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Vietnam - Hospital Overload

Commonground

Senior Moderator
Ever for all scenes where temporary hospitals?
There are too many hospital patients winter, beds overload. Therefore, many patients have taken to the hospital hallway beds. Even roar stairs into place hospital patients lay lat overnight.

A sheet of cardboard as a bed -

More than 4 pm, 9 / 12, at the end of the corridor surgical breast, K Central Hospital, I met and started a conversation with women struggling to cover the pieces are made of cardboard. Look she feels the fatigue. Look contentious, gray skin, long hair just ignored her poems are so few fibers in a cluster on a hat, eyes look amorphous, she confided: "all day hike, park at the corner flowers, stones and chairs, and supplies at the tree but now is to find the corridors of the hospital to also worry placeholder.

Her home in Nam Dinh, she discovered her breast cancer and had surgery from March 2009. Until now she has undergone multiple chemicals and media are still waiting for radioactive rays. But the cost of expensive surgery and treatment, the family farm as her pure heart is hard cover, take the loan sales people also can not be afraid to borrow. Hiring a room with her trọ is luxury. No trọ rent rooms, corridors only get to bed. So on, day in and day out she lived alone wandering square and hard struggle with cancer evil monster, with a hope of extended life.

The only security you are still lucky bored. But many are not the only fast feet down the tree where the night nurse sufficiency. In the lobby area hospitals were closed every evening all people, including patients and their family, most who have no money. For many pages to the hospital just a few old clothes, a piece of reference or a spread sheet ni cans are a place to sleep.

She was more interested, because there is little day before the inspection team of the Ministry of Health should be chasing people like her to "run like ducks run. After a chat and ask for feedback, she definitely would name for anonymity. So embarrassed, be sure to difficulties.

K hospital, hundreds of patients like Ms. Huong. Each life a scene together, but they share the pain of illness, with head sticking where the hospital corridors to win shock life. Right at the foot of the stairs to the dark paths of treatment, some patients also underwent plastic sheets healthy sleep.

Chanh Long, day end, but real power center t?ng

To some hospitals, patients are not rare scene and the objects in their year and tree, stone seats, garage ... At the Institute of Infectious Diseases and Tropical Central, Institute of Hematology and Blood Central, Thanh Nhan hospital, Vietnam-Germany hospital ... day hospitals have the right to receive hundreds of patients. Although the pair must be two, pair three people per bed are still not enough room for the patient should have the ability of patients to sleep, but all activities, treatment took place outside the corridor, not the li.

For patients who have this, with a patient's suffering is no less. Quang Anh Luc (in TP. Ha Tinh) have announced Bach Mai hospital located in that, because father was seriously ill treatment in provincial hospitals but not on the line must move up. His two brothers to take turns to take care of father, dared not rent the place for trọ expensive, the travel distance for fear of not turning manage their officers should promptly take the flower garden, tree in the campus hospital moisture for nurse sufficiency.

Patients outside the corridor is very dangerous because not only patients but also their family and if not careful, just a note mosquito bites that they can be transmitted disease. The short-sleep selected patients where the hospital corridor could be threatened by dangers such as theft victims, even where the patient and the patient still quarrel, a fight just to Painting a room together on the hospital corridor.

Ths. Nguyen Dieu Linh, Department of Foreign Affairs, the Central Hospital K-sharing, patients are increasingly eastern area of the hospital but can not add a large, number of beds is limited only should patients often utilize the corridor to sleep. What night too, just a piece of reference, catton cover sheet or sheets of plastic hallway into bed hospital patients are as listed. Although such provisions is not true of the hospital but they will not see anyone miss suspension travel, that they pursue not know where to go by they are mostly poor patients, circumstances trade is worth, food is not enough no, not know where to vote VIU officers should turn into the hospital corridor chốn Princess body.

Witnessing this scene, even the doctors and nurses from the district nor heart, day end. One doctor confided: "Although the brand patients but hospitals also spent force by any t?ng center only when the hospital expanded, the investment facilities more fully, the poor patients suffering less, have the good night's sleep.

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Re: Hospital Overload

Re: Hospital Overload

[Muong Cha (Vietnamese: Mường Ch?) is a district (huyện) of Dien Bien Province in the Northwest region of Vietnam. wikipedia]

Health Muong Cha, difficulties ahead
15:6 'December 14, 2009
DBP - To Health Center (Health Center) Muong Cha right time of season, recorded first overloaded hospital patients, medical doctors caring for patients. People crowded clinic waiting for medical examination and treatment patients are boarding a pair of science rooms must be arranged in two patients / beds. But difficult to pass up facilities, equipment medical physician Muong Cha district completed care plan, protecting people's health.

Uncle sySin Van Vien, deputy director of Health Center, said: We are building a room inpatient treatment, handling overload. Biggest problem is the medical equipment granted from 2002 are too old and repair fails several times. X-ray machine, the system of blood tests, emergency ventilator for patients with influenza A (H1N1) has been top-level, solving any difficulties for the medical doctors in the clinical stage. With 100 staff civil servants - employees (including eight doctors, three pharmacists school), number of doctors concentrated mainly in the center. These cases cover the poor, Board of Directors please contact online direct expertise from provincial hospitals. The rotation of health staff to the clinic area and transfer scientific and technical staff for health facilities contributed to the completion of care, protect people's health.
2009, weather many changes, but no major epidemics occur, but medical Muong Cha faced with influenza A (H1N1), pneumonia for children, the recurrence of measles, pepper diarrhea, typhoid ... Determining the motto "Prevention is better than cure" Health Center immediately to direct the dry season, the team sanitary epidemiological military coordination with the commune health, the eradication spraying mosquito larvae, mosquito screens and disinfect against each anti-avian influenza spread to humans, influenza A tube, typhoid ... People access health information through mass communication, the press system, equip themselves with knowledge of prevention and disease. More than 70,000 unique visitors in the medical examination; inpatient treatment for more than 5,000 patients weekly, leaving the impression of responsibility of health workers to patients Muong Cha. Work of medical school was initially interested, the first two campaigns Reproductive health care - family planning is the people support and participate actively, which are good signs in performing the tasks of all health care.
Health Center has 60 beds, Muong Cha (3 clinics area staffing 20 beds), but patients treated normally boarding overloaded 35-45%. Lack of staffing, in 2009 Center added four doctors, but by the end of November, the health sector do not have doctors to assign. Both the district does not have doctors trained specialist level I, II obstetric, surgical, pediatric ... so many cases of poor medical social insurance, which must not transfer the emergency, first aid promptly, while far way 40 - 100km, patients show signs of bad health to danger to life. Some communes are not midwives, traditional medicine medical Dr. (does not meet national health standards), that the health problems facing Muong Cha. Clinic area, where the "door guard" disease situation medical facilities and doctors are not disadvantaged in the work of the health care for people.
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Re: Hospital Overload

Re: Hospital Overload

Previous post:
Health Muong Cha, difficulties ahead
15:6 'December 14, 2009
DBP - To Health Center (Health Center) Muong Cha right time of season, recorded first overloaded hospital patients, medical doctors caring for patients. People crowded clinic waiting for medical examination and treatment patients are boarding a pair of science rooms must be arranged in two patients / beds. But difficult to pass up facilities, equipment medical physician Muong Cha district completed care plan, protecting people's health.

Here is a map of it's location. Lower left is Dien Bien (confirmed H5N1) and directly to the right margin from their is Thai Nguyen (location of latest H5N1 in poultry/ducks)

Picture 1.png
 
Re: Vietnam - Hospital Overload

Monday, December 21, 2009, 12:12 (GMT +7)
"The load is talk" small "stories of everyday and do not unfamiliar with the health system HCMC. People have too much in a short sightseeing are generally a 2-3 patient beds, in both the statistics make the corridor, even to the campus hospital. Then insert the stories of patients wished to visit weekly, each subject in turn waiting for surgery and no corner of the BV and the beds ... And all the problems seem to be no satisfactory solution.

District hospitals and supplies

After a night lying in the corridor seats announced general Science BV Noi, Phu Nhuan district, Dang Huu Vinh female patients (aged 63, HCMC) have moderate sleep yawn oil on hand to wind contact as massage, to remove the red spots the mosquito because injection arm. She worries, "the morning blood pressure rise see again. People fatigue, muscle aches, so invisible BV. And supplies throughout the night to look forward today re-examination, the doctor for medication. Light before, Vinh k?u her daughter to carry on BV health check and the doctor requested admission, but when down to the Faculty of Civil General ... no space.

According to a report in 2009 of the Ministry of Health, the BV at the central level, capacity use of hospital beds from 200% to 250%.

Not own the inpatient treatment that the medical examination of BV Phu Nhuan district also fall into overload locally. Every morning on the first day of each week, in the examination of cardiovascular disease, spinal cord (area health insurance), including hundreds of patients waiting to turn. Cam card number 108 on hand, Ms. Tran Thi Thuy said: "I come from 6 am. After filing to 8 hours to get the statistics analysis. Then right onto the clinic waiting over an hour and still not turn "...

BV noted in Binh Thanh district in the past days shows that the phenomenon of overload does not occur in the examination, the inpatient treatment of BV as Phu Nhuan but "trapped" in the pending test results, X Optical and particularly in the area allocated for outpatient drug health insurance area. Pham Anh T. Force, a patient sits drowsiness nodded corridor outside waiting in turn, a short underground: "I went spinal examination, doctor examination done down here but throughout the territory drug free is not available. Enlist wink.


Picture 1.png

After the "upgrade" from the health center districts on BV, BV many districts began to attract patients. Current average daily suburban districts of BV generated statistics for the area around 300-500 patients visit the high points in the first week on this number forward to nearly 1,000 patients. It BV districts often have a high number of patients than half, sometimes twice.

As a leader BV districts, implementing a new health insurance law has come into effect compulsory medical examination and treatment of patients initial online social wards, districts should also increase the pressure. Also, the shortages of equipment, manpower, facilities, the BV line are the stew with weighed heavily overloaded.

Overload on line

City Cho Ray Hospital is typical of the most terrible overloaded with BV central level. Here, almost all scientific examination, emergency, inpatient treatment, outpatient ... all languages language patients per day. Patients on the waiting list is examined in the corridors, spread over the reference year and things entrance stairs, a corner any corner space medicine as a place of rest that the patient or their home. Stories of patients waiting up to 2 days to turn to check in Cho Ray Hospital is no longer strange. Way of saying fun and PGS-TS Nguyen Van Khoi, Vice BV: "Actually we are in the overloaded mind.


Picture 2.png

With staff in 2008 as 1300 beds, 1800 beds and increased in 2009, but BV is only meet 50% of patients who need inpatient treatment. "From a hospital of 500 beds initially, considered where any type but not enough room for patients," said Prof. Restore ...

In other BV, BV Cancer City situation is no less catastrophic: More than 10 years, campus BV not more extensive, although the science room upgrades, modified to also contain no known amount of total outstanding loans to total outstanding loans of patients examined and treatment. Less than 1,000 patients from the inpatient to three years now, the week that number rose to 1600-1700 patients, outpatients are also flooded Nghe 8000 patients. While the statistics of BV only about 200 inpatient beds, 400 outpatient beds. Overload! That almost every sentence of mouth about BV Cancer patients and obvious reference to experience, statistics in both along the corridors and sidewalks are often ...

Status of Cancer BV, Cho Ray Hospital is the general status of orthopedic injuries BV, a Children's BV, BV 115 and BV People of others exist. Statistics more beds, considering ordered rooms, recruit human resources ... all was the BV manipulate the view that full capacity is still overloaded bass kha ... disease. Hospital does not develop, the amount of patients per year increased from 5% -7% is causing the drowning BV resistance. Cancer as BV, in 2008 receiving 10,000 new cancer patients, in 2009 to 13,000 patients.

"The next year to increase over the previous year, so why try asking BV Xue gong burden," Dr. Le Hoang Minh, Director of Cancer BV City, sighed. Dr. Minh is also the overload is causing us build as many quality medical treatment decreased, patients are not satisfied, long-time hospitalization, increased costs of treatment ...

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Re: Vietnam - Hospital Overload

[This article is a repeat of the post above, but written in English]

Hospital overcrowding jeopardizes lives

18:59' 21/12/2009 (GMT+7)
<table fck_template="imagecontener" class="image center" align="right" cellpadding="3" cellspacing="0" width="250"> <tbody> <tr> <td></td></tr> <tr> <td class="image_desc" align="middle">
Parents and their children resort to resting on cots along the overcrowded corridors at Children Hospital II in Ho Chi Minh City ( Photo: SGGP)
</td></tr></tbody></table>VietNamNet Bridge - Vietnamese citizens say they are weary of long line-ups and treatment delays at the country?s hospitals. In many healthcare centers, patients are forced to share a bed with two or three other people and face postponement of urgently needed care.
Hospital managers say that overcrowded medical clinics puts patients at risk, but feel they are helpless to change the situation.
Sixty-three-year-old patient Ms. Dang Huu Vinh said she had been badly bitten by mosquitoes while sleeping on a cot outside a room in the General Division of Phu Nhuan Hospital.
She needed to be hospitalized for high blood pressure but there were no more beds available in the department. She had no choice but to sleep in the hallway at night.


Hundreds of critically ill patients wait their turn to see doctors at the Phu Nhuan Hospital. Ms. Tran Thi Thuy said she had to take a number and wait three hours to a see doctor.


Patients at HCMC?s Binh Thanh hospital, meanwhile, regularly wait similar periods to receive X-rays, tests and pharmaceuticals.


In the wake of new health insurance laws stipulating that people must seek medical treatment at their local infirmaries, small clinics are under high pressure. In addition, due to a severe shortage of facilities, personnel and equipment, most clinics cannot cope with the pressure.

Now that several of HCMC?s district medical centers have been upgraded to hospitals, they receive about 300-500 most days and up to 1,000 patients on Mondays and Tuesdays. In the upgraded central hospitals, the number of patients has swelled twofold.


The situation is worst at Cho Ray Hospital in Ho Chi Minh City where patients can wait up to two days for critical surgery. The delays are alarming but unavoidable due to the sheer volume of patients.

Cho Ray has increased its number of beds from 1,300 to 1,800, yet it can still only meet 50 percent of checkup and treatment demand. It is not uncommon to see the ill and their relatives sleeping on makeshift mattresses in all nooks and crannies of the hospital as they wait for treatment.


The Ho Chi Minh City-based Tumor Hospital has had to resort to lining the corridors with rows of beds and converting all rooms into treatment areas. It has recently seen an influx of around 1,700 in-patients and 8,000 outpatients a week.
The Trauma and Orthopedics Hospital, Children Hospital I, People Hospital 115 and other public hospitals face similar situations.

Dr. Le Hoang Minh, director of the Tumor Hospital in the city?s Binh Thanh District, said; ?When hospitals operate at full or overloaded capacity, serious problems can arise. The treatment quality and the supply of valuable resources, like beds and staff time shrink.?

Hospital overcrowding is also a safety issue, he said, when patients experience long delays in care, it can lead to increased treatment charges.
VietNamNet/SGGP
http://english.vietnamnet.vn/Health/200912/Hospital-overcrowding-jeopardizes-lives-885474/
 
Re: Vietnam - Hospital Overload

Wednesday, June 1, 2010 [January 6, 2010]

Children's Hospital 1 and 2 are overloaded

(AFP) - The first day of new year, weather in the Southern provinces have more erratic fluctuations cause infection rate of children on the east. Patients from the provinces down to Ho Chi Minh City has led to two Children's hospitals fall into overload.

Landscape standing inserts are waiting in turn to visit Children's Hospital II
Doctor Nguyen Thanh Hung, deputy director of a Children's Hospital, said: "Often as before on occasions in the New Year's patients tend to decrease, but this year the opposite. The patient was put to treatment in recent days in a Children's mainly documents the cases of respiratory and rota virus - these are diseases common when the weather changes.

Hung also said the doctor, the scale of the Children's Hospital has 1200 beds 1. But in recent days the number of patients assigned to treatment here in about 1600-1700 grandchildren, so there was a shortage of beds for patients treated. Many science had to arrange for two or three grandchildren share a bed ...

Similar to a Children's Hospital, Children's Hospital II every day also receiving up to 400-500 patients. The number of treatment there are always delivered in about 1300-1 .500 patients. Medical examination in the area of Children's Hospital 2, parent bồng closing the waiting to be examined in turn, has packed the drugs paths.
-snip-
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Re: Vietnam - Hospital Overload

[The last I knew, Dengue was on the decrease in Vietnam, not an increase as said here, for the reason of the hospital overload]

Dr. Luong Ngoc Khue, Director General Administration Ministry of Health medical treatment: step by step reduction Hospital
Thursday, July 1, 2010, 2:36 (GMT +7) [1/7/10]

Overload in hospitals (BV) and BV central level specialist has ... overload has been clearly mentioned in the newspaper SGGP reported that the number 21, 22, 23-12-2009. Early in the new, exposed to PV SGGP newspaper, TS Luong Ngoc Khue (photo), Director General Administration medical treatment, Ministry of Health, and, again reiterated the Ministry of Health will carry out various solutions in order to reduce the load BV for the online ...

* Reporter: Sir, many solutions to reduce the load BV was deployed, but still completely overloaded overloaded. According to him, what was the reason?


* Dr. Luong Ngoc Khue: Currently, the number of treatment beds to serve our country remains low, statistics showed that only achieved national average of 18 beds benh/10.000. Meanwhile, the average ratio of hospital beds world and regional population is 25 giuong/10.000.

Along with that, quality medical treatment at the grassroots is still limited, doctors lack highly qualified and equipped with modern health care. Moreover, the psychology of the common people access to the BV line, central line to receive medical treatment services better. Along with that, the model also have the disease changed dramatically. Emerging infectious diseases such as influenza A/H1N1, acute diarrhea, dengue fever increased strongly with non-infectious diseases such as cancer, diabetes, heart ... due to the variations of climate, environment schools and lifestyle causes.
-snip-

[This article is located behind a block of information, but you are able to still catch a sliver of it, enough to copy & paste it]
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Re: Vietnam - Hospital Overload



Ill because of heat

04/14/2010 03:08
Excerpt:

On 13 / 4, although near the end of day, amount of patients waiting at the clinic of the Hospital (Hospital), Nguyen Trai (HCMC) is crowded....

Doctor Ly Le Thanh, director of the hospital, said: "In those days, the weather is harsh, hot, the volume of patients admitted to hospital inpatient treatment increased more than 100 cases in 13 / 4 768 hospitalized patients. Most elderly patients with blood pressure fluctuation when the hot sun, and then as heart disease, lung disease, respiratory problems ...".

Nguyen Tri Phuong Hospital said patients admitted to hospital volume increased in recent days, 13.4 days in 623 patients with inpatient treatment. Similarly, a leading Hospital Thu Duc area confirmed on a number of diseases related to heat up as experience fever, feeling the sun, viral infection, or due to weather ...

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