
Up to date, however, the Ministry of Health has not issued the regulations on the specialty scale in primary health care, specific guidelines on the infrastructure, equipment, human recourse, specialty scale for a health facilities (public and private) which are allowed to implement SHI-paid primary care as well as principles or criteria in determination of the quantity, structure of the insured registering for primary health care in each health facility. As such, many health facilities have encountered certain difficulties in providing SHI-paid primary health care, which in turn affect rights of patients and operational activities of health facilities. In term of the insured, it is necessary to evaluate the current status of selection of health facility for primary health care, accessibility to the health facilities, difficulties in using health care services and equity in implementation the right of the insured. Understanding these issues will be the basis for information and orientation of the right to choose the health facility satisfying the accessibility of quality health services when needed.
Overall objective
The study is to give necessary recommendations for the development of the Circular guiding Provincial Health Department and Social Security at the localities on the implementation of registering for health insurance-covered primary health care, ensuring the right of the insured, quality of health care services and strengthening the effectiveness of the health care facilities.
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