Retrospective study on the situation of over loading at Viet Duc Hospital, Saint Paul Hospital, Hanoi Gynaecology Hospital and Gia Lam District Hospital was carried out from 1999 to 2002. 400 inpatient medical records at internal medicine, surgical, gynecological, and pediatric departments; 100 specialistic medical records were studied; Patients were asked to answer Questionnaire; and officers of Hanoi Health Service and leaders of 4 hospitals were organized group discussions. Results: through 4 years all these hospitals have always been over loaded with both out patient and in patient. On average, 1 doctor has examined 25.5-33.5 patients a day. Over loading occurred frequently in some departments and in epidemic seasons. The causes might be both in hospital and out hospital leading to overloading. Authors also proposed some solutions to resolve this problem
hospitals ; Solutions ;

This paper introduced the causes of overload of hospital, including no implementation of compulsory management of the health and consultation as administrative and geographical division, bad implementation of technical distribution, improper policies of hospital bursar and disadvantages of market economy. It was difficult to prevent the overload of hospitals. Therefore, it should be strengthened by practicable solutions in which the health sector plays an important role.
Hospitals ; Solutions

There were some urgent problems in hospitals of Viet nam, especially the lack of budget and the poor materials, equipment and infrastucture. This study aimed to review some precondition and introduce some necessary solutions which include 1, change of hospitals with the subcidize mechanism to the health services 2, the hospital should be considered as an economy facility 3, change of National hospitals to the joint stock company for the health services.
Hospitals ; Budgets

No abstract available.
Hospitals, University*

No abstract available.
Hospitals, Public*

Hospitals ; Humans

Sterility ; Hospitals

Hospitals, General

Sarawak ; Hospitals

Clinic ; Hospitals