In Quang Nam, medical facilities such as Thang Binh District Health Center, Quang Nam Provincial Traditional Medicine Hospital, Dong Giang District Health Center and Hiep Duc District Health Center... are proposing to stop or adjust and collect narrow financial autonomy .
The reason is that after becoming autonomous, these medical facilities encountered difficulties in business operations (the number of patient visits for examination and treatment decreased sharply), revenues were not enough to cover expenses, leading to debt, especially for Prolonged employee salary debt. This has caused many doctors to quit or change jobs to make a living.
The situation of "business" losses leading to debt after self-reliance not only occurs in Quang Nam but is also a common problem in many other localities across the country. The provinces of Ninh Binh , Ha Tinh, Quang Binh... have continuously appeared in the press recently with similar stories.
There are many things worth discussing about medical facilities, including central hospitals, facing financial difficulties after becoming autonomous.
First of all, measuring results using an autonomous mechanism has shown that the majority of public health facilities still cannot compete with private health facilities. It is understandable considering the different conditions between these two types.
Furthermore, public health autonomy is currently in a state of confusion, revealing many inadequacies. The hottest issue is that private hospitals, when they are autonomous, have the right to decide on hospital fees, while autonomous public hospitals have not been given this right, leading to financial and personnel difficulties.
It is necessary for a serious assessment of public health autonomy policy from competent central agencies to find a solution to the problem of "the more autonomy, the more debt" at medical facilities.
The spirit of Vietnamese healthcare has long been that wherever there are patients, there must be medical facilities and a team of doctors. However, the medical team cannot focus on medical examination and treatment when they are always worried about when they will get paid!
