Is there Circular 32/2023/TT-BYT on elaboration of the Law on Medical Examination and Treatment in Vietnam in 2023? What are the regulations on health classification?
Is there Circular 32/2023/TT-BYT on elaboration of the Law on Medical Examination and Treatment in Vietnam in 2023?
On December 31, 2023, the Minister of Health issued Circular 32/2023/TT-BYT.
Circular 32/2023/TT-BYT on elaboration of the Law on Medical Examination and Treatment 2023 comes into force from January 1, 2024.
Circular 32/2023/TT-BYT on elaboration of the Law on Medical Examination and Treatment 2023 on the following contents:
- Medical Continuing Professional Development for medical examination and treatment (hereinafter referred to as medical CPD) as prescribed in Clause 14, Article 2 and Clause 4, Article 22 of the Law on Medical Examination and Treatment 2023.
- Scope of medical examination and treatment practice (hereinafter referred to as scope of practice) for professional ranks or titles specified in Clause 3, Article 26 of the Law on Medical Examination and Treatment 2023.
- Form of license to practice medical examination and treatment (hereinafter referred to as medical license) specified in Clause 5, Article 27 of the Law on Medical Examination and Treatment 2023.
- Recognition of quality standards of medical examination and treatment facilities (hereinafter referred to as healthcare facilities) promulgated by domestic and foreign organizations as prescribed in Point d, Clause 1 and Clause 4, Article 57 of the Law on Medical Examination and Treatment 2023.
- Medical records and medical record summaries specified in Clause 1, Article 69 of the Law on Medical Examination and Treatment 2023.
- Shift work practice in healthcare specified in Clause 3, Article 70 of the Law on Medical Examination and Treatment 2023.
- Standards and health check-ups specified in Clause 2, Article 83 of the Law on Medical Examination and Treatment 2023.
- Good Clinical Practice (GCP) as prescribed in Point d, Clause 4, Article 99 of the Law on Medical Examination and Treatment 2023.
- Regulations on the organization and operation of the expert panel and dispute resolution procedures when a medical accident occurs are specified in Clause 6, Article 101 of the Law on Medical Examination and Treatment 2023.
- Mobilization and dispatch of persons participating in medical examination and treatment activities in response to natural disasters, calamities, group-A infectious diseases or a state of emergency specified in Clause 4, Article 115 of the Law on Medical Examination and Treatment 2023.
Is there Circular 32/2023/TT-BYT on elaboration of the Law on Medical Examination and Treatment in Vietnam in 2023? What are the regulations on health classification?
What are the principles for determining scope of practice of practitioners in Vietnam?
Pursuant to the provisions of Article 10 of Circular 32/2023/TT-BYT, the principles for determining scope of practice of practitioners are as follows:
Principles for determining scope of practice of practitioners
- A practitioner's scope of practice should:
+ align with the medical qualifications (diplomas and certificates) they are granted or recognized in Vietnam
+ and be commensurate with their demonstrated abilities in medical examination and treatment. This includes professional methods and techniques specific to their registered specialty.
- The practitioner's scope of practice includes medical examination and treatment, prescribing subclinical methods, applying medical examination and treatment methods, providing healthcare expertise, prescribing medications, setting care and nutritional regimes, evaluating examination and treatment outcomes, offering consultations and health education to patients according to professional titles and regulations of the Minister of Health specified in Article 11 of the Law on Medical Examination and Treatment 2023 corresponding to each professional title or rank.
- Ensuring the quality of medical examination and treatment services and patient safety.
- Suitable for practical conditions, especially in units with specific characteristics and diverse levels of healthcare expertise, in disadvantaged and severely disadvantaged socio-economic areas.
- There is no distinction between practitioners of different levels of healthcare expertise or their practice duration in medical examination and treatment.
What are the regulations on health classification in Vietnam?
Pursuant to the provisions of Article 37 of Circular 32/2023/TT-BYT, regulations on health classification are as follows:
- Health classification standards of people undergoing health check-ups comply with regulations of the Minister of Health.
- The examiner shall document relevant diseases and disabilities from the specialized examination and classify the patient's health based on their specialty.
- Based on all specialty examination results, the practitioner that is designated to determine the final health classification and sign both the health check-up certificate and periodic health check-up book (hereinafter referred to as health classification determiner) shall determine the final health category as follows:
+ The health classification of examinee is carried out in accordance with the regulations of the Minister of Health on health classification standards for recruitment and periodic examination of workers;
+ In case the examinee has a disease or disability, the health classification determiner will recommend treatment and rehabilitation options or refer them for further examination and treatment.
- After classifying the health, the health classification determiner must sign, clearly state their full name, and stamp the health check-up facility’s seal on the health check-up certificate or periodic health check-up book. The use of seals in official transactions by health check-up facilities is regulated by laws on seal management and use.
- For cases of health check-ups according to health standards of a field issued or recognized by competent authorities of Vietnam, health classification is based on the health standards in that field.
- For cases of health check-ups upon request, if the healthcare facility does not fully examine all specialties as prescribed in the health check-ups form issued in Circular 32/2023/TT-BYT, the health check-up facility will only examine and make conclusions for with each specialty as requested by the person being examined and without health classification.
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