On May 24, a representative of the Department of Health of Ho Chi Minh City said that the Board of Directors of Thu Duc City Hospital had reported and clarified information that patients with health insurance cards still had to go out to buy medicine at this hospital.
According to the report, right after the quarantine period because of the COVID-19 epidemic, the number of patients with health insurance cards coming to this hospital for examination and treatment increased from 80% to more than 100% compared to the outbreak period.
Specifically, in August 2021, outpatient health insurance patients were only about 28,048 visits, by April 2022 this number had increased to 75,459 visits.
Meanwhile, the drug procurement package for 2020-2021 of Thu Duc City Hospital ended on December 29, 2021. At this time, the situation of drug supply to the hospital faced some difficulties such as the number of patients coming to the hospital for examination increased rapidly in early 2022, making some drug products not enough; Translate COVID-19 lasting in 2021 – 2022, affecting the hospital’s drug procurement order; some companies do not supply enough according to the needs of the hospital.
In order to overcome the above difficulties, during the process of public drug bidding in 2022, the Hospital’s Board of Directors actively supplemented the source of drugs for medical examination and treatment by direct procurement until the end of the year. with bidding results in 2022.
By April 14, 2022, the hospital had additional bidding results in the form of direct procurement, ensuring adequate supply of drugs to meet treatment needs, ensuring that patients with health insurance cards do not have to buy drugs. external drugs for drugs on the list of drugs covered by health insurance.
The Ho Chi Minh City Department of Health has suggested that the directors of medical examination and treatment facilities need to learn from common experiences. Requesting units to actively review and deploy the procurement of drugs and medical supplies in accordance with regulations, ensuring sufficient quantities and timely so as not to affect the legitimate interests of the insured. .
As reflected by Ms. TH (living in Tang Nhon Phu B ward, Thu Duc city), from December 2021, her family members received cancer treatment at Thu Duc City Hospital, which is also the place to register for medical examination and treatment with initial health insurance. .
The doctor carried out the first round of chemotherapy with a prescription of 5 drugs, but Thu Duc City Hospital only had 1 type. The rest of the drugs have to be bought outside at private pharmacies in the area of Ho Chi Minh City Oncology Hospital.
Ms. H. reported the incident to the Hospital’s Board of Directors and explained it was due to difficulty in supply. Hospital leaders expect the patient’s understanding or, if necessary, will create all conditions for the patient to be transferred to a higher level.
Previously, kidney transplant patients with health insurance reflected that Cho Ray Hospital ran out of immunosuppressive drugs – to prevent transplant rejection, they had to go out to buy and pay for themselves. The drugs include Advagraf 5 mg and Advagraf 1 mg; Advagraf 0.5 mg; Cellcept 500 mg.
These are expensive drugs, costing from a few tens to several hundred thousand dong/tablet, under the health insurance list. These drugs are on the national bidding list, but prices have not been negotiated and have been delivered to the bidding hospitals, however, they are still not available to patients in time.
On May 6, Cho Ray Hospital said it had overcome the shortage of drugs and ensured the supply for patients with health insurance. The reason for the shortage of drugs is believed to be the delay in price negotiation when implementing the national centralized bidding for drugs.
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