The fact that many hospitals across the country, such as Hue Central Hospital, have built facility 2 more than 10 years ago, or the two Central hospitals - Bach Mai and Viet Duc, facility 2 - are preparing to come into operation, Tu Du Hospital, facility 2 officially opened in Can Gio... is the reality of this goal.
However, for the modernization of healthcare at facilities to truly bring efficiency, facilities must be synchronous with human resources, capacity and management thinking.
In reality, in addition to central and provincial hospitals that have been invested in synchronously in all aspects, there are still many medical facilities operating in a state of equipment shortage, financial autonomy, passive human resources, heavy administrative management models, etc.
Therefore, along with investing in facilities, it is also necessary to give autonomy and self-responsibility to medical facilities, allow them to mobilize social resources, sign health service contracts, participate in flexible health insurance according to output results, such as vaccination rate, chronic disease management, elderly health care at home, etc.
Another problem in modernizing grassroots health care is bringing modern machinery to wards and communes in parallel with bringing the team of good machine operators and doctors closer to the people.
How to make each citizen have an electronic health record that is continuously monitored, consulted periodically, cared for at home and connected online to the upper level when needed to reduce hospital burden, change habits from having a new disease to proactively preventing diseases.
Digital transformation in grassroots health care needs to be implemented synchronously so that the national health database can be connected from commune health stations to central hospitals, unify disease codes, electronic medical examination and treatment records, connect insurance and vaccination.
Finally, one of the important factors for a person to decide whether to accept or not a grassroots health system, sometimes right at the edge of their home, is the culture of service and solidarity.
Each commune and ward health station, in addition to the initial medical examination and treatment factor, needs to aim at community goals such as disseminating nutritional knowledge, mental health, physical exercise, disease prevention, etc. There, doctors are not only the treating person but also the true "companion" of the people.
