Decree No. 118/2018/ND-CP stipulates on the work of combining military and civilian medicine

DECREE

REGULATIONS ON THE WORK OF MILITARY-CIVILIAN HEALTH COOPERATION

Pursuant to the Law on Government Organization dated June 19, 2015;

Pursuant to the Law on Medical Examination and Treatment dated November 23, 2009;

Based on the Ordinance on the Reserve Force dated August 27, 1996;

At the proposal of the Minister of Health;

The Government issues this Decree on the work of military-civilian health cooperation.n y.

PART I

GENERAL PROVISIONS

Article 1. Scope of Regulation and Applicability

Article 1. This Decree stipulates the work of military-civilian health cooperation and the responsibilities for implementing such work.

Article 2. This Decree applies to agencies, units, organizations, and individuals related to the work of military-civilian health cooperation.

Article 2. Interpretation of Terms

In this Decree, the following terms shall be understood as follows:

Article 3. Military-civilian health cooperation refers to the integration between military medical forces and civilian medical forces to enhance the comprehensive strength of all medical forces including organizational structure, human resources, equipment, and tasks ensuring healthcare, thereby improving the quality of care, protection, and enhancement of public health, troops, and responding to medical situations.

Article 4. The reserve mobilization force of the medical sector is a component of the Vietnam People's Army, consisting of reservists and technical equipment of the medical sector that have been arranged in plans to supplement the regular forces of the Army.

Article 5. The mobilized force of the medical sector is a component of the medical sector comprising personnel and technical equipment of the medical sector that have been arranged in plans to be mobilized to supplement the regular forces of the Army and ensure emergency medical situations.

Article 3. Principles of military-civilian health cooperation

Clause 1. Adhere to the Party's guidelines, policies, and state laws based on the functions, tasks, and authorities of military and civilian medical units.

Clause 2. Closely integrate economic and social development with healthcare development, reinforcing national defense and security, and constructing provincial and urban defense zones.

Clause 3. Leverage the combined strength of military and civilian medical forces in implementing the contents of military-civilian health cooperation.

Clause 4. Operate according to the coordination regulations uniformly issued by management agencies of military and civilian medical units.

Chapter II

MILITARY-CIVILIAN HEALTH COOPERATION IN PREVENTING AND CONTROLLING DISEASES

Article 4. Cooperation in disease prevention and control propaganda

Clause 1. Propagate and educate the public and troops on personal hygiene, environmental hygiene, food safety, risks, transmission routes, and preventive measures against diseases.

Clause 2. Propagate to raise awareness about the responsibility of agencies, organizations, and individuals in preventing and controlling diseases.

Article 5. Cooperation in disease investigation, surveillance, and intervention

Clause 1. Organize epidemiological investigations and monitor disease conditions.

Clause 2. Implement environmental sanitation measures, manage biological waste, medical waste, and carry out disinfection, eradication of pathogens and disease vectors at localities and units.

Clause 3. Conduct expanded immunization programs for the public and troops.

Clause 4. Implement quarantine measures when necessary.

Clause 5. Organize training and drills of disease prevention and control plans in line with actual local conditions.

Clause 6. Cooperate in organizing the reception and treatment of infectious disease patients during outbreaks.

Clause 7. Implement continuous professional training in epidemiological investigation, surveillance, diagnosis, and handling and treatment of infectious diseases that may cause epidemics.

Clause 8. Research infectious pathogens that may cause epidemics in humans, transmission routes, disease vectors, and develop monitoring techniques to identify epidemic-causing pathogens.

Chapter III

MILITARY-CIVILIAN HEALTH COOPERATION IN MEDICAL EXAMINATION, TREATMENT, AND IMPLEMENTATION OF HEALTH PROGRAMS

Article 6. Contents of Combined Medical Examination and Treatment Activities and Implementation of Health Programs

1. Organizing reception, medical examination, and treatment for the people and armed forces at medical examination and treatment facilities.

2. Transferring technology, training, and continuous training related to medical examination and treatment activities.

3. Researching on diseases and treatment methods.

4. Developing medical examination and treatment techniques.

5. Providing medical examination and treatment services for policy beneficiaries and social welfare recipients.

6. Implementing health programs at local levels.

Article 7. Organization of Combined Military-Civilian Medical Activities at Military and Civilian Medical Facilities

1. Military medical examination and treatment facilities, in addition to their responsibilities for ensuring military healthcare as prescribed, are responsible for organizing medical examination and treatment for the people and armed forces in their areas.

2. Civilian medical examination and treatment facilities, in addition to their responsibilities for caring for public health, are responsible for organizing medical examination and treatment for armed forces stationed in their areas.

3. The Ministry of Health and the Ministry of National Defense determine the organizational forms of combined military-civilian medical examination and treatment facilities.

Article 8. Policies and Financial Support for Personnel Working at Combined Military-Civilian Medical Examination and Treatment Facilities and Funding Sources

1. Medical practitioners from military units who are assigned by competent authorities to work at combined military-civilian medical examination and treatment facilities managed by the health sector:

a) Shall be subject to comprehensive direction by the head of the combined military-civilian medical examination and treatment facility during their assignment;

b) Shall enjoy all policies and benefits related to medical examination and treatment according to the law.

2. Medical practitioners from civilian medical examination and treatment facilities who are assigned by competent authorities to work at combined military-civilian medical examination and treatment facilities managed by the military:

a) Shall be subject to comprehensive direction by the head of the facility during their assignment at the combined military-civilian medical examination and treatment facility;

b) Shall enjoy all policies and benefits related to medical examination and treatment according to the law.

3. The head of the combined military-civilian medical examination and treatment facility shall manage and utilize personnel working at the military-civilian medical facility in accordance with this Decree and relevant laws.

4. Source of funds:

a) Investment funds for combined military-civilian medical examination and treatment facilities shall be provided in accordance with the State Budget Law and the Public Investment Law;

b) The state budget shall support regular operating expenses of combined military-civilian medical examination and treatment facilities based on current budget classification and the self-financing classification of the combined military-civilian medical examination and treatment facility, and the schedule for adjusting healthcare service prices;

c) Disaster prevention and mitigation, disaster relief, epidemic control, and search and rescue funding shall be implemented in accordance with the Law on Natural Disaster Prevention;

d) Revenue from medical examination and treatment services, health insurance, and other lawful sources.

Article 3. Principles of military-civilian health cooperation

Clause 1. Adhere to the Party's guidelines, policies, and state laws based on the functions, tasks, and authorities of military and civilian medical units.

Clause 2. Closely integrate economic and social development with healthcare development, reinforcing national defense and security, and constructing provincial and urban defense zones.

Clause 3. Leverage the combined strength of military and civilian medical forces in implementing the contents of military-civilian health cooperation.

Clause 4. Operate according to the coordination regulations uniformly issued by management agencies of military and civilian medical units.

Chapter IV

COMBINED MILITARY-CIVILIAN MEDICAL ACTIVITIES IN ENSURING HEALTHCARE FOR DISASTER PREVENTION AND MITIGATION, RECOVERY FROM DISASTER CONSEQUENCES; BUILDING RESERVE AND MOBILIZED FORCES IN THE HEALTH SECTOR

Article 9. Combined Activities in Disaster Prevention, Mitigation, and Recovery from Consequences

1. Preparing personnel, equipment, medical supplies, medicines, and medical materials ready for emergency care, treatment, and transportation of injured and affected individuals.

2. Organizing emergency care, transportation, reception, and treatment of injured and affected individuals.

3. Addressing health consequences when disasters occur and in urgent healthcare situations.

Article 10. Integration in the construction of the reserve mobilization force in the health sector

1. Registration, management, organization, and creation of resources for the reserve mobilization force in the health sector, including means and equipment.

2. Training and drills to deploy the reserve mobilization medical unit.

3. Inspection and evaluation of the quality of resources and the readiness capability for mobilizing the reserve mobilization force in the health sector.

Article 11. Integration in the construction of the mobilization force in the health sector

1. Registration, management, organization, and creation of teams and units for mobilization in the health sector, including means and equipment.

2. Training and drills to deploy the mobilization force in the health sector.

3. Inspection and evaluation of the quality of resources and the readiness capability for mobilizing the health sector.

Chapter V

IMPLEMENTATION

Article 12. Organization of directing integrated military-civilian medical activities

1. The head of the military and civilian health agencies in the same locality shall be responsible for coordinating and advising the immediate superior authority on directing integrated military-civilian medical activities in the locality.

2. The heads of localities and military units shall organize the Military-Civilian Health Board based on the actual situation in their locality to assist in implementing and supervising integrated military-civilian medical activities in the locality.

3. The Minister of Health shall provide detailed guidance on Clauses 1 and 2 of this Article after obtaining the consensus of the Ministry of National Defense.

Article 13. Responsibilities of the Ministry of Health

1. To take the lead and coordinate with the Ministry of National Defense to guide, organize implementation, inspect, audit, and evaluate the results of integrated military-civilian medical activities as stipulated in this Decree.

2. To propose investment policies for integrated military-civilian medical activities in accordance with laws on public investment.

3. Responsibilities for implementing integration in disease prevention and control:

a) To develop and issue professional guidelines for disease prevention and control;

b) To organize and direct health sector units to cooperate with military medical forces to implement the cooperation contents specified in Points 3, 5, 6, 7, and 8 of Article 5 of this Decree.

4. Responsibilities for implementing integration in medical examination and treatment and health programs:

a) To organize the cooperation contents specified in Clauses 2, 3, 4, 5, and 6 of Article 6 of this Decree;

b) To guide civil health units in organizing the implementation of the cooperation contents specified in Clause 2 of Article 7 of this Decree;

c) To build and submit to the competent authority for approval, or approve within its jurisdiction, the capital investment budget for integrated military-civilian medical activities in medical examination and treatment as prescribed.

5. Responsibilities for implementing integration in disaster prevention, mitigation, and post-disaster recovery:

a) To direct and guide health sector units to develop plans for integrated military-civilian medical activities in disaster prevention and mitigation according to the contents prescribed in Article 9 of this Decree;

b) To inspect and urge units and localities to implement plans for integrated military-civilian medical activities in disaster prevention and mitigation;

c) To direct the compilation of materials, organize training, and provide professional refresher courses on health work in disaster prevention and mitigation;

d) To mobilize subordinate units under the Ministry of Health to participate in disaster prevention and mitigation and ensure funding for these activities.

6. Responsibilities for implementing integration in the organization of building the reserve mobilization force in the health sector:

a) To direct, guide, inspect, and urge provincial health departments to fulfill tasks related to the construction of the reserve mobilization force in the health sector;

b) To develop and submit to the competent authority for approval plans to support provinces in constructing the reserve mobilization force in the health sector;

c) To coordinate with the Ministry of National Defense to conduct inspections and evaluations of the quality of resources and the readiness capability for mobilizing the reserve mobilization force in the health sector.

7. Responsibilities for implementing integration in the construction of the mobilization force in the health sector:

a) To direct, guide, inspect, and urge provincial health departments to fulfill tasks related to the construction of the mobilization force in the health sector;

b) To develop and submit to the competent authority for approval plans to support provinces in constructing the mobilization force in the health sector;

c) To coordinate with the Ministry of National Defense to conduct inspections and evaluations of the quality of resources and the readiness capability for mobilizing the mobilization force in the health sector.

8. To ensure regular funding for integrated military-civilian medical activities of units under the management of the Ministry of Health and funding to organize the implementation of tasks prescribed in this Decree.

9. To organize mid-term and final reviews of integrated military-civilian medical activities nationwide and report to the Prime Minister as prescribed.

Article 14. Responsibilities of the Ministry of National Defense

1. To coordinate with the Ministry of Health to guide and organize the implementation of this Decree.

2. To coordinate with the Ministry of Health to inspect, audit, and evaluate the results of integrated military-civilian medical activities; to organize mid-term and final reviews and report to the Prime Minister as prescribed.

3. Responsibilities for implementing integration in disease prevention and control:

a) To direct agencies and units under its management to cooperate with the health sector in conducting disease prevention and control awareness campaigns;

b) To direct agencies and units under its management to cooperate with the health sector in conducting disease surveillance and implementing intervention measures in disease prevention and control;

4. Responsibilities for implementing integration in medical examination and treatment and health programs:

a) To coordinate with the Ministry of Health in organizing the implementation of the cooperation contents specified in Clauses 2, 3, 4, 5, and 6 of Article 6 of this Decree;

b) To guide military medical units in organizing the implementation of the cooperation contents specified in Clause 1 of Article 7 of this Decree;

c) To direct and manage military-civilian medical examination and treatment facilities under its management;

d) To direct other agencies and units under its management to implement the dispatching of medical practitioners from military medical examination and treatment facilities to perform medical examinations and treatments at military-civilian medical examination and treatment facilities; to accept medical practitioners from civilian medical examination and treatment facilities to perform medical examinations and treatments at military-civilian medical examination and treatment facilities under its management.

5. Responsibilities for implementing integration in disaster prevention, mitigation, and post-disaster recovery:

a) To direct and guide units under its management to cooperate with the health sector in developing plans for integrated military-civilian medical activities in disaster prevention and mitigation according to the contents prescribed in Article 9 of this Decree;

b) Inspect and urge units to implement plans for integrating military-civilian medical activities in disaster prevention and mitigation;

c) Participate in compiling materials, organizing training, drills, and professional skill enhancement on medical work in disaster prevention and mitigation;

d) Organize training, drills, and professional skill enhancement on disaster prevention and mitigation;

đ) Mobilize units under its management to participate in disaster prevention and mitigation and ensure funding for these activities;

6. Responsibilities for implementing integration in the organization of building the reserve mobilization force in the health sector:

a) Guide the creation, organization, and management of reserve mobilization forces in the healthcare sector;

b) Compile training materials and drill scenarios for deploying reserve mobilization medical units;

c) Take the lead and coordinate with the Ministry of Health to conduct inspections and evaluations of the quality and readiness for mobilization of reserve mobilization forces in the healthcare sector;

7. Responsibilities for implementing combined contents in the organization and development of mobilizable healthcare forces:

a) Guide the creation, organization, and management of mobilizable healthcare forces;

b) Compile training materials and drill scenarios for deploying mobilizable healthcare forces;

c) Take the lead and coordinate with the Ministry of Health to conduct inspections and evaluations of the quality and readiness for mobilization of mobilizable healthcare forces;

8. Ensure regular funding for combined military-civilian medical activities of units under the management of the Ministry of National Defense and funding to organize the implementation of tasks stipulated in this Decree;

Article 15. Responsibilities of Provincial People's Committees and Municipal People's Committees under Central Government Management

1. Lead the implementation of contents prescribed in this Decree within their jurisdictional areas;

2. Responsibilities for implementing combined contents in disease prevention and control:

a) Develop plans to coordinate with military units stationed in their areas in organizing activities to promote disease prevention and control;

b) Provide promotional materials to military units when they carry out disease prevention and control activities;

c) Develop plans to coordinate with military units stationed in their areas in organizing activities for disease investigation, surveillance, and intervention measures, including: Determining areas, developing coordination plans for contents stipulated in Article 5 of this Decree;

3. Responsibilities for implementing combined contents in medical examination and treatment and health programs:

a) Direct and manage specialized matters concerning military-civilian medical examination and treatment facilities under their jurisdiction;

b) Direct other units under their jurisdiction to dispatch medical practitioners from civilian medical examination and treatment facilities to provide medical services at military-civilian medical examination and treatment facilities; accept medical practitioners from military medical examination and treatment facilities to provide medical services at military-civilian medical examination and treatment facilities under their jurisdiction;

c) Develop and submit to competent authorities for approval or approve within their authority sources of investment funds for combined military-civilian medical activities in medical examination and treatment within their areas (including state budget support for military-civilian medical stations);

4. Responsibilities for implementing combined contents in disaster prevention, mitigation, and aftermath recovery:

a) Direct units under their jurisdiction to develop plans to coordinate with military units stationed in their areas in organizing medical assurance activities for disaster prevention, mitigation, and aftermath recovery, including: Developing rescue and transportation plans for patients and injured persons; organizing drug, chemical, and medical supply reserves and organizing and training drills for medical assurance plans closely aligned with local conditions;

b) Coordinate medical forces participating in disaster prevention, mitigation, and aftermath recovery;

5. Responsibilities for implementing combined contents in the organization and development of reserve mobilization healthcare forces:

a) Organize the establishment of reserve mobilization medical units; implement reviews and statistics of reserve officers in the healthcare sector and send them for training to create reserve mobilization officers in the healthcare sector according to assigned targets;

b) Organize training and drill scenarios for deploying reserve mobilization medical units according to assigned targets;

c) Ensure funding for the establishment and operation of reserve mobilization medical units according to assigned targets;

6. Responsibilities for implementing combined contents in the organization and development of mobilizable healthcare forces:

a) Establish mobilizable healthcare forces according to assigned targets;

b) Organize training and drill scenarios for deploying mobilizable healthcare forces according to assigned targets;

c) Ensure funding for the establishment and operation of mobilizable healthcare forces according to assigned targets;

7. Ensure regular funding for combined military-civilian medical activities of units under their management and funding to organize the implementation of tasks stipulated in this Decree;

8. Take the lead and coordinate with the Ministry of Health and the Ministry of National Defense to inspect and evaluate the results of combined military-civilian medical activities; organize mid-term and final summaries of combined military-civilian medical work within their areas and submit them to the Ministry of Health for consolidation and reporting to the Prime Minister as prescribed;

Chapter VI

IMPLEMENTING PROVISIONS

Article 16. Effective Date

This Decree takes effect from October 30, 2018;

Article 17. Responsibility for Implementation

Ministers, Heads of ministerial-level agencies, Heads of agencies under the Government, Chairpersons of Provincial People's Committees and Municipal People's Committees under Central Government Management, relevant agencies, organizations, and individuals are responsible for implementing this Decree./.