Vietnam: What is the latest Surgical Medical Record form - Form No. 10/BV1 issued together with Circular 32/2023/TT-BYT?
What is the latest Surgical Medical Record form - Form No. 10/BV1 issued together with Circular 32/2023/TT-BYT?
The latest Surgical Medical Record form is Form No. 10/BV1 Appendix No. XXVIII issued together with Circular 32/2023/TT-BYT.
Below is a photo of 1 part of the latest Surgical Medical Record form as follows:
Download the latest Surgical Medical Record form: here
What are the State policies on healthcare in Vietnam?
Under the provisions of Article 4 of the Law on Medical Examination and Treatment 2023 as follows:
State policies on healthcare
1. The State plays a leading role in promotion of healthcare activities; mobilize social resources needed for delivery of medical services.
2. Priority to have access to state budget shall be given to the following activities:
a) Developing medical establishments under the grassroots health care or out-of-hospital emergency care system; concentrate investments in medical establishments in border areas, islands, ethnic minority and mountainous areas, poor areas or extreme poor areas;
b) Delivering healthcare to people rendering meritorious services to the revolution; children, the elderly, people with disabilities, people from poor households, people from near-poor households; people living in border areas, islands, poor areas, extreme poor areas; people with mental illness, leprosy; people suffering Group-A infectious diseases; people suffering group-B infectious diseases specified in the List adopted by the Minister of Health;
c) Further promoting workforce in the health industry, especially personnel working in infectious diseases, psychiatry, anatomic pathology, forensic medicine, forensic psychiatry, resuscitation in emergency medicine, and other subspecialties or branches that need to be preferred to meet socio-economic development needs and conditions over time in accordance with the Government’s regulations;
d) Conducting and applying researches in science, technology and digital transformation in the healthcare industry.
3. Promoting public-private partnership; applying investment incentives in the healthcare industry. Medical establishments shall be entitled to incentive loans to invest in improving the quality of medical services; be exempt from corporate income taxes on the undivided portion of income that is retained as their capital investments.
4. Investing in healthcare facilities in poor areas, extreme poor areas and not-for-profit medical establishments that are defined as those in the industries and sectors entitled to special investment incentives in the List of industries and professions entitled to investment incentives.
5. Carrying out the personnel rotation policy under which practitioners are transferred among state-owned medical establishments.
6. Granting special remuneration policies to practitioners.
7. Adopting policies for development of human resources in hospital management and administration.
8. Promoting the roles of healthcare socio-professional organizations in medical examination and treatment services.
9. Upholding and promoting traditional medicine; combining traditional medicine with modern medicine.
10. Combining military and civil medicine in healthcare.
Thus, the State policies on healthcare in Vietnam are specified above.
What are the regulations on access to medical records of patients in treatment in Vietnam?
Under the provisions of Article 69 of the Law on Medical Examination and Treatment 2023 as follows:
Medical record
1. Patients undergoing inpatient treatment, day treatment or outpatient treatment in medical establishments shall have their medical records created or updated.
Physical and electronic medical records shall be of the same legal value. Forms or templates of medical records and medical record summaries shall be made available for use by the Minister of Health.
2. Medical records shall be safekept and kept confidential by law; if the medical record is classified as a state secret, the regulatory provisions of law on protection of state secrets shall govern. Depositing or archiving of medical records shall be subject to the regulatory provisions regarding archives.
3. Access to medical records of patients in treatment shall be as follows:
a) Learners, students, trainees, researchers of research institutions, training institutions, medical practitioners, persons directly involved in the treatment of patients at medical establishments may read medical records, and may copy medical records only when obtaining the consent from the safekeeping medical establishments;
b) Practitioners from other medical establishments may read and copy them with the consent of the safekeeping medical establishments.
4. Access to medical records of patients completing treatment that are kept as archives shall be as follows:
a) Representatives of state management agencies in charge of health, investigative agencies, procuracies, courts, health inspectors, forensic organizations, forensic psychiatrists, and patients' lawyers shall be allowed to access and provide medical records to perform their tasks in accordance with relevant laws;
b) Learners, students, trainees, researchers of research institutions, training institutions, medical practitioners at medical establishments may borrow medical records to read on the spot, or may copy medical records for later use in their researches or the work relating to their professional expertise with the consent of the safekeeping medical establishments;
....
According to the above regulations, access to medical records of patients in treatment shall be as follows:
- Learners, students, trainees, researchers of research institutions, training institutions, medical practitioners, and persons directly involved in the treatment of patients at medical establishments may read medical records, and may copy medical records only when obtaining consent from the safekeeping medical establishments;
- Practitioners from other medical establishments may read and copy them with the consent of the safekeeping medical establishments.
Circular 32/2023/TT-BYT takes effect from January 1, 2024.
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