Ensuring the rights of health insurance participants

Register for health examination and treatment under health insurance at Phu Yen Regional General Hospital.

Phu Yen Regional General Hospital is a class II hospital with 224 staff, 14 clinical and paraclinical departments, and 4 functional rooms. Specialist II Doctor Trinh Xuan Truong, Director of the Hospital, said: To improve the quality of health insurance examination and treatment, Phu Yen District General Hospital has invested in many modern medical equipment; focusing on applying information technology to encrypt data according to Decision No. 3176/QD-BYT dated October 29, 2024 on amending and supplementing regulations on standards and output data formats for management, appraisal of payment of medical examination and treatment costs and settlement of related regimes, especially health insurance settlement. Promote the implementation of electronic medical records, upgrade His software and all computers, synchronized internet infrastructure, ensure data connection with the Social Insurance agency; register for health insurance examination and treatment using chip-embedded ID cards or VNeID and VssID applications...

The hospital also focuses on implementing many advanced paraclinical services, such as: ENT endoscopy; general abdominal ultrasound, Doppler of blood vessels, thyroid; blood tests on automatic biochemical systems... At the same time, deploying many modern medical techniques, such as: Artificial kidney dialysis; uterine fibroid surgery; emergency circulatory arrest, cardiac arrest; laparoscopic surgery; endoscopic diagnosis of urology, digestion, cardiovascular... Connecting with Hanoi Cardiovascular Hospital, Bach Mai Hospital, Viet Duc Hospital... to organize remote consultations with serious cases, limiting referrals. Regularly sending staff to participate in short-term training and refresher courses organized by the Ministry of Health , Department of Health, currently there are 4 doctors studying specialized class I in the fields of diagnostic imaging, surgery and ENT...

Patients on hemodialysis at Phu Yen Regional General Hospital.

In addition, the Hospital ensures adequate supply of essential drugs, supplies and medical equipment for medical examination and treatment; regularly inspects and monitors the safe and rational use of drugs in clinical departments; continues to deploy bidding packages for modern drugs, oriental medicine, medical equipment and medical supplies. Since the beginning of the year, the Hospital has examined and treated 103,550 patients; of which, 14,490 were inpatients, with a bed capacity of 125%.

The Hospital's Surgery Department always receives serious cases of patients who require long-term treatment. Thanks to the health insurance card, the burden of treatment costs for the patient's family is reduced. Ms. Luong Thi Thu, Nhot 2 village, Gia Phu commune, said: I just had an appendectomy. I was given dedicated guidance and regular check-ups by the hospital's doctors and nurses, so I have fully recovered. Without health insurance, the cost would have been more than 10 million VND. Thanks to the health insurance card, I only had to pay more than 2 million VND. I advise everyone to continue purchasing health insurance to reduce the burden of treatment costs when they are unlucky enough to get sick.

Specialist Doctor I Do Van Quyet, Head of the Department of Surgery, said: For cases involving surgery, such as splenectomy due to trauma, perforated stomach, and surgeries for broken legs and arms, the cost ranges from 10 million VND to more than 20 million VND. With a health insurance card, patients only have to pay 20%, and in some cases, they are supported 100%. Without health insurance, it will become a burden for families, especially in rural, remote and isolated areas. Therefore, the Department always creates conditions for patients to enjoy the prescribed regime.

Doctor Kho Ngoai, Phu Yen Regional General Hospital examines a patient.

As for patient Hoang Thi Suong, Bua Chum village, Phu Yen commune, who has kidney failure, she has to go to Phu Yen Regional General Hospital for dialysis 3 times a week, and her health insurance covers 100% of her treatment costs. Ms. Suong shared: Thanks to the health insurance card, I have the conditions to treat my illness. During the treatment, I was taken care of attentively by the doctors and nurses.

However, the implementation of health insurance examination and treatment at Phu Yen Regional General Hospital still faces some difficulties, such as the number of patients coming for examination and hospitalization for treatment is increasing, the hospital is still lacking human resources, often in a state of overload; the land fund for hospital expansion is limited. Recruiting and attracting young, high-quality doctors to work is very difficult. Medical equipment is still lacking, many machines are outdated, not synchronized, difficult to meet the needs of diagnosis and treatment...

Phu Yen Regional General Hospital is proposing to all levels, sectors and localities to have reasonable policies to attract human resources; strengthen training to support all tuition fees and part of living expenses for doctors studying emergency resuscitation and specialist II. Propose that the Department of Health consider directing the allocation of land funds to serve the development of the hospital... Coordinate with Phu Yen Social Insurance to invest in equipment and do a good job of health insurance appraisal. The hospital focuses on building a team of cadres, medical staff and doctors with in-depth knowledge of professional expertise and professionalism; provide high-quality medical services. Invest in IT infrastructure and equipment, software training, regularly monitor and inspect the implementation of data portal push, standardize data on software... to ensure the rights of health insurance participants.

Source: https://baosonla.vn/bao-hiem-xa-hoi-tinh-son-la/dam-bao-quyen-loi-nguoi-tham-gia-bhyt-GJbFirgDR.html