50年代至 70年代中期 ,越南发展了低费用的乡村卫生服务。这些服务对健康的改善有过贡献。当国家解除官方控制的经济 ,卫生机构越来越依靠使用者的付费 ,这给人民提供了一种较宽的卫生服务选择。但费用上升了 ,人民接受医疗保健的机会出现较大差别。越南政府遭遇卫生部门发展的基本挑战 From the 1950s to the mid-1970s, Vietnam developed low-cost rural health services. These services have contributed to the improvement of health. When the state lifts the government-controlled economy, health agencies increasingly rely on users’ payments, which provides the people with a wider choice of health services. However, the cost has risen, and there has been a big difference in people’s access to health care. The Vietnamese government has encountered the basic challenge of the development of the health sector