Amending some issues arising in the implementation of the field of disease and treatment

Dr. Ha Anh Duc speaks at the conference - Photo: VGP/Le Hao

Dr. Ha Anh Duc, Director of the Department of Medical Examination and Treatment Management, Ministry of Health, said that the Law on Medical Examination and Treatment was passed by the 15th National Assembly in January 2023 and will take effect from January 1, 2024. During the implementation process, some shortcomings have arisen that need to be adjusted and revised.

As the drafting agency, the representative of the Ministry of Health requested that delegates representing relevant ministries, branches, Departments of Health, Social Insurance, medical universities, associations, private hospitals, etc. focus on discussing and giving comments on amending and supplementing Decree 96/2023/ND-CP and Circular 32/2023/TT-BYT, in order to ensure quality, efficiency, and practicality during implementation.

Some issues arise in practical implementation

According to current regulations, foreign-issued professional qualifications do not have a basis for comparison according to Vietnam's 8-level qualification framework. Therefore, the Departments of Health do not have enough basis to consider and compare conditions related to foreign professional qualifications.

The foreign training diploma system is not equivalent in terms of scope of practice in our country. Some diplomas do not specify the specialty, or there is no system of that specialty in Vietnam, which makes it impossible to use as a basis for granting scope of practice, for example, spinal neurology specialty, natural medicine specialty.

For home health care service facilities, according to previous regulations, some specialized techniques can be performed at the patient's home. However, nursing service facilities are currently not included in the regulations in Decree 96/2023/ND-CP, leading to inadequacies in management.

Current legal documents also do not have specific regulations on the minimum area and number of beds for inpatient rooms of specialized clinics that perform procedures. The minimum inpatient room for specialized clinics is 12 square meters, while Decree 96/2023/ND-CP does not have this.

Another shortcoming is that current regulations do not clearly state the practice for medical specialists (where to practice, how to practice and for how long), do not clearly stipulate the framework of the practice program, do not clearly stipulate that the person signing the practice confirmation paper must be responsible for the facility meeting the practice conditions, the practitioner has participated in the practice according to the program, ensuring the quality of the practice; and do not clearly stipulate the recognition of the practice process abroad.

Regarding the conditions of the person in charge of professional responsibility, he/she must have a scope of practice appropriate to the clinical specialty. Currently, Decree 96/2023/ND-CP only stipulates in general that in order to have a suitable scope of practice, the person in charge must be a doctor.

Delegates attending the workshop - Photo: VGP/LH

Does the professional head need to be at the facility full-time?

At the workshop, Dr. Ha Anh Duc also raised a number of cases that require unification of professional content such as: the head of a professional department, does he need to work full-time in that department or not. For example, a full-time practitioner of a general clinic, who is in charge of the professional department of a pediatric clinic, but is also a practitioner of an internal medicine clinic, is that okay?

For outpatient emergency facilities, a team of doctors, nurses, drivers, etc. can register a maximum of how many ambulances (in case of damage or repair, etc.) to ensure the facility can replace them.

In case the facility only transports patients (no emergency, no home transport, etc.), should there be additional regulations for this type to facilitate management?

At the same time, it is necessary to clearly define the person responsible for technical expertise of the outpatient emergency facility.

Regarding the application for a practice license, the Ministry of Health said that it is necessary to add regulations on the revocation of practice licenses in case of new issuance due to a change in title (or regulations in the direction of re-submitting the practice license into the application).

At the same time, add cases of revocation of practice licenses in cases where the application is no longer qualified; add cases of handling forged practice licenses.

Thuy Ha

Source: https://baochinhphu.vn/sua-doi-mot-so-phat-sinh-trong-trien-khai-linh-vuc-benh-chua-benh-102250509151857505.htm