What is current price of health insurance hospital bed services in Vietnam?

What is current price of health insurance hospital bed services in Vietnam?

Pursuant to Appendix 2 Bed-day service prices issued together with Circular 22/2023/TT-BYT stipulating health insurance bed-day service prices as follows:

Note: Inpatient bed day price does not include the cost of ventilators and medical gas in Vietnam.

What is current price of health insurance hospital bed services in Vietnam? (Image from the Internet)

What are direct costs included in the bed-day service price of health insurance in Vietnam?

Pursuant to Clause 2, Article 3 of Circular 22/2023/TT-BYT regulating price structure of health insurance medical examination and treatment services as follows:

Price structure of medical examination and treatment services covered by health insurance

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2. Direct costs included in the bed day service price:

a) Costs for clothes, hats, masks, blankets, sheets, pillows, mattresses, curtains, mats; stationery; gloves used for examination, injection, infusion, cotton, bandages, alcohol, gauze, saline and other consumables for daily care and treatment (including costs for changing wound dressings or surgical incisions for inpatients, except for cases paid in addition to the bed-day service price specified in Clauses 5 and 6, Article 7 of this Circular); electrodes, ECG cables, blood pressure measuring tape, SPO2 cables during the use of patient monitors for emergency and intensive care beds.

b) The costs specified in Points b and c, Clause 1 of this Article serve the care and treatment of patients according to professional requirements.

c) Particularly for costs of drugs, whole blood, standard blood products, infusion fluids, and medical equipment (in addition to the supplies mentioned above); syringes, needles, and medicine needles used for injection and infusion; feeding pump; Infusion lines, connecting tubes, electric injection pump connecting lines, infusion machines used for injection and infusion; Oxygen gas, oxygen breathing circuit, oxygen breathing mask (except in cases where the patient is prescribed to use a ventilator) are not included in the bed-day service price structure, and are paid according to actual use for the patient.

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Thus, direct costs included in the daily bed service price of health insurance in Vietnam include:

- Costs for clothes, hats, masks, blankets, sheets, pillows, mattresses, curtains, mats;

- Stationery;

- Gloves used in examinations, injections, infusions, cotton, bandages, alcohol, gauze, saline and other consumables for daily care and treatment (including costs for changing wound dressings or surgical incisions for inpatients, except for cases paid in addition to the bed-day service price)

- Electrodes, electrocardiogram cables, blood pressure measuring tape, SPO2 cables during the use of patient monitors for emergency and intensive care beds.

- Electricity costs; water; fuel; Treatment of household waste, medical waste (solid, liquid);

- Washing, ironing, steaming, drying, washing and sterilizing linen and examination instruments;

- Cleaning costs and ensuring environmental hygiene;

- Supplies and chemicals for disinfection and anti-infection during medical examination:

- Expenses for repairing and maintaining houses, equipment, purchasing and replacing assets, tools and equipment such as:

+ Air conditioning;

+ Computers, printers;

+ Dehumidifier;

+ Fan;

+ Tables, chairs;

+ Beds, wardrobes;

+ Lighting;

+ Other necessary kits and tools during the medical examination process.

- The following costs are not included in the bed-day service price structure and are paid according to actual use for the patient:

+ Expenses for drugs, whole blood, standard blood products, infusion fluids, and medical equipment (in addition to the supplies mentioned above);

+ Syringes, needles, and medicine needles used for injection and infusion;

+ Feeding pump;

+ Infusion lines, connecting tubes, connecting wires for electric syringe pumps, infusion machines used for injection and infusion;

+ Oxygen gas, oxygen breathing tube, oxygen breathing mask (except in cases where the patient is prescribed to use a ventilator)

In what cases are Intensive Care (ICU) treatment bed-day service prices applied in Vietnam?

Pursuant to Clause 5, Article 6 of Circular 22/2023/TT-BYT stipulating that bed-day service prices for Intensive Care (ICU) treatment are only applied in the following cases:

- For special class, class 1 or class 2 hospitals that have established an Intensive Care Department, poison control department or center, Intensive Care - Poison Control Department and other departments and centers that have all the following conditions: conditions to operate according to Decision 01/2008/QD-BYT.

- In the case of the Emergency Department, Anesthesiology and Resuscitation Department, Pediatrics Department, Neonatology Department, and Infectious Diseases Department, a separate area or emergency room is arranged (with an intensive care bed or post-operative hospital bed for surgeries) meets the following requirements for facilities, equipment, and human resources:

+ There is enough equipment, medicine, means of communication, and emergency transportation to serve emergency work.

+ There is a team of doctors and nurses trained in specialized emergency services outside the hospital.

+ Have professional books and medical records to record the patient's progress during the emergency and transportation process;

+ There are documents guiding diagnosis and emergency treatment;

+ There is an administrative map of the area, a traffic map of the area (GPS global positioning system if available).

- Patients lying in these beds with diseases must be cared for, treated and monitored according to emergency regulations, intensive resuscitation and anti-poisoning.

- In the remaining cases, only the daily service price for emergency resuscitation beds and other bed types as prescribed will be applied.

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