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The shortage of medicines due to the delay in the tender is at the expense of the medical institution

According to the Ministry of Health, the Ministry of Health has received information in recent days suggesting that Cho Ray Hospital (HCMC) does not have anti-rejection medicines and kidney transplant patients need to buy medicines outside.

Regarding this, the Ministry of Health informed as follows: Cho Ray Hospital lacks anti-rejection medicines, resulting in kidney transplant patients having to buy medicines from outside.

There have been many solutions to overcome drug shortages

According to the Cho Ray Hospital report, the hospital has solutions to overcome this situation immediately, specifically: Organize expeditiously the selection of drug supply contractors through proper forms to ensure that immediately after the holiday (April 30-April 1) May) Medicines are available Meet the treatment needs of patients, contact medical institutions with medicines in Ho Chi Minh City to transfer patients for treatment and receive treatment. health insurance as required.

The Ministry of Health has promised

Register for a medical examination and treatment at Cho Ray Hospital. Photo by BVCC

On the subject, the Ministry of Health also announced that on November 24, 2021, the National Center for Centralized Drug Procurement issued Official Letter No. 580/TTMS-NVD to Provincial, Municipal and Municipal Ministries of Health. Ministries, branches and hospitals/hospitals with hospital beds subordinate to the Ministry of Health, in requesting medical institutions to take the initiative in procurement according to the provisions of Section 1, Article 18 of Circular 15/2019/TT – MOH of 11/07/2019 to be taken by the Ministry of Health to ensure the supply of medicines for treatment needs.

According to the Ministry of Health, the national centralized bidding and price negotiations have not yet resulted in a number of reasons for the national centralized bidding: “Due to the need to conduct a review of the bidder list, which Before the time of the bidding opening, the expert group is present, the Review and refine bid documents to ensure they comply with the Company’s principles of competition, fairness, transparency and profitability. tender.

As far as price negotiations are concerned: This is a new form of tender and has only been used for medicines since 2018. The Drug Price Negotiating Council is currently actively negotiating prices for 66 drugs. Generic medicines, including anti-rejection medicines used in kidney transplant patients.

The fact that a large number of branded drugs are being negotiated for the first time, together with limited human resources for price negotiations, mainly on a part-time basis, are also difficulties hampering the progress of the work. Price negotiations, ”explained the Ministry of Health.

At present, the Ministry of Health instructs the National Center for Centralized Drug Procurement to urgently implement the national centralized tender for drugs and negotiate prices. Once the results are in, the Department of Health (National Centralized Drug Procurement Center) will announce the winning results and establish a framework agreement for the use and implementation of medical facilities.

Medical facilities are responsible for the slow supply of drugs, resulting in drug shortages for patients

Regarding the procurement of medicines, Mr. Le Van Phuc – head of the Department of Health Insurance Policy Implementation (Vietnam Social Insurance) said on April 28 at the regular briefing for the press that the procurement and procurement of medicines is divided into three levels .

At the national level, the Ministry of Health conducts a centralized tender for a number of medicines according to the list; local centralized procurement at provincial level by the Ministry of Health; Health Ministry medical facilities such as Cho Ray Hospital (HCMC) are decentralized and self-serving. For packages over 5 billion approved by the Department of Health, below the above limit, it will be decided by the hospital whether it is financially self-sufficient.

Mr Phuc said that for drug packages under 5 billion, if the delay causes a shortage of drugs for patients, the responsibility lies with the medical examination and treatment institution.

According to Mr. Phuc, medical examination and treatment facilities must develop plans and organize tenders when medicines are almost running out. Current rules require Social Security to participate in the bidding process and provide regular advice to health ministries and hospitals when the old bidding package comes to an end and develop a plan for the new bidding round. The preparation process usually takes several months, if December ends, June – July must be planned.

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