The Committee for Culture and Society, Nghe An Provincial People's Council supervises medical facilities

Many problems

Working with the Survey Team, representatives of the Provincial General Hospital's leaders reflected many shortcomings, difficulties, and problems related to the procurement, management, and use of drugs, supplies, and medical equipment.

The organization of planning and contractor selection goes through many steps in the process, so the implementation time is long and difficult to be proactive; the units that conduct bidding themselves still face many difficulties and obstacles, especially the problem of lack of human resources, limited capacity of officers and civil servants; regarding the repair and maintenance of public assets, there are no economic and technical regulations, standards, or norms.

One of the current difficulties is that equipment breakdowns are unpredictable, and when they occur, we have to wait for the bidding period to start repairs. During that time, there will be no equipment to serve patients. There are cases where after repairing one breakdown, another breakdown occurs. In addition, most of the repair service providers and companies are located in big cities such as Hanoi and Ho Chi Minh City, so the inspection and repair process takes a long time.

Regarding the implementation of bidding for drugs, supplies and medical equipment, there is currently no consistency between the Law on Bidding and the Law on Management and Use of Public Assets; the Law on Bidding and a number of legal documents on the field of medical equipment are still overlapping, some documents have only been issued for one year and have been amended and replaced, leading to difficulties for units in grasping regulations and implementing them; in addition, implementing according to the regulations of the province, the implementation of the decision-making process for procurement still has many "cumbersome" and unreasonable points.

The hospital proposes that the Government unify the content of the Procurement Decision in the Bidding Law and Decree No. 151/2017/ND-CP in accordance with the Bidding Law (no requirement for approval of the Procurement Decision).

The Ministry of Planning and Investment should soon complete the legal framework and legal documents on procurement bidding.

The Ministry of Health issued a Circular guiding the classification of medical equipment. The Ministry of Finance established specialized price appraisal units, established and developed management plans for bidding consultancy units.

Associate Professor, Dr. Nguyen Van Huong - Director of the Hospital said that the authority to purchase goods and services at autonomous hospitals in group 1 is not much different from that of autonomous units in group 2. If the regulations do not change, the operation of hospitals, especially autonomous hospitals in group 1, will be more difficult. The Director of the Hospital proposed to promote decentralization for autonomous hospitals in group 1 in purchasing, managing and using drugs, supplies and medical equipment; at the same time, allowing the Hospital to proactively purchase, promptly repair and replace equipment from the unit's career development fund...

Concluding the working session at the Provincial General Hospital, Comrade Chu Duc Thai acknowledged and highly appreciated the efforts of the Hospital in purchasing, managing and using drugs, supplies and medical equipment, meeting the operational needs of the Hospital and the medical examination and treatment needs of the People; the procurement, management and use of drugs, supplies and medical equipment were strictly ensured, in accordance with regulations; At the same time, he acknowledged the difficulties, problems and recommendations of the Hospital to report to the Standing Committee of the Provincial People's Council, requested the Provincial People's Committee and relevant agencies to remove them, creating conditions for hospitals in purchasing, managing and using drugs, supplies and medical equipment...

Proposal to remove difficulties

Working at Nghe An Obstetrics and Pediatrics Hospital, the monitoring team noted that there is still a shortage of drugs, chemicals, and supplies; a lack of machinery and equipment to deploy advanced techniques; some equipment is old, broken, or has been repaired many times (there are 26 devices currently damaged and waiting for repair) and does not meet the needs of use, affecting the professional activities of the unit.

In an interview with the survey team, the hospital representative said that the reason for the shortage of drugs, supplies, and chemicals was that the hospital had invited bids for many items but could not select a winning bidder, because the bidder did not participate or participated but the price exceeded the planned price, leading to a high bid rejection rate, such as the Bidding Package for the supply of chemicals, biological products, and other supplies in 2023, with a bid rejection rate of up to 50%; Bidding Package No. 01: Supply of supplies, medical gases, with a bid rejection rate of 46%,...

The goods won the bid but the contractor supplied them in small quantities and often interrupted the supply, especially essential goods for patients' medical examination and treatment; the guidance documents were incomplete or sometimes overlapping and inconsistent, and the legal procedures related to procurement and bidding still had many shortcomings and problems.

One of the subjective causes emphasized by the Hospital is the apprehension of individuals participating in bidding work from medical examination and treatment units to agencies performing examination and approval; the bidding staff at the unit is still lacking in both quantity and qualifications.

Due to difficulties and obstacles in the process of purchasing, managing and using drugs, supplies and medical equipment, Nghe An Obstetrics and Gynecology Hospital proposed that the central ministries and branches issue inter-sectoral and inter-ministerial documents to guide facilities and units in implementing contents related to purchasing and bidding. At the same time, amend and supplement the regulations on bidding at hospital pharmacies (public medical facilities conduct bidding to purchase drugs for use at hospital pharmacies); not requiring procurement within the range of 80% - 130% of the winning bid quantity.

In addition, Nghe An Obstetrics and Gynecology Hospital also proposed that the province establish a centralized procurement center to carry out bidding procedures for drugs, chemicals, supplies, medical equipment, and chemicals to facilitate medical facilities in supplying drugs, chemicals, and supplies in large quantities, saving human resources, and avoiding bid failures due to small-scale procurement at units.

Concluding the meeting, Comrade Chu Duc Thai shared the difficulties of the hospital in the context of many overlapping legal regulations, many legal guidance documents being slow to be issued; in addition, violations in the medical field in recent years have affected the general psychology of both medical facilities and state management agencies, etc. However, the Hospital has made efforts in purchasing, managing and using drugs, supplies and medical equipment; there are plans to ensure drugs, supplies and medical equipment, so basically drugs, supplies and medical equipment meet the operational needs of the hospital and the medical examination and treatment needs of the people; the procurement, management and use of drugs, supplies and medical equipment have been strictly ensured, in accordance with regulations.

Comrade Chu Duc Thai also requested the Hospital to review, supplement, and specifically evaluate the contents according to the requirements of the Survey Team. At the same time, he requested the Hospital to be more proactive in the process of completing documents, implementing the bidding process, purchasing drugs, supplies, and medical equipment in accordance with regulations; limiting the shortage of drugs, supplies, and modern medical equipment that affects professional activities and the people's need for medical examination and treatment.