A department leader in Quang Nam talked about the case of a person suffering from 4 diseases, having to get confirmation of 1 disease to enjoy the policy in Resolution 29 of this province.
Patients in Quang Nam have to travel hundreds of kilometers to get a medical certificate, even though many medical records clearly state it – Photo: TRUONG TRUNG
Staff handling machine procedures
Regarding the implementation of Resolution 29 of Quang Nam province, Ms. Doan Thi Hoai Nhi, Deputy Director of the Department of Labor, War Invalids and Social Affairs of Quang Nam province, had an exchange with Tuoi Tre Online .
According to Ms. Nhi, Quang Nam province's issuance of Resolution 29 is a practical policy to support vulnerable groups, especially those with serious illnesses.
Resolution 29 replaces the previous Resolution 43. In particular, the types of diseases and regulations on procedures for enjoying policies of Resolution 29 have changed compared to before to suit the local budget situation.
Regarding the process of implementing social assistance records, Ms. Nhi said that before issuing the appendix, the department consulted with relevant departments and units to be more strict, in order to avoid the situation of "policy running".
"When drafting legal documents, the department does not spontaneously create appendices but has instructions and consults with specialized units and local authorities," said Ms. Nhi.
Regarding the case of a patient suffering from up to 4 diseases but the locality still requires a certificate stating only 1 disease, Ms. Nhi said that "there is also a situation at the commune level where people do things too mechanically".
"The locality requires people to have their medical records recorded exactly as the resolution says, but we also find it cumbersome and rigid," said Ms. Nhi.
Ms. Ha Thi Sau had to go to the hospital many times to get confirmation, because the medical record stated "Heart valve replacement surgery (mitral valve replacement, tricuspid valve repair)" but the local authorities required it to be recorded as "Heart valve replacement surgery" - Photo: TRUONG TRUNG
Reviewing for adjustment
According to Tuoi Tre Online 's investigation, in recent days, there have been patients who have had to travel hundreds of kilometers to hospitals to get a certificate confirming the correct illness listed in the resolution.
Many patients go to hospitals in Quang Nam and Da Nang to get confirmation papers in time to complete their policy applications.
Ms. Nhi said that the implementation of the resolution also depends on the capacity of officials at the grassroots level to resolve the case.
"The reason people have to go back and forth many times to adjust the disease name is because the commune and ward officials have not guided people carefully," said Ms. Nhi.
However, she also suggested that people need to find out whether their medical condition qualifies them for the policy or not.
Avoid running back and forth many times to legalize documents, it will only make you suffer.
The leader of the Department of Labor, War Invalids and Social Affairs of Quang Nam province said that he is synthesizing problems related to some diseases with similar names to the disease names in the resolution's list to report to higher-level agencies for consideration and comments.
"When applied in practice, the new resolution inevitably has problems that need to be adjusted," said Ms. Nhi.
Unreasonable request makes Quang Nam patients miserable
Over the past few days, hundreds of people in Quang Nam have had to travel hundreds of kilometers to hospitals in and outside the province to get confirmation papers to qualify for policies under the resolution. In many districts and towns, officials have required medical records to be recorded exactly as the names in the resolution, causing confusion for people and hospitals.
– If the medical record states “Heart valve replacement surgery (mitral valve replacement, tricuspid valve repair)”, the locality requires “Heart valve replacement surgery”.
– If the medical record says “chronic renal failure”, the locality requires “kidney failure”.
– The medical record records 4 diseases "high blood pressure, kidney failure, old cerebral infarction, bronchitis", but the locality requires only "kidney failure".
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