Vietnam: Da Nang Province: No Doctors in Communes

I took a look at my map for Da Nang Province. I only had one entry.

Dengue
4/26

"In the first four months of the year, Da Nang had 700 cases of dengue fever, increased 21 times over the same period in 2009. More dangerous, many cases when tests showed reduced platelet large percentage but no clinical symptoms, making patients and physicians have difficulty in determining disease

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Excerpt:
Unsolvable situation the doctor refused to communes
14:40, 20/05/2010 (GMT +7)
(DNDT) - Bad doctors slowdown in online health service communes from many reasons: there is no professional development environment, there is no reasonable remuneration ... This situation involves Implications worth a desk, as the new Health Insurance Law, then the patient will be disadvantaged.

Doctor refused on the basis

In a meeting between city leaders for the health sector last week, no problem doctors clinics in 32 communes in the province of Da Nang has been set to discuss. At this point, absolutely no doctor for medical work, very difficult for patients in the region.

There are clinics like communes of Hoa Vang Hoa Tien, Hoa Chau ... like a miniature hospital, by a majority of patients in the region are looking to explore here, but there were no doctors. Most districts of Da Nang also meet any state has at least two commune health stations, ward no doctor service.

To strengthen medical, health sector has to follow the scheme of Ministry of Health 1816 (appointed professional staff rotate from hospitals to support hospitals to improve the quality of medical care) . Da Nang Health Department has implemented the provisions on "secondment" of online physician districts down to the commune health stations and wards.

However, there are many inadequacies occur in the process of implementing this provision. While online health districts also were met with lack of medical doctors to treat patients, then the transfer of health supplements for communes in which the center is difficult. Not to mention, the transfer also lacks practical rotation in place, doctors still examination and treatment in hospitals of districts in the morning, afternoon to visit the new station down, while patients are always looking to the doctor in the morning.

Another problem, the transfer of specialist stations to become a physician community, the general should examine patients can not be effective. A doctor who specializes in surgery can not be examined, the treatment of skin diseases, diseases of women, children ... not to mention disease, a doctor down the station not only concurrent examination, but must also "embrace digital areas such as food safety, vaccination, disease prevention propaganda ... that the doctors on this route when bored underground.
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But, according to Pham Hung Chien, Director, Department of Health thah Danang, after months on the policy was announced, only a doctor registered with the health of communes, wards. "Even online district doctors still missing, missing up to 74 online doctor for the district, so the team doctor of communes is obviously extremely difficult," Mr Chien said.
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