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

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

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

BACKGROUND: We believe that instances of neuroticism and common psychiatric disorders are higher in adults with acne vulgaris than the normal population. OBJECTIVE: Instances of acne in adults have been increasing in frequency in recent years. The aim of this study was to investigate personality traits and common psychiatric conditions in patients with adult acne vulgaris. METHODS: Patients who visited the dermatology outpatient clinic at Bozok University Medical School with a complaint of acne and who volunteered for this study were included. The Symptom Checklist 90-Revised (SCL 90-R) Global Symptom Index (GSI), somatization, depression, and anxiety subscales and the Eysenck Personality Questionnaire-Revised Short Form (EPQ-RSF) were administered to 40 patients who fulfilled the inclusion criteria before treatment. The results were compared with those of a control group. RESULTS: Of the 40 patients included in this study, 34 were female and 6 were male. The GSI and the somatization, depression, and anxiety subscales of the SCL 90-R were evaluated. Patients with adult acne had statistically significant higher scores than the control group on all of these subscales. In addition, patients with adult acne had statistically significantly higher scores on the neuroticism subscale of the EPQ-RSF. CONCLUSION: Our results show that common psychiatric conditions are frequent in adult patients with acne. More importantly, neurotic personality characteristics are observed more frequently in these patients. These findings suggest that acne in adults is a disorder that has both medical and psychosomatic characteristics and requires a multi-disciplinary approach.
Acne Vulgaris* ; Adult* ; Ambulatory Care Facilities ; Anxiety ; Checklist ; Depression ; Dermatology ; Female ; Humans ; Male ; Schools, Medical

PURPOSE: Our country has seen a rapid increase in economic growth, national land development and planning. As a consequence, cities were enlarged and became densely populated. Public facilities were also increased to adequately serve the increasing population. Within the past 10 years, a lot of accidents in public facilities have occurred but the legal foundations for emergency medical care and systems for these public facilities may be lacking. METHODS: From the current domestic laws, we defined the public facilities and the enrolled laws that govern these facilities. Adequacy of the enrolled laws were then analyzed using 7 reference points: education for all employees, education for security employees, education for customers, arrangement of medical persons, arrangement of security person, equipment for emergency care and penalty. RESULTS: There were 17 enrolled laws and only 'Juvenile Activity Promotion Act' fulfilled most of the reference points except for 2; the arrangement of medical persons and penalty. Fifteen of the enrolled laws fulfilled less than 3 reference points. CONCLUSION: In the current domestic laws governing public facilities, almost all of them practically lacked policies addressing emergency care and systems.
Economic Development ; Emergencies ; Emergency Medical Services ; Foundations ; Humans ; Jurisprudence ; Public Facilities