THE PRIME MINISTER
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SOCIALIST REPUBLIC OF VIET NAM
Independence - Freedom - Happiness
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No. 30/2008/QD-TTg
Hanoi, February 22, 2008
 
DECISION
APPROVING THE PLANNING ON HEALTHCARE NETWORK DEVELOPMENT TILL 2010 WITH A VISION TO 2020
THE PRIME MINISTER
Pursuant to the December 25, 2001 Law on Organization of the Government;
Pursuant to the Government s Decree No. 188/2007/ND-CP of December 27, 2007, defining the functions, tasks, powers and organizational Structure of the Ministry of Health:
Pursuant to the Governments Decree No. 92/2006/ND-CP of September 7. 2006. on the formulation, approval and management of socio-economic development master plans, and Decree No. 04/2008/ND-CP of January 11. 2008, amending and supplementing a number of articles of Decree No. 92/2006/ND-CP;
Pursuant to the Prime Ministers Decision No. 153/2006/OD-TTg of June 30, 2006. approving the master plan on development of Vietnams healthcare system till 2010 with a vision to 2020;
At the proposal of the Minister of Health,
DECIDES:
Article 1. To approve the planning on healthcare network development till 2010 with a vision to 2020, with the following principal contents:
1. Planning objectives
a/ General objectives
To build and develop a healthcare network suitable to national socio-economic development conditions, raise the quality of healthcare services on par with those of regional advanced countries.meeting peoples healthcare needs towards equality, efficiency and development.
b/ Specific objectives
- By 2010, there will be at least 20.5 hospital beds (including two private ones), and by 2020, 25 hospital beds (including five private ones) per 10,000 people;
- By 2010, at least 80% of healthcare establishments will be able to apply techniques on the Health Ministrys list of classified technical levels;
- By 2010. more than 80%. and by 2020,100% of hospitals will have waste treatment systems adhering to the Health Ministrys regulations:
- By 2010. all healthcare establishments must control by themselves the quality of healthcare services according to the Health Ministrys regulations. By 2015. the quality of healthcare services must be regularly inspected at all healthcare establishments:
- By 2020, to complete the relocation of infectious disease hospitals to appropriate places:
- By 2015, all provinces and centrally run cities will have traditional medicine hospitals; by 2020. all of them will have functional rehabilitation hospitals.
2. Planning viewpoints
a/ To ensure the systematic and continuous professional operation at each level and among different levels. To develop in a balanced and rational manner general and specialized hospitals, develop general medicine in combination with specialized medicine and modem medicine with traditional medicine.
b/ Centrally run cities and provinces having grade-I urban centers shall concentrate investment in hospitals under the Ministry of Health and final-line hospitals; delta provinces and provinces having grade-Il and - III urban centers shall concentrate investment in provincial-level hospitals: mountainous, deep-lying and remote provinces shall concentrate investment in both provincial- and district-level hospitals, ensuring peoples access to healthcare services.
c/To arrange the healthcare network based on population clusters and medical-technical professional levels. The size of each hospital must suit the population size in the locality.
d/ To step by step transfer hospitals currently managed by other branches to provinces or centrally run cities or dissolve those hospitals if they are unnecessary or inefficient: to transform the health sectors convalescence-functional rehabilitation establishments into functional rehabilitation hospitals.
e/ To prioritize the training and development of human resources in the health sector: to renew hospital management mechanisms and modes with a view to raising healthcare quality.
3. Planning contents
a/To organize the healthcare network
- According to medical-technical professional levels:
+ Level 1: hospitals in provincial districts, towns and cities (collectively referred to as district hospitals) and health stations in communes, wards or townships (collectively referred to as commune health stations):
+ Level 2: general and specialized hospitals in provinces or cities; and regional general hospitals (collectively referred to as provincial hospitals);
+ Level 3: general and specialized hospitals under the Ministry of Health and a number of hospitals in provinces and centrally run cities as listed by the Ministry of Health.
- According to administrative levels:
+ Hospitals under the Ministry of Health:
+ Provincial hospitals;
+ Hospitals under health agencies managed by other branches.
b/ To develop specialized medical-technical operations
- To concentrate investment in four specialized health centers in Hanoi. Hue-Da Nang, Ho Chi Minh City and Can Tho;
- To concentrate on building 10 general hospitals under provinces, centrally run cities or the Ministry of Health, which will function as regional hospitals.
c/ To develop specialized hospitals based on healthcare needs, population structure, disease patterns and socio-economic conditions.
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