Lack of in-depth cooperation
According to the Commission of Culture and Social Affairs, the Ha Noi Department of Health in cooperation with Ha Noi Social Insurance organize many workshops and training sessions to launch and popularize the Law on amending, supplementing some articles of Law on Health Insurance and documents guiding implementation of the law among medical establishments.
The two authorities also organize meetings with the medical establishments quarterly in order to help them ease difficulties and solve problems; finalize measures to ensure the rights of patients who have heath insurance, and sum up payment for medical examination and treatment services according to health insurance regime.
According to Director of Ha Noi Health Insurance Nguyen Duc Hoa, since the beginning of 2018, the municipal Health Insurance has organized three workshops to assess the use of health insurance fund, and connected with 150 health establishments including central hospitals, city-level hospitals and district-level hospitals in Ha Noi. The authority has also coordinated with Department of Health to hold training sessions for medical workers, help them understand the Law on Health Insurance and documents guiding implementation of the law thoroughly; assigns officials to explain the Law on Health Insurance to the patients.
The members of Commission of Culture and Social Affairs under the Municipal People’s Council pointed out a problem: lack of in-depth popularization in both social insurance sector and health sector. As a result, popularization of health insurance law is limited; some health establishments do not pay sufficient attention to the popularization. A lot of health insurance cards with incorrect information are detected during the process of registration; expired cards, invalid cards are still being used, and not withdrawn yet. Payment process is improved, yet there are still difficulties as the expenses exceeded health insurance fund and affect revenue of the health establishments. Some health establishments do not strictly follow regulations of reviewing description, technical services and medical supplies, and do not integrate test results according to Decision 316/QD-TTg dated February 27, 2016 of the Prime Minister. There is an insufficient number of inspectors in the field of healthcare services; each establishment has only three inspectors, so it is difficult to conduct specialized inspection in terms of health insurance.
Due to the lack of IT officers and incomprehensive application of information technology in hospitals, Ha Noi is facing difficulties in management, Deputy Head of Municipal People's Council's Commission of Culture and Social Affairs Hoang Thi Tu Anh emphasized.
More effort required to increase the popularization
According to Director of the Department of Health Nguyen Khac Hien, information technology is not applied comprehensively in hospitals. Some medical establishments face difficulty due to the lack of IT officers, which make them fail to increase the use of information technology in health examination and treatment. Payment process is improved, yet there are still shortcomings in reviewing and realizing health insurance regime because of unequal qualification levels of the officers.
Therefore, the health sector of Ha Noi will increase education and training, and improve qualification of the officers; the social insurance sector will enhance popularization of new regulations on health check-up and treatment for health beneficiaries.
According to Head of Culture and Social Affairs under Ha Noi People’s Council Tran The Cuong, the Municipal People’s Committee shall give instruction to complete the medical establishment management software soon; it will help ensuring transparency, preventing illegal, improper use of health insurance funds and protecting the rights of health insurance beneficiaries.
First of all, the medical facilities that already apply information technology in managing health insurance data shall forward the data to social insurance agency daily. The Ha Noi health insurance sector shall cooperate with agencies at all levels and sectors to enhance popularization, encourage the people to buy health insurance, further promote the administration reform, simplify the procedures, tighten control over costs of health care services with health insurance in order to minimize errors and shortcomings during the issuance of heath insurance cards. Inspection and examination shall be increased, and violations shall be punished severely, Tran The Cuong emphasized.