Recently, a delegation of deputies from Ho Chi Minh City carried out investigations at the Cho Rây hospital on the implementation of the autonomy mechanism and the public purchase of medicines. The hospital has shown the shortcomings that make it difficult to pay salaries and establish financial autonomy.
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| Financial autonomy is still a difficult issue for hospitals with the largest number of patients. |
According to Tôn Van Tài, head of public procurement and of the appels tender of Cho Ray Hospital, recently, this unit encountered many difficulties in the execution of the tender, which led to a shortage of certain drugs and medical supplies to treat patients. The reason mentioned is the surplus of patients transferred from the lower level as well as the existing gaps related to thex procedures of public purchasing. In particular, the most difficult step is establishing a fixed price.
Moreover, there are no regulations to update market prices. In the context of the epidemic, price fluctuations have exceeded the price range planned by the Ministry of Health, for example, all PVC-related products are indexed to international oil prices.
The Dr Nguyên Nhât Hai, Head of Finance and Accounting Department of Cho Rây Hospital, said that the current paradox is that the hospital’s income is regulated by the state, but the expenditure must be according to the market value. Whereas funding of the state remains stable, market pricesthem, have increased sharply.
“Cho Rây Hospital has become financially independent since 2009, and today some machines are old and new ones have to be bought. However, the hospitalization costs were not calculated correctly. Therefore, the hospital did not enough money to buy new machines and is obliged toborrow. But if he can’t borrow equipment due to state regulations, the hospital will have to suspend some of his services because of machine shortages. pour treat the patients”he specified.
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| Surgical and diagnostic equipment is borrowed from many public health facilities. |
Urgent proposals
Likewise, according to the Dr Trân Thanh Tùng, head of the Department of Hematology, ordering and borrowing equipment, reducing Thus the financial impact of the State is a common practice in many wealthy countries.
Therefore, Cho Ray’s physicians suggested the necessity correctly calculate hospitalization costs with seven price components, such as asset depreciation expense, operating overhead, training and technology transfer costs.
In addition, Health Insurance should remove the limitation on the number of screening cases per day/machine or the number of patients per day/doctor. “The doctors and specialists in the hospital have high professional qualifications, so the ultrasound, tests and examination are done very quickly, if the number of cases per day is limited, the capacity is not yet used. real. At the same time, the number of patients who undergo a medical examination at Cho Rây Hospital is very large, with high demand”said the Dr Nguyen Nhat Hai.
Van Thi Bach Tuyêt, deputy head of the delegation of deputies from Ho Chi Minh City, acknowledged the efforts of medical teams and medical staff at the hospital in recent years because they have to treat a large number of patients. while being under-equipped.
For the proposals and recommendations of Cho Rây, the deputies will summarize them and re-evaluate them before transmitting them to the Ministry of Health, the government and the National Assembly to solve the existing problems in the hospitals.
Worries financial autonomy and drug auctions are addressed in almost all recent meetings between city and local hospitals and deputies from Ho Chi Minh City. Hospitals are waiting for positive changes in terms of laws and regulations from the state and the Ministry of Health and Medical Insurance to ensure the health care of the people.
Texte et photo : Quang Chau/CVN