Zusammenfassung
Der südostasiatische Staat Vietnam durchläuft derzeit eine Transition von einem staatskontrollierten Sozialismus zu einer so genannten sozialistischen Marktwirtschaft, in der der private Sektor intensiv gefördert wird. In den letzten 17 Jahren erreichte die Wirtschaft ein beeindruckendes Wachstum. Wenn die These zutrifft, dass Wirtschaftswachstum und Gesundheit der Bevölkerung positiv korrelieren, müsste sich die Stärkung der Wirtschaft auch in einer Verbesserung der Gesundheit sowie des Gesundheitswesens äußern. Zur Überprüfung dieser These analysiert die vorliegende Arbeit die Gesundheit der Bevölkerung und das Gesundheitswesen Vietnams. Es zeigt sich, dass in weiten Bereichen durchaus eine hohe Korrelation zwischen Gesundheit und Entwicklung besteht, dass jedoch mit zunehmender regionaler und sozialer Disparität der Einkommensverteilung auch erhebliche gesundheitliche Ungleichgewichte entstehen. Sie stellen eine Herausforderung für die Gesundheitspolitik dieses Landes sowie für seine internationalen Partner dar.
Abstract
The South East Asian state of Vietnam is currently undergoing a transition from a centralised socialism to a so-called socialist market economy strongly promoting the private sector. For the last 17 years economy experienced an impressive growth. If the assumption is true that economic growth is positively correlated with the health status of the population, the strengthened economy of Vietnam must go along with an improved health situation and health care system of this country.
The following paper evaluates this assumption. It is demonstrated that there is indeed a strongly positive correlation between health and development in many aspects. However, it becomes obvious that economic growth is definitely accompanied by increasing regional and social disparity challenging the health care policy of Vietnam and her international partners.
Schlüsselwörter
Disparität - Entwicklung - Gesundheitssystem - Vietnam
Key words
Disparity - development - health systems - Vietnam
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Prof. Dr. Steffen Fleßa
Evang. Fachhochschule Nürnberg,
Fachbereich Pflegemanagement
Bärenschanzstraße 4
90429 Nürnberg
