Rate of incorrect diagnosis is very high
In the medical field, the human factor
plays a decisive role. The disease itself is different in each patient. Each
patient is a problem. Doctors must have sufficient knowledge and ability to
detect and resolve problems. Machinery and equipment are only the tools to
help physicians to accomplish that.
From the story of the obstetric sector
Sharing the above point of view, Mr.
Vu Xuan Phu, deputy director of the
"The survival of patients can
only be done if there are qualified and experienced doctors who can make
accurate diagnosis and treatment methods. In the health care system, the
quality of human resources occupies the top position," he stressed.
So, we can say that the human
resources in the medical sector is the "knot of the knots." Health
care is a particular market that is not like any other market because it
relates directly to human life.
The year 2012 witnessed the high
increase of obstetric accidents.
According to statistics of the
Department of Maternal and Children Health, within six months of the year
there are 88 fatal cases. Of these, there are only 28 deaths related to the
available diseases of the mothers and the infants. Up to 60 cases of fatal
accidents in which the mother or both the mother and her child died are due
to events occurring during the labor.
In addition, of the 88 deaths, there
are ten cases occurring at home, 14 on the road to the hospital and the
remaining 64 deaths in hospitals.
Besides the objective factor that
people preferred having babies in the year of the Dragon, which made the
increase of the number of pregnant women, resulting in the rise of
complications; the main reason is the poor expertise of obstetric doctors,
especially those working at hospitals of the district or provincial levels.
Talking to the press, Mr. Nguyen Duy
Khe, head of the Department of Maternal and Children Health, said the human
resources at district and provincial hospitals are both insufficient and
poor, particularly at the district-level hospitals. Khue cited an example
that a doctor who is specialized in internal medicine was assigned as the
head of the obstetric ward of a district-level hospital in
In Nghe An province, many district
hospitals have only one obstetrician and some hospitals do not have a single
pediatric pediatrician.
In that situation, whether the patient
can entrust their health and their lives to such hospitals and such doctors?
Bone cancer diagnosed as arthritis
The story of Mrs. Luyen Thi Tan, 40,
from Lang Giang district, Bac Giang province is typical for describing the
way from district hospitals to central hospitals and it clearly explains why
the people always prefer medical services at central hospitals.
Since early 2011, Tan’s daughter -
Doan Phuong Thao, 9, began feeling arm fatigue when writing. Tan took her
daughter to a private clinic, where she was diagnosed of arthritis. The girl
was treated for a long time but she did not feel better. The child was taken
to the district hospital and she received similar diagnosis.
Thao’s arthritis continued to be
treated but the situation got worse when she could not raise her arms. In
April 2012, more than one year from the day the signs of hand fatigue
appeared, Tan brought her daughter to a big hospital in
Exams and scans showed that the child
suffered from bone cancer. The cancer cells destroyed the bone tube in her
right arm. At that time, she could not move her right arm.
Tan could only cry and wished to turn
back the clock to not waste time treating the wrong disease at the hospitals
of lower levels.
Mrs. Tan's story is perhaps the answer
for why people prefer hospitals of the central level. This fact also
coincides with the survey results of the Institute for Health Strategy and
Policy Research in 2009.
Accordingly, at the
The study also revealed that patients
tended to directly go to central hospitals for treatment, including rich and
poor patients. Up to 73.7 percent of patients in the Hanoi-based
Up to 80 percent of the patients said
they choose the central-level hospitals because they believed in the
expertise of doctors, modern equipment and facilities of these hospitals.
Quality of health workers: red alarm
As the political - economic - cultural
– social center of the country, with 6.6 million people, the requirements for
examination and treatment is heavy but the quality of human resources in the
health sector of
Of the 13,000 health workers in
In the national scope, according to
Mr. Vu Xuan Phu, the latest statistics of the Ministry of Health show that
the number of health workers at the college and intermediate degrees accounts
for two thirds of total medical staff. The number of university-degree staff
makes up one fourth. Only about 2 percent of staff have master's degrees and
0.5 percent with the Ph.D. level.
The late March 2013 mission of the
Personnel and Organization Department of the Ministry of Health to the
provinces of Gia Lai and Kon Tum in the Central Highlands obtained
"gloomy" results.
The health care center in Gia Lai
province had only five doctors. All of them are general doctors who are
in-service trained.
In 2003, the Ministry of Health
launched a study which showed that: The hospitals at grassroots levels had
very high numbers of inaccurate diagnosis cases: 75% at district level and
59% at provincial level.
Yen Nhi
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Thứ Ba, 14 tháng 5, 2013
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