Vietnam: What are the newest regulations on health check-up? In 2024, what is the health check-up process?

"What are the newest regulations on health check-up? In 2024, what is the health check-up process?" - asked Ms. H.T (Ben Tre)

Under Circular 32/2023/TT-BYT, who needs to have a health check-up in Vietnam?

Under the provisions of Article 30 of Circular 32/2023/TT-BYT as follows:

- People who need to have a health check-up:

+ Health check-ups for Vietnamese citizens and foreigners living and working in Vietnam: periodic health check-ups; health assessment of fitness for school or work; health check-ups for students;

+ Health check-ups upon request;

+ Health check-ups for Vietnamese guest workers.

- The health check-up in Chapter 6 of Circular 32/2023/TT-BYT does not apply to the following cases:

+ Outpatient and inpatient medical examination in healthcare facilities;

+ Medical examination, forensic examination, forensic mental examination;

+ Examination to issue injury certificate;

+ Occupational disease examination;

+ Health check-ups for people under the management of the Ministry of National Defense and the Ministry of Public Security;

+ Health check-ups for specific industries and professions.

What are the health check-up costs in Vietnam?

Under the provisions of Article 33 of Circular 32/2023/TT-BYT, the health check-up costs in Vietnam are specified as follows:

- Corporate and individual applicants for a health check-up must pay the health check-ups costs to the health check-up facility, according to the prices approved by a competent authority or based on an agreement made between the applicant and the facility, except for cases of exemption or reduction as prescribed by law.

- In case the examinee requests two or more health check-up certificates, that examinee must pay an additional fee for issuing extra certificates according to the regulations of that healthcare facility.

- Collection, payment, management and use of fees from health check-ups are carried out in accordance with law.

In 2024, what does the health check-up application in Vietnam include?

Under the provisions of Article 34 of Circular 32/2023/TT-BYT, the health check-up application in Vietnam includes:

(1) Health check-up application of people aged 18 (eighteen) years or older

Health check-up application of people aged 18 (eighteen) years or older is a health check-up application form No. 01, Appendix No. XXIV of Circular 32/2023/TT-BYT, with a portrait photo 4cm x 6cm, taken on a white background within no more than 6 (six) months prior to the date of application submission.

(2 Health check-up application of people under 18 (eighteen) years old

Health check-up application of people under 18 (eighteen) years old is a health check-up application form No. 02, Appendix No. XXIV of Circular 32/2023/TT-BYT, with a portrait photo 4cm x 6cm, taken on a white background within no more than 6 (six) months prior to the date of application submission.

(3) An application for health check-up for a legally incapacitated person or person with limited active legal capacity but not subject to a periodic medical examination shall include:

- An application form for health check-up as prescribed in Clause 1 or Clause 2 of Article 34 of Circular 32/2023/TT-BYT;

- Written consent of the patient's relative specified in Clause 11, Article 2 of the Law on Medical Examination and Treatment.

(4) As for periodic examinees, their application shall include:

- Periodic health check-up book according to Form No. 03, Appendix No. XXIV of Circular 32/2023/TT-BYT;

- Referral letter from their employer in case of a single periodic health check-up or being on the list of periodic health checkups issued by their employer to perform periodic health check-ups under a contract.

In 2024, what is the health check-up process in Vietnam?

Under the provisions of Article 35 of Circular 32/2023/TT-BYT, the health check-up process in Vietnam in 2024 is specified as follows:

Step 1. An examinee will submit an application according to the prescribed form of the health check-up facility.

Step 2. After receiving the health check-up application, the health check-up facility shall carry out the following:

- Verify the identity of the examinee by comparing them with the photo on the application;

- Affix the fan stamp on the photo after verification according to Point a of this Clause for the cases specified in Clauses 1, 2 and 3, Article 37 of Circular 32/2023/TT-BYT;

- Check and compare valid identification documents of the patient for the cases specified in Clause 3, Article 37 of Circular 32/2023/TT-BYT;

- Instruct on the health check-up process for the examinee or their guardian (if any);

- The health check-up facility shall develop, promulgate, and implement their health check-up procedures;

- Return results and keep medical examination records.

What are the regulations on the issuance and archive of health check-up certificates in Vietnam?

Under the provisions of Article 38 of Circular 32/2023/TT-BYT, the issuance and archive of health check-up certificates in Vietnam are specified as follows:

- The health check-up certificate is issued 1 (one) copy to the examinee and 1 copy is kept at the health check-up facility. The archive duration of health check-up documentation is as prescribed in section 20, group 01 Documentation on medical examination, treatment, and rehabilitation issued with Circular No. 53/2017/TT-BYT dated December 29, 2017 of the Minister of Health on archive duration of specialized records and documentation in the health sector. Periodic health check-up applications are preserved and archived by examinees’ superior bodies.

- In case the examinee requests multiple health check-up certificates, the health check-up facility shall issue multiple copies of the health check-up certificate. Issuance of multiple copies is carried out in accordance with Decree No. 30/2020/ND-CP dated March 5, 2020 of the Government on clerical work (hereinafter referred to as Decree No. 30/2020/ND-CP).

- Time limit for returning health check-up certificates and periodic health check-up books:

+ For individual health check-ups: the health check-up facility returns the health check-up certificate and periodic health check-up book to the examinee within 24 (twenty-four) hours from the end of the examination, except in cases where additional examination or testing is required at the request of the health examiner;

+ For group health check-ups under contract: the health check-up facility returns health check-up certificates and periodic health check-up books to the examinees according to the arrangement stated in the contract.

- Validity period of health check-up certificate and periodic health check-up results:

+ The health check-up certificate is valid for 12 (twelve) months from the date of signing;

+ Results of periodic health check-up are valid according to law.

What are the regulations on health classification in Vietnam?

Under the provisions in Article 37 of Circular 32/2023/TT-BYT as follows:

Health classification
1. Health classification standards of people undergoing health check-ups comply with regulations of the Minister of Health.
2. The examiner shall document relevant diseases and disabilities from the specialized examination and classify the patient's health based on their specialty.
3. 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:
a) 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;
b) 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.
4. 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.
5. 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.
6. 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 this Circular, 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.

Thus, health classification in Vietnam shall comply with the above regulations.

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