VietNamNet Bridge – Nguyen Thi Lua, 54, a homemaker in Ha Noi, was detected with leukaemia at Saint Paul Hospital where she had registered for a check-up, funded by health insurance.

Health workers work at a laboratory of the National Institute of Haematology and Blood Transfusion in Ha Noi.

Once diagnosed with blood cancer, Lua was sent to the National Institute of Haematology and Blood Transfusion (NIHBT) for treatment. However, at the NIHBT, the highest medical facility that specialises in blood diseases, doctors refused to use the results of the tests conducted at Saint Paul Hospital.

Lua was forced to spend another half a day undergoing tests that she had done just a few days ago. The only good thing is that the health insurance fund will pay for tests conducted at both hospitals.

Lua is among the thousands of patients who have to repeatedly undergo the same medical tests as they are sent from a hospital to a higher-level or more specialised medical facility. While it’s a waste of valuable time for patients and health workers, it’s a waste of money for the health insurance fund.

However, from 2018, hospitals and medical facilities of first and special levels will start recognising and using patient examination and treatment test results from other such facilities.

Nguyen Trong Khoa, deputy director of the health ministry’s Medical Service Administration (MSA), said that there are currently 50 ISO-15189 compliant medical laboratories in 40 central and provincial hospitals that will start implementing the mutual recognition plan from July this year.

“Mutual recognition of test results means a hospital recognises test results from others in several cases when tests still have usage value and depending on the patient’s condition,” said Luong Ngoc Khue, director of the MSA, while speaking at a workshop in Ha Noi last week.

“This means that some test results may be used by other hospitals or medical facilities for patient diagnosis, treatment and supervision that will help save test expenses.”

The workshop on implementing the national laboratory quality management criteria, for mutual recognition of test results, was aimed at handling issues faced when hospitals or medical facilities don’t recognise test results.

Khue said that by 2020, all medical tests conducted by certain laboratories can be linked and accessed by all hospitals and medical facilities in the same city or province. By 2025, this information-sharing model will be nationwide.

According to the health ministry, the country’s hospitals conduct roughly 475 million tests, including 200 million blood tests and 25 million microbiological tests annually, at a growth rate of 10 per cent each year. Reducing even one per cent of the country’s total tests would reduce around 4.75 million tests annually, Khue said.

“If a test costs VND50,000 (US$2.2), we could save VND237.5 billion of the health insurance fund.”

The health ministry has developed criteria required for biochemical, blood and microbiological tests that will be applied across laboratories. These will lay important foundation for hospitals and medical facilities to mutually recognise and use test results, Khue said.

The ministry will also tighten inspection and supervision on test prescription processes in hospitals to prevent overuse of tests, Khoa said.

VNS