Article Sidebar

PDF (Tiếng Việt)
Published: 2025-04-15
Abstract Views: 51
Views PDF (Tiếng Việt): 19
DOI: https://doi.org/10.52163/yhc.v66iCD4.2354
Issue
Tập 66 CĐ 4 NCKH
Section
Articles
How to Cite
Sơn, H. T., Bằng, P. D. Đắc, Vũ, P. T., Anh, N. T. K., Văn, L. V., Huệ, N. T. L., Vinh, N. N. ., & An, P. L. (2025). 35. PRIMARY CARE AND HEALTH INSURANCE REFERRAL POLICY 2021: A STUDY AT NGUYEN TRAI HOSPITAL, HO CHI MINH CITY. Vietnam Journal of Community Medicine, 66(CD4). https://doi.org/10.52163/yhc.v66iCD4.2354

35. PRIMARY CARE AND HEALTH INSURANCE REFERRAL POLICY 2021: A STUDY AT NGUYEN TRAI HOSPITAL, HO CHI MINH CITY

Huynh Trung Son1, Pham Duong Dac Bang2, Phan Thanh Vu3, Nguyen Thi Kim Anh3, Ly Vu Van3, Nguyen Thi Linh Hue3, Nguyen Nhu Vinh1, Pham Le An1
1 University of Medicine and Pharmacy at Hồ Chí Minh city
2 Hong Bang International University
3 Nguyen Trai Hospital

Main Article Content

Abstract

Objective: To assess referral patterns at Nguyen Trai Hospital, Ho Chi Minh city (2020-2021), focusing on the impact of COVID-19 and health insurance policy changes.


Methods: A cross-sectional study analyzed 8642 referral records, comparing referral rates by ICD-10 groups between 2020 and 2021.


Results: The referral rate decreased significantly from 1.25% in 2020 to 0.65% in 2021 (p < 0.001). Infectious disease referrals doubled (7.59% to 16.69%). The group of chronic diseases showed a decreasing trend or had no statistically significant difference.


Conclusion: COVID-19 and health insurance policy changes led to significant shifts in referral patterns. Strengthening primary care, implementing family medicine, and enhancing referral systems are recommended.

Article Details

Keywords

Primary care, referral, Nguyen Trai Hospital, health insurance, COVID-19

References

[1] van Weel C, Kidd M.R, Why strengthening primary health care is essential to achieving universal health coverage, CMAJ, 2018, 190 (15), p. E463-E466.
[2] Oanh T.T.M et al, Viet Nam: a primary health care case study in the context of the COVID-19 pandemic, 2023, Geneva, World Health Organization.
[3] Sao Mai, Nhiều giải pháp giảm tỉ lệ bệnh nhân chuyển tuyến, Trung tâm Kiểm soát bệnh tật tỉnh Đồng Nai, 11/3/2020, Available from: https://dongnaicdc.vn/nhieu-giai-phap-giam-ty-le-benh-nhan-chuyen-tuyen.
[4] Hoa N.T et al, Primary care quality in Vietnam: Perceptions and opinions of primary care physicians in commune health centers - a mixed-methods study, PLoS One, 2020, 15 (10), p. e0241311.
[5] Hasan M.J et al, Patient self-referral patterns in a developing country: characteristics, prevalence, and predictors, BMC Health Serv Res, 2024, 24 (1), p. 651.
[6] Sripa P et al, Impact of GP gatekeeping on quality of care, and health outcomes, use, and expenditure: a systematic review, Br J Gen Pract, 2019, 69 (682), p. e294-e303.
[7] Trần Văn Khanh, Huỳnh Trung Sơn, Lê Thanh Toàn, Phạm Lê An, Mô hình phòng khám thực hành y học gia đình tại Bệnh viện Quận 2, năm 2012-2015, Tạp chí Y học Việt Nam, 2023, 532 (1), tr. 266-270.