1.

Intro
- Private sector advocates point to evidence that the private sector is the main provider. They
suggested that the private sector could be more efficient and responsive to the needs of
patients and pointed out that public sector inefficiency and corruption should be overcome.
- In contrast, public sector advocates emphasized inequalities in access to health care by the
poor who cannot afford private services
2. Literature Review:
Private medical establishments have the right to:
- even with priority given to the sale of means and technical materials for quality practice.
- to ensure the quality of diagnosis and treatment on the basis of the mutual agreement and
permission of the competent health agency.
- To have a number of emergency drugs for immediate sale to patients when needed. The
number of components of the base is determined by the health authority.
- To collect medical fees (the People's Committees of provinces, cities and special zones directly
under the Central Government shall set the medical examination and treatment tariff after
consulting with the Health Service and the Pricing Committee at the same level).

- LAW: Basic medical service package includes technical services, drugs, chemicals, and
materials for primary health care, health promotion, prevention and treatment applicable to
medical facilities in grassroots health facilities

3. Current Situation
- As of 2013, the country had 157 private hospitals (including 151 domestic hospitals and 06
foreign-invested hospitals), more than 30,000 private clinics and medical service facilities
- Many large-scale hospitals with 400-500 beds are equipped with modern medical equipment,
and the quality of medical examination and treatment is increasingly high.
- Private Sectors contribute significantly to reducing the load of public health facilities, the
quality of service is better than the public health system, people have the right to choose
medical examination services. , cure on request.
a. Quality of healthcare:
- The private health facilities only focus on providing low-risk and high-profit services
(gynecology, molar teeth, subclinical testing ...). These facilities mainly serve patients who can
afford to pay for health care services with higher fees in public facilities, patients who prefer
convenience, added value (clean, warm attitude, thorough consulting, high technology)
- quality of medical examination and treatment is better than that of public facilities but not
with complicated cases.
- This leads to inequality in society, reducing the ability of people to access this type of health
service, especially those with low income, while the quality of private health services is not yet
proven.
b. About medical justice:
- Along with that, the face value of health insurance is low, while 70% of the expenditure on
medical examination and treatment is on drugs, tests, and diagnostic imaging, while the price
of drugs, medical supplies and equipment must follow. international premises.
 - Notably, household out-of-pocket spending on health care remains high, easily leading to
poverty in middle-income households when someone gets sick (rate of poverty due to current
health expenditure is 1.7%).
c. In terms of accountability, and compliance with legal regulations:
- For examples, In Laos, regulations to reduce the sale of breastmilk substitutes by private
pharmacies were restricted until government inspectors inspected and introduced illegal
sanctions.
d. In terms of cost effectiveness:
- Slide

Thus, practice in developing countries has shown that, if the private health is superior to the public
health in terms of accessibility and response to customer needs, in the implementation of treatment
techniques. With high costs required, in terms of contracts to provide public health care services, and
contracts to provide services in the form of a social franchise, Public Health is superior in terms of
quality of treatment, treatment costs, medical justice. In terms of accountability, transparency and
compliance with legal regulations both need to be strengthened in both the public and private sectors.

4. Recommendation:
a. Cognitive Innovation: Slide
- For example, issues related to affordability-based "requirement" satisfaction can be given to
private health and encouraged to invest in health, while public health must focus on
responding the “need” is based on the prevalent disease situation of the people in each
region, especially the preventive medicine sector.
b. Organizationally:
- Transforming private health management. Unlike public health management, the main thing
in private health management is the management of investment purposes, not just technical
management and pure financial revenues and expenditures as in public health management.
- (1) Regulations on registration, licensing for practice establishments, (2) Regulations on self-
control of professional practice. subject, (3) Inspection regulations for medical facilities, (4)
Regulations on information disclosure, (5) Regulations on financial control through payment
systems.
5. Conclusion:
Slide