Regulations on autonomy for public medical establishments in Vietnam

Regulations on autonomy for public medical establishments in Vietnam (Internet image)

1. Regulations on autonomy for public medical establishments in Vietnam

According to Article 108 of the Law on Medical Examination and Treatment 2023, Regulations on autonomy for public medical establishments in Vietnam are as follows:

- State medical examination and treatment facilities are guaranteed funds by the State to perform functions and tasks assigned by competent State authorities; are responsible for effectively using financial resources per legal regulations, maximizing potential, and enhancing the quality of medical examination and treatment.

- Autonomous medical examination and treatment facilities have the right to self-determination regarding organization and personnel, perform tasks, develop professional activities, and other activities serving medical examination and treatment as prescribed by the Law on Medical Examination and Treatment 2023 and other relevant legal provisions.

- Medical examination and treatment facilities are financially autonomous according to legal regulations, including:

+ Deciding the content and level of charges for services and goods related to medical examination and treatment activities, serving patients and their relatives according to legal regulations, except for services and goods priced by the State;

+ Deciding the use of lawful revenues to invest in projects for medical examination and treatment activities as prescribed by law;

+ Deciding on the expenditure content and expenditure levels from revenues of medical services and non-business revenues, ordering funds according to the internal expenditure regulations of the medical facility in line with legal regulations and the financial capacity of the facility;

+ Using public assets per legal regulations to develop medical examination and treatment activities based on principles of conservation and development; receiving, managing, exploiting, and using assets given or donated by organizations and individuals transparently without binding interests between parties to serve medical examination and treatment;

+ State medical examination and treatment facilities that ensure investment and regular expenditure can decide on the prices of medical examination and treatment services but not exceeding those stipulated by the Minister of Health, except for requested medical services and those formed from public-private partnership activities as per Clauses 7 and 9, Article 110 of the Law on Medical Examination and Treatment 2023.

2. Regulations on social involvement in healthcare in Vietnam

Regulations on social involvement in healthcare in Vietnam according to Article 109 of the Law on Medical Examination and Treatment 2023 are as follows:

- Organizations, families, and individuals are responsible for self-care, early disease detection for members within the organization, family, and oneself; participate in first aid and support to resolve accidents and injuries in the community; and participate in medical examination and treatment activities upon the mobilization of competent authorities.

- The State diversifies types of medical examination and treatment services; organizations and individuals participating in establishing medical examination and treatment facilities enjoy preferential policies according to the law on private investment ensuring principles of transparency, equality, sustainability, efficiency, and harmonized benefits between the State, investors, patients, and the community; encourages private medical examination and treatment facilities to practice humanitarian non-profit medical services; and encourages the establishment of support funds for medical examination and treatment.

- Forms of attracting social resources in medical examination and treatment activities include:

+ Investment in establishing private medical examination and treatment facilities;

+ Investment through public-private partnership to establish medical examination and treatment facilities;

+ Borrowing capital to invest in infrastructure projects and medical equipment;

+ Leasing and leasing out assets, clinical services, auxiliary clinical services, non-medical services, pharmacy services, managing and operating medical examination and treatment facilities;

+ Purchasing on deferred and installment payments; leasing, borrowing medical equipment;

+ Funding and aid from domestic and foreign organizations and individuals;

+ Other forms per legal regulations on the management and use of public assets and other relevant legal provisions.

- The implementation of attracting social resources in medical examination and treatment activities for State medical examination and treatment facilities is conducted according to legal regulations.

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