Investing in the development of healthcare human resources in the capital city.

In order to create significant momentum for improving the quality of medical human resources, strengthening professional capacity at all levels of medical examination and treatment, and better meeting the healthcare needs of the people, the Hanoi City People's Council has passed a resolution stipulating policies for the development of the capital's healthcare system.

According to the Hanoi People's Committee, the current grassroots healthcare network, comprising 126 commune and ward health stations (after reorganization), which plays a crucial role in primary healthcare and public health management, still faces many difficulties and obstacles. Three of the biggest challenges facing this grassroots healthcare system have been identified.

Health check-ups for residents at Long Bien Ward Health Station ( Hanoi ). Photo: VUONG XUAN

Firstly, the workforce is both insufficient and lacking in skill, making retention difficult. According to statistics, the healthcare workforce in 126 communes and wards currently comprises 7,992 people (including 1,130 doctors; 1,546 medical assistants; 837 pharmacists; 2,834 nurses, medical technicians, and midwives, with the remainder being other personnel). On average, each doctor or medical assistant manages the health of over 3,000 people. With such a heavy workload and inadequate compensation, young, highly skilled doctors often prioritize working in large hospitals or private healthcare facilities instead of local health centers.

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The next challenge lies in the infrastructure. Although investment has been made in medical infrastructure and equipment, the level of standardization is still low. Basic equipment such as ultrasound machines, X-ray machines, and laboratory testing equipment are lacking in many health stations, leading to the inability to implement technical procedures for monitoring and managing chronic diseases.

Finally, there are still many limitations in professional capacity, and the ability to handle complex cases or provide advanced first aid at local facilities is weak, leading to people having a tendency to seek treatment outside their designated area, even for common illnesses.

Therefore, policies to incentivize human resources, including monthly allowances for rotating medical staff and financial support packages aimed at attracting doctors to work at grassroots health centers, were highly appreciated by the majority of Hanoi City People's Council delegates.

Specifically, the beneficiaries of this policy are doctors, nurses, midwives, and medical technicians with professional licenses working in regulated medical facilities who are assigned to rotational assignments continuously for one month or more. In addition to the current central government benefits, the city provides an additional monthly allowance based on professional qualifications. Accordingly, the highest support level is 20,000,000 VND/month for Professors and Associate Professors; 17,000,000 VND/month for PhDs and Specialists II; 12,000,000 VND/month for resident doctors, Masters, and Specialists I; and 10,000,000 VND/month for doctors. For nurses, midwives, and medical technicians with a Bachelor's degree, the support level is 8,000,000 VND/month; and for those with a college degree, the support level is 6,000,000 VND/month.

This policy encourages highly qualified experts and doctors to provide professional support at lower-level facilities, enabling people to access quality healthcare services locally and reducing pressure on higher-level hospitals.

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In addition to rotational arrangements, the city allows medical facilities to contract for technical and professional support, including teaching, training, and case-by-case professional assistance. Strengthening this support mechanism will enable medical facilities to access high-quality human resources, promote continuous training, transfer new technologies, and enhance the professional capacity of medical staff , thereby improving the quality of medical care for the people of Hanoi.

Source: https://www.qdnd.vn/y-te/cac-van-de/dau-tu-phat-trien-nhan-luc-y-te-thu-do-1045924