No additional procedures should be created to cause inconvenience to people using health insurance.

(Chinhphu.vn) - The Ministry of Health has just issued a document on implementing initial medical examination and treatment registration, transferring medical examination and treatment facilities and re-examination appointment cards to the Department of Health of provinces and centrally-run cities and medical examination and treatment facilities nationwide.

The Ministry of Health has just issued a document directing the implementation of initial medical examination and treatment registration, transfer of medical examination and treatment facilities, and re-examination appointment cards.

The Ministry of Health said that the Ministry has issued Circular No. 01/2025/TT-BYT detailing and guiding the implementation of a number of articles of the Law on Health Insurance (HI), effective from January 1, 2025. After a period of implementation, the Ministry of Health received a number of comments related to the implementation of the Circular.

To ensure consistency in implementation, ensure the rights of health insurance participants, and avoid arising problems, the Ministry of Health requests the Directors of the Departments of Health of provinces and centrally-run cities and Directors of medical examination and treatment facilities to implement a number of contents based on the provisions of Circular No. 01/2025/TT-BYT.

Ensure convenience for patients to receive medical examination and treatment near their place of residence, work, and study.

Regarding the responsibilities of the Department of Health of provinces and centrally-run cities, the Ministry of Health requests to urgently issue documents guiding the implementation of initial registration for health insurance examination and treatment and transferring patients between medical examination and treatment facilities according to the provisions of Circular 01/2025/TT-BYT in accordance with the capacity of the local medical examination and treatment facility system, meeting professional requirements, ensuring the quality of health insurance examination and treatment and maximum convenience for patients.

The content of the document should focus on providing specific instructions on transferring patients between medical examination and treatment facilities in the area, including medical examination and treatment facilities under ministries and branches and according to technical expertise, to avoid overloading at some facilities, ensuring balance between local medical examination and treatment facilities and medical examination and treatment facilities under ministries and branches in the area.

The regulation on initial registration for health insurance examination and treatment and patient transfer must not create additional procedures, causing inconvenience to patients, ensuring convenience in the process of receiving and treating patients. Transferring patients between medical examination and treatment facilities and regulating and managing them in general in the area, actively promoting the role of units assigned with leading specialties and high-tech expertise.

Note that instructions for transferring patients between general and specialized medical examination and treatment facilities and between technical expertise levels must be consistent with the technical expertise levels of local medical examination and treatment facilities, the capacity and strengths of the medical examination and treatment facilities, to avoid overload and frequent patient transfers.

Coordinate with the Department of Health of provinces and centrally-run cities with bordering areas to unify the transfer and reception of patients between medical examination and treatment facilities in bordering areas to ensure convenience for patients to receive medical examination and treatment near their place of residence, work, study and not be affected by administrative boundaries between bordering provinces.

Periodically hold meetings on transferring health insurance patients and draw lessons, promptly adjust to suit the 5 practical requirements in the locality. Direct local health insurance medical examination and treatment facilities to regularly transfer patients for professional reasons (if any) and proactively coordinate, exchange, and request professional support to improve medical examination and treatment capacity, meet treatment requirements, and serve patients.

Medical facilities are responsible for causing trouble or affecting the rights of patients.

Regarding the responsibilities of medical examination and treatment facilities, the Ministry of Health requires urgent training for medical staff on new regulations of the law on health insurance, especially regulations on procedures and processes of medical examination and treatment, contents of re-examination appointment forms, patient transfer forms; carefully study to properly implement the provisions of Circular 01/2025/TT-BYT and appendices I, II, III, IV issued therewith to ensure the rights of patients.

Instruct and advise patients to properly follow the regulations on transferring medical examination and treatment facilities, using re-examination appointment papers, and medical examination and treatment facility transfer papers to ensure the rights of patients. Medical examination and treatment facilities are responsible for not providing guidance or providing incomplete guidance, causing inconvenience and affecting the rights of health insurance patients.

According to the provisions of Clause 1, Article 12 of Circular 01/2025/TT-BYT, the Medical Examination and Treatment Facility Transfer Form is valid for 10 working days from the date of signing.

According to the provisions of Clause 2, Article 12 of Circular 01/2025/TT-BYT, health insurance participants suffering from diseases, groups of diseases and cases specified in Appendix III issued with this Circular are allowed to use the Transfer Voucher which is valid for 01 year from the date of signing.

Thus, in case the health insurance participant has diseases, groups of diseases and cases specified in Appendix III and according to professional requirements needs to transfer to a medical examination and treatment facility for long-term examination and treatment, the transfer of medical examination and treatment facility is allowed and the validity of the Medical Examination and Treatment Facility Transfer Voucher is 01 year from the date of signing.

The Ministry of Health clearly states that Point c, Clause 3, Article 6 of Circular 01/2025/TT-BYT stipulates: Other medical examination and treatment facilities according to the decision of the Ministry of Health whose organizational structure has a specialized department in one of the following forms: department, center or institute. This specialized department must have an internal medicine department and at least 01 of the following specialties: surgery, pediatrics, obstetrics.

Clause 10, Article 2 of Decree 96/2023/ND-CP detailing a number of articles of the Law on Medical Examination and Treatment stipulates: The professional department of a medical examination and treatment facility is an organization that performs medical examination and treatment tasks within the organizational structure of the medical examination and treatment facility, in which the professional department of the hospital is called by one of the following names: institute, center, department, unit.

Thus, the institute in a medical examination and treatment facility is a specialized department of the medical examination and treatment facility that performs medical examination and treatment tasks within the organizational structure of the medical examination and treatment facility.

Intensive medical examination and treatment facilities specified in Point c, Clause 3, Article 6, Circular 01/2025/TT-BYT that need to register for initial health insurance examination and treatment must submit a written report to the Ministry of Health for consideration and decision in accordance with the provisions of the Circular.

TB

 

Source: https://baochinhphu.vn/khong-duoc-phat-sinh-them-thu-tuc-gay-phien-ha-cho-nguoi-kham-chua-benh-bhyt-102250516122652952.htm