Proposal to open health insurance examination and treatment lines for children under 18 years old with type 1 diabetes

On the afternoon of April 4, in Hanoi , the Vietnam Pediatric Association in collaboration with the Embassy of Denmark in Vietnam and the National Children's Hospital held a meeting to review the activities of the Living with Type 1 Diabetes (CDiC) Project in 2024 and propose initiatives for 2025.

Associate Professor, Dr. Tran Minh Dien - President of the Vietnam Pediatric Association, Director of the National Children's Hospital said that there are still challenges in implementing living with type 1 diabetes.

Associate Professor, Dr. Tran Minh Dien - President of the Vietnam Pediatric Association, Director of the National Children's Hospital said that type 1 diabetes, also known as insulin-dependent diabetes, occurs in the age group from newborns to any age group and at any time. However, sometimes there are cases when the disease is detected in a state of coma, acidosis, and life-threatening risk.

The etiology of type 1 diabetes involves multiple factors including genetic susceptibility, environmental factors, the immune system, and β cells; however, the specific roles of these factors are unclear.

Patients with type 1 diabetes need to be treated with insulin initially in the hospital, then a stable dose will be treated at home. With this disease, the main focus is on monitoring the patient, appropriate treatment to minimize complications.

Associate Professor, Dr. Tran Minh Dien said that the CDiC program - Living with type 1 diabetes is a long journey that all parties have built, developed and spread together over many years.

In 2024, the program continued to record positive marks from completing the patient care network, organizingeducational and communication activities, to closer connection between treatment lines and different specialties.

Specifically, over 1,500 medical staff received basic training, 100 medical staff received advanced training in the application of new generation insulin and technology in controlling type 1 diabetes, and established a group of young doctors to develop content to help raise awareness and self-care knowledge for patients and their families with type 1 diabetes.

Dr. Nguyen Trong Khoa - Deputy Director of the Department of Medical Examination and Treatment Management, Ministry of Health spoke.

However, according to Associate Professor, Dr. Tran Minh Dien, there are still challenges ahead such as the lack of an effective patient information management system, the lack of a structured educational program specifically for pediatric patients and their families; and the lack of interdisciplinary care for patients with type 1 diabetes.

Treatment and care for type 1 diabetes patients are currently concentrated in specialized medical facilities and lag behind the trend of diabetes treatment in the world; requiring interdisciplinary coordination between hospitals - doctors - patients - families - schools, communities...

Dr. Nguyen Trong Khoa, Deputy Director of the Department of Medical Examination and Treatment Management, Ministry of Health, highly appreciated the efforts in implementing the project and emphasized the importance of early detection and treatment of type 1 diabetes to avoid serious complications.

Dr. Khoa also suggested that the Vietnam Pediatric Association and the National Children's Hospital strengthen training in the diagnosis, treatment and management of type 1 diabetes for pediatricians. Expand the network of trained hospitals and treating doctors, care teams and interventions for children with type 1 diabetes...

During the period 2026-2029, the Vietnam Pediatric Association and members of the Advisory Board of the Living with Type 1 Diabetes program will focus on innovating management methods, aiming to expand the hospital network from 24 hospitals in 2025 to 34 hospitals in 2026 and to 45 hospitals in 2029, strengthening the role of the grassroots level and especially individualizing care appropriate to each level of disease and local conditions.

Also at the meeting, delegates and project representatives presented some difficulties, challenges and lessons learned when implementing the project, and agreed on future activities. At the same time, many delegates said that most patients with type 1 diabetes are children under 18 years old, so delegates proposed that the authorities consider allowing health insurance coverage for patients with this disease.

Associate Professor, Dr. Phan Huong Duong - Deputy Director of the Central Endocrinology Hospital spoke.

The Living with Type 1 Diabetes project is a public-private partnership, launched in 2009 with 30 participating countries.

In Vietnam, the Vietnam Pediatric Association and the Danish Embassy are the project's implementing agencies, with the witness of the Ministry of Health, Vietnam Social Security and strong support from Novo Nordisk and Roche Vietnam.

The program aims to provide comprehensive care for children and adolescents with type 1 diabetes living in countries with limited resources.

suckhoedoisong.vn

Source: https://baolaocai.vn/de-xuat-thong-tuyen-kham-chua-benh-bhyt-voi-tre-duoi-18-tuoi-mac-dai-thao-duong-tuyp-1-post399753.html