A survey on nearly 6,000 readers of
Dantri/DTiNews showed that 74% of them have given "envelops" to
doctors for the fear of not being offered good care.
Among the those who responded, 7% said that
they gave the money as a "thank you" to the doctors for particularly
good care, and 15% said the medical staff suggested they do it.
In July this year, the Vietnam National Union
of Health Workers and the Ministry of Health jointly conducted a survey at Viet
Duc, Bach Mai, E and K hospitals along with the National Hospital of Obstetrics
and Gynecology. The survey indicated that 45% of patients and their relatives
were not satisfied with the staffs' behaviour or the administrative procedures.
K Hospital saw the highest rate of complaints (63%) and National Hospital of Obstetrics
and Gynecology with the lowest (7.3%).
Apparently, it is these worries over getting
sub par treatment that makes patients feel that they need to offer
"gifts" to medical staff and doctors.
Recently, the Ministry of Health selected the
five hospitals mentioned above hospitals for a pilot programme to raise the
standards of treatment.
All staffs of these hospitals have pledged say
“no” to envelops offered by patients and their relatives.
Nguyen Tien Quyet, Director of Viet Duc
Hospital, said that any staff member who is caught asking for a bribe will be
dismissed.
Better care for doctors needed also
Dr. Professor Pham Manh Hung, Chairman of
Vietnam Medical Association, said medical staffs should definitely say “no”
with envelops, but it cannot be fully blamed the envelop issue for doctors.
Doctors often perform varied procedures on
anywhere from 50 to 80 patients a day, which obviously will affect the quality
of service.
A doctor providing medical check-up for around
50-80 patients per day is really an overwork, this will affect the health
quality. This is a complicated problem that cannot be solved without revamping
our health care delivery system.
Associate Professor Nguyen Tien Quyet,
Director of Viet Duc Hospital agreed. “A nurse currently is paid about
VND1.7-1.8 million (USD81.3-86) per month. If we expect them to improve the
level of service their pay should be increased to around VND6-8 million
(USD287-382.7). With the current salary, I'm sure that they accept
envelopes."
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