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

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Medical situation in vietnam l.jpg

MEDICAL SITUATIONIN VIETNAM

NGO QUY CHAU

MD, Ph.D, Assoc.Prof

Deputy Director Bach Mai Hospital

Hanoi - Vietnam


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Vietnam

  • 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


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Population, social and economic environment indicator

Source: Health statistics yearbook 2006 – Ministry of Health


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Medical problem before 1990

  • Medical system has downgraded

  • Material reduce

  • Health expenditure was limited

  • Few number of medical station in rural area, absence medical station in some commune.

  • Health worker distribute unequal

    e.g. Central highland region: 2.7 Health worker/ commune

    Red river delta region: 5 Health worker/ commune

  • Knowledge of health worker in rural area was low.

  • Policy in favor for health worker was unconsidered.

  • Ratio of bed in use: 30 – 40%


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Consequences

  • Diseases (malaria cause 300 person died in 1991-1992)

  • Patient seem to belittle medical system in local and concentrate in cities

  • Health worker only interested in working in provinces and cities

  • The quality of primary care was restricted


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Government policy to improve rural medical system

  • Medical insurance policy (1992)

  • Hospital fees (1989)

  • Ordinance to practice private medicine and pharmacy (1993)

  • National ordinance about pharmacy

  • Decision to improve medicine in rural area (1994)

  • Use State budget to support health worker in rural area

  • Improvement medical infrastructure and medical equipment, especially in rural area

  • Increase budget for health



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Health achievement

  • Medical system in rural area are improve both quantity and quality

    • The whole country has: 10748 commune health center

    • All commune has health center

  • Health workeris increasing in number and quality

  • Medical equipment is innovative

  • Primary care is improving


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State health budget by years

Unit: billion VND

Source: Health statistics yearbook 2006 – Ministry of Health


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Percentage of health insurance participation of population are increasing. (%)

Source: Health statistics yearbook 2006 – Ministry of Health


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Beds in health facilities by years 1986 – 2006 population are increasing. (%)

(No. of beds per 10000 inhabitants)

Source: Health statistics yearbook 2006 – Ministry of Health


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Health personnel by years population are increasing. (%)


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Drug expenditure per capita population are increasing. (%)

Source: Health statistics yearbook 2006 – Ministry of Health


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State health budget by category 2006 population are increasing. (%)

Source: Health statistics yearbook 2006 – Ministry of Health


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Health facilities & beds by level 2006 population are increasing. (%)

Source: Health statistics yearbook 2006 – Ministry of Health


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Health personnel by provincial, district, communal level population are increasing. (%)

Source: Health statistics yearbook 2006 – Ministry of Health


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Health situation at communal level 2006 population are increasing. (%)

CHC: Commune Health Center

Source: Health statistics yearbook 2006 – Ministry of Health


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Pharmaceutical production and trading population are increasing. (%)

Source: Health statistics yearbook 2006 – Ministry of Health


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Equipment up to 31/12/2006 population are increasing. (%)

Note: Including equipment of government health facilities belong management locals.

Source: Health statistics yearbook 2006 – Ministry of Health


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Health proposal for consideration population are increasing. (%)

  • 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.

  • Renew content and programme education

  • Encourage investment in traditional medicine

  • Upgrade medical infrastructure and equipments


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Traditional medicine population are increasing. (%)


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Healthcare Informatics in Vietnam population are increasing. (%)

  • 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

  • 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


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Healthcare Informatics in Vietnam population are increasing. (%)

  • Telemedicine recently use in Vietnam

  • Only have in few Central Hospital

  • Remote medicine is not yet common technical in Vietnam

  • Video Conference System is use to exchange medical information, experience and to hold a consultation

  • Mostly between Central hospitals or with foreign hospitals


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Healthcare Informatics in Vietnam population are increasing. (%)

  • Lack of equipments

  • Network infrastructure is not adequate to the demand

  • Lack of technical staff in manage and use equipments

  • 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


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BMH telemedicine equipments population are increasing. (%)

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


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BMH telemedicine equipments population are increasing. (%)

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


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BMH telemedicine equipments population are increasing. (%)

COOLSCOPE- NIKON

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.


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VPN ROUTER population are increasing. (%)

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.

DATASOLUTION BOX


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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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Thank you for your attention! 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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