Abstract
In the renovation of the public non-business sector, the financial renovation is a particularly important content, which is a key condition for autonomous non-business units to improve the quality of public services as well as the efficiency of state budget spending. Renovating the financial mechanism of public non-business units has been identified as one of the breakthroughs of the Vietnam Finance Strategy until 2020 [Prime Minister, (2012)]. Implementing the financial autonomy mechanism has created the initiative for non-business units to manage financial expenditures effectively and mobilize the contribution of society for the development of non-business activities. In this process, public healthcare has been and will be an area focused in Vietnam and most provinces of Vietnam, including Ho Chi Minh City. Base on the theoretical framework for the autonomy mechanism, this article focuses on analyzing the actual situation of implementing the financial autonomy mechanism of the public health service units in Ho Chi Minh City, Vietnam for the period 2012-2018. Since then, it indicates the achieved results, limitations, causes, and some recommendations to promote the implementation of the financial autonomy mechanism of public health service units in the context of world economic integration.
Highlights
The autonomy of public non – business units in Vietnam has been a key issue to reform the organization, the management system, and the improvement of the quality and effectiveness of them
The implementation of the autonomy mechanism of medical public service units in Ho Chi Minh City has strengthened the autonomy and initiative of the unit heads in personnel management and financial management; created opportunities for units to control internal expenditures, promote democracy, initiative, and creativity of officials, public employees; improve management skills, quality of operations; publicity and transparency in the organization of work arrangement, personnel, and financial spending
There have been many efforts, there are still significant obstacles in the implementation of autonomy such as the legal framework on the autonomy mechanism for public hospitals is not yet complete; lack of regulations on investment in the form of public-private partnership, joint venture, association, on the use of high-tech medical equipment in public health facilities; there are still many constraints related to the apparatus, people, personnel arrangement and payroll
Summary
The autonomy of public non – business units in Vietnam has been a key issue to reform the organization, the management system, and the improvement of the quality and effectiveness of them. State budget expenditure for these entities has been decreasing, along with the renewal of the mode of allocation – instead of allocating directly to the public non – business units, the State give directly to the public service users It has created many opportunities and a big challenge for these units, lead them to changing their operation in order to take initiative in financial resources, to maintain and to develop revenue sources. The implementation of the autonomy mechanism of medical public service units in Ho Chi Minh City has strengthened the autonomy and initiative of the unit heads in personnel management and financial management; created opportunities for units to control internal expenditures, promote democracy, initiative, and creativity of officials, public employees; improve management skills, quality of operations; publicity and transparency in the organization of work arrangement, personnel, and financial spending. There have been many efforts, there are still significant obstacles in the implementation of autonomy such as the legal framework on the autonomy mechanism for public hospitals is not yet complete; lack of regulations on investment in the form of public-private partnership, joint venture, association, on the use of high-tech medical equipment in public health facilities; there are still many constraints related to the apparatus, people, personnel arrangement and payroll
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