The director, former deputy director, chief accountant of Bach Mai Hospital was arrested for overriding medical equipment prices and appropriating money from patients (Photo: Ministry of Public Security) This is the main content in the evaluation conclusion of the Rosa Robot surgery at Bach Mai Hospital, conducted by the Investigation Police Agency, the Ministry of Public Security. Collusion to “blow prices” on the pain of the patient The conclusion of the investigation of the criminal case, the request for prosecution of the Investigation Police Agency clearly indicated: Mr. Pham Duc Tuan – Chairman and Director of BMS Company – met with Mr. Nguyen Quoc Anh to offer to Bach Mai type robot Rosa costs 39 billion VND and Mako robot costs 44 billion VND in the form of joint ventures and associates. After that, Mr. Nguyen Quoc Anh decided to approve the joint venture to connect the device with BMS Company without going through the Party Committee, Board of Directors and Union of Bach Mai Hospital. Rosa robot imported by BMS Company from France to Noi Bai airport is 100% new and the original price is more than 7.4 billion dong, but it was agreed by Mr. Nguyen Quoc Anh and Mr. Nguyen Duc Tuan to bring to Bach Mai Hospital. at the price of 39 billion dong. Rosa robot is used in cranial surgery (Photo – medgadget) The investigation concludes that Nguyen Quoc Anh has created conditions for BMS to join the joint venture and install the machine at the wrong cost to collect money from the patient. / 2020, Bach Mai Hospital used this robot to perform cranial surgery for 639 cases, earning more than 22.9 billion VND. Bach Mai Hospital has paid the cost to BMS Company related to 551 surgical cases in the hospital. In particular, according to the assessment conclusion, the pre-surgery robot Rosa is more than 6.6 million VND / case but Bach Mai Hospital and BMS Company collect more than 23 million VND / case; enjoy the difference more than 16.5 million VND / shift. Up to now, Bach Mai hospital has just contacted, paid the difference above for 86 patients. Currently, the accused Pham Duc Tuan has paid 10 billion VND to pay the difference of 16.5 million VND for 551 cases of wrong collection. The police investigation confirmed: The behavior of the former Director of Bach Mai Hospital, BMS Company and other related subjects had an agreement, collusion, receiving each other’s will, taking advantage of the policy. mechanisms for socialization, joint ventures, and association in the health sector to act against the law, raise prices for medical treatment without a legal basis, cause property damage to patients and bring benefits to BMS Company and the same interest group in Bach Mai Hospital. Therefore, the Investigation Police Department has concluded, suggesting the Procuracy prosecute Mr. Nguyen Quoc Anh – former Director of Bach Mai Hospital – and 7 accomplices for the crime of “Abusing positions and powers in on duty ”under Clause 3, Article 356 of the Penal Code, occurred at Bach Mai Hospital. Is there a “gap” in medical socialization? The socialization of public services in general and in the health sector in particular is a right policy of the Party and State, contributing to mobilizing all social resources in the context of a tight budget. , to increase investment in facilities and equipment in order to improve the capacity and quality of medical examination and treatment services, to meet the diverse needs and increasing demands of all classes of people, as well as asking indispensable in approaching the world medical achievements of the medical team, doctors. Since 2007, Bach Mai Hospital has implemented many projects on socializing joint ventures, linking the installation of high-tech medical equipment, new techniques, helping patients in the country to be diagnosed. treat many complicated diseases at a lower cost than the overseas medical examination and treatment cost. Bach Mai Hospital (Photo – BVCC) The process of implementing a number of joint venture and medical equipment installation projects at Bach Mai Hospital has revealed the limitations, violations, and even committing crimes “Abusing positions and powers in on duty ”in implementing joint venture project, associated with BMS Company. Because Bach Mai Hospital is a special-class public health facility, the pressure of innovation and the expectation of patients of the family is great, so Mr. Nguyen Quoc Anh has directed the establishment of specialized surgical faculties to develop comprehensive development (Bach Mai Hospital was originally considered to have the advantage of internal medicine), attracting patients, increasing the income of the hospital and the income of the medical team. Therefore, Mr. Quoc Anh strongly agreed with BMS Company to install surgical assistive robots at Bach Mai Hospital, and at the same time, directed and requested Nguyen Ngoc Hien and the Accounting Department to implement the procedures for signing and putting the device into operation on February 27, 2017 (Vietnam Physician Day), bypassing the procedures and procedures in accordance with regulations. On the other hand, the fact that Mr. Pham Duc Tuan and the staff of BMS Company in the process of meeting with the leaders at Bach Mai Hospital with “external” money envelopes contributed to promoting the behavior of the defendants. From the above reasons, the Investigation Police Agency has pointed out that the main responsibility for the above-mentioned violation in the whole case belongs to Mr. Nguyen Quoc Anh – former Director of Bach Mai Hospital – the person with the highest authority. , decide policy, agree on equipment price with BMS, sign joint venture and association procedures. The case of the interest group at Bach Mai Hospital – headed by Mr. Nguyen Quoc Anh and BMS Company “blowing the price” of medical equipment to “eat” on the back of a serious patient has made public opinion frustrated. This incident is a warning bell on the risk of “gaps” in the socialization of the health sector not only at Bach Mai Hospital but also in other hospitals, in need of authorities. function to investigate, clarify and protect people from dangerous tricks of people holding high positions and positions, holding great power.

According to information from Bach Mai Hospital (Hanoi), Dr. Nguyen Trung Nguyen, Director of the Poison Control Center, said that there are at least 3 types of poisonous crabs: demon-faced crab, seed crab and Florida crab. father in the waters of Central Vietnam, Nha Trang and some other places. Recently, the Institute of Oceanography, Vietnam Academy of Science and Technology, also confirmed that the man in Thanh Hoa was poisoned after eating crab. This type of crab has a very high toxicity, very easily fatal when eaten. Dr. Nguyen said that the crab poisoning progress is very fast, it can appear after eating within a few hours. Many patients eat at sea, on ships, on islands, get poisoned and when they are brought ashore, they cannot be treated in time. Even many cases died on the way to the hospital. Devil-faced crab Devil face crab, scientific name is Zosimus aeneus, is one of the poisonous crab species living in Vietnamese waters, there are many from Da Nang to Vung Tau. Devil-faced crabs are often hidden in shallow, low-tide areas. They have the same color as coral, so it is difficult to identify. According to information from Nha Trang Institute of Oceanography, the devil face crab has the widest chest shell of nearly 90 mm, about 55 mm long. Crab shell has many flat convex, eye-catching colors, unlike food sea crabs. Devil-faced crabs are blue-green with white, brown, and yellow markings. The legs and legs of the crab are dark brown. The crab’s meat, eggs and claws contain the same toxins in pufferfish as saxitoxin, neurotoxin and tetrodotoxin. The poisonous crabs poisonous crabs formed by the main food source are the algae in the coral reef. These substances cause paralysis of the nervous system, inhibiting respiration. This is a very powerful toxin to the nervous system, just 0.5 mg can be fatal for adults. Devil-faced crabs can be fatal when ingested. Photo: Sciencesource. Crab fan This crab species has the scientific name Demania reynaudii of the family Xanthidae (the Xanthid reef crab). According to the literature, the fan crab is a crustacean, benthic, common in coral reefs in the tropical Indo-Pacific. Currently, scientists have identified nearly 300 species of crabs living in the sea, some of which contain the toxin saxitoxin or tetrodotoxin. These are 2 toxins that cause poisoning and death if ingested. According to Associate Professor, Dr. Dao Viet Ha, Director of Institute of Oceanography, Vietnam Academy of Science and Technology, tetrodotoxin is heat-stable and acid-stable so it does not decompose at high temperature when cooking. nine. It can even exist in processed, frozen, canned products. This toxin can affect the central nervous system of humans and higher animals, stopping the transmission of nerve signals. Symptoms of poisoning usually appear about 30 minutes after eating, including tongue numbness, lip numbness, dizziness, headache, abdominal cramps, nausea, vomiting, difficulty speaking, difficulty swallowing, movement imbalance. .. In severe cases, the victim has seizures, froth, coma and death. Demania renaudii fan crab specimen collected from food poisoning in Thanh Hoa on March 27. Photo: Truong Si Hai Trinh. Crab seeds The seed crab (Platypodia granulosa) is just as poisonous as the demon face crab. Crab seeds have oval body. Their nipple shells are semi-circular, the longest about 30 mm, the widest about 40 mm, covered with granular convex tumors. Raw crabs are yellowish-green in color, sometimes yellowish-brown or purplish-red in color. The knuckles are black in color. The seed crab is usually found on living coral reefs, at a depth of about 3 m, at Hon Tam – Nha Trang. They are sometimes mistaken for the common Florida crab (Atergatis floridus). Crab Florida According to the National Institutes of Medicine (NIH), this crab has the scientific name Atergastis floridus. They have an oval body, relatively narrow shell, smooth surface, smooth back. The whole crab body is brown to dark brown in color, with large yellow spots on the back. The Florida crab has a nipple shell that is almost like a horizontal ellipse. The back surface of the crab shell is slightly convex but smooth, making it difficult to identify areas. The toes are dark colored. The crabs are of large, equal and smooth size with a black spoon-shaped head. Male crabs are usually larger than females. The crab shell has a square shape, is quite thick and has a width of 8-10 cm. Florida crabs are usually more active at night. Atergatis floridus occurs in the eastern Indian Ocean, Southeast Asia, Australia, and the western Pacific. According to the Western Australian Museum, The meat of the crab Florida, like many related crabs from the Xanthidae family, is very poisonous. The toxins in this crab species such as tetrodotoxin and saxitoxin are produced by vibrio-like bacteria that live in symbiosis on crabs. These toxins, similar to puffer fish, are a major factor in poisoning cases in shellfish.

In a report to the Ministry of Health, Bach Mai Hospital said that from February 1, 2020, the number of employees and job transfer to other agencies at Bach Mai Hospital was 221 people. Prof. Dr. Nguyen Quang Tuan, Director of Bach Mai Hospital confirmed that many of the hospital’s human resources have recently quit their jobs and moved to other places. Among those taking leave, some have the title of Associate Professor and Doctor, but the leave is to move to another place with higher income. In addition, human resources quit due to the reorganization of payroll and employment positions due to complete financial autonomy in the hospital.

The hospital report also said that during this period, the hospital recruited and signed contracts with 506 people, including: 199 people who are officials, employees, and workers with professional qualifications; 232 nurses, medical technicians have completed training courses to improve skills organized by the hospital in 2019 and 75 working positions to welcome, guide and transport patients …

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So is there a situation of “brain drain” at Bach Mai Hospital as public opinion raises? Talking with reporters, some doctors and staff shared about the reasons why they quit their jobs at Bach Mai Hospital, and also shared their sadness and concerns when they had been with the hospital for many years.

Working in the Department of Oncology of Bach Mai Hospital since the days of university graduation until the retirement age, Dr. LVT is one of 222 staff members and staff who just resigned. Without stating the reason for taking leave, Dr. T asserted that not only him but also many doctors and staff had feelings of “sadness and concern.”

“I am very sad when I have to move to the hospital even though I am going to the retirement age and have to move to the hospital for many years,” said Mr. T.

Many other staff members resigned at Bach Mai Hospital also expressed their regret. However, when asked about the reason why they decided to quit their job at a large hospital like Bach Mai, many people said that it was a personal reason. Some even refused to answer because they quit their jobs and were no longer members of this hospital.

Quitting his job at Bach Mai Hospital from March 2021, Mr. NNK, an employee of the Faculty of Pharmacy shared, he sent his leave to his leaders right after Tet for many reasons, of which the main reason was due to the mechanism of The hospital has a change: “This change makes medical staff like us have to work more and more pressure, but the total income not only does not increase but also decrease than before”.

Answering VOV.VN’s reporter, Dr. Do Van Thanh, Head of Personnel and Organization Department, Bach Mai Hospital, it is normal for employees to quit their jobs, taking place every year. However, the past year at Bach Mai hospital is clearly higher.

Mr. Thanh also said that in parallel with 221 employees who changed jobs and quit their jobs, from February 1, 2020, the hospital has recruited and signed new contracts of 506 people. In which, the recruitment and reception of cadres, officials and workers with professional qualifications is 199 people (of which 5 persons with post-graduate professional qualifications; Doctor of 4 people; MSc. residents, BSCKI is 98 people, Bachelor of Nursing advanced system, graduate students with excellent grades: 24 people …). At the same time, signed labor contracts for 232 nurses, medical technicians who have completed the training course to improve skills organized by the Hospital in 2019. Deployed to sign labor contracts with the positions. welcoming, guiding and transporting patients … in order to improve the quality of medical examination and treatment services, bring satisfaction to the patient, and the patient’s family is 75 people.

“I affirm this is not brain drain as people think. Moreover, the number of vacations is spread throughout the year and in dozens of units, not massively. The same is true for the new recruitment. The hospital director’s point of view is how to attract highly qualified personnel, so the number one priority is to recruit resident doctors, then advanced bachelor, who have English proficiency … “- Dr. Thanh said.

Also in the report to the Ministry of Health, Bach Mai Hospital said that the total revenue of the hospital in 2020 decreased by nearly 2,000 billion compared to 2019 (down 26%). Although the hospital has applied a policy of supporting staff to stabilize income (2 months each person, the hospital’s salary is blocked because of the COVID-19 epidemic and support for additional income stabilization in the first 6 months of the year). 2020 with a total budget of 120 billion VND), but the income of officials and employees will still decrease much compared to 2019.

According to the report of Bach Mai Hospital, in the implementation of the hospital autonomy pilot project for the period 2020-2021, at the beginning, the hospital faced many difficulties in the apparatus, operation regulations and impacts of the COVID epidemic- 19, especially difficult financial resources.

Bach Mai Hospital said that in order to operate in accordance with the autonomy mechanism in the new situation, the hospital reorganized the apparatus, streamlining unnecessary labor, and re-arranging appropriate labor. qualifications, capabilities and job positions. In particular, the hospital dissolves functional units that are no longer suitable for the hospital’s development in the current period such as dissolution of service units that provide free of charge to patients, merger. the pharmacy system entering the Pharmacy Faculty in accordance with regulations and implementing the small and medium private health rapidly develops …

Dr. Do Van Thanh added that over the past time, due to the impact of the COVID-19 epidemic, the number of patients visiting Bach Mai Hospital has decreased significantly. In the past, the hospital received from 6,000 to 7,000 patients a day and treated more than 5,000 inpatients. Now due to the epidemic, there are times when the hospital only has more than 1,000 inpatients./.