This change is included in the new circular on regulations for prescribing pharmaceuticals and biological products in outpatient treatment, effective from July 1. This is considered a breakthrough, resolving inconveniences that have lasted for many years.
The list includes 16 groups of diseases such as: infections, parasites, blood disorders, mental illness, endocrine, nutritional and metabolic diseases. Common diseases such as hypertension, diabetes, asthma, chronic obstructive pulmonary disease, anxiety disorders and depression are all on this list.
In addition, chronic hepatitis B, HIV/AIDS, hypothyroidism, hypopituitarism, Parkinson's, Alzheimer's, dementia are also applied. Some blood and immune diseases such as Thalassemia, amyotrophic lateral sclerosis, and some gynecological diseases in adolescents are prescribed long-term.
The doctor will decide the number of days of medication use based on the patient's clinical condition and stability, with a maximum duration of no more than 90 days.
Dr. Vuong Anh Duong, Deputy Director of the Department of Medical Examination and Treatment Management, said that this list was consulted by more than 20 end-line hospitals in many specialties and evaluated by professional councils. However, not all diseases on the list are automatically given 90-day medication.
"Extending the prescription period requires caution. The doctor will evaluate each specific case to decide the number of days of medication, which can be 30, 60 or up to 90 days," said Dr. Duong. If the disease has an unusual progression or cannot be re-examined on time, the patient needs to go to a medical facility for re-examination and adjustment of the regimen.
Previously, according to Circular 52/2017, hospitals were only allowed to prescribe outpatient medications for a maximum of 30 days. This regulation caused many chronic patients, even though they were stable and their prescriptions had not changed, to have to queue from morning to noon every month just to receive their medication.
Doctors recognize that in practice, especially with stable chronic diseases, the need to extend the duration of medication is completely justified. However, long-term prescriptions are only applied to stable diseases, clear treatment regimens, safe medications, and do not require frequent testing. At the same time, patients also need to be carefully instructed by doctors to monitor their health and detect
VN (according to VnExpress)Source: https://baohaiphongplus.vn/tu-1-7-nhieu-benh-man-tinh-duoc-cap-thuoc-den-3-thang-415396.html
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