A series of hospitals in Nghe An have medical examination and treatment service indexes exceeding the national average.

Lac Viet August 24, 2023 12:51

(Baonghean.vn) - In some medical facilities, there is still a situation of unreasonable prescription of technical services, medicines and medical supplies; widespread prescription of inpatient treatment, not in accordance with regulations, increasing the cost of medical examination and treatment.

Information from the Policy Implementation Steering CommitteeSocial Insurance,Health InsuranceNghe An province: In the first 6 months of 2023, there were 2,739,124 people receiving medical examination and treatment, an increase of 536,652 people, equivalent to an increase of 24.4% over the same period last year.
The total amount of money that medical facilities requested to pay was VND 2,210.65 billion, an increase of VND 289.139 billion, equivalent to an increase of 15% over the same period last year.
Nghe An Social Insurance Agency refused to pay the costs of medical examination and treatment facilities that requested payment in violation of regulations in the first quarter of 2023, with an amount of 19.5 billion VND.

bna_Một số cơ sở y tế chưa thực hiện nghiêm túc việc kiểm tra đổi chiếu thẻ BHYT dẫn đến tình trạng 1 người mổ phaco 1 mắt 3 lần trong 1 năm. Ảnh Thành Chung.jpg
Some medical facilities have not seriously checked and compared health insurance cards, leading to a situation where one person had cataract surgery on one eye three times in one year. Photo: Lac Viet

Some heads of medical examination and treatment facilities have not yet had a high level of awareness of their responsibilities in managing and using the funds for medical examination and treatment reasonably, economically and effectively. There is still a situation of unreasonable prescription of technical services, medicines and medical supplies; widespread prescription of patients for inpatient treatment, not in accordance with regulations (most medical examination and treatment facilities have not yet established criteria for inpatient treatment according to regulations in Directive No. 25/CT-BYT), leading to the medical examination and treatment indexes in the first 6 months of 2023 increasing compared to the same period in 2022, higher than the national average index, increasing the cost of medical examination and treatment, specifically:

Number of medical examinations and treatments increased by 25% (an increase of 541,862 visits) compared to the same period in 2022.The number of outpatient visits to the provincial level increased by 23.34% (14,046 visits). Some medical facilities with high rates of increase in visits include An Phat General Hospital, Northwest Regional General Hospital, Central Ear, Nose and Throat Hospital, Nghe An Lung Hospital, Vinh TTH General Hospital, etc.

Numberspendmedical examination and treatmentup 15% (up 289 billion VND) over the same period in 2022.The number of out-of-pocket expenses at provincial level increased by 6.7% (VND 23.39 billion). Some medical examination and treatment facilities have a high rate of increase in medical examination and treatment expenses: An Phat General Hospital, Yen Thanh General Hospital, Central Ear, Nose and Throat Hospital, Nghe An Lung Hospital, Vinh TTH General Hospital...

The average treatment day is 7.12 days, 0.66 days higher than the national average (national average 6.46 days).. Some medical facilities have an average treatment day higher than the national average: Military Hospital 4, Nghe An Provincial Rehabilitation Hospital, Nghe An Northwest Regional General Hospital, Nghe An Southwest Regional General Hospital, Thanh Chuong District General Hospital, Yen Thanh District General Hospital...

The inpatient admission rate was 14%,1.4 times higher than the national rate (national rate 9.9%). Some medical facilities have a high rate of increase in inpatient treatment: Nghe An General Hospital, Military Hospital 4, Traditional Medicine Hospital, Nghe An Provincial Rehabilitation Hospital, Nghe An Northwest Regional General Hospital. Nghe An Southwest Regional General Hospital, Thanh Chuong District General Hospital, Yen Thanh District General Hospital, Nghi Loc District General Hospital, Quynh Luu District General Hospital...

bna_Nhiều bệnh viện kê thêm giường điều trị, trong khi nhân lực và cơ sở vật chất không tăng, làm ảnh hưởng đến chất lượng điều trị, quyền lợi của bệnh nhân. Ảnh Lạc Việt.JPG
Many hospitals have added more treatment beds, while human resources and facilities have not increased, affecting the quality of treatment and the rights of patients. Photo: Lac Viet

The average cost is 887,352 VND/trip, 1.13 times higher than the national cost (Nationwide 788,442 VND/trip).Medical examination and treatment facilities with average costs higher than the national average: Military Hospital 4, Provincial General Hospital, Nghe An Northwest Regional General Hospital, Nghe An Southwest Regional General Hospital, Thanh Chuong District General Hospital, Yen Thanh District General Hospital, Quynh Luu District General Hospital, Vinh City General Hospital...

Original branded drug spending increased by 22.9% (up 20.88 billion VND) compared to the same period in 2022.Medical facilities with a high proportion of original branded drugs: Dong Au General Hospital, Endocrinology Hospital, International Hospital, 115 General Hospital, Cua Dong General Hospital, Maternity and Pediatrics Hospital, Nghe An General Hospital...

SpendComplementary drugs accounted for 2.8% of drug expenditure, up 19.4%(increase of VND 2.4 billion) compared to the same period in 2022.Medical facilities with high rates of complementary medicine: Hoang Mai Town Medical Center, Hung Nguyen District Medical Center, An Phat General Hospital, Quynh Luu District General Hospital, Southwest Nghe An Regional General Hospital...

Mineral and vitamin drug spending increased by 30.5%(VND 1.16 billion) compared to the same period in 2022.Some medical facilities have a high rate of mineral and vitamin drugs: Nghe An Northwest Regional General Hospital, Cua Dong General Hospital, Thanh Chuong District General Hospital, International Hospital, Vinh TTH Hospital, Minh An General Hospital...

Pay for inpatient bedincreased by 18.6% (increased by 75.48 billion VND)compared to the same period in 2022.Some medical facilities have high bed fee rates: Thanh Chuong District General Hospital, Nghe An Northwest Regional General Hospital, Yen Thanh District General Hospital, Military Hospital 4, Quynh Luu District General Hospital, Cua Dong General Hospital...

Technical service expenses account for 45.3% of total expenses.medical examination and treatment,up 17.3% (up 162.66 billion VND) over the same period in 2022.Some medical examination and treatment facilities have a high rate of technical service expenses: An Phat General Hospital, Nghia Dan District Medical Center, Nghe An Lung Hospital, Vinh TTH General Hospital...

Testing costs increased by 12.4% (increased by 35.5 billion VND)compared to the same period in 2022.Some medical facilities have high testing cost ratios: Endocrinology Hospital, Cua Dong General Hospital, Anh Thai General Clinic, Tan Ha General Clinic, Dong Au General Hospital...

Diagnostic imaging costs increased by 16.8% (increased by VND 31.78 billion)compared to the same period in 2022.Some medical facilities have high diagnostic imaging cost ratios: Anh Thai General Clinic, Tan Ha General Clinic, Cuong Phat General Clinic, Dong Hieu General Clinic, An Phuoc General Clinic, Tan Thanh General Clinic, etc.

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A series of hospitals in Nghe An have medical examination and treatment service indexes exceeding the national average.
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