2024-05-26-世界银行-越南远程医疗商业模式综述_发现_挑战和建议（英）_46页_1mb

Telemedicine Business Models in Vietnam: Findings, Challenges, and Recommendations

Key Outline

• Introduction: This report reviews telemedicine services in Vietnam to understand their current state, business models, challenges, and provides recommendations for policymakers.
• Growth and Status: Vietnam has seen moderate growth in telemedicine over five years, with an increase in the number of services, revenues, service offerings, and patients. Telemedicine is prevalent in both private and public sectors.
• Business Models: Services are categorized into three main types: providing second opinions on imaging and diagnostics (e.g., for providers at lower-level hospitals), using teleconsultations for patient screening and triage, and enabling provider-to-provider digital consultations.
• Key Findings Summary:
  • Growth Factors: Driven by the COVID-19 pandemic and private sector innovations; most private providers focus on high-income clients, while public services are free.
  • Business Model Insights: Using the Business Model Canvas framework; tools include apps for booking, consultations, and payments; expanding services like health education and e-prescriptions.
  • Impact: High patient satisfaction (4.5+ stars out of 5), with potential to improve access and equity in healthcare.
• Major Challenges:
  • Lack of a regulatory framework, clinical guidelines, and clear insurance reimbursement policies.
  • Affordability barriers preventing equitable access for rural and low-income populations.
  • Technology barriers, such as low digital literacy among the elderly and lack of internet connectivity in remote areas.
  • Data security issues due to recordings of consultations without clear consent mechanisms.
• Recommendations:
  • Establish a regulatory framework, including a sandbox initiative and evidence-based clinical guidelines.
  • Promote equitable access by using data to understand user needs and addressing connectivity issues, especially for disadvantaged groups.
  • Enhance data interoperability with systems like EMRs and ensure robust data security and patient consent.
  • Conduct evaluations of telemedicine processes and outcomes to generate evidence for policy improvements.

Telemedicine is positioned as a critical tool for addressing healthcare gaps in Vietnam but requires strong policy support to ensure sustainability and equity.