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            <name>Title</name>
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                <text>Coronavirus</text>
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                <text>Dominio científico: Coronavirus</text>
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              <text>Vietnam’s Healthcare System Decentralization: how well does it respond to global health crises such as covid-19 pandemic?</text>
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              <text>Stuart Gilmour, Huy Van  Nguyen, Joseph  Debattista, Minh Duc  Pham, An Thi Minh  Dao, Hoa Lan  Nguyen, Tien Van  Nguyen, Phuong Mai  Le, Phuong The  Nguyen, Anh Thi Ngoc  Tran, Kien Duy  Vu, Son Thai  Dinh, Minh Van  Hoang</text>
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              <text>This article discussed Vietnam’s ongoing efforts to decentralize the health system and its fitness to respond to global health crises as presented through the Covid-19 pandemic. We used a general review and expert’s perspective to explore the topic. We found that the healthcare system in Vietnam continued to decentralize from a pyramid to a wheel model. This system shifts away from a stratified technical hierarchy of higher- and lower-level health units (pyramid model) to a system in which quality healthcare is equally expected among all health units (wheel model). This decentralization has delivered more quality healthcare facilities, greater freedom for patients to choose services at any level, a more competitive environment among hospitals to improve quality, and reductions in excess capacity burden at higher levels. It has also enabled the transformation from a patient-based traditional healthcare model into a patient-centered care system. However, this decentralization takes time and requires long-term political, financial commitment, and a working partnership among key stakeholders. This perspective provides Vietnam’s experience of the decentralization of the healthcare system that may be considered as a useful example for other countries to strategically think of and to shape their future system within their own socio-political context.</text>
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              <text>2021</text>
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              <text>Healthcare system; Global health crises; Covid-19 pandemic; Low- and middle-income countries (LMICs); Public health responses; Vietnam</text>
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              <text>10.24083/apjhm.v16i1.619</text>
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          <name>Source</name>
          <description>A related resource from which the described resource is derived</description>
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              <text>Asia Pacific Journal of Health Management</text>
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          <name>Publisher</name>
          <description>An entity responsible for making the resource available</description>
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              <text>ACHSM</text>
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          <description>The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant</description>
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              <text>Public aspects of medicine, Medicine (General)</text>
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