Merging provinces and cities, will hospitals merge?

sáp nhập - Ảnh 1. — People do procedures for health insurance at a hospital in Ho Chi Minh City - Photo: DUYEN PHAN

Sending questions to Tuoi Tre Online, many readers wonder if the merger of provinces and cities will affect the rights to medical examination and treatment.

Merging health departments

Currently, the whole country has nearly 13,000 health insurance medical examination and treatment facilities (including about 2,897 medical examination and treatment facilities and nearly 10,000 commune health stations).

According to the guidance on the arrangement and reorganization of medical facilities at administrative units at all levels, implementing the 2-level local government organization model just issued by the Ministry of Health, the arrangement and reorganization plan will be implemented as follows:

For provinces and cities after the arrangement and merger, a health department will be established under the provincial People's Committee after the arrangement, on the basis of merging the existing health departments of the provinces and cities before the arrangement.

The Ministry of Health provides guidance based on the review and assessment of the functions, tasks, powers and operational efficiency of existing public service units under the Department of Health before the arrangement. After the arrangement, the director of the provincial or municipal health department shall advise and submit to the provincial People's Committee to decide to maintain, dissolve or reorganize (merge, separate or adjust the name, adjust the functions and tasks) of public service units under the Department of Health.

Basically keep the medical examination and treatment facilities intact

The principle of this arrangement is to ensure the maintenance and uninterrupted provision of basic and essential services in areas under the state management of the local health sector.

In which, basically maintain and keep the existing medical examination and treatment facilities (general, specialized, regional) and social protection and social assistance facilities, which are public service units under the Department of Health after the arrangement.

Maintaining medical examination and treatment facilities aims to maintain the provision of basic or specialized medical examination and treatment services and social assistance services, social work services to meet the needs of local people and social protection beneficiaries.

For other public service units under the Department of Health (such as centers for disease control, medical examination, forensics or testing of cosmetics, drugs, food, etc.), the Director of the Department of Health shall develop a project and submit it to the Provincial People's Committee to implement the merger of units with the same name, functions, tasks, and powers to establish new units under the Department of Health of the provinces and cities after the arrangement.

According to the Ministry of Health, depending on population size, geographical characteristics, and scope of operations, each of these new public service units may have multiple operating facilities, but must clearly define tasks, powers, scope of operations, and coordination mechanisms.

Ensure that there is no overlap in functions, tasks, and scope between the facilities of that public service unit.

With the existing district, county, town and city medical centers, it is necessary to arrange and reorganize them into regional medical centers, which are public service units directly under the Department of Health.

For provinces and cities that do not carry out mergers and reorganizations, the Ministry of Health provides basic instructions on maintaining and preserving existing provincial and municipal medical facilities.

Existing district, county, town and city medical centers need to be reorganized into regional medical centers.

Based on the review and assessment of the functions, tasks and performance of existing public service units, the director of the health department shall develop a project to arrange, reorganize, merge and dissolve ineffective units, units that no longer have functions or tasks or overlap with the functions and tasks of other service units.

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Source: https://tuoitre.vn/sap-nhap-tinh-thanh-benh-vien-co-sap-nhap-2025041516054267.htm