Ha Tinh is expected to be one of six provinces piloting the national foreign emergency care project.

The Ministry of Health said that the draft Project on developing the out-of-hospital emergency system for the period 2025-2030 is being sent by the Ministry of Health to relevant units for comments. This is an important step to create a legal corridor and a synchronous policy mechanism to complete the out-of-hospital emergency network in the coming years.

According to the project, the basic target by 2030 is that the legal system will ensure emergency services outside the hospital. 100% of provinces and cities will complete the emergency services system in their areas. Industry codes and training programs for emergency personnel outside the hospital will be approved and implemented. 100% of emergency personnel outside the hospital will have a practice certificate. 100% of emergency vehicles will meet standards. Two million people will participate in emergency services training in the community.

The implementation roadmap includes two phases. From 2025-2027, the pilot will be conducted in 6 localities including Bac Ninh, Hai Phong, Ha Tinh, Da Nang, Khanh Hoa, An Giang . From 2027-2030, it will be expanded nationwide, standardizing and synchronizing the outpatient emergency system.

In the project, the Ministry of Health proposed a national emergency number to replace 113, 114, 115.

Accordingly, the National Emergency Call Center for Foreign Hospitals with a single number, integrating emergency phone numbers, operates 24/7, connects online with medical emergency forces, fire prevention and fighting, traffic police, rescue forces... Applying information technology and artificial intelligence, big data to locate and classify calls according to the level of urgency; storing and analyzing data to serve the assessment and forecast of emergency needs by region.

According to the Department of Medical Examination and Treatment Management, in recent years, the out-of-hospital emergency system in Vietnam has been gradually formed, with a number of 115 emergency centers in Hanoi, Ho Chi Minh City and major provinces. Each year, the Hanoi 115 Emergency Center transports about 30,000 patients, saving 123 cases of cardiac arrest outside the hospital. In the period 2019-2024, during the Covid-19 pandemic alone, more than 12,000 emergency trips were made. Ho Chi Minh City has built a network of satellite emergency stations, handling hundreds of thousands of calls each year.

However, this system faces many challenges. In terms of legal basis, there is no separate national strategy for outpatient emergency care, health insurance does not cover this service, causing difficulties in operation. Specifically, the coordination organization is not unified nationwide; the 115 hotline mainly receives and dispatches emergency teams, does not classify the patient's condition from the beginning, and service coverage is still low.

About 80% of staff have not received standardized training, do not have a separate practice certificate for outpatient emergency care; limited benefits lead to a shortage of human resources. Regarding equipment, about 60% of districts have ambulances; 70% of vehicles do not meet international standards; the rate of new ambulances is 0.2/100,000 people, much lower than Singapore (0.8) or Japan, Taiwan (2-3).

Regarding service quality, the average response time is higher than international standards (under 8 minutes in urban areas, under 15 minutes in rural areas), but the rate of patients surviving emergency care has not reached the recommended level of 65%. There is no unified system for evaluating the quality of out-of-hospital emergency care.

Therefore, in order to establish, perfect, unify the coordination and operation mechanism of the outpatient emergency system in Vietnam, the Ministry of Health has developed a Project to develop the outpatient emergency system for the period 2025-2030. The goal is to improve emergency response capacity, ensure that all people have access to outpatient emergency services quickly, equally, and approaching international standards of community health care.

Source: https://baohatinh.vn/ha-tinh-du-kien-la-1-trong-6-tinh-thi-diem-de-an-cap-cuu-ngoai-vien-toan-quoc-post295480.html