To evaluate user fee the situation of, in 2001, at the Khammouane provincial hospital Lao PDR by a cross study. 109 in-patients and 204 out- patients were interviewed and, 20 groups of health staffs were discussed and the information (2001) on statistic, finances and exemptions in the hospital office were analyzed. The results showed that: With the minus government budget, the very low fees and many free services, the quality of the health service is not progressive and it is very difficult to apply the exemptions. The rate of using the patients' bed is very low because both the rich and poor patients don't like to take health care in this hospital. When the patients come to hospital, all of them prepare enough money to pay because they don't know who will be exemption. If they can't get enough money, they don't come yet. Both the patients and health staffs accepted the low user fees but the providers need to raise the quality of health services and apply better the exemptions. The very low fees and many free services in the hospital aren't the suitable solution to help the poor patients can take health care when the another sources can't supply sufficiently for these services.
Hospitals ; Health Services

We analyzed the active information of Khammouane provincial in 2001, and adjust the hospital fee models by researcher's formula. The results showed that: In the hospital, when the outcomes is bigger than the incomes without fees, we have to take hospital fees, contrary to, we don't take it. The fees are correct when outcomes are equal or smaller than incomes with fees and exemption payments need to equal or bigger than these incomes without fees, therefore the average fee collection need to equal or bigger than average hospital payment. At Khammouane provincial hospital, in 2001, the correct models of hospital fees are 'collect all of medical services with the cost of 3 factors: salary, administration cost and drugs-consumer equipment'. The correct models of hospital fees can provide the expenditure on health care in the hospital throughout the year, can raise medical service quality and make more the context for the poor patients can use the health care service without the fees.
Hospitals ; Fee-for-Service Plans

In Vietnam, the development of the health information should focus on the disease management and primary health care. Which included the back up of medical record, patient registration, professional development and support to the primary health care, concurrently establishment of telemedicine, telehealthcare, and remote health care system for remote and deep areas.
Information Management ; Health Care Sector

Flood and typhoon are main causes of disaster in Vietnam. To prevent and overcome consequences, the health sector should implement and perform following approaches: awareness, organization, resource, and practice, drug kits, food, fresh water and cooperation with other branches. During flood and typhoon, should organize the task teams and ambulatory health teams, cooperate with military health system, move the patients, support resources, protect material facilities and praise timely. After flood and typhoon, should control environmental sanitary and food, monitor insecticide stores, control disease outbreaks and restore the health resource.
Health Services ; Environmental Health ; Disasters ; Health Care Sector

The Decision No 37/CP date June 20th, 1996 issued the strategy for the activities of the people protection and care during 1996-2000. It aimed to assure that 40% of communal health stations (CHS) had midwife or nurse of gynecological - pediatrical profession and 100% of villages and hamlets had health staffs. In order to obtain above mentioned objectives, this study introduced 7 solutions for sending the medical doctor to the CHS, 4 conditions for training the medical doctor for local level, 7 solutions for sending the midwives to CHS, 4 solutions for health staffs in the local level, 3 solutions for health staffs of the traditional medicine, 4 solutions for developing the health staffs of the traditional medicine, 4 solutions for developing the health staff network for village level and 14 solution for sending the health staffs to the lower levels.
Personnel Selection ; Medical Staff ; Solutions

Strengthen the health staff for local level is a practicable and humanitarian campaign in the people protection and care in community, concurrently helps local training for both strengthened staffs and local staffs. In answer to the campaign, the health sector actively sends the health staff for lower levels to contribute the enhancement of quality of health services for people health protection and care, overcoming of the natural accident, flood and epidemic control.
Medical Staff ; Altruism

On occasion of Vietnam physician day 27.02.2002, every one in health sector implements the speech of Uncle Ho Chi Minh“ good-physician- good mother” and completes the cause of people health protection and care to build the health sector becoming an uniform and modern sector. During the country’s defense and building, many individuals and facilities had a big contribution to the Nation’s cause. Because of these, Vietnam communist party and state offered the yellow star medal for the health sector.
ethics ; Health Facilities ; Health Care Sector

The characteristics of the health worker are urgent, prompt, precise and scientific and in the conditions that not suitable with the human physiological rule (working in night and rest in day) and in the environment that not suitable with the human psychology (patients with pain, anxiety, trauma and death). This is toxic and serious environment. This paper showed that the rate of female working force in the health sector at all levels and the rate of women who worked as managers and had a high rank of education was very low. From which this paper introduced the plan for training, using the female working force as well as the policies for them
Health Care Sector ; Female

A survey was performed by using a set of questionnaires and by holding systematic interviews addressed to leading authorities of the health system from village to district and province. Results were analyzed and synthesized to establish a model of health service network as manifested on the governmental Decree No 01/1998.
Community Networks ; Epidemiologic Study Characteristics

Mathematics is increasingly applied in medicine and health in the world and Vietnam. Because of characteristics of health sector, the applied mathematics has been being used in the scientific research, health statistics, policy making, health plan, diagnosis and treatment etc to strengthen the activities of people protection and care. However, it should enhance the links and combination of the medicine and health activity with natural science including mathematics and social science in the future in Vietnam
Mathematics ; Medicine