Suffering due to lack of medicine and medical supplies


: Missing the prescriber!

Doctor Tran Van Quy, Head of the Health Station of Hiep Phu Ward (Thu Duc City, Ho Chi Minh City), said that the station has started to distribute health insurance drugs from 2015-2016. However, from then until the shutdown (in 2020), there was never enough medicine for patients.

Missing first, missing later

According to Doctor Quy, there are more than 180 elderly people over 80 years old and more than 80 people with disabilities being treated at the Health Station of Hiep Phu Ward. “In which, many people with chronic non-communicable diseases (diabetes, blood pressure, cardiovascular…) have been treated stably at the hospital and need to get medicine at the station to limit travel and waiting time. Because these subjects also regularly take monthly maintenance drugs. However, the number of drugs covered by health insurance is mainly used to treat common diseases and chronic diseases have not been taken,” said Dr. Quy.

: Missing the prescriber! – Photo 1.

Suffering due to lack of medicine and medical supplies

: Missing the prescriber! – Photo 1.

An empty medicine cabinet at a medical station in Ho Chi Minh City Photo: HAI YEN

At the Medical Station of Ward 4, District 10, Ho Chi Minh City, although managing thousands of people in the area, the number of patients coming to the station is very small. The reason is that the medicine cabinet has no medicine. In addition, inadequate facilities and human resources make people turn away from medical stations. The representative of the Ward 4 Health Station said that the drug source of the station is normally distributed by the District 10 Hospital (about the wards). Instead of the previous proposal of 10 drugs that will be approved or missing 1-2 types, now 10 types are only given about 1-2 types. The reason given by the hospital was that the drug could not be tendered.

In the same situation, the medicine cabinet at the Medical Station of Ward 15, Phu Nhuan District, Ho Chi Minh City also lacked before and after, making the doctors at the station, even though they wanted to examine and give medicine to the people, had to endure.

Specialist I Lam Thanh Huong, Head of Operations Department of Thu Duc City Medical Center, said that in 2015, under the direction of the Department of Health, medical stations in the area will carry out health insurance checks at the station. At that time, the 3 districts 2, 9 and Thu Duc had not been merged into Thu Duc city, so the Thu Duc district area had 12/12 eligible wards and communes; old district 9 has 6/13 stations; In district 2, only 1/7 of the stations are eligible for medical examination and treatment with health insurance. This activity will be maintained until 2020.

Explaining this reason, Dr. Huong said that in order to get health insurance, it is necessary to have doctors from hospitals to support. However, the doctor’s working hours coincide with the hours at the station, so in the long run, if the conditions are not met, the drug supply should be suspended. “Currently, Thu Duc city only maintains 2 wards, Binh Chieu and Hiep Binh Chanh. Because this is a satellite polyclinic under Thu Duc City Hospital. All activities at the clinic are from personnel, pages, Equipment and medicines are all made by the hospital, except for the location where it is located at the medical stations of these two wards,” shared Doctor Huong.

According to Dr. Huong, many people’s health stations have the need to visit health insurance at the station, but the health station belongs to line 4, so the list of drugs is limited. When it was still in operation, an average of a month of medical stations in the area (except for 2 satellite polyclinics) had a few dozen to more than 100 patients visiting. During the implementation of medical examination and treatment activities, health insurance drugs at the stations also lacked many types, mainly drugs for treatment of common diseases. In addition, with the goal of providing drugs to treat chronic non-communicable diseases, it has not been able to be implemented so far.

Medical station staff mass leave

Dr. Huong also said that at present, the health station still carries out activities under the national target program such as providing psychiatric drugs, HIV, vaccination, etc. Besides, it still performs medical examination and treatment when people are sick. People have needs but will prescribe for patients to buy out.

In Thu Duc City, there are 5 medical stations operating on the principle of family medicine, of which only 2 satellite polyclinics are developed by the hospital, the remaining 3 medical stations have not yet performed their functions. capacity due to lack of paraclinical equipment. Besides, if there is equipment, there must be people, while the general situation in Ho Chi Minh City is that it is not possible to attract human resources to the health station, leading to a painful situation: lack of medicine, lack of prescribers. .

Doctor Nguyen Vu Truong An, Head of the Medical Station of Tan Quy Ward (District 7), said that the station is always understaffed. Currently, the population in the ward is more than 23,000 people, but the station’s staff is only 5 people, so it is imperative to do more work. “With the existing population in the area, the station needs 9-10 people to handle the workload. Many times the station also accepts medical staff, but they only work for a short time and then stop” – doctor Doctor An said.

Although Ho Chi Minh City has strengthened the grassroots medical capacity when bringing a series of young doctors who have just graduated from school to health stations, a representative of Thu Duc City Medical Center said that the current situation of the medical station only needs a doctor. If you have a practicing certificate, you can do it, but young doctors who have just graduated from school can only prescribe the treatment of Covid-19 because it is in the epidemic period. For other common diseases, according to the Law on Medical Examination and Treatment, in order to prescribe a practice certificate, this team cannot meet the requirements.

Ministry of Health directs not to lack of medicine!

The Ministry of Health has just issued a document on handling problems in purchasing drugs and medical supplies. In this document, the Ministry of Health requests the health departments of provinces and cities to direct hospitals and units under the department to urgently develop plans and deploy the procurement of drugs and medical supplies to ensure safety. ready. There must not be a shortage of drugs and medical supplies in service of medical examination and treatment for people in the area and at the units; focus on ensuring adequate and timely supply of medical supplies and essential drugs, especially rare drugs.

Hospitals, units under the Department, businesses trading drugs and medical supplies in the area fully implement stockpiling plans and strictly comply with the provisions of law in procurement and supply of drugs. , medical supplies. In case there is a shortage of drugs and medical supplies due to difficulties and problems related to procurement and contractor selection, the Department of Health shall clearly report the reason to the Ministry of Health before June 22. For hospitals affiliated to the ministry, the Ministry of Health proposes to carry out the procurement of drugs and medical supplies to ensure their readiness; there is no shortage of drugs and medical supplies for medical examination and treatment at the unit.

In case there is a shortage of drugs and medical supplies due to difficulties and problems related to procurement and contractor selection; The hospital clearly reported the cause to the Ministry of Health before June 22. The Ministry of Health requires manufacturers and importers of drugs and medical supplies to ensure the storage and closely coordinate with medical examination and treatment establishments to be ready to supply drugs and medical supplies in a timely manner. , regulations.

The Ministry of Health also requested functional departments and agencies to proactively urge units to perform and synthesize to send them to the Drug Administration of Vietnam to summarize and report to the Ministry of Health before June 25.

N.Dung

Binh Duong: 300 medical staff quit

In Binh Duong, only in the first 3 months of the year, about 300 health workers quit their jobs. Currently, the locality is short of 550 staff at the commune and ward health stations because medical staff quit after a long time struggling against the Covid-19 epidemic. Binh Duong province’s health sector has actively implemented all epidemic prevention measures under the direction of the Provincial People’s Committee and was granted 8 billion VND by the Provincial People’s Committee, of which 2 billion VND is for printing communication materials but has not yet dared to do so. bidding, the Provincial Center for Disease Control is afraid of making mistakes.

Ng.ThanhSee the Labor Newspaper from the issue of June 18Next period: “Hundred strawberries fall on their heads… sick people”

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