorships of equipment

Hybrid financing from international Socially Responsible Investor

Hospital workflow

Reimbursement & insurance coverage

e-Health

International gold standards

Generic drugs


1. How do the industry structure or local market conditions affect our sources of sustainable advantage?

2. Where are the rural challenges in this country that we can help to solve?

3. How can we break through our own underlying constraints and mental models?

4. What might be some ways we can improve the quality of healthcare?

5. Can we change our business models or products to make healthcare more accessible?

6. Who can we build partnerships with, to bring down the cost of healthcare?

7. Which are risks and investments that these could lead to?

Questions to consider


What we do. Eden Strategy Institute approaches the global issues of disease, poverty, illiteracy, and exploitation head-on, by formulating strategies, models, processes, products, and designs that help our clients create, realize, and sustain quantum profit in addressing these issues. We focus exclusively on empowering business strategies with Social Innovations that create enduring financial impact, such as Silver Hair Marketing, identifying Bottom-of-Pyramid segments, creating Ethical Supply Chains, Microfinancing, Energy Efficiency, Socially Responsible Investing, Policy Planning and Advocacy, and so on.

Eden’s Healthcare Practice. Eden has experience spanning the entire healthcare system, from R&D at medical technology firms, pharmaceutical companies, and biotechnology institutions, to commercialization, manufacturing, downstream distribution, hospital installation and management. We have an extensive network of contacts with the entire healthcare ecosystem across Asia-Pacific.

Sustainability in healthcare. Eden brings sustainability to the Healthcare sector by supporting governments with policy and infrastructure development, helping research institutions go-to-market while protecting and managing their innovation pipelines, planning the market entry of medtech firms, hospitals, and pharma companies, supporting healthcare education to raise patient awareness, facilitating the flow of medical tourists, assisting in API manufacturing and vaccine distribution, assessing treatment efficacy, and working with health insurers and reimbursement systems to improve treatment quality while reducing costs.

Our philosophy. We believe in the power of ideas to positively shape our world, one client at a time. Our focus is unparalleled in bringing to bear our entire senior management team, as well as the world’s foremost experts, on our clients’ most pressing sustainability issues. In turn, we elect to only collaborate with clients who are seriously committed to creating value together.

Eden Strategy Institute. Asia’s leader in Social Innovation Consulting


Enquiries: Mark Lee, PartnerE: [email protected]: +65 9228 5305

Level 25, North TowerOne Raffles QuaySingapore 048583

www.edenstrategyinstitute.com

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Quality healthcare access for Vietnam

Health & Medicine

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