Who has the power to sign the slip of transfer in public medical facilities in Vietnam?

Who has the power to sign the slip of transfer in public medical facilities in Vietnam? - T.Q (Lao Cai, Vietnam)

What are 08 cases of medical examination and treatment under health insurance in Vietnam?

In Article 6 of Circular 30/2020/TT-BYT, there are regulations on medical examination and treatment under health insurance as follows:

(1) Health insurance participants apply for medical examination and treatment in initial medical examination and treatment establishments specified on their health insurance cards.

(2) Health insurance participants who apply for initial medical examination and treatment in medical examination and treatment establishments of communes or general clinics or district hospitals may receive medical examination and treatment covered by health insurance in other medical stations of communes or general clinics or district hospitals in the same provinces. Children who have not obtained health insurance cards since birth declaration procedures have not been adopted may use birth certificates to receive medical examination and treatment in medical examination and treatment establishments specified under this Clause.

(3) Health insurance participants who are in state of emergency are provided with emergency medical aid in any medical examination and treatment establishment in the country.

Doctors or physicians shall assess and identify state of emergency of the patients, specify in patients’ medical records and be responsible for their decisions.

(4) Health insurance beneficiaries who benefit from transfer of administrative levels for receiving medical examination and treatment under health insurance as per the law, including:

- May transfer according to Article 10 and Article 11 of Circular No. 40/2015/TT-BYT dated November 16, 2015 of Minister of Health on registration for initial medical examination and treatment under health insurance and transfer of administrative level for receiving medical examination and treatment under health insurance. Applications for transfer consist of transfer documents using Form No. 6 attached to Decree No. 146/2018/ND-CP and other documents (if any);

- May transfer according to Clause 3 Article 14 of Decree No. 146/2018/ND-CP, including: emergency medical aid; cases where beneficiaries are diagnosed with other diseases exceeding the specialty of medical examination and treatment establishments during inpatient treatment process; disease development exceeds capacity of medical examination and treatment establishments during inpatient or outpatient treatment process;

- May transfer according to Clause 2 Article 6 of Circular No. 40/2015/TT-BYT dated February 26, 2016 of Minister of Health on elaborating to medical examination, treatment and payment for medical examination, treatment covered by health insurance relating to examination and treatment of tuberculosis.

(5) Health insurance participants who obtain documents proving their stay in other administrative divisions when they go on working trips, participate in concentrated education in training programs, semi-boarding programs and apply for initial medical examination, treatment in medical examination and treatment establishments of the same or equivalent administrative level as their initial medical examination and treatment establishments specified on health insurance cards according to Clause 7 Article 15 of Decree No. 146/2018/ND-CP. Medical examination and treatment establishments are responsible for storing photocopy of documents specified under this Point in medical records of beneficiaries.

(6) Holders of notice of re-examination appointment in case they have been transferred according to Clause 5 Article 15 of Decree No. 146/2018/ND-CP.

(7) Individuals who have donated their organs and require immediate treatment after donating organs.

(8) Newborn babies who must receive treatment upon birth.

Who has the power to sign the slip of transfer in public medical facilities in Vietnam?

How many forms of transfer of patients in Vietnam are there?

In Article 4, Circular 14/2014/TT-BYT stipulates the following form of transfer:

Form of transfer
1. Transfer of patients from an inferior facility to a superior facility:
a) Patients shall be transferred from an inferior facility to the directly superior facility in ascending order;
b) The transfer of patient may not comply with regulations in point a of this Clause if conditions specified in Point b clause 1 Article 5 of this Circular are satisfied.
2. Transfer of patients from a superior facility to an inferior facility.
3. Transfer of patients between medical facilities of the same level.

Thus, there are 3 forms of transfer of patients including:

- Transfer of patients from an inferior facility to a superior facility:

+ Patients shall be transferred from an inferior facility to the directly superior facility in ascending order;

+ The transfer of patient may not comply with regulations in point a of this Clause if conditions specified in Point b clause 1 Article 5 of this Circular are satisfied.

- Transfer of patients from a superior facility to an inferior facility.

- Transfer of patients between medical facilities of the same level.

Who has the power to sign the slip of transfer in public medical facilities in Vietnam?

In Article 6 of Circular 14/2014/TT-BYT, there is a regulation on the power to sign the slip of transfer as follows:

Power to sign the slip of transfer
1. Regarding public medical facilities: the Head of the medical facility or the person authorized by the Head of the medical facility is in charge of signing the slip of transfer.
2. Regarding public medical facilities: the person in charge of professional skills of the medical facility or the person authorized by him/her is in charge of signing the slip of transfer.

Thus, the people who have the power to sign the slip of transfer for public medical facilities are the heads of the medical facility or the person authorized by the Head of the medical facility is in charge of signing the slip of transfer.

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