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MEDICAL SITUATION IN VIETNAM NGO QUY CHAU MD, Ph.D, Assoc.Prof Deputy Director Bach Mai Hospital Hanoi - Vietnam.

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Presentation on theme: "MEDICAL SITUATION IN VIETNAM NGO QUY CHAU MD, Ph.D, Assoc.Prof Deputy Director Bach Mai Hospital Hanoi - Vietnam."— Presentation transcript:

1 MEDICAL SITUATION IN VIETNAM NGO QUY CHAU MD, Ph.D, Assoc.Prof Deputy Director Bach Mai Hospital Hanoi - Vietnam

2 Red river delta region Red river delta region North east region North east region North west region North west region North central coast region North central coast region South central coast region South central coast region Central highlands region Central highlands region North east south region North east south region Mekong river delta region Mekong river delta region Vietnam

3 Population, social and economic environment indicator NoIndicator Population (000) In which: Female (000) Female rate Female rate Urban Pop. (000) Urban Pop. (000) % of urban population % of urban population , % 50.8% Population density (pers./km2) Population grow rate GDP (Billion VND) Total state budget for health (Billion VND) % Health budget in GDP % Health budget in State budget expenditure Health budget per capita (1000 VND) Source: Health statistics yearbook 2006 – Ministry of Health

4 Medical problem before 1990 Medical system has downgraded Medical system has downgraded Material reduce Material reduce Health expenditure was limited Health expenditure was limited Few number of medical station in rural area, absence medical station in some commune. Few number of medical station in rural area, absence medical station in some commune. Health worker distribute unequal Health worker distribute unequal e.g. Central highland region: 2.7 Health worker/ commune Red river delta region: 5 Health worker/ commune Red river delta region: 5 Health worker/ commune Knowledge of health worker in rural area was low. Knowledge of health worker in rural area was low. Policy in favor for health worker was unconsidered. Policy in favor for health worker was unconsidered. Ratio of bed in use: 30 – 40% Ratio of bed in use: 30 – 40%

5 Consequences Diseases (malaria cause 300 person died in ) Diseases (malaria cause 300 person died in ) Patient seem to belittle medical system in local and concentrate in cities Patient seem to belittle medical system in local and concentrate in cities Health worker only interested in working in provinces and cities Health worker only interested in working in provinces and cities The quality of primary care was restricted The quality of primary care was restricted

6 Government policy to improve rural medical system Medical insurance policy (1992) Medical insurance policy (1992) Hospital fees (1989) Hospital fees (1989) Ordinance to practice private medicine and pharmacy (1993) Ordinance to practice private medicine and pharmacy (1993) National ordinance about pharmacy National ordinance about pharmacy Decision to improve medicine in rural area (1994) Decision to improve medicine in rural area (1994) Use State budget to support health worker in rural area Use State budget to support health worker in rural area Improvement medical infrastructure and medical equipment, especially in rural area Improvement medical infrastructure and medical equipment, especially in rural area Increase budget for health Increase budget for health

7 Infrastructure in a medical station

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9 Health achievement Medical system in rural area are improve both quantity and quality Medical system in rural area are improve both quantity and quality The whole country has: commune health center The whole country has: commune health center All commune has health center All commune has health center Health worker is increasing in number and quality Health worker is increasing in number and quality Medical equipment is innovative Medical equipment is innovative Primary care is improving Primary care is improving

10 State health budget by years NoIndicator Health expenditure Development investment Treatment & Preventive Scientific research Training Management Others Source: Health statistics yearbook 2006 – Ministry of Health Unit: billion VND

11 Percentage of health insurance participation of population are increasing. (%) Percentage of health insurance participation of population are increasing. (%) Source: Health statistics yearbook 2006 – Ministry of Health

12 Beds in health facilities by years 1986 – 2006 (No. of beds per inhabitants) Source: Health statistics yearbook 2006 – Ministry of Health

13 Health personnel by years

14 Drug expenditure per capita Source: Health statistics yearbook 2006 – Ministry of Health

15 State health budget by category 2006 Source: Health statistics yearbook 2006 – Ministry of Health

16 Health facilities & beds by level 2006 NoIndicatorFacilitiesBeds Total (government section) Central level Local level In which: Provincial level District level District level Communal level Communal level Other branches Source: Health statistics yearbook 2006 – Ministry of Health

17 Health personnel by provincial, district, communal level Source: Health statistics yearbook 2006 – Ministry of Health NoCategoriesTotal Commune level District level Provincial level Phar. Bussiness & Production Total Medical PhDs and higher Medical master sciences Pharm. PhDs Pharm. Master sciences Medical doctor Pharmacists High degree nurses High degree medical technicians Uni. Degree midwives Assistant doctors nd degree medical technicians Assistant pharmacists nd degree pharm. Technicians nd degree nurse nd degree midwives Elementary nurses Elementary midwives Element med. Technician Traditional medicine practitioners Elementary pharmacists Other bachelor degrees Other 2 nd degree level Others

18 Health situation at communal level 2006 NoRegion No. of CHC have M. doctor % CHC have M. doctor No. CHC have midwives, assiss… % CHC reach benchm ark No. of comm have CHC Total Red river delta region , , North east region , , North west region 14523,74743, North central coast region , , South central coast region 45653,282219, Central highlands region 35952,661518, North east south region 84083,598149, Mekong river delta region , , Source: Health statistics yearbook 2006 – Ministry of Health CHC: Commune Health Center

19 Pharmaceutical production and trading NoCategory Grow rate (%) 1 Drug supply system Trading company ,6 Direct drug import and export company ,7 Foreign drug supplier ,5 Drug retailer ,7 2 Drug production system Drug production company ,3 Drug visa number ,2 3 To stabilize drug prices Consumption price index (%) 8,86,6-21,4 Pharmaceutical medical price index (%) 4,94,3-12,2 Source: Health statistics yearbook 2006 – Ministry of Health

20 Equipment up to 31/12/2006 NoRegionMRI CT. Scanner X-RAY Doppler Ultrasonic system EndoscopyAmbulance Total Red river delta region North east region North west region North central coast region South central coast region Central highlands region North east south region Mekong river delta region Note: Including equipment of government health facilities belong management locals. Source: Health statistics yearbook 2006 – Ministry of Health

21 Health proposal for consideration Central hospitals are overloaded cause patients still do not have confidence in local medical system. Central hospitals are overloaded cause patients still do not have confidence in local medical system. Improve primary care, quality and convenient of rural medical system. Improve primary care, quality and convenient of rural medical system. Renew content and programme education Renew content and programme education Encourage investment in traditional medicine Encourage investment in traditional medicine Upgrade medical infrastructure and equipments Upgrade medical infrastructure and equipments

22 Traditional medicine

23 Healthcare Informatics in Vietnam Ministry of Health started to develop LAN and WAN networks in hospital and schools of medicine Ministry of Health started to develop LAN and WAN networks in hospital and schools of medicine Currently deploying successful applications and software packages in hospital and medicine schools Currently deploying successful applications and software packages in hospital and medicine schools Some leading research projects, such as Teleradiology, have recently been carried out by the Institute of Information Technology and the National Center for Natural Science and Technology Some leading research projects, such as Teleradiology, have recently been carried out by the Institute of Information Technology and the National Center for Natural Science and Technology Growing collaboration between Vietnamese researchers and international scientists, engineers and practitioners Growing collaboration between Vietnamese researchers and international scientists, engineers and practitioners

24 Telemedicine recently use in Vietnam Telemedicine recently use in Vietnam Only have in few Central Hospital Only have in few Central Hospital Remote medicine is not yet common technical in Vietnam Remote medicine is not yet common technical in Vietnam Video Conference System is use to exchange medical information, experience and to hold a consultation Video Conference System is use to exchange medical information, experience and to hold a consultation Mostly between Central hospitals or with foreign hospitals Mostly between Central hospitals or with foreign hospitals Healthcare Informatics in Vietnam

25 Lack of equipments Lack of equipments Network infrastructure is not adequate to the demand Network infrastructure is not adequate to the demand Lack of technical staff in manage and use equipments Lack of technical staff in manage and use equipments Investment in remote medicine is still unappreciated Investment in remote medicine is still unappreciated Manager still not recognize telemedicine are very meaningful for training and researches in order to reduce expense and bring benefit to doctors and patients Healthcare Informatics in Vietnam

26 Video communication device IPELA - SONY with high video and high speed network connection. This is a multi point videoconferencing device with H.323 protocol. BMH telemedicine equipments

27 VIDAR Digitizer machine, using this device we can scan X ray and CT scanner film with high quality images. BMH telemedicine equipments

28 Coolscope is a microscope can be connected to the system by an IP address. It provides high solution pathological image and transfer them through the network. COOLSCOPE- NIKON BMH telemedicine equipments

29 VPN ROUTER DATASOLUTION BOX Beside our system has some extra devices: switch, VPN router, transducer, projector etc. Network line is fiber cable with 2 Mbps bandwidth suitable the medical conference.

30 By using the telemedicine system, we have organized different international medical conferences between BMH, International Medical Center of Japan, Sydney university, National Taiwan University Hospital, Medicine & Pharmacy University of HoChiMinh city.

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33 Thank you for your attention!


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