Factors causing cost overruns in public hospital construction in developing countries: a case from Vietnam

This research addresses the persistent problem of cost overruns in the construction of public hospitals in Vietnam, a challenge amplified by the increased demands and complexities brought on by the COVID-19 pandemic. Cost overruns not only increase financial strain but also miss opportunities to imp...

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Main Authors: Nhat Minh Huynh, Anh Tuan Le, Long Le-Hoai, Huu Tho Nguyen
Format: Article
Language:English
Published: Taylor & Francis Group 2025-05-01
Series:Journal of Asian Architecture and Building Engineering
Subjects:
Online Access:http://dx.doi.org/10.1080/13467581.2024.2357196
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author Nhat Minh Huynh
Anh Tuan Le
Long Le-Hoai
Huu Tho Nguyen
author_facet Nhat Minh Huynh
Anh Tuan Le
Long Le-Hoai
Huu Tho Nguyen
author_sort Nhat Minh Huynh
collection DOAJ
description This research addresses the persistent problem of cost overruns in the construction of public hospitals in Vietnam, a challenge amplified by the increased demands and complexities brought on by the COVID-19 pandemic. Cost overruns not only increase financial strain but also miss opportunities to improve healthcare quality and accessibility. This paper delves into the specific issues contributing to these overruns, focusing exclusively on public hospitals which operate under distinct challenges compared to their private counterparts. Through a comprehensive and systematic methodology, the study incorporates both qualitative and quantitative analyses. It involves a broad literature review, expert consultations, a detailed survey, and rigorous statistical evaluations. The findings identify and rank 43 critical factors, revealing significant correlations across different stakeholder perspectives and confirming these factors in real-world hospital construction projects. The study also categorizes these factors into seven distinct groups using Principal Component Analysis (PCA), offering a nuanced understanding of the multifaceted nature of these challenges. Finally, this study suggests several recommendations that could be effective in addressing these issues. This research not only sheds light on the complexities of public hospital construction in Vietnam but also serves as a crucial guide for stakeholders in managing and mitigating cost overruns effectively.
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series Journal of Asian Architecture and Building Engineering
spelling doaj-art-25bbf63bd5fe491b9ce06074cd6a370e2025-08-20T03:52:57ZengTaylor & Francis GroupJournal of Asian Architecture and Building Engineering1347-28522025-05-012431716173010.1080/13467581.2024.23571962357196Factors causing cost overruns in public hospital construction in developing countries: a case from VietnamNhat Minh Huynh0Anh Tuan Le1Long Le-Hoai2Huu Tho Nguyen3Ho Chi Minh City University of Technology (HCMUT)Ho Chi Minh City University of Technology (HCMUT)Ho Chi Minh City University of Technology (HCMUT)Ho Chi Minh City University of Technology (HCMUT)This research addresses the persistent problem of cost overruns in the construction of public hospitals in Vietnam, a challenge amplified by the increased demands and complexities brought on by the COVID-19 pandemic. Cost overruns not only increase financial strain but also miss opportunities to improve healthcare quality and accessibility. This paper delves into the specific issues contributing to these overruns, focusing exclusively on public hospitals which operate under distinct challenges compared to their private counterparts. Through a comprehensive and systematic methodology, the study incorporates both qualitative and quantitative analyses. It involves a broad literature review, expert consultations, a detailed survey, and rigorous statistical evaluations. The findings identify and rank 43 critical factors, revealing significant correlations across different stakeholder perspectives and confirming these factors in real-world hospital construction projects. The study also categorizes these factors into seven distinct groups using Principal Component Analysis (PCA), offering a nuanced understanding of the multifaceted nature of these challenges. Finally, this study suggests several recommendations that could be effective in addressing these issues. This research not only sheds light on the complexities of public hospital construction in Vietnam but also serves as a crucial guide for stakeholders in managing and mitigating cost overruns effectively.http://dx.doi.org/10.1080/13467581.2024.2357196cost overrunspublic hospitaldeveloping countries
spellingShingle Nhat Minh Huynh
Anh Tuan Le
Long Le-Hoai
Huu Tho Nguyen
Factors causing cost overruns in public hospital construction in developing countries: a case from Vietnam
Journal of Asian Architecture and Building Engineering
cost overruns
public hospital
developing countries
title Factors causing cost overruns in public hospital construction in developing countries: a case from Vietnam
title_full Factors causing cost overruns in public hospital construction in developing countries: a case from Vietnam
title_fullStr Factors causing cost overruns in public hospital construction in developing countries: a case from Vietnam
title_full_unstemmed Factors causing cost overruns in public hospital construction in developing countries: a case from Vietnam
title_short Factors causing cost overruns in public hospital construction in developing countries: a case from Vietnam
title_sort factors causing cost overruns in public hospital construction in developing countries a case from vietnam
topic cost overruns
public hospital
developing countries
url http://dx.doi.org/10.1080/13467581.2024.2357196
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AT longlehoai factorscausingcostoverrunsinpublichospitalconstructionindevelopingcountriesacasefromvietnam
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