On April 15, according to information from the Ministry of Health , Minister of Health Dao Hong Lan signed an official dispatch to the People's Committees of provinces and centrally-run cities on guidelines for the arrangement and reorganization of medical facilities at administrative units at all levels, implementing the 2-level local government organization model.
Accordingly, the plan to arrange and reorganize medical facilities at the provincial and municipal levels under the Central Government will be implemented in the provinces and cities after the arrangement and merger to establish health departments under the People's Committees of the provincial and municipal levels under the Central Government after the arrangement, on the basis of merging the existing health departments of the provinces and cities before the arrangement.
Establishment of Department of Health under the Provincial People's Committee
Currently, the country has nearly 13,000 health insurance examination and treatment facilities (including about 2,897 medical examination and treatment facilities and nearly 10,000 commune health stations). The health insurance examination and treatment system is organized from the central to local levels, including both public and non-public facilities, helping people easily access and use health insurance examination and treatment services.
According to the guidance of the Ministry of Health, the new Department of Health is a specialized agency under the People's Committee of the province or city after the arrangement.
The functions, tasks and powers of the Department of Health of provinces and cities shall be implemented according to the provisions of Circular 37/2021/TT-BYT dated December 31, 2021 of the Ministry of Health guiding the functions, tasks and powers of the Department of Health under the People's Committees of provinces and centrally run cities and the tasks of social protection, prevention and control of social evils and children of the Department of Labor - Invalids and Social Affairs previously according to the provisions of Circular 11/2021/TT-BLDTBXH dated September 30, 2021 of the Ministry of Labor - Invalids and Social Affairs guiding the functions, tasks and powers of the Department of Labor - Invalids and Social Affairs under the People's Committees of provinces and centrally run cities.
The Ministry of Health said that it will issue a Circular guiding the functions, tasks and powers of the health departments of provinces and cities to replace Circular 37/2021/TT-BYT dated December 31, 2021 of the Ministry of Health and Circular 11/2021/TT-BLDTBXH dated September 30, 2021 of the Ministry of Labor, War Invalids and Social Affairs .
Based on the assigned functions, tasks and powers of the health department, the Director of the health department of the province or city shall develop a Project and submit it to the People's Committee of the province or city for decision on the organizational structure of the health department (departments and branches under the health department) in accordance with the management requirements for the fields under the state management of the health department in the locality and ensure the criteria specified in Decree 45/2025/ND-CP of the Government regulating the organization of specialized agencies under the People's Committees of provinces and centrally run cities and the People's Committees of districts, towns and cities under provinces and centrally run cities.
Arrangement of public health service units
Based on the review and assessment of the functions, tasks, powers and operational efficiency of the existing public service units under the Department of Health before the arrangement, the directors of the provincial and municipal health departments after the arrangement shall advise and submit to the People's Committees of the provinces and cities to decide to maintain, dissolve or reorganize (merge, divide, separate or adjust the names, functions and tasks) the public service units under the Department of Health, according to the principle of ensuring the maintenance and uninterrupted provision of basic and essential services in the fields under the state management of the health sector in the locality.
Public service units under the provincial and municipal health departments basically maintain and keep the existing medical examination and treatment facilities (general, specialized, regional) and social protection and social assistance facilities. These are public service units under the provincial and municipal health departments after being rearranged 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 (Center for Disease Control, Center for Medical Examination, Center for Forensic Medicine, Center for Testing Drugs, Cosmetics, Food, etc.); Directors of the Department of Health of provinces and cities shall develop a Project and submit it to the People's Committees of provinces and cities to implement the merger of public service units with the same name, functions, tasks, and powers to establish new public service units under the Department of Health of the provinces and cities after the arrangement.
Depending on population size, geographical characteristics, and scope of operations, each of these new public service units may have multiple operating facilities, but the tasks, powers, scope of operations, and coordination mechanisms of these facilities must be clearly defined, ensuring that there is no overlap in functions, tasks, and scope of operations between the facilities of that public service unit.
Arrange and reorganize District, County and Town Health Centers
According to the guidance of the Ministry of Health, the existing district, county, town and city health centers will be arranged and reorganized into regional health centers, which are public service units under the health departments of the provinces and cities after the arrangement.
In the process of arranging and reorganizing public service units under the Department of Health, the Directors of the Department of Health of provinces and cities must review and evaluate the performance of existing public service units (especially specialized hospitals, medical examination centers, forensic centers, social protection facilities, district-level medical centers, etc.) and carry out the merger and dissolution of public service units that are ineffective, no longer have functions or tasks, or overlap with the functions and tasks of other service units.
For provinces and cities that do not carry out mergers and reorganizations: Basically maintain and keep the existing provincial and city-level medical facilities intact. Reorganize the existing district, county, town and city-level medical centers into regional medical centers, which are public service units under the Department of Health of provinces and cities.
Based on the review and assessment of the functions, tasks and operational efficiency of existing public service units (especially specialized hospitals, medical examination centers, forensic centers, social protection facilities, district-level medical centers, etc.), the Directors of the Department of Health of provinces and cities develop a Project to arrange, reorganize, merge and dissolve public service units that are operating ineffectively, no longer have functions or tasks or overlap with the functions and tasks of other service units./.
Source: https://www.vietnamplus.vn/to-chuc-lai-cac-co-so-y-te-theo-mo-hinh-chinh-quyen-dia-phuong-2-cap-post1027825.vnp
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