I strongly agree with many amended contents in the draft Law on Medical Examination and Treatment (draft) submitted to this National Assembly session. However, the draft law still has some issues that need attention and clarification.
Tran Thi Nhi Ha said that public health needs to have regulations on the method of implementing socialization in accordance with the characteristics of the health sector, not contrary to the spirit of the law on public investment and management. , use public property
There is a need for a social mechanism socialization in the medical field
Health is a sensitive field, according to current regulations, attracting capital from socialization in the health sector is very entangled and difficult, especially in implementation processes and procedures. Therefore, it is necessary to stipulate the form and method of implementing socialization in accordance with the characteristics of the health sector but not contrary to the spirit of the law on public investment, management and use of assets. labour.
I agree with the specific regulations on the forms of attracting social resources in the draft law, however, if only the form is prescribed without a mechanism for implementation, the socialization of health will become problem with no solution.
For example, the form of “borrowing capital to invest in infrastructure works and medical equipment” is specified in Clause 3, Article 107 of the draft. Regulations on borrowing capital at medical institutions have existed for a long time, but in practice it is difficult to implement due to problems in collateral, interest rate issues, and reciprocal capital issues.
I think that the National Assembly and the Government can make specific regulations that allow medical facilities to use part of public assets as collateral for loans at credit institutions, and at the same time stipulate more policies and regulations. The policy allows medical facilities to get preferential credit loans from the state or become priority subjects of loan interest rates of credit institutions.
I propose to remove Clause 4 of Article 107, supplement the content of Clause 5, which assigns the Government to detail mechanisms, policies and procedures for socialization in the health sector with each specific form. body.
Regarding the form of socialization, I propose to supplement the form: “borrowing equipment according to the winning contract to purchase regular consumables from medical facilities”, this is a specific regulation but in accordance with the information. international standards in the purchase and sale of chemicals and medical supplies.
The cost of medical examination and treatment is different among public hospitals
And amending point e, clause 3, is “sponsorship and aid from domestic and foreign organizations and individuals” to cover all funding and aid activities.
At the same time, consider removing the form of “hire pharmacy services”, avoiding conflicts with legal regulations on pharmacy.
Medical examination and treatment prices need to be agreed
About the cost of medical examination and treatment and the price of medical examination and treatment (Article 108 in the draft) is a content that has changed a lot through the drafts and is also a content that attracts the waiting and attention of all people. medical examination and treatment establishments.
For this draft, the content of regulations is revised in the direction of sticking to the general principles and legal regulations on prices, without specific regulations suitable for the medical field. Therefore, it is necessary to have specific regulations in the Law on Medical Examination and Treatment.
I propose to amend the content of Clause 3, Article 108 of the draft as follows:
“Medical examination and treatment prices of state-owned medical examination and treatment establishments promulgated by the Ministry of Health shall be applied uniformly across the country. Prices of medical examination and treatment at the request of state-owned medical examination and treatment establishments and medical examination and treatment establishments established under the public-private partnership method shall be decided by the head of the unit under the guidance of the Ministry of Health. economy”.
Thus, the price of medical examination and treatment of state medical facilities will be applied uniformly, creating fairness among units and among subjects with the same health insurance card; creating favorable conditions for medical examination and treatment facilities when implementing, and at the same time saving costs, time and human resources when setting up the unit’s medical examination and treatment prices. Regulations on medical examination and treatment prices on demand as above also create initiative, in line with the actual needs of each unit but still under the control of the Ministry of Health.
About professional and technical level in medical examination and treatment (Article 103 draft):
The concept of “technical expertise” has not been found in the legal documents of the health sector before and is also recognized for the first time in the draft law, therefore, it is proposed to supplement the definition of this term. “level of technical expertise” in terms of wording.
Currently, the system of medical examination and treatment establishments is classified by the Ministry of Health into 4 lines of professional and technical expertise. Although the draft stipulates a roadmap for the implementation of the content from January 1, 2027, however, I think that the transformation of the 4-line model into a 3-level model is suitable for the practical conditions of the Vietnamese health system. Nam is a challenge for the organization and implementation, so it is necessary to draft a law with specific guidelines.
The draft Law on Medical Examination and Treatment also lacks regulations on principles for operating the system of medical examination and treatment establishments according to 3 levels of professional expertise; regulations in the draft have not clarified the connection between medical examination and treatment levels and ensure regulation of the whole system.
Therefore, it is recommended to consider adding a number of contents such as: the principle of planning the system of medical facilities according to 3 levels of expertise suitable to the management of medical examination and treatment facilities by location, by region. , thereby allocating reasonable medical facilities, so that people can access services early, from a distance, and receive medical treatment at the right level. In addition, the Drafting Board also needs to calculate the regulations on prices for medical examination and treatment services between levels and harmonize revenue sources between levels to ensure the sustainable development of the system.