IR 4.0 OPPORTUNITIES FOR HEALTHCARE SECTOR IN VIET NAM.

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MINISTRY OF EDUCATION AND TRAINING FOREIGN TRADE UNIVERSITY MASTER THESIS IR 4.0: OPPORTUNITIES FOR HEALTHCARE SECTOR IN VIET NAM Specialization: Master of Research in International Economics DINH THI HONG HANH Hanoi – 2020 MINISTRY OF EDUCATION AND TRAINING FOREIGN TRADE UNIVERSITY MASTER THESIS IR 4.0: OPPORTUNITIES FOR HEALTHCARE SECTOR IN VIET NAM Major: International Economics Specialization: Master of Research in International Economics Code: 1806410005 Full name: Dinh Thi Hong Hanh Supervisor: Prof Dr Tu Thuy Anh Hanoi – 2020 i TABLE OF CONTENTS ACRONYMS AND ABBREVIATIONS iv LIST OF FIGURE AND TABLE vi ABSTRACT INTRODUCTION CHAPTER 1- APPLICATIONS OF INDUSTRY 4.0 IN HEALTHCARE 1.1 The fourth industrial revolution 1.2 Healthcare 4.0 12 1.2.1 Robot .12 1.2.2 Three-dimensional model 12 1.2.3 Internet of things 12 1.2.4 Big data 13 1.2.5 Artificial intelligence 13 1.3 Overview of healthcare system in Vietnam 22 CHAPTER 2- OPPORTUNITIES OF INDUSTRY 4.O FOR HEALTHCARE SECTOR IN VIETNAM 24 2.1 Vietnam under Industry 4.0 24 2.2 Healthcare digital technology in Vietnam 28 2.2.1 Vietnam proposes the route of making hospitals intelligent 28 2.2.2 Health ID issued to citizens 29 2.2.3 Digitalisation of healthcare feild, double-edged sword .30 2.2.4 Affairs on high-teach healthcare complex beginning in Hanoi 32 2.3 Hospital digitalization .34 2.3.1 Medical examination treatment management 34 2.3.1.1 Increase of healthcare on demand 35 2.3.1.2 Mobile application technology is personalized 36 2.3.1.2.1 Searching by voice .36 2.3.1.2.2 Development of wearable medical devices 37 2.2.1.3 Artificial Intelligence 37 2.2.1.3.1 AI and forecast analytics 37 i 2.3.1.3.2 Wonders of Artificial Iintelligence 38 2.3.1.4 Blockchain .39 2.3.1.4.1 Blockchain and promise of better electronic health record 39 2.3.1.4.2 Blockchain in Healthcare 40 2.3.1.4.3 Blockchain integration .41 2.3.1.5 Virtual Reality 42 2.3.1.5.1 Interaction environment 42 2.3.1.5.2 Patient treatment by virtual reality 43 2.3.2 Hospital Digitalization in Viet Nam .44 2.3.2.1 Hospital going digital 44 2.3.2.2 Government support for digitalisation in healthcare 48 2.4 Opportunity of utilizing big data in healthcare .50 2.4.1 Benefits of Cloud computing for healthcare 51 2.4.1.1 Unlimited capacity .52 2.4.1.2 Reliable broadening capacity .52 2.4.1.3 Seamless cooperation 52 2.4.1.4 System security increase 53 2.4.1.5.Accessing AI and Machine Learning .53 2.4.1.6 Remote care opportunity 53 2.4.1.7 Advantages of data orientation for medical insurance .54 2.5 Strengthening healthcare sociallization 55 2.5.1 Vision .58 2.5.2 Implementation .60 CHAPTER – EXPERRIENCES OF APPLYING INDUSTRY 4.0 IN HEALTHCARE IN SELECTED COUNTRIES 68 3.1 Hospital digitalization in US 3.1.1 IoT concept involves digitalization of medical products and related care processes 70 3.1.2 Mobile devices and applications into helthcare 71 3.1.3 Big data in medical system management .73 3.1.4 New digital health consultant generation 76 3.2 Integrated care model based on capacities of IR 4.0 in Weston european 78 3.2.1 Care 4.0 78 3.2 Healthcare policies 79 3.2.2.1 Academic merging co-design in Scotland 81 3.2.2.2 Building faith in systems and in the whole population .83 3.2.2.3 Activating renovation culture 83 3.3 Socializing healthcare in China 99 3.4 Digitalisation of healthcare: digital health enablers in Vietnam .106 CHAPTER 4- INVESTMENT OPPORTUNITIES IN VIETNAM'S DIGITAL HEALTHCARE 114 4.1 Policy and management: Adjusting our society to change fast in the medical and healthcare ecosystem .114 4.2 Incresasing many investments into Information technology 115 4.3 Policy and technology renovation challenges in healthcare 4.0 .117 CONCLUSION 121 REFERRENCES .122 ACRONYMS AND ABBREVIATIONS TERM DEFINITION AI Artificial Intelligence IoT Internet of Things ILO International Labour Organization STEM Science, Technology, Engineering and Mathematics VR Virtual Reality CPS Cyber Physical System IOS Internet of Services SERP Smart Enterprise Resource Planning IR Industrial Revolution GSO General Statistics Office ICT Information and Communications Technology ASEAN Association of South East Asian Nations MOH The Ministry of Health CRM Customer Relationship Management DHI Digital Health and Care Institute HMO Health Maintenance Organization MIP Ministry of Planning and Investment CIEM Central Institute for Economic Management VHEA Viet Nam Health Economics Association EHR Electronic Health Record CMS Medicare and Medical Services BMI Business Monitor International CDC Centers for Disease Control GIS Geographic Information Coalition CHCs Commune Health Centers TCF Textiles, Clothing and Footwear E&E Electronic and Electric MOOCs Massive Online Open Course AIC Asia Internet Coalition AWS Amazon Web Services DA Doctor Anywhere’s VR Virtual Reality CAGR Compound Annual Growth Rate mIoT Medical Internet of Things NLP Natural Language Processing LOINC Logical Observation Identifiers Names and Codes US United States UK United Kingdom LIST OF FIGURE AND TABLE Figure 1.1: Capabilities of Industry 4.0 in the medical field IoT, Internet of things 14 Table 3.1: The 4.0 toolset applied across care organization .90 ABSTRACT The fourth industrial revolution is currently proceeding and is expected to significantly affect the way individuals live and in result change the society in various aspects The ICT-based convergence industries of the fourth industrial revolution contain various fields This thesis examines the researches done in fourth industrial revolution in medical field This study also suggests necessary contents in the fourth industrial revolution to be focused on for further research in this field INTRODUCTION The importance of the study Vietnam’s healthcare landscape is changing The country’s strong economic and population growth is creating a new middle class which is demanding higher- quality medical treatment These affluent, digitally-literate consumers are spending more on their healthcare, leading to a rise in demand for private providers and digital health services The population of Vietnam is not just becoming richer It is also growing older This is resulting in a shift in the burden of disease from communicable to non-communicable conditions like diabetes and cancer These noncommunicable conditions require coordinated, long-term care solutions Meanwhile, Vietnam is embracing the Fourth Industrial Revolution Internet access is widespread and the country has seen rapid development in 4G and 5G mobile communication technologies Building on these foundations, the government of Vietnam is driving a digitalisation agenda in hospitals and clinics across the country Smart solutions are being strongly encouraged that utilise big data, artificial intelligence (AI), cloud computing and mobile technology to help alleviate Vietnam’s overcrowded public hospitals and increase quality of care Together, these factors are opening up new opportunities for companies in Vietnam’s digital healthcare space We looks at the enablers for the adoption of digital healthcare solutions in the country, as well as some of the difficulties that face new market entrants The report gives an overview of Vietnam’s healthcare landscape – including its challenges and opportunities – and describes the main domestic and international players already operating in the market It also includes key commercial opportunities available for companies as well as some tips on doing business in Vietnam’s emerging digital health sector In area-wise research on Industry 4.0 in medical, we observed that the computer science area provides the maximum contribution of 31% in total research publications However, the overall engineering field contributes 25%; decision sciences and mathematics contributing 11% each; business, management and accounting 6%; materials science 4%; biochemistry, genetics and molecular biology VietNam ‘s healthcare system MOH is responsible for healthcare in Vietnam It manages a large number of public hospitals, research institutes, universities and colleges Other Government agencies, such as the Ministries of Labour, Invalids & Social Affairs, Transportation and Defence, also run a number of Vietnam’s hospitals and clinics Vietnam’s public healthcare system is organised into four levels: central, provincial, district and communal Central and provincial-level hospitals usually consist of general and specialised hospitals and medical centres District health centres and commune health stations offer primary care alongside some medical and preventative services Vietnam’s private healthcare sector is growing The number of private hospitals has increased from 133 in 2011 to 231 in 2016, a CAGR of 12 per cent Public hospitals Public hospitals in Vietnam are overcrowded and their services are oversubscribed Therefore, digital solutions have the potential to reduce hospitalisation rates They also open up opportunities to provide care to an ageing and diverse population, particularly in remote or rural areas Digital solutions can further help national-level or specialist hospitals to deliver training, or to conduct examination and treatment activities with satellite or lower-level hospitals Vietnam’s key public hospitals include: Bach Mai Hospital Founded in 1911, Bach Mai Hospital is a leading comprehensive general hospital with spacious facilities, modern equipment and qualified staff, including some of Vietnam’s leading physicians Under the management of MOH – and with strong international relationships – the hospital provides high-quality medical services, conducts training and scientific research, and provides guidance to lowerlevel hospitals Bach Mai Hospital has more than 3,000 beds, three institutes, eight centres, 22 clinical departments, six para-clinical departments, 11 functional departments and a nursing college National Geriatric Hospital Established in 1983, the National Geriatric Hospital is the first national hospital for elderly people in Vietnam It is the top specialist hospital in Vietnam providing medical examination and treatment to older people It has over 100 doctors and 200 nurses, with more than 300 patient beds The hospital is renowned within Vietnam for its international linkages and collaborative research Private hospitals There is growing demand for more accessible, higher-quality healthcare This demand is expected to drive more affluent people in Vietnam toward private healthcare providers The country’s growing middle class is also becoming more discerning about their own health and their experience when receiving medical treatment This is leading private hospitals to innovate in areas such as mobile health and digital services In doing so, they hope to attract customers who want to save time and receive better customer service Vietnam’s key private hospitals include: Vinmec Healthcare System Vietnam’s leading private conglomerate, Vingroup, has ambitious aims to raise the standard of healthcare in the country In 2012, Vingroup launched the Vinmec Healthcare System to achieve this goal As of 2018,Vinmec had seven hospitals providing premium healthcare services, with three more hospitals expectedto be operational by 2020 Patient satisfaction rates withVinmec are over 90 per cent, and patient numbers are rising between 30–50 per cent a year Hoan My Medical Corporation Hoan My Medical Corporation is one of Vietnam’s leading and largest private healthcare networks It includes more than 2,500 operating beds, and has a capacity of over 3,400 beds Hoan My has 20 hospitals and clinics with six hospital development projects in the pipeline Over its 20-year history, Hoan My has built a strong brand with a reputation for delivering affordable and quality healthcare The network employs over 800 doctors and 4,000 staff, and serves over 3.7 million 110 patients every year.14 Hoan My was acquired by the Clermont Group, a Singaporebased international business group, in 2013 Digital Health Competitive Landscape A number of organisations are delivering solutions in the digital healthcare space in Vietnam These organisations range from ICT services and solutions companies to medical device distributors, and from startups to established companies Over the past few years, Vietnam has seen a growing number of health startups who aim to use high-technology solutions to improve the quality of medical services Local companies FPT Information System Established in 1994, FPT Information System (FPT IS) is one of the leading system-integrators in Vietnam and the region FPT IS offers solutions for industries including the public sector, banking & finance, telecommunications, healthcare, transport and utilities FPT IS is a member of FPT Corporation, which is the largest ICT company in the private sector in Vietnam It has more than 32,000 employees, including 13,695 technology experts, engineers and developers The company operates in 33 countries around the world FPT’s eHospital software suite has been used by more than 200 hospitals in Vietnam These include top-tier national hospitals such as Bach Mai, Cho Ray, Dong Nai General Hospital and others belonging to MOH including the National Children’s Hospital, Thanh Hoa Children’s Hospital and Ha Tinh General Hospital FPT recently signed a memorandum of understanding with MOH on the application and development of IT solutions for healthcare during 2018–2028 The agreement covers multiple aspects of healthcare software development, including: building an electronic medical structure preparing guidance on the application of IT in the medical industry implementing e-health regulations for various units undertaking training and research on e-health development providing training on data centre operations developing standard IT health regulations building a smart healthcare system, smart 111 19 hospitals and smart medical management developing integrated solutions for medical activities VNPT Software VNPT Software is the leading subsidiary of the Vietnam Posts and Telecommunications Group (VNPT) This is a state-owned limited liability company that sells, imports and exports post, telecommunications, multimedia and other digital products and services VNPT Software undertakes research and development in software solutions, and provides products and services for national organisations, ministries and enterprises VNPT launched VNPT-Information Technology in 2018, employing thousands of IT engineers with a focus on developing state-of-the-art technologies such as AI, big data and blockchain VNPTHIS (Hospital Information System) was launched in 2015 It has since been implemented in hospitals and healthcare centres at various levels in Vietnam VNPT is currently working with international partners to continually develop its products and solutions to meet the medical examination and treatment needs of provincial and national hospitals The company aims to develop an interconnected digital ecosystem Viettel Business Solutions State-owned Viettel (Viettel Telecom Corporation, which is one of the largest providers of mobile services in Vietnam) launched Viettel Business Solutions Corporation in 2018 The corporation implements projects and provides ICT solutions to government ministries and departments, localities, businesses and organisations – both domestic and international Viettel Business Solutions works in a range of sectors, including eGovernment, smart healthcare, edtech, smart transportation, smart energy and smart cities Viettel’s Core Technology Center is the first unit to implement blockchain solutions to the management of citizens’ health records nationwide Vietnam’s Minister of Information and Communications granted Viettel permission to pilot 5G mobile technology for one year at 73 locations in Hanoi and Ho Chi Minh City in 2019 One promising area is in telemedicine, where innovative services can help reduce overcrowding in public hospitals and provide healthcare access to an ageing, diverse and geographically dispersed population Opportunities for telemedicine applications in Vietnam exist across a number of areas including remote patient diagnosis and prescriptions, remote patient monitoring and consultation, telemedicine in surgical care, and telecardiology Vietnam has also started to embrace the application of advanced technologies to enhance quality in preventative healthcare, medical diagnosis and treatment Advanced technologies such as big data, analytics and AI have the potential to improve healthcare decision making through innovation such as clinical decision-support systems, predictive modelling and cognitive analytics Robotics technology has also been sought out by selected hospitals in Vietnam Health information systems that help increase operational efficiencies and enable coordinated healthcare are needed in Vietnam Quality and localised health information software and solutions such as picture archiving and communication systems (PACS), laborator information systems (LIS), HIS and EMR are in shortage in Vietnam Other emerging areas include: operational management systems such as clinic management software and energy management systems medicine management systems such as drug supply chain management and pharmacy management cybersecurity solutions Additionally, there are business opportunities in the creation and provision of technologies or applications that can improve the patient experience and access to care Examples include digital patient services such as appointment booking, doctor selection and bill payment, and mobile health applications There are a number of challenges for new market entrants For instance, procurement processes in public hospitals can be complicated and time-consuming Therefore, partnering with local IT service providers or medical device distributors can provide faster access to the Vietnamese market including its decision makers, distribution networks and end-user contacts Local partners can also help to overcome language barriers, share working capital and draw on their expertise in local licensing procedures.To succeed in the Vietnamese market, it is important to consider several important factors These include: adapting to the local business culture finding the right local partners and staff ensuring the adaptability of products to the local market Companies should invest resources to raise awareness of digital solutions This, in turn, will drive a change in consumer perception and behaviour Companies should also invest time in understanding the healthcare sector in Vietnam, including its people, processes and technologies Cultural considerations are also important Business relationships are formal in nature and can take time to develop Meanwhile, meetings are an integral part of the business process People often prefer to meet their prospective partners face-to-face Other challenges in the market include bureaucratic procedures, unclear legislation and a lack of intellectual property rights enforcement CHAPTER 4- INVESTMENT OPPORTUNITIES IN VIETNAM'S DIGITAL HEALTHCARE 4.1 Policy and management: Adjusting our society to change fast in the medical and healthcare ecosystem The healthcare sector is best placed to benefit from the merging of physical, digital and biological systems, but it is among the least well prepared New innovations and technologies will accelerate the pace of change and create new opportunities Access and Affordability Access and affordability are key considerations as we think about the implementation and governance of emerging technologies Workforce 4.0 is a tag given to the current trend of automation and data exchange in manufacturing technologies It includes cyber-physical systems, the Internet of things, cloud computing and intellectual computing Policy-makers work to enact new governance Policy-makers must work together with other stakeholders, including industry frameworks As the collection and exchange of personal data become even more ubiquitous, it will be increasingly important to ensure that personal information is protected and secure Policy-makers can promote such efforts by enacting policies and more stringent requirements around privacy and data security The health sector is possibly the sector most in need of an adequate technological convergence of factors of the Fourth Industrial Revolution Health 4.0 can be understood as the set of technological procedures emerging from the physical, biological and digital worlds that seeks to improve the efficiency and effectiveness of health processes and professionals with guidelines for transforming data into useful and accessible information However, systematizing and qualitatively describing the contributions of industry 4.0 in the context of the health sector is a complex task Exploring technology-driven initiatives that make life easier for human beingswill be a research trend Industry 4.0 technologies that present similarities in the use of the health sectorshould also develop new paradigms on occupational health and safety management,as safer equipment is needed to operate and work environments and practices withbetter control and management Technological developments are happening at every corner And this is just the tip of the iceberg The speed that innovation has been happening is something that we need to be aware and be able to adjust But it is not up to innovation alone that will ensure that it will thrive A healthy regulatory environment, a business ecosystem supporting SMEs and a society that fosters creativity will all be crucial 4.2 Incresasing many investments into Information technology Workforce 4.0 is commonly referred to as the fourth industrial revolution of the era In health care sector, workforce 4.0 or "Hospital 4.0/ Life Sciences 4.0, taking place in the form of ICT & E-Health practices E-Health & ICT practices can bridge the health divide between the haves and the have net’s It will be impossible to successfully implement and adopt these costs without an effective workforce – one with the right skills and composition of professions to support the new directions of health and healthcare New advances and technologies have important workforce implications It is important to recognize that the nature of the workforce of the future will be different from the workforce of today How education will need to evolve for those entering the workforce as well as how to retrain the existing workforce to align with evolving technologies and labour trends Hospital 4.0 is supported by five pillars: the IoT, artificial intelligence (AI), big data, 3D printing, mixed reality and virtual simulation Healthcare 4.0 allows to imagines a world where everyone are connected through wearables and every data point of patients is getting recorded no matter where they are Hence future would be a combination of Artificial Intelligence, Internet of Things (IoT), Genomics and Big Data Genomic proving to warn us about future risks, big data to make sense of the tons of data from wearables, artificial intelligence to help us make the right decisions about procedures & treatment are expected to become a part of our everyday life just like e-mails and social networking has become a part of every other business Components Of E Health / ICT: Clinical applications of e-Health include Electronic Health Records, Tele-Consultations, Clinical Decision Making Support Systems, Vital Signs Monitoring Services, Tele-Homecare, Ambulatory E-Health—smart clothing, E-Wear, EClothing, E-Prescribing, E-Nursing, E-dissemination of personalised healthcare and professional Continuing Education using e-Learning tools: Health Information Systems, Lifetime Health Records/EMR, Pharmacy Information Systems, Electronic Claims Systems, Laboratory Information Systems, Interfacing with Diagnostic Equipment, ICT in Health Administration, and Identification and Tracking Solutions Benefits of ICT in the Health Care sector: Technology is providing constantly more ways of storing and processing Healthcare data The increasing processing power of portable devices in particular has led to the development and linking together of services that would have been inflexible to imagine few years back Many Health ICT investments can offer clear quantifiable benefits that produce a measurable financial impact on the sector Increasing quality in the patient assistance: One of the most important flaws of this sector is the fragmentation of the health care and the difficulties for efficiently transmitting the information ICT can help improve patient safety through the direct access to the medical case story, checking the treatments online, keeping track of the patients’ progress and anticipating possible medical errors In general terms, they are regarded as generally positive tools among professionals and users Since they provide a way to increase the patient safety, their use is being promoted in many countries Cutting down of the medical expenditure: Using ICT and Serious Games for Health help reduce these costs by reducing the time required to process data and manage paperwork The system for image transmission and storage is essential to promote the development of the electronic medical case story and telemedicine since it speeds up the tests and the gathering of results Decreasing administrative cost: Invoicing brings about many possibilities of saving due to the use of ICT and the new remote devices Although the evidence of these data, electronic invoicing is not widely used in most of the countries yet Opportunity to carry on brand new health models: ICT have been defined as technology with a high transformative potential, since it introduces new ways to carry out medicine and develop health care They are definitely essential to renew primary health care since they contribute to a personalized following of chronic diseases; they improve the access to health care in rural populations; and they contribute to the optimizing data measuring and supervision 4.3 Policy and technology renovation challenges in healthcare 4.0 According to Bui Quang Ngoc, vice chairman of IT giant FPT Group, over the past few years there have been almost no specific policies and actions for developing a digital economy in Vietnam “For example, in the public administration, programmes on e-government, e-tourism or e-healthcare have failed to be implemented effectively,” Ngoc said “A legal framework on applying IT or developing smart solutions has not been implemented either There has been a gap between policy and action, and while the concept of 4.0 has been widely talked about, few actions have been made Deputy Minister Thang said that in order for Vietnam to seize opportunities and facilitate enterprises to benefit from Industry 4.0, the Ministry of Planning and Investment (MPI) is compiling a national strategy on Industry 4.0, which will clarify what the digital economy means, with specific tasks for ministries and agencies According to the CIEM, new industries arising from Industry 4.0 “will be the key growth propellants for Vietnam, such as the Internet of Things and media They will also support other sectors by raising their competitiveness, revenue, and developing new products and services.” According to Minister of Information and Communications Nguyen Manh Hung, several key foundations need to be developed to create an effective digital economy in Vietnam “When we dare to accept new things, new technologies and global talent will come to Vietnam and new industries will appear,” Hung said “Then Vietnam will be able to create digital products that can be exported.” “However, if we dare to accept new things but only follow other nations, we will not be able to create many added-value products,” Hung continued According to him, the digital economy in Vietnam must be supported by a good ICT infrastructure characterised by 5G technology and each person in the country owning a smartphone “Second, we need to have good policies to spur digital economy and technology Internet in Vietnam must be globally competitive so that Vietnamese people will not go overseas to establish their enterprises any longer and more foreign enterprises will come to Vietnam to business,” he said “Third, the government needs to develop an initial market for IT enterprises by spending more on IT products and e-government,” Hung added “Finally, human resources training needs a boost in foreign languages and IT education in schools and universities.” Driven by networked Electronic Health Record (EHR) systems, Artificial Intelligence (AI), real-time data from wearable devices and improved analytics, a quiet revolution is afoot in the healthcare industry – both globally and in India Over the next few years it is likely to fundamentally change how healthcare is delivered and how the outcomes are measured If we look back, it was the decades between 1970-1990 that saw the emergence of modular IT systems in the healthcare industry This period could safely be called Health 1.0 Throughout the next decade and a half, health IT systems started getting networked and EHRs that were being generated started getting integrated with clinical imaging, giving doctors a better perspective This was Health 2.0 The decade from 2005 onwards saw the development of genomic information, emergence of wearables and implantables The integration of all this data along with networked EHR systems saw the emergence of Health 3.0 What we are seeing today is the emergence of Health 4.0 It is the coming together of all these technologies coupled with real-time data collection, increased use of AI and an overlay of invisible user interfaces The focus on collaboration, coherence, and convergence will make healthcare more predictive and personalised It is not just the enhanced amount of data that is available to doctors, but the real critical factors here are the ability to extract insights from the data being captured and the portability of this data Data portability allows patients and their physicians to access it anytime anywhere and enhanced analytics allows for differential diagnosis and medical responses that can be predictive, timely and innovative Health 4.0 allows the value of data more consistently and effectively It can pinpoint areas of improvement and enable more informed decisions What it also does is help move the entire healthcare industry from a system that is reactive and focused on fee-for-service to a system that is value-based, which measures outcomes and ensures proactive prevention This has already started in the US, where the Department of Health has announced that 90% of Medicare would move to a value-based system by next year Some of the larger super-specialty chains are moving towards Health 4.0, but the bulk of the healthcare industry is stuck in legacy systems First is the government Building a national IT backbone that will help in integrating EHRs and making them portable For the government, initiatives like this are the key to meeting its societal objectives of enhanced access to healthcare and achieving the Sustainable Development Goal of Health for All The second factor driving change is enhanced penetration of health insurance The insurance companies, in a bid to weed out spurious claims, are increasingly demanding a level of data collection and analytics that is forcing healthcare providers to change The third factor is the rise of an aspirational middle-class that is more informed and hence demands better service from its healthcare providers The healthcare providers themselves – diagnosticians, physicians, surgeons hospitals as a whole – are also realising that with the increased use of Health 4.0- and 120 enabled tools, their efficiency is enhanced and outcomes are becoming more effective The fourth factor is the emergence of Patient-Centered care But the fact is that true patient-centered care requires a radical shift in old healthcare delivery models Today, healthcare delivery is episodic If a patient feels unwell, he/she approaches a doctor Next step will be moving from patient centered to person centered care which primarily shifts the focus from disease and treatment to wellness and prevention Truly person-centered care will take into consideration not just the individual but also factors like medical history of the individual’s family, as well as his/her lifestyle, demographics and ability to access healthcare Healthcare plans developed taking such factors into account focus on providing care that is personalised, enabling, and coordinated and that treats people with compassion and respect The final factor that is driving this change is the data revolution that is currently taking place in the country Access of affordable, high-speed data connectivity – both as a result of government’s Digital Vietnam initiatives and private sector competition – makes it possible for both doctors and patients from smaller towns to access some of the benefits of Health 4.0 To sum up, the focus is shifting to Integration of capabilities, patient-centered care and ownership of clinical outcomes One key issue that requires tackling is the need for a physical presence that is felt by patients and even doctors What is needed then, is a hybrid model that combines hi-tech with hi-touch We need to build a platform that connects the entire eco-system (integrated and connected devices) that extracts valuable patient information and mines the derived intelligence to innovate for predictive and personalised medicine and delivers blended (hi-tech and hi-touch) services across the entire spectrum of wellness, prevention, cure and care That is the big opportunity for enhanced patient care and healthcare outcomes, as well as creating value for stakeholders 121 29 CONCLUSION How will today’s healthcare systems change in the Fourth Industrial Revolution? Confluent revolutions in biology and computer science will have profound effects on healthcare worldwide New monitoring technologies will facilitate earlier diagnosis, precision treatment plans, and lower healthcare costs The convergence of the life science and biology revolutions develops, physicians will be able to diagnose illness much faster, apply personalized treatment plans, and monitor the progress of patients in real time Universal connectivity and greater access to information will empower patients to take a greater role in their healthcare Future a framework will be developed for researchers, innovators, and policy makers to enable exploration of digitally supported care delivery outside of the dominant discourse focused on organization-centric delivery, clinical excellence, and advanced medical technologies Future work should more thoroughly define and identify the gaps between the paradigms of Industry 4.0, Health 4.0 and Care 4.0 Faster and more widespread connectivity will have a profound impact on hospital infrastructure The panel predicts that 5g technologies will begin to emerge in the coming year and will become widespread in the next few High-speed connectivity will facilitate the creation of equal quality healthcare in both urban and rural areas This fourth industrial revolution, based on the cyberphysical system, is expected to have a significant impacton the industrial structure and market economy model around the world Its nature of “hyper-connectivity” and “super-intelligence” will transform everything into interconnected and more intelligent society REFERRENCES Mohd Javaid, Abid Haleem, 2019 Industry 4.0 applications in medical field: A brief review http://www.sciencedirect.com/article/ppi Chaloner Chute, Tara French, 2019 Introducing Care 4.0: An Integrated Care Paradigm Built on Industry 4.0 Capabilities http://www.ncbi.nlm.nih.gov/PMC6616447 James Reilly, 2013 A Framework for improved health and wellbeing 2013-2025 http://www.indi.ie.com/policies-strategies Report, 2019 Health and Healthcare in the Fourth Industrial Revolution Global Future Council on the Future of Health and Health care 2016-2018 http://www.weforum.org/reports Hung Vo, 2019 China’s Healthcare Revolution: WeDoctor http://www.digital.hbs.edu/submission Kedar B Grandi, 2019 China Healthcare: WeDoctor making fundamental changes http://internationalfinance.com/if-exclusive Franco da Silveira, Italo Rodeghiero Neto, Filipe Molinar Machado, Marcelo Pereira da Silva and Fernando Gonỗalves Amaral, 2019 Analysic Industry 4.0 Technologies Applied to the Health Sector http://www.researchgate.net/publication Prof Noor Afza, 2019 Workforce 4.0 – Is Healthcare Transforming with Information & Communication Technology http://www.jetir.org/papers/ JETIRDGO6014 of ... Applications of industry 4.0 in healthcare - Chapter 2: Opportunity of Industry 4.0 for healthcare in Vietnam - Chapter 3: Experiences of applying Industry 4.0 in healthcare in selected countries... My-i4.0; Singapore’s 23 plans on digital transformation; India’s Smart City Mission and Industry 4.0 Centre; Indonesia’s Making Indonesia 4.0; and Thailand 4.0 “Industry 4.0 offers great opportunities. ..MINISTRY OF EDUCATION AND TRAINING FOREIGN TRADE UNIVERSITY MASTER THESIS IR 4.0: OPPORTUNITIES FOR HEALTHCARE SECTOR IN VIET NAM Major: International Economics Specialization: