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Quang Ninh is implementing a restructuring of its healthcare system based on a two-tiered local government model.

On October 27, the Quang Ninh Department of Health held a conference to deploy the work of arranging the health system according to the 2-level local government model in the province.

Báo Quảng NinhBáo Quảng Ninh27/10/2025

Quang Ninh is a pioneering province nationwide in implementing the restructuring of its healthcare system based on a comprehensive restructuring approach, ensuring a streamlined apparatus and modern management, helping people receive timely, equitable, quality, and effective healthcare right from the grassroots level.

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The Director of the Department of Health delivered a speech at the conference.

Accordingly, the 13 existing health centers (HCs) will be reorganized into 5 regional general hospitals, with 3 HCs ceasing operations; 171 health stations and 2 sub-stations will be reorganized into 55 health stations and 92 sub-stations; Ha Long General Hospital and the Provincial General Hospital will be merged into the Provincial General Hospital; the Mental Health Support Center will be merged into the Mental Health Protection Hospital to form the Mental Health Hospital; and the Social Work Center, the Social Welfare Center, and the Child Care and Support Facility for Children with Special Circumstances will be merged into the Quang Ninh Social Assistance Center.

Following the restructuring, the provincial health system reduced the total number of units by 128; the number of health station headquarters decreased by 27; the number of hospital and health center directors decreased by 9; the number of social welfare unit leaders decreased by 6; the number of health station heads decreased by 116; the number of department heads decreased by 30; and the number of specialized department heads decreased by 28.

The leaders of the Department of Health presented the Decision on the transfer and appointment of personnel to assume the position of Director of the health facilities after the merger and restructuring.

Based on the reorganization, Quang Ninh's healthcare system has also been restructured to clearly distinguish between the two areas of Prevention and Treatment; and to improve the capacity of grassroots healthcare in accordance with the general policy of the national health sector. With the transfer of preventive healthcare personnel from health centers to health stations, immediately after the reorganization, the ratio of doctors at health stations reached 4-6 doctors/station, achieving this goal two years earlier than the national average (the national average is only expected to reach 4-6 doctors/station by 2027). As a result, health stations are basically capable of providing initial medical examination and treatment, managing people's health, and implementing preventive healthcare programs in the community.

According to the new structure, in the initial phase, health stations will be directly managed by the Department of Health, eliminating intermediate administrative layers, in line with the spirit of the two-tiered government model. This vertical management model helps to unify expertise, technical procedures, and service quality monitoring. The roadmap for health stations, once fully reorganized and capable, will involve their transfer to the People's Committees of communes, wards, and special administrative zones.

Hospitals are being reorganized according to a regional model. In addition to provincial-level hospitals and specialized hospitals, Quang Ninh will have 5 regional general hospitals spread across 5 regions of the province. These hospitals will provide general medical examination and treatment, as well as professional support to commune-level hospitals, contributing to reducing the burden on higher-level hospitals and maximizing the efficiency of facilities and human resources.

Nguyen Trang

Source: https://baoquangninh.vn/quang-ninh-sap-xep-he-thong-y-te-dam-bao-tinh-gon-nang-cao-hieu-qua-cham-soc-suc-khoe-3381923.html


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