BS.CKII Nguyen Van Gam - Director of Hiep Phuoc Commune Health Station, Ho Chi Minh City - said that every morning a medical team can examine 5-6 households, equivalent to 9-10 people. The priority subjects are people aged 60 and over, people with chronic diseases and people with difficulty walking.
According to Dr. Gam, the station has now established 7 teams, in charge of many residential areas, contributing to bringing medical services closer to the people.
At Mr. Tran Van Lon's house, after checking his health, the doctor discovered that blood pressure, cholesterol and blood sugar were all high levels. Patients were advised to take medication as prescribed, adjust their diet, limit animal organs, increase green vegetables and maintain light exercise to reduce the risk of myocardial infarction.
I am very happy. I have also been examined before, but never before have a doctor come to my house to examine me so thoroughly like this" - Mr. Lon shared.
Not only examining patients, nurses also perform basic tests and update results to the Dr.Care electronic health management software. Data is stored synchronously, helping doctors monitor disease progressions for a long time. When people come to the health station, just scan their citizen ID card and the entire medical record and health index are displayed, supporting effective management, especially for chronic patients.
According to BS.CKII Vo But Thong - Director of Tan Thoi Hiep Ward Health Station, Ho Chi Minh City, the unit has established 5 teams "Continuous health care associated with residential areas", in charge of 75 neighborhoods, with the participation of doctors, nurses, pharmacists and community health collaborators. In the early stages, the model prioritizes serving the elderly, people with chronic diseases, lonely elderly people and cases with limited mobility. The goal is to detect diseases early, manage health continuously in the community, reduce complications, reduce treatment costs and limit the number of hospitalizations.
In more than two months of piloting, the "Continuous Health Care Team Associated with Residential Areas" model has been implemented in 20 communes and wards in Ho Chi Minh City. Health teams go to each household to update health records, screen, counsel, manage chronic diseases and care for the elderly, initially helping to detect diseases early and strengthen continuous health management.
From the effectiveness of the model, the Ho Chi Minh City People's Committee has approved the policy of piloting health insurance medical examination and treatment at home associated with this model, removing previous barriers due to the lack of health insurance payment mechanism. According to the plan, the Ho Chi Minh City Department of Health will coordinate with Ho Chi Minh City Social Insurance to develop appropriate professional procedures, dossiers and health insurance payment mechanisms; select deployment locations, and evaluate effectiveness after 6 months and 12 months of implementation. The Department of Finance will advise on allocating funds for items outside the scope of payment of the Health Insurance Fund such as travel expenses, logistics, supplies and equipment.
People's Committees of communes, wards, and special zones will mobilize residential groups, associations, and community health collaborators to participate, ensuring that medical services reach each household.
