ReviewGlobal health & medicine2026
Strengthening upper gastrointestinal endoscopy service in primary healthcare settings in low- and middle-income countries: Proposals from an implementation study in Vietnam.
Review in Global health & medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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9 authors.
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Abstract
Vietnam has established favorable policies for upper gastrointestinal endoscopy, providing an opportunity to expand this technology to primary healthcare (PHC) settings. However, the policy dilemma between insurance coverage/supportive regulations and self-financing policy, and the one between intended and unintended outcomes of healthcare decentralization and administrative reform, posed constraints on expanding this technology at the PHC level. In response to these policy dilemmas, we conducted an implementation research study to identify subsequent policy bottlenecks and facilitating and hindering factors affecting the proper and sustainable implementation of this technology. The study was carried out in district hospitals (renamed regional general hospitals after 2025 administrative reform) in two southern provinces, using a qualitative research design based on interviews with hospital staff involved in upper gastrointestinal endoscopy. Data were analyzed deductively using the Consolidated Framework for Implementation Research (CFIR). Based on the identified policy dilemmas, bottlenecks and hindering factors, we propose five policy recommendations:
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