What are the conditions for issuing operation licenses to internal medicine clinics in Vietnam?

"What are the conditions for issuing operation licenses to internal medicine clinics in Vietnam?" - asked Ms. Ha (Don Duong)

Is an internal medicine clinic a form of organization of health facilities in Vietnam?

Pursuant to Point a, Clause 4, Article 22 of Decree 109/2016/ND-CP amended by Clause 3, Article 11 of Decree 155/2018/ND-CP as follows:

Forms of organization of health facilities
The health facilities must be established in accordance with the law and must conform to one of the following forms of organization:
...
4. Specialized clinic, including:
a. General medicine clinic.

Accordingly, an internal medicine clinic is a form of organization of health facilities in Vietnam. Therefore, the conditions for issuing operation licenses to internal medicine clinics shall comply with the conditions for issuing operation licenses to health facilities.

What are the conditions for issuing operation licenses to internal medicine clinics in Vietnam?

Pursuant to Article 23 of Decree 109/2016/ND-CP (amended by Clause 5 Article 11 of Decree 155/2018/ND-CP, and supplemented by Clause 4, Article 11 of Decree 155/2018/ND-CP) on the conditions for issuing operation licenses to internal medicine clinics as follows:

- Facility requirements:

+ The healthcare facility has a fixed location (unless it is a mobile healthcare clinic).

+ Radiation safety and fire safety are ensured in accordance with regulations of law.

+ There is a separate area for sterilizing reusable medical instruments, unless there are no reusable instruments or the healthcare facility has a contract with another healthcare facility for the sterilization of reusable instruments.

- Medical devices:

+ Sufficient medical equipment must be provided and be suitable to the practice scope of the health facility.

+ An occupational health service provider must have at least a Biochemistry Laboratory Department.

+ Clinic providing healthcare consultancy or clinic providing healthcare consultancy by using information technology and telecommunications is not required to have the medical equipment specified in points a and b of this Clause. However, it must have sufficient information technology and telecommunications which are suitable to the registered practice scope.

- Health facilities must satisfy the following requirements:

+ Be the health facilities that are granted operation licenses according to the law.

+ Have clinical and paraclinical departments, as well as sufficient personnel and equipment used for providing medical check-ups and detecting the health requirements of patients based on the health standards and medical forms which are enclosed with the documented guidelines on medical check-ups.

In addition to satisfying the conditions for issuing operation licenses to health facilities, what are the requirements satisfied by internal medicine clinics in Vietnam to be issued operation licenses?

Pursuant to Article 26 of Decree 109/2016/ND-CP (amended by Clause 8 Article 11 of Decree 155/2018/ND-CP) as follows:

Article 26. Conditions for issuance of operation licenses to specialized clinics
Aside from the requirements specified in Article 23a hereof and except those applied to the chief physicians, the specialized clinics must also satisfy the following requirements:
1. Facilities:
a. If any operation is conducted, including implanting operation, acupuncture, massage or acupressure, the operation room must be located in a separate area. The area of the operation room must be sufficient for performing specialized techniques.
b. If the specialized clinic conducts both upper and lower gastro-endoscopic techniques, it must have 02 separate rooms.
c. There must be a biochemistry department for diagnosing and treating occupational diseases.
2. Medical equipment: Have anti-shock first aid kits and sufficient specialized emergency drugs.
3. Personnel:
a) Any chief physician of a specialized clinic shall satisfy the following requirements:
- Being a doctor with a practicing certificate suitable for at least one of the specialties registered by the clinic.
- Having worked as a healthcare practitioner in such a specialty for at least 54 months.
Any chief physician of the following specialized clinics shall satisfy the corresponding requirements as follows:
+ Clinic of rehabilitation: being a doctor with a practicing certificate relevant to physical therapy or rehabilitation;
+ Clinics for drug rehabilitation: being a psychiatric doctor or a general practitioner with a certificate of training in psychiatry or a traditional medicine practitioner with a certificate of training in drug rehabilitation using traditional medicine;
+ Clinics of HIV/AIDS treatment: being a doctor of infectious disease specialty or a general practitioner with a certificate of training in HIV/AIDS treatment;
+ Clinics of dietetics: being a nutrition expert or a general practitioner with a certificate of training in dieting;
+ Clinics of cosmetics: being a plastic surgeon or a cosmetological doctors;
+ Clinics of andrology: being an andrological doctor or a general practitioner with a certificate of training in andrology.
b) If wishing to provide healthcare, persons other than the chief physicians of a specialized clinic working in the specialized clinic must have a practicing certificate and be assigned in accordance with the practice scope specified in such practicing certificate.

Accordingly, in addition to satisfying the conditions for issuing operation licenses to health facilities, internal medicine clinics must also meet the requirements for issuing operation licenses to specialized clinics as follows:

- Facilities:

+ If any operation is conducted, including implanting operation, acupuncture, massage, or acupressure, the operation room must be located in a separate area. The area of the operation room must be sufficient for performing specialized techniques.

+ If the specialized clinic conducts both upper and lower gastro-endoscopic techniques, it must have 02 separate rooms.

+ There must be a biochemistry department for diagnosing and treating occupational diseases.

- Medical devices: Have anti-shock first aid kits and sufficient specialized emergency drugs.

- Personnel:

+ Any chief physician of an internal medicine clinic shall satisfy the following requirements:

++ Being a doctor with a practicing certificate suitable for at least one of the specialties registered by the clinic.

++ Having worked as a healthcare practitioner in such specialty for at least 54 months.

- If wishing to provide healthcare, persons other than the chief physicians of an internal medicine clinic working in the internal medicine clinic must have a practicing certificate and be assigned in accordance with the practice scope specified in such practicing certificate.

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