Patient-Centered Care: Transforming the Health Care System in Vietnam With Support of Digital Health Technology.
Patient-Centered Care: Transforming the Health Care System in Vietnam With Support of Digital Health Technology.
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DOI：
10.2196/24601
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发表时间：
2021-06-04
影响因子：
7.4
通讯作者：
Schofield P
中科院分区：
文献类型：
--
作者：
Dang TH;Nguyen TA;Hoang Van M;Santin O;Tran OMT;Schofield P
近几十年来，越南在卫生保健的各个领域都取得了令人瞩目的成就。然而，包括健康差距在内的缺点依然存在，特别是在人口迅速老龄化的情况下。这导致了疾病负担从传染病转向非传染性疾病，如痴呆症、癌症和糖尿病。这些医疗条件需要长期护理，这对卫生部门和社会造成了加速的危机。越南目前的医疗体系不太可能应对这些挑战。本文的目的是探索越南向以患者为中心的医疗模式转型的机会、挑战和必要条件，以改善人们的健康并降低医疗成本。我们使用优势、劣势、机会和威胁分析以及越南数字医疗创新的成功或失败来检验个性化和集成的定制医疗保健系统(BHS)在越南的适用性。然后，我们提出了在越南成功采用BHS模式的建议。BHS以患者为中心的护理模式使患者能够成为自己医疗保健的积极参与者。越南目前的政策、社会、技术和经济环境有利于其医疗保健系统向BHS模式过渡。尽管如此，中国仍处于医疗保健数字化的早期阶段。保护患者隐私和信息安全的法律和监管体系仍然缺乏。实施电子病历的准备情况因卫生服务提供者和临床实践而异，电子病历是BHS的核心要素。缺乏关于数字健康倡议的有效性和可持续性的经验证据和评估是越南政府在制定政策、发展和实施医疗保健数字化方面的障碍。实施个性化和一体化的医疗保健系统可能有助于越南解决医疗保健需求，减轻医疗保健系统和社会的压力，改善医疗保健服务，促进卫生公平。然而，为了采用以患者为中心的护理体系和数字化医疗，需要在数字健康倡议的整个发展过程中采用全系统的转型和运营方法，并进行协同设计。
Over the recent decades, Vietnam has attained remarkable achievements in all areas of health care. However, shortcomings including health disparities persist particularly with a rapidly aging population. This has resulted in a shift in the disease burden from communicable to noncommunicable diseases such as dementia, cancer, and diabetes. These medical conditions require long-term care, which causes an accelerating crisis for the health sector and society. The current health care system in Vietnam is unlikely to cope with these challenges. The aim of this paper was to explore the opportunities, challenges, and necessary conditions for Vietnam in transforming toward a patient-centered care model to produce better health for people and reduce health care costs. We examine the applicability of a personalized and integrated Bespoke Health Care System (BHS) for Vietnam using a strength, weakness, opportunity, and threat analysis and examining the successes or failures of digital health care innovations in Vietnam. We then make suggestions for successful adoption of the BHS model in Vietnam. The BHS model of patient-centered care empowers patients to become active participants in their own health care. Vietnam’s current policy, social, technological, and economic environment favors the transition of its health care system toward the BHS model. Nevertheless, the country is in an early stage of health care digitalization. The legal and regulatory system to protect patient privacy and information security is still lacking. The readiness to implement electronic medical records, a core element of the BHS, varies across health providers and clinical practices. The scarcity of empirical evidence and evaluation regarding the effectiveness and sustainability of digital health initiatives is an obstacle to the Vietnamese government in policymaking, development, and implementation of health care digitalization. Implementing a personalized and integrated health care system may help Vietnam to address health care needs, reduce pressure on the health care system and society, improve health care delivery, and promote health equity. However, in order to adopt the patient-centered care system and digitalized health care, a whole-system approach in transformation and operation with a co-design in the whole span of a digital health initiative developing process are necessary.
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DOI：
10.3390/ijerph15010165
发表时间：
2018-01-20
影响因子：
--
作者：
Tran BX;Le XTT;Nguyen PN;Le QNH;Mai HT;Nguyen HLT;Le HT;Tran TT;Latkin CA;Zhang MWB;Ho RCM
通讯作者：
Ho RCM
影响因子：
7.4
作者：
Alkhaldi, Ghadah;Hamilton, Fiona L.;Murray, Elizabeth
通讯作者：
Murray, Elizabeth
影响因子：
5
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Tran BX;Zhang MW;Le HT;Nguyen HD;Nguyen LH;Nguyen QLT;Tran TD;Latkin CA;Ho RC
通讯作者：
Ho RC
影响因子：
6.6
作者：
Bentley, Tanya G. K.;Effros, Rachel M.;Keeler, Emmett B.
通讯作者：
Keeler, Emmett B.
影响因子：
2.5
作者：
Bates LA;Hicks JP;Walley J;Robinson E
通讯作者：
Robinson E