+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Costing of services of Vietnamese hospitals: identifying costs in one central, two provincial and two district hospitals using a standard methodology

Costing of services of Vietnamese hospitals: identifying costs in one central, two provincial and two district hospitals using a standard methodology

International Journal of Health Planning and Management 19(1): 63-77

The People's Republic of Vietnam is currently in a period of transition from a purely socialistic country towards a so-called socialist market economy. Since the introduction of the Doi Moi policy in 1987, health care services have been liberalized, medical practitioners have received the right to open private hospitals and private pharmacies are booming. However, the majority of inhabitants strongly depends on governmental hospital services. These services are currently going through a financial crisis. This demands the quest for efficiency and the wise allocation of public funds. The efficient allocation of funds depends on the quotient between costs and health outcomes, but the costs of health services in Vietnamese hospitals are unknown. Therefore the study analysed five hospitals in Vietnam and determined the average costs as well as the main cost drivers. The full costs of five hospitals were analysed, including depreciation and the value of donations. The costs were allocated to cost centres and cost units by a stepping-stone method. As expected, the average costs per inpatient day at a central hospital are about 300% of the costs of provincial hospitals and about 600% of the costs of district hospitals. However, the costs of some laboratory procedures and operations done at district hospitals are higher than those of provincial or even central hospitals. The main reason for the high costs of some procedures at district hospitals was the low quantity of these procedures at that level. This is a strong indicator that some procedures, in particular major operations, should not be performed in Vietnamese district hospitals.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 048675978

Download citation: RISBibTeXText

PMID: 15061290

DOI: 10.1002/hpm.747

Related references

Costing of clinical services in rural district hospitals in northern Vietnam. International Journal of Health Planning and Management 25(1): 63-73, 2010

The necessity for a structural change of provincial hospitals and other psychiatric and psychogeriatric services. I. (Based on the experience of 7 Westphalian regional hospitals). Das Offentliche Gesundheitswesen 31(6): 303-309, 1969

The future of specialty hospitals, and lying-in hospitals in particular. Hospitals with specialized interests, if not merged into general hospitals, must affiliate closely with other hospitals in ambulatory, diagnostic, special care, and emergency room services. Rhode Island Medical Journal 49(1): 47-50, 1966

The treatment of bone and joint tuberculosis in district, provincial and central hospitals in East Africa. East African Medical Journal 35(5): 273-277, 1958

Hospitals looking to standard costing systems. Hospitals 58(19): 88 92, 1984

Functional costing for hospitals on a "standard" basis. Lancet 2(6625): 301-302, 1950

Memorandum on doctor's fees for outpatient services in state civilian hospitals and in communal federation central hospitals. Suomen Laakarilehti. Finlands Lakartidning 14: 899-903, 1959

Can hospitals be built cheaper? Moderate standard in test hospitals. Serial building of hospitals in the private sector. Nordisk Medicin 90(5): 139-141, 1975

Costing out of nursing services by Iowa hospitals: a survey. Nln Publications 1987(20-2191): 407-409, 1987

Material and technical base of central district hospitals and the problems of developing specialized medical services in them. Zdravookhranenie Rossiiskoi Federatsii 1973(9): 7, 1973

Radiological services to private patients in provincial hospitals. South African Medical Journal 47(29): 1269-1270, 1973

The Investigation Into the Functions and Design of Hospitals of the Nuffield Provincial Hospitals Trust. Psychiatric Services 6(1): 19-24, 1955

Management of paediatric tuberculosis in provincial and district hospitals in Afghanistan. Eastern Mediterranean Health Journal 19(8): 698-703, 2013

Let us talk of provincial hospitals--hospitals with about 100 to 400 active beds. Concours Medical 82: 2441-2443, 1960

The use of psychiatric drug in rural health centres, district and provincial hospitals. East African Medical Journal 54(8): 438-444, 1977