Privatisation (Equitisation) seems to be an ordinary word in business market in the world. This process has both advantages and disadvantages. Private sectors could deliver goods and services efficiently such as less prices, less corruption, more options, high quality, and more rapid delivery (3). On the contrary, it could lead to market failures, particularly monopolies, in that one enterprise might take the unique power of the competitive markets. This could have negative effects on basic welfare such as healthcare, education, and so on (3).
Healthcare privatisation has been occurred among different countries around the world, particularly nations in ASEAN area to which Vietnam belongs. In 2013, private hospital system consists of 10 out of 25 total hospitals in Singapore, that is, the number of private hospitals account for 2/5 the proportion of hospitals in this country (4). Private healthcare sectors play a significant role in providing high quality of care to Singaporeans. Similarly, coupled with state health care sectors, private settings are making a dramatic contribution to health care services to Malaysian people (5).
In Vietnam, state owned enterprises (SOEs) likely still plays a dominant role in delivering basic health care services in this country. However, due to many objective and subjective reasons, Vietnamese health care system seems to cope with a variety of problems such as serious hospital crowding, unbalanced allocation of health care resources, unbalanced utilisation of health care services, and so on. Various reform policies of Vietnamese government such as Project 1816, Project Family Physicians, and Project Satellite Hospital are being conducted to address problems and improve the quality in health care in this nation.
In order to make a difference in health care delivery, along with three these projects, Vietnamese government is attempting to accelerate the developmental process of health care area through different approaches. The Decree 93/NQ-CP about “Some mechanisms and policies to develop health care” (Về một số cơ chế, chính sách phát triển y tế) was approved on 15 December 2014 (6). This Decree facilitates cooperation between public and private health care sectors (public-private partnership: PPP). The cooperation between City International Hospital and Cho Ray Hospital is likely to be a good instance (7). Thanks to this cooperation, two hospitals can take diverse advantages of each other such as transferring hi tech, training staff, sharing patients, and so forth.
Another trend of health care services is privatisation of inefficient public health care sectors in Vietnam. A good example is the privatisation of the Vietnam Central Transportation Hospital with total expense over 400 billion VND (more than 20 million USD. Some giant enterprises participating in the race to become the strategic investor are FLC, Vingroup, T&T, and others from Malaysia and Singapore) (8). It is likely that equitisation of inefficient hospitals in Vietnam is an effective way to attract larger investment to recover these sectors. Developing private health care sectors, Vietnamese government could encourage investment from domestic enterprises e.g, FLC, Vingroup, T&T and from international firms of Malaysia, Singapore, France, USA, Australia, and so forth.
In conclusion, as what Fredrik Sjöholm stated in a paper that Vietnam is at a crossroad of options and changes (9), if the government can manage productively between public and private health care sectors, this country will take a variety of privatisation’s advantages. The quality of health care services and Vietnamese people’s trust in domestic health care sectors will increase. This could inspire Vietnamese people living in this country and original Vietnamese people around the world to spend their money on domestic sectors. Also, hi technologies and huge amount of funds from developed countries will be invested into Vietnam. As a result, this nation will develop dramatically. However, in order to gain these benefits, it is necessary for Vietnamese government to keep generating timely, attractive, and effective reforms.
References:
(1)http://www.tienphong.vn/…/ton-ty-do-ra-nuoc-ngoai-chua-benh…
(2) http://vihema.gov.vn/ShowNews.aspx?lang=vn&cat=013&nid=6942
(3) https://en.wikipedia.org/?title=Privatization
(4)https://www.moh.gov.sg/…/our_healthcare_system/Healthcare_S…
(5) http://www.moh.gov.my/english.php/pages/view/403
(6)http://chinhphu.vn/port…/page/portal/chinhphu/hethongvanban…
(7) http://www.khoahocphothong.com.vn/news/detail/39843/mo-hinh-“diem”--hop-tac-chuyen-mon--giua-benh-vien-cho-ray-&-bv-thanh-do--khu-y-te-ky-thuat-cao-hoa-lam-shangri-la.html
(8)http://tinnhanhchungkhoan.vn/…/tap-doan-flc-muon-thau-tom-b…
(9) http://swopec.hhs.se/eijswp/papers/eijswp0228.pdf
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