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Title: Efficiency and productivity of general hospitals in Vietnam
Author: Pham, Thuy Linh
ISNI:       0000 0004 2669 6720
Awarding Body: University of East Anglia
Current Institution: University of East Anglia
Date of Award: 2008
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The health sector reform programme begun in Vietnam in 1989, focusing on structural and institutional changes, has altered the way in which Vietnamese hospitals operate and put the spotlight on input savings. This study aims to examine the relative efficiency of hospitals during the health reform process (1988-2006) and assess - by looking at the relative efficiency of hospitals - the effects of the regulatory changes. In order~to carry out the analysis, this thesis employs the Data Envelopment Analysis (DEA) two-stage approach, including the DEA technique and the DEAbased Malmquist productivity index in the first stage, and the Tobit censored regression analysis in the second stage. Such techniques are applied to data from 101 general public hospitals. The thesis revealed two main findings. First, there was evidence of improvement in the .productivity of Vietnamese hospitals over the period 1998-2006, with a progress of total factor productivity of 1.4% per year. This ~as mainly due to improvements in efficiency rather than the progression of technology. Second, the differences in hospital efficiency can be attributed to both the regulatory changes and hospital-specific characteristics. In particular, the user fees and autonomy measures were found to increase technical efficiency; however the implementation of health insurance resulted in a decline in hospital efficiency. Analysis of hospital-specific characteristics indicated that provincial hospitals were more technically efficient than their central counterparts and that hospitals located in the North East, South East and Mekong River Delta regions with more population and higher income per capita performed better than hospitals from other regions. Overall, these findings suggest that the Vietnamese hospitals have benefited from the regulatory changes instituted during the reform process. Therefore, this thesis provides new information on the impacts of the regulatory changes in the Vietnamese hospital sector as well as valuable information to enable better decision making when attempting to improve hospital efficiency.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available