Improving Healthcare Treatment Quality Helps Reduce Hospital Congestion

The health sector is trying to strengthen the grassroots healthcare system to improve the quality of primary healthcare and reduce hospital overloading, according to a health official. Dr Luong Ngoc Khue, head of the Medical Examination and Treatment Department of the Ministry of Health, said building and upgrading new health facilities and improving the capacity of doctors, especially at the grassroots level, has helped reduce patient overloading at hospitals. Overloading was being solved step by step, Khue said, adding that patient satisfaction had been improved. The results from a recent survey of more than 1 million patients showed the satisfaction rate for inpatient treatment was 75.6 %  and outpatient treatment was 66.3 % . The Provincial Governance and Public Administration Performance Index (PAPI) also shows people are more satisfied with public health services than in the past. Patients’ waiting time has also fallen to an average of 48.5 minutes, saving 27.2 million labor days a year. Overloads at inpatient treatment facilities have reduced dramatically. In 2016, the rate of patients who had to share bed at the central level hospitals was 16.7 %  while it was 58 %  in 2012. The rate of patient bed sharing at provincial hospitals fell to 11.4 %  in 2016 compared to 47 %  in 2012. “The goal of the health sector is to end hospital overloads by 2020,” Dr Khue told Tin Tuc online newspaper. Many programs send doctors of central- and city-level hospitals to improve the capacity of doctors at lower-level hospitals, according to Khue. This has helped reduce patient overload at central- and city-level hospitals. To reduce overloads and improve the quality of medical examination and treatment services, the health sector is also trying to develop the satellite hospital network, apply information technology and transfer technology to lower-level hospitals. The Ministry of Health also told hospitals under the ministry’s management to pledge that patients would no longer share beds after 24 or 48 hours of being hospitalized. Most central-level hospitals in Hanoi and HCM City so far have made the commitment. Only two central-level hospitals, namely Cho Ray Hospital in HCM City and Bach Mai Hospital in Hanoi, have not signed this commitment because overloading  still occurs in some departments. “The long-term solution is to further improve the professional skills for doctors at lower-level hospitals and create trust with patients so the hospital overload will be resolved thoroughly," Khue stressed. (Vietnam  News Dec 7)