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New steps in healthcare reform

Việt NamViệt Nam13/11/2024


In recent years, the application of technology to the healthcare sector has brought about positive changes, particularly in the implementation of electronic medical record systems.

This model not only helps improve the quality of healthcare but also reduces time and costs, bringing many benefits to patients, doctors, and healthcare facilities.

Many advantages

Electronic medical records help patients avoid having to bring any documents when seeking medical treatment, including diagnostic results, test results, or medication lists.

In recent years, the application of technology to the healthcare sector has brought about positive changes, particularly in the implementation of electronic medical record systems.

This eliminates patient concerns about losing test results or difficulties in reading doctors' handwriting. Furthermore, electronic medical records allow patients to easily track and compare test results and routine health check-up findings.

Combined with electronic health records, e-medical records facilitate patients in managing their health information throughout their lives, from family history and medical conditions to drug allergies. This helps patients proactively prevent diseases and take care of their personal health.

At Bach Mai Hospital, the electronic medical record system has been implemented since November 2024. Both patients and doctors are satisfied with the convenience and speed that this system provides.

Accordingly, patients only need to scan their ID card code, basic personal information and medical history will be displayed, quickly classified, and convenient for examination.

Before entering the hospital, some people had mentally determined that they would have to wait, the medical examination and treatment procedures would take a long time, even all day, but the reality was beyond expectations. Everything was very fast and convenient, only about 2 hours from the procedure to the indications for testing and imaging procedures and finally the completed results. Almost all steps were done through digital technology .

Pay at the clinic, no need to go everywhere to pay. After the procedure, return to the clinic and the doctor can read the results on the machine. Minimize travel and lost documents.

Taking care of a relative being treated as an inpatient at the A9 Emergency Center, Bach Mai Hospital, a resident in Quang Ninh also expressed satisfaction with the experience of using electronic medical records.

According to him, all procedures as well as indications, treatment regimens, and prescriptions can be confirmed and viewed on a tablet or personal phone. At first, I was confused, but after being guided by doctors and nurses, I found it easy to use and quite convenient. Not only me, but my children can also view and monitor my mother's treatment process.

The electronic medical record system not only helps doctors quickly access patient information but also enhances communication and interaction between departments in the hospital.

This creates a conducive working environment, minimizes waiting times and reduces duplication in tests, making diagnosis and treatment more accurate and timely.

Associate Professor Dr. Nguyen Anh Tuan, Director of the A9 Emergency Center at Bach Mai Hospital, said that with the application of digital transformation and electronic medical records, administrative procedures are not time-consuming, and doctors can quickly conduct examinations.

All orders are made on the software. After the order is completed, the relevant departments receive the information, the patient only needs to move to the designated locations to be deployed. The results returned to A9 are also very fast, even before the patient returns to the clinic.

When a patient is scanned, we immediately receive the image on the Center's computer and can diagnose it. With difficult cases, we can immediately discuss and consult with multiple departments, promptly handling pathological situations that are racing against time.

If the patient needs to be transferred to the treatment department, they can simply operate the software and be immediately received with full information, instead of having to wait for hundreds of pages of paper medical records to be transferred.

It can be said that the digital transformation and electronic medical records at Bach Mai Hospital have been comprehensively applied from the stage of receiving, exploiting medical history information, triage to appointment for examination, performing indications, reading results, processing, treating diseases, payment and procedures for admission, discharge and transfer to hospital.

At Hoe Nhai General Hospital, the implementation of electronic medical records has helped the hospital save a significant amount of time and money. Dr. Ly Viet Hai, Head of the Department of Intensive Care and Anti-Poison, said that the application of electronic medical records helps us easily access test results and diagnostic images without having to print films or documents. This significantly reduces waiting time and errors.

According to Dr. Nguyen Thi Huyen Nga, Head of Pediatrics Department, with electronic medical records, doctors can quickly find patient information and update new data. This helps save time for both doctors and patients, while minimizing medical errors.

Expedite the implementation process at healthcare facilities.

Electronic medical records offer numerous benefits to healthcare facilities. Storing medical information digitally saves storage space and reduces the cost of maintaining paper records.

Electronic medical records represent a significant step forward in healthcare reform and digital transformation in Vietnam. This system not only saves time and costs but also improves the quality of diagnosis and treatment, creating convenience for both patients and doctors.

When widely and consistently implemented, electronic medical records will help the Vietnamese healthcare sector become more professional, save resources, and contribute to the sustainable development of the national healthcare system.

Vietnam has approximately 1,300 medical examination and treatment facilities, including about 135 hospitals of level I or higher. However, the pace of transitioning from paper medical records and files to electronic data in hospitals is still slow.

Regarding electronic medical records, according to Circular 46/2018, the Ministry of Health requires all hospitals of grade I and above to implement electronic medical records by the end of 2023. From 2024-2028, the Ministry of Health requires all medical examination and treatment facilities to implement electronic medical records.

According to an expert, the implementation of electronic medical records currently faces many difficulties, both financially and in terms of implementation guidelines. Currently, hospitals have implemented hospital management information systems such as HIS software for patient management, and software for social insurance integration, etc.

However, implementing electronic medical records requires additional software such as software for sharing diagnostic imaging results and blood test results.

To accelerate the implementation of electronic medical records, Minister of Health Dao Hong Lan recently signed and issued a document on promoting digital transformation and implementing Project 06 in agencies and units within the health sector.

Following the directive of Minister Dao Hong Lan, digital transformation is a political task. The entire sector must promote cashless payment for medical services; and continue to fully implement the contents of Directive No. 12 of 2019 issued by the Minister of Health on promoting cashless payment for medical services.

In addition, agencies and units within the healthcare sector must prioritize funding for activities related to the application of information technology and digital transformation;

Simultaneously, at least 1% of the agency's or unit's budget should be allocated to information technology applications, in accordance with Directive No. 02 of 2009 issued by the Minister of Health on promoting the application and development of information technology in the health sector.

For medical examination and treatment facilities, the head of the health sector urgently requested the implementation of electronic medical records, eliminating the use of paper medical records as stipulated in Circular No. 46 of 2018 of the Ministry of Health; the implementation of telemedicine as stipulated in Circular No. 49 of 2017; and the implementation of electronic prescriptions according to the issued guidelines.

In addition, it is necessary to implement online appointment scheduling for medical examinations and treatments; focus on solutions to support citizens and patients, and utilize chip-embedded citizen identity cards and biometric identification during registration and medical examinations and treatments.

The implementation of electronic medical record software will bring significant benefits to management agencies and hospital directors. At the same time, it will help people access services more quickly, reduce administrative procedures, and improve the quality of healthcare services and medical treatment.

Source: https://baodautu.vn/benh-an-dien-tu-buoc-tien-moi-trong-cai-cach-y-te-d229906.html


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