[ad_1]
First aid nurse for children who have fallen at a medical station in Phu Nhuan district, Ho Chi Minh City: detection step for mild patients effectively, without the need to transfer them to higher levels – Photo: TRUNG TRUNG
Why stop and what effect does this have on people who need medical examination and treatment at these stations?
Tuoi Tre received comments from health officials and the Ho Chi Minh City Social Security Agency on this issue.
Mr. Le Quoc Thanh (in charge of the professional planning department of the Centro de Salud Binh Thanh District, HCMC):
There is no qualified doctor in the name
Currently, Binh Thanh District Medical Center has 20 medical stations in 20 wards with two main tasks: initial medical examination and treatment and preventive work. This is both an advantage and also a limitation when many medical stations lack a licensed physician to operate.
According to the regulations of the Department of Health, the person named in the operating license must be a physician with a certificate of practice and have had 54 months of medical examination and treatment.
Meanwhile, the current staff of medical stations are mainly doctors, preventive doctors (according to the regulations of the Ministry of Health, they are not awarded certificates of practice).
The most worrying thing is that today it is very difficult to attract the aforementioned qualified doctors to the medical station, mainly due to low pay. These facts and regulations are a barrier for the neighborhood health stations.
We have been trying to find qualified doctors to “fill the gap” in some clinics. Of the 20 health posts in the pavilions, 12 have the code for medical examination and treatment covered by health insurance, but only 7 clinics meet all the conditions.
The termination of the medical insurance health insurance contract in some medical stations does not affect primary health care, first aid, supply of medicines for some common diseases … but it affects many sources. Charge from the district health center and you cannot continue with the elementary school. health care of the insured, especially the health post with a large number of insured patients.
With the above difficulties, I propose to the Department of Health to consider the preventive doctor to go to school and issue a certificate of practice as prescribed, and at the same time ignore the condition that the doctor on behalf of the operating license must have 54 months Experience in medical examinations and treatments.
Mr. Pham Xuan Hai (Deputy Director of the former District 9 Health Center):
Little drug source Healing
District 9 previously had 13 clinics. All of them have no difficulty in having their name on the license to operate, but there are 2 medical stations in the districts of Hiep Phu and Long Phuoc, the city’s social insurance agency has suspended the contract for medical examination and treatment with insurance initial health for people 1 to 4.
The main reason is that the number of medical examinations and treatments covered by health insurance in the previous two medical stations is very small, only a few dozen times a year and does not meet the drug needs of patients.
There are also geographical reasons, such as the medical station in the Hiep Phu ward, located near the district hospital and the Eastern Military Medical Hospital, so people go directly to the hospital. The medical station at the Long Phuoc pavilion is located far from the central location and has not functioned effectively in recent years.
The suspension of social security in the medical post of these two wards is not rejected by the patient, but because the policies and mechanisms of the health center still do not meet the needs.
Usually a patient with high blood pressure and diabetes who has had a medical exam with medical insurance at the end-level hospital receives 5 drugs, but when they reach the base level, they often do not respond.
The health posts that have suspended medical examination and treatment under medical insurance still carry out preventive tasks and technical lists according to regulations such as vaccination, blood extraction and intravenous injection of drugs, wound dressing, temporary immobilization of fractured patients. Bone …
Mr. Phan Van Men (City of HCM Director of Social Security):
Does not affect patients
Every year in November, the social insurance agency has sent medical examiners to review the medical examination and treatment covered by health insurance in the ward and commune health centers of Ho Chi Minh City.
During the review process, the unit discovered that there are 34 commune and district health posts that are not eligible for initial medical examination and treatment with medical insurance.
Each place has its own difficulty. Some places do not have enough human (medical) resources, some do not incur medical expenses covered by health insurance for many years, and some units have not actively registered for health insurance with social security even though they are eligible.
The fact that we terminate the contract for medical examination and treatment with 34 medical posts in these pavilions and communes does not affect the benefits of the patient because the medical examination and treatment have been communicated by the health insurance.
Those who have signed up for the initial medical examination and treatment with medical insurance at the ward and commune health centers of Ho Chi Minh City can go to other medical facilities but still enjoy the appropriate benefits as prescribed .
We suggest that HCMC Health Department pay attention, invest, upgrade equipment and improve the quality of human resources in district and commune health stations to meet the needs of the people.
When medical stations are eligible under the regulations, the number of patients is large, the City Social Security will continue to sign the contract and receive the initial medical examination and treatment record.
