This is the roadmap set forth by the Ministry of Health in Circular 26/2025/TT-BYT regulating prescriptions and the prescription of pharmaceutical and biological drugs in outpatient treatment at medical examination and treatment facilities.
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According to Dr. Vuong Anh Duong, Deputy Director of the Department of Medical Examination and Treatment Management (Ministry of Health ), when implementing the provisions of the Circular, the prescription and drug sales systems will be connected. Patients who buy drugs will be controlled according to the prescriptions in the system. Which prescriptions are sold to where, which drugs are sold differently from the prescription, all can be tracked.
"This is a huge step forward in controlling the sale of non-prescription drugs, especially antibiotics. The interconnection between the Electronic Prescription System and the National Drug Administration System is one of the key solutions to improve the effectiveness of drug use monitoring.
When all prescriptions are updated synchronously, the management agency can promptly detect and handle drug abuse, prescription errors or selling drugs without a prescription," said Dr. Vuong Anh Duong.
Electronic prescription in electronic medical records at Bach Mai Hospital.
Deputy Director Vuong Anh Duong also emphasized: The prescribing principle of "prescribing only when absolutely necessary" is actually stipulated in the Law on Medical Examination and Treatment 2023. This is a general principle in medical examination and treatment.
Practitioners shall only perform medical examination, treatment, or prescription services when absolutely necessary and shall not abuse them. In fact, prescribers must base their prescriptions on the diagnosis, the patient's condition, and the documents prescribed in the Circular to prescribe safe, reasonable, and effective drugs.
According to Mr. Duong, Circular 26 also requires the integration of personal identification numbers into prescriptions. This is an important step towards synchronizing medical data with the National Population Database System. This is also an implementation in accordance with the spirit of Project 06 of the Government .
When people use their personal identification numbers, many administrative information such as full name, date of birth, gender, address, etc. will be automatically displayed on the system. This will help reduce prescription time, limit errors and simplify procedures for both patients and medical staff.
In the long term, according to Mr. Duong, this is also an important foundation for building a unified electronic health record, better serving the continuous health care and management of people's medical information.
Regarding the connection of prescription data and drug management to help control drug abuse, the leader of the Department of Medical Examination and Treatment Management said that the connection system will promptly detect incorrect prescriptions and drugs sold without the correct prescription.
For people, using QR codes on electronic prescriptions makes it easy to look up information about the drug, dosage, instructions for use, and treatment history. This is a useful tool that helps patients proactively monitor their medication use, contributing to increased transparency and safety in drug use.
In addition, Circular 26 also requires prescribers to clearly state the quantity used each time, the number of times used per day, and the number of days the patient uses the medicine.
The Circular also updates new regulations under the 2023 Law on Medical Examination and Treatment (such as prescribing drugs when absolutely necessary, for the right purpose, safely, reasonably and effectively, etc.). At the same time, there are clearer instructions on handling addictive drugs, psychotropic drugs, and precursor drugs that have been given to patients but not fully used or the patient has died.
In the coming time, the Ministry of Health said it will increase technical support, update software, and especially prioritize guidance for grassroots health care - to ensure that all medical examination and treatment facilities can implement effectively.
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