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SUMMARY
OF NEW CONCLUSIONS OF THE DISSERTATION
1. Dissertation title:"Financial management mechanism reform of public hospitals in
Vietnam"
2.Major:Finance - Banking Code: 62.34.02.01 3.Ho and Fellows name: Pham Thi Thanh Huong
4. Full name of scientific mentors: (1). Assoc. Prof. Dr. Pham Ngoc Dung
(2). Assoc. Prof. Dr. Hoang Thi Thuy Nguyet 5. The new findings of the dissertation:
First: A dissertationwas to synthesize and systematizethe theoretical basis of financial management mechanism of public hospitals, including specific analysis on the possible factors from objective to subjective factors affecting the financial management mechanism of publichospitals.The dissertation deeply analyzed the content of theories on mechanisms of financial management mechanism for public hospitals from the state budget allocated to public hospitals, the mechanisms of health insurance payments forhospitals, the mechanisms of healthcare services direct payments from healthcare services users and financial autonomy mechanism of publichospitals.
Second: The dissertation studied the international experience of financial management mechanism for public hospitals in some countries such as Japan, the US, China, Singapore. The dissertationwithdrew six (06) importantlearnt lessons on financial management for public hospitals in Vietnam.
Third: The dissertationalso summarized thesystem of public hospital under the Ministry of Health in which it described the historical development and characteristics as well as the financial situation of public hospitals under the Ministry of Health. The dissertation analyzed clear mechanisms for financial managementof public hospitalsunder the Ministry of Health based on the variety and accuracy of data source on the state budget, sources of health insurance payments to the publichospitals,sources of direct payment forhealthcare services from users and revenues as well as health expenses in public hospitals under the Ministry of Health.
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Fourth: The dissertationconducted15 in-depth interviews and collected data from 220 survey forms classified by the study subjects in the fields of finance and planning from the officials and employees in the hospital, hospital managers, staff of the Ministry of Finance and Ministry of Health. Addition to the authentic sources of finance of the public hospitals and face-to-face survey on the subjects related to the financial management mechanism in public hospitals, study datum were important basis forthe dissertationto analyze and evaluate the plausible mechanism for financial management of public hospitals. The dissertation evaluated each financial management mechanism on the aspects of their remarkable achievements and shortcomings.
Fifth: The dissertation analyzed clear and coherent objectives and perspectives of reform mechanism for financial management of public hospitals. With 4 goals and 5 reform opinionswere analyzed. This was also an orientation, pursuant to devise solutions for financial management mechanisms in the public hospitals.
Sixth: From the theoretical basis and the assessment, situational analysis, the vision and objectives of reform, the dissertation proposed 6 group solutions to improve the mechanism reform of financial management of public hospitals in Vietnam in the period of 2016 - 2020. The group solutions included to reform mechanisms on health budget allocation towards supporting for beneficiaries and in accordance with the state method, improve the mechanism of health insurancepayment; to calculate cost of healthcare services and transparent mechanism for direct payment from users; to promote self-financing mechanisms, self-inspection mechanism, supervision and other solutions.
Those above results were new approaches and points found from the dissertation. The proposed solutions are consistent with the fact of Vietnam public hospitals, thus theywould be practical and applicable.
The results of dissertation will provide significantevidenceson the mechanism of financial management in public hospitals in general and public hospitals under the Ministry of Health in particular. The clear analysis and evaluation on financing mechanism of public hospitals under the Ministry of Health contributed to present obvious current situation of financial management mechanisms for public hospitals.
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These objectives, perspectives and some group solutionson financial management mechanisms reform recommended from thedissertation is expected to contribute and improve the financial management mechanism of public hospitals in Vietnam ./.
Hanoi, February 2017
SCIENTIFIC MENTORS PHD CAN DIDATES Mentor 1
A/Prof. Dr. Pham Ngoc Dung
Mentor 2
A/Prof. Dr. Hoang Thi Thuy Nguyet
Pham Thi Thanh Huong
