Chapter II
CONDITIONS, COMPETENCE, PROCEDURES FOR TRANSFER BETWEEN MEDICAL FACILITIES
Article 5. Conditions for transfer of medical facilities
1. The medical facility shall transfer a patient to a superior facility if the following conditions are satisfied:
a) The disease is not suitable to the capacity in diagnosis and treatment and the list of techniques of the medical facility approved by a regulatory authority in healthcare or, the disease is suitable to the capacity in diagnosis and treatment and the list of techniques of the medical facility approved by a regulatory authority in healthcare but, due to an objective reason, such medical facility is not qualified to provide diagnosis and treatment;
b) Depending on the list of techniques approved by a regulatory authority in healthcare, if the directly superior facility does not have suitable medical techniques, patients shall be transferred to a higher-rank facility;
c) Before the patient is transferred, a medical consultation shall be held to appoint the receiving facility (excluding rank 4 clinics and medical facilities).
2. A medical facility may transfer the patient to a suitable inferior facility if the patient is diagnosed no longer in emergency conditions and the disease has eased up and suitable for receiving treatment from an inferior facility.
3. Conditions for transfer of patients between medical facilities of the same level:
a) The disease is not suitable to the list of techniques of the medical facility approved by a regulatory authority in healthcare or, the disease is suitable to the list of techniques of the medical facility approved by a regulatory authority in healthcare but, due to an objective reason, such medical facility is not qualified to provided diagnosis and treatment;
b) The disease is suitable to the list of techniques of the medical facility that is planned to receive the patient that is approved by a regulatory authority.
4. Transfer between medical facilities in neighboring areas to ensure good conditions for patients:
a) Directors of Departments of Health of provinces shall detail the transfer between medical facilities in neighboring areas in central-affiliated cities and provinces within their management;
a) Directors of Departments of Health of provinces shall cooperate with each other in guiding the transfer between medical facilities in neighboring areas in central-affiliated cities and provinces within their management;
5. The transfers of patients according to regulations in clauses 1, 2, 3 and 4 of this Article are considered on-line transfer. The transfers of patients uncomfortable with regulations in clauses 1, 2, 3 and 4 of this Article are considered off-line transfer
If the patient does not satisfy the conditions for transfer of facilities specified in clauses 1, 2, 3 and 4 of this Article but he/she or his/her legal representative requests the transfer, the medical facility shall carry out the transfer procedures to ensure the right of choosing medical facility of the patient. The transferring facility shall provide the patient with information about the rights and charge of medical treatment after deducting the amount covered by medical insurance when receiving off-line treatment.
Article 6. Power to sign the slip of transfer
1. Regarding public medical facilities: the Head of the medical facility or the person authorized by the Head of the medical facility is in charge of signing the slip of transfer.
2. Regarding public medical facilities: the person in charge of professional skills of the medical facility or the person authorized by him/her is in charge of signing the slip of transfer.
3. In a shift, the leader of the team is in charge of signing the slip of transfer.
Article 7. Procedures for transfer of medical facilities
1. Medical facility shall transfer the patient to a superior facility or a facility of same level as follows:
a) Medical facility shall notify and explain the patient or his/her legal representative the reasons for transfer of facility;
b) Medical facility shall sign the slip of transfer according to the form in Appendix 1 enclosed with this Circular;
c) If the patient needs emergency treatment, the medical facility shall contact with the receiving facility; re-check the conditions of the patient before transferring; prepare vehicles and equipment for providing emergency treatment on the way to the receiving facility;
d) If the patient needs technical assistance from the receiving facility, the transferring facility shall provide the receiving facility with information about conditions of the patient and necessary assistance for preparation;
dd) The slip of transfer shall be given to the medical officials going with the patient or the legal representative of the patient to provide for the receiving facility;
e) The transferring facility shall transfer the patient and the slip of transfer to the receiving facility.
2. Procedures for transfer of patients to an inferior facility shall comply with regulations in points a, b, dd and e Clause 1 of this Article.
Article 8. Transport of patients during the transfer of patient
1. For emergency cases: the medical facility shall prepare for transport of the patient as follows:
a) Ambulances or other suitable vehicles;
b) Medical equipment, emergency medicines for the patient (if any) during the transport;
c) The medical officials going with the patient shall be doctors, physician assistants and/or midwives in charge of supervising the handling promptly the development of condition of the patient during the transport and transporting the patient with conformable techniques according to the condition of the patient.
2. For non-emergency cases:
Depending on the medical condition of the patient and the actual conditions, the medical facility shall guide the patient or his/her legal representative to choose a suitable form and vehicle of transport.
Tìm kiếm
Thông tư 14/2014/TT-BYT (Bản Word)
