THỰC TRẠNG NGUỒN LỰC ĐÁP ỨNG CHẤT LƯỢNG DỊCH VỤ KHÁM, CHỮA BỆNH BẢO HIỂM Y TẾ TRƯỚC VÀ SAU CAN THIỆP TẠI KHOA KHÁM BỆNH THUỘC CÁC TRUNG TÂM Y TẾ HUYỆN, TỈNH BÌNH DƯƠNG

Abstract

Objective: Describe the current situation of resources to meet the quality of medical examination and treatment with health insurance according to 23 quality criteria before and after intervention at the Department of Medical Examination. Methods: A cross-sectional study was conducted at 9 medical examination departments of 9 medical centers in Binh Duong province from October 2018 to December 2018, and an intervention study was conducted at the medical examination department, medical center Di An city, Binh Duong province from April 2019 to September 2022. Results: The status of resources to meet the quality of medical examination and treatment with health insurance according to 20 quality criteria at 9 Medical Examination Departments: The rate of criteria reaching level 2 was 15.5%, the rate of criteria reaching level 3 was 48.8%, the rate of criteria reaching level 4 was 29.0%, and the rate of criteria reaching level 5 was 6.8%. Results of intervention to improve the quality of medical examination and treatment with health insurance according to 23 quality criteria at the Department of Examination, Di An City Medical Center: Before intervention: 3 criteria reached level 2 (13 .04%); 11 criteria reached level 3 (47.83%); 7 criteria reached level 4 with a rate of 30.43%; 2 criteria reached level 5 with a rate of 8.70%. Results after intervention did not have criteria at level 2; Criteria to reach level 3 decreased from 47.83% to 17.39%; Criteria to reach level 4 increased

from 30.43% to 47.83%; Criteria to reach level 5 increased from 8.7% to 34.78%. Conclusion: The intervention model is effective in improving the quality of medical examination and treatment with health insurance according to 23 quality criteria at the Department of Medical Examination.