Medical ethics is considered as 3 aspects: medical ethics in the National health facilities, there is comparison of legal and illegal income between colleagues; medical ethics for patient, the reduction of Medical Ethics is partly atributed to patient. The establishsment of the equal and confident relation between physicians and patient play an important role of the medical ethics in the market economy
Ethics, Medical ; Health Facilities

Management of enviromental pollution due to general waste and serious medical waste is urgent problem for the health facility. The Ministry of Health promulgated the regulation for management of the medical wastes. This is a legal document that the health facilities must implement. Most of the country’s hospitals have been built for many times (during the war against French and within more recent 30 years). They had not the network for treatment of waste or had a poor network
Medical Waste ; Health Facilities

A study on nurses and delivers were carried out at 14 hospitals, Medical Centers belong to Ha Noi Department of Health and 14 National Hospitals, Hospital belong to some ministries that located in Ha Noi. The results showed that: in these hospitals, the number of nurses and delivers don’t meet the requirements of the Ministry of Health‘s rule. The index of doctor/nurse and deliver: 1/1.49; Professional qualification: most of them are secondary school (nurses: 92%, delivers: 90.48%), low rate in nurse and deliver whom hold university or junior college bachelor: in 3 facilities, a few nurses who are university bachelor (0.7%); in 7 facilities, there are nurses who graduated from junior colleges (1.9%). There is not any hospital among 14 hospitals which the number of doctor/nurse get the standard as the ministry of health rule.( the highest rate in Viet Duc hospital:1/1,9, Pediatric hospital:1/1,8. Most of them graduated from secondary school (71.7% to 94.4%), 1.6% nurses are university bachelor and 6.9% nurse are junior college bachelor, 9 hospitals have nurse with elementary qualification.
Medical staff ; Health Facilities

Study of the situation of medicine use on 4004 patients including 1492 poor patients who examined and treated in 50 hospitals of 10 provinces and cities in Viet nam. The results showed that: There is no difference in the quantity of medicine used for treatment between poor patients and obligatory health insurance patients with patients paying hospital fees. However, in terms of quality, poor patients and obligatory health insurance patients used more domestic medicine. This was more obvious in district hospitals and in hospitals in the northern areas. The percentage of patients who had to buy additional medicine or all medicine outside of hospital is lower in district hospitals than in provincial hospitals. Poor in-patients received almost all drugs for treatment. Patients paying hospital fees had the highest percentage in buying medicine outside of hospital
Pharmaceutical Preparations ; Hospitals ; Medical facilities

The average salary of health workers who are working at medical stations from provinces to districts at present is 537.180134.465 VND/month and other salary allowances are 112.180103.733 VND/month. The minimum salary for health workers should depend on real price (44.2%) and the minimum salary at present should be 636.790 VND. The number of health workers agree to the formulation of salary at present is taken up 71.9% time of increasing salary level is two years (66.9%) and shorten 50% salary levels. It should be risen salary level before time-limit (79.5%), the years of increasing the salary before time-limit are 1.110.32 year and it should be established the regime of over salary allowances (91.5%) for health workers.
Salaries and Fringe Benefits ; Medical Staff ; Health Facilities

This is a cross sectional study, including quantitative (household survey) and qualitative methods (indept- interview) on 699 people of 157 household living at Cau Giay district. Findings reveal that few people used medical care at the centers (4.3%), the self-medicated rate was highest (42.3%), then the rate of using private services: 27.7% and using services of higher referral levels: 16.7%... Quality and favorable of services, and level of illness... had major influenced to the choices of healthcare services
Health Care Facilities, Manpower, and Services ; Delivery of Health Care ; Medical Staff

Health Facilities ; Hospitals ; Humans ; Medical Staff ; Science ; Technology

BACKGROUND: Communication skill training during medical education, once considered a minor subject, is now ranked as a core clinical skill. OBJECTIVES: The purpose of this study is to evaluate the effectiveness of role play as a method for improving physician-patient communication during the dermatological clerkship. METHODS: Ninety eight senior medical students undergoing dermatological clerkship were included in this study. Initially, the students were briefly lectured on communication skills from a dermatologic professor and two students were randomly allocated for role play. The student in the patient's role was shown the history of the patient with common dermatological problems just before the role play. After the first role play, the patient and physician roles were interchanged and the new student in the patient's role was shown another patient's medical history for the same role play as mentioned above. Two other students were allocated for the third role play with another dermatological problem. A questionnaire survey was used by observing students and the professors to assess the communication skills of the students playing the physician roles in various aspects. After the role plays, the students were allocated to the dermatologic outpatient clinic and with patient consent, they saw real patients as true doctors and the professors evaluated their communication skills using the same questionnaires. RESULTS: As the role plays proceeded, the communication skills of the students were improved. In the outpatient clinic, the students showed better physician-patient communication than ever before. The improvement of communication skills in the outpatient clinic was clearly shown both in the students who had observed the role plays and in those who had performed the physicians' or patients'roles. CONCLUSION: Communication skills in medical students undergoing dermatologic clerkship can be effectively trained, and improved by use of role play.
Ambulatory Care Facilities ; Clinical Competence ; Education, Medical ; Humans ; Students, Medical ; Surveys and Questionnaires

PURPOSE: We aimed to describe and compare the cognitive function, anxiety, and quality of life for the demented elderly in day care centers or nursing homes. METHODS: We selected 44 subjects from day care centers and 63 subjects from nursing homes by performing convenience sampling. The Korean version of Mini Mental Status Examination was used for measuring cognitive status; Rating Anxiety in Dementia, for assessing anxiety; Korean Version of Quality of Life-Alzheimer's Disease, for assessing the quality of life. The data were collected from May to June 2008 and analyzed by SPSS WIN 14.0. RESULTS: 1) The cognitive function of the subjects in the day care center was higher than that of the subjects in the nursing home. Anxiety in the subjects in the nursing home was higher than that in the subjects in the day care center. 2) The cognitive function and quality of life of the subjects in the day care center showed statistically significant correlation 3) The anxiety and quality of life of the subjects in the nursing home showed statistically significant correlation. CONCLUSIONS: Nursing interventions that improve the quality of life of the demented elderly should be considered and applied according to the degree of cognitive function and anxiety.
Aged ; Anxiety ; Day Care, Medical ; Dementia ; Health Facilities ; Humans ; Nursing Homes ; Quality of Life

PURPOSE: The goal of asthma control is to maintain well-controlled state. In this study, we investigated whether childhood asthma control test (C-ACT) may reflect lung function and whether fractional exhaled nitric oxide (FeNO) can be used to improve the accuracy of C-ACT in reflecting the asthma control level. METHODS: We reviewed the medical records of 155 patients with asthma underwent lung function tests and C-ACT upon visiting our outpatient clinic. We compared lung function test results according to the C-ACT score stratified by atopy and also examined FeNO according to C-ACT and the Global Initiative for Asthma (GINA) guidelines. The diagnostic accuracy of well-controlled asthma by C-ACT, FeNO, and C-ACT+FeNO was examined. We also calculated the cutoff value of FeNO and C-ACT for well-controlled asthma. RESULTS: Peak expiratory flow (PEF) showed a significant correlation with the C-ACT score. Stratified by atopy, PEF, and forced expiration in one second (FEV1) showed significant correlations with the C-ACT score in the atopic asthma group. There was no difference in FeNO between subjects with C-ACT> or =20 and <20, but FeNO was significantly higher in the uncontrolled asthma according to the GINA guidelines. The diagnostic accuracy of well-controlled asthma was higher when FeNO was combined with the C-ACT score than C-ACT or FeNO. Our study showed that the cutoff values of C-ACT and FeNO 19 and 18.3 ppb (parts per billion), respectively, for well-controlled asthma. CONCLUSION: C-ACT showed a significant correlation with PEF, and atopic asthma group showed significant correlations with PEF and FEV1. A combination of C-ACT with FeNO might reflect asthma control status more accurately.
Ambulatory Care Facilities ; Asthma* ; Child ; Humans ; Lung ; Medical Records ; Nitric Oxide ; Respiratory Function Tests