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Le, G, Thu Thi Bui, H, Mirzoev, T et al. (1 more author) (2015) Negotiating compliance: The case of autonomous hospitals in Vietnam. Development Policy Review, 33 (3). 373 - 390. ISSN 0950-6764
Abstract
Maternal death is one of the highest causes of global mortality. Governments have long used regulation to improve maternal health but concurrent fiscal-decentralisation reforms can undermine clinical performance. This article focuses on public Vietnamese hospitals to explore how regulatory compliance is pursued in decentralised health facilities, since Vietnam has seen increasing autonomisation of public hospitals in the last decade while simultaneously experiencing marked reductions in the maternal mortality ratio. Our analysis suggests that autonomisation has allowed regional regulatory regimes to emerge and that regulatory compliance must compete with other priorities. Compliance can therefore be rethought as a negotiation having implications for how government and maternal health advocates persuade self-sufficient hospitals to take on wider health-system goals.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Keywords: | Regulatory compliance; hospital autonomy; maternal healthcare; Vietnam |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Nuffield Centre for International Health and Development (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 07 Oct 2015 09:32 |
Last Modified: | 03 Nov 2016 06:38 |
Published Version: | http://dx.doi.org/10.1111/dpr.12112 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/dpr.12112 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:89649 |
Available Versions of this Item
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Negotiating compliance: The case of autonomous hospitals in Vietnam. (deposited 07 Aug 2015 09:05)
- Negotiating compliance: The case of autonomous hospitals in Vietnam. (deposited 07 Oct 2015 09:32) [Currently Displayed]