NGUYEN HÙNG CƯỜNGSTRATEGY FOR DEVELOPING FAMILY DOCTOR SERVICES FOR THE QUANG NINH PROVINCIAL CENTER FOR DISEASE CONTROL PERIOD 2024 — 2026 CHIEN LƯỢC PHÁT TRIEN DỊCH VU BAC SĨ GIA ĐÌNH
Research situation related to the thesis tOpic cccecsceesseeessceseeeeteceseeeeseeeeeenes 3
Overview of Quang Ninh Center for Disease Control -ô++-s+ 31 1 History of the formation of the Quang Ninh Center for Disease Control
2.1.1 History of the formation of the Quang Ninh Center for Disease Control History begin:
Name: QUANG NINH PROVINCE DISEASE CONTROL CENTER Head office: Hai Phuc Street, Hong Hai Ward, City Ha Long, Quang Ninh Province
Website: https://www.quangninhcdc.vn/
Email: cdc.syt@quangninh.gov.vn Phone: 02033.825449
Representative: Dr Vu Quyet Thang - Position: Center Director Formation process: Quá trình hình thành:- Quang Ninh Provincial Center for Disease
Control was established under Decision No 1468/QD-UBND dated April 27,
In 2018, the Provincial People's Committee consolidated five provincial-level preventive medicine centers, which include the Preventive Medicine Center, Reproductive Health Care Center, HIV/AIDS Prevention and Control Center, Health Education and Communication Center, and Social Disease Prevention and Control Center.
The regulations outlined in Joint Circular No 26/2017/TT-BYT, issued by the Ministry of Health on June 26, 2017, along with Decision No 1468/QD-UBND from the Provincial People's Committee dated April 27, 2018, and Decision No 875/QD-SYT from the Director of the Quang Ninh Department of Health on May 30, 2018, provide a comprehensive framework for health management in the region.
The Center for Disease Control of Quang Ninh province is responsible for implementing and overseeing activities related to the prevention and control of various health threats, including epidemics, infectious diseases, HIV/AIDS, parasitic diseases, and zoonotic diseases The center conducts monitoring and forecasting of disease trends, responds to public health emergencies, and manages vaccination programs using medical biological products to safeguard community health.
Implement strategies and activities focused on preventing nutritional and micronutrient disorders, promoting balanced nutrition, and enhancing health care Prioritize improving maternal and child nutritional status while coordinating efforts to elevate the physical well-being and stature of the Vietnamese population.
To safeguard public health against environmental factors and climate change, it is essential to implement effective activities and measures that include direction, inspection, supervision, management, and guidance This approach focuses on protecting the environment within medical facilities, ensuring proper labor hygiene, and maintaining sanitary conditions in schools Additionally, it emphasizes the importance of high-quality drinking and domestic water, as well as the cleanliness of household toilets Active participation in these initiatives is crucial for achieving these goals.
32 activities to prevent natural disasters, accidents and injuries; Coordinate hygiene instructions during burial and cremation activities.
Implement comprehensive activities to manage community health, focusing on elderly, worker, school, and reproductive health care This includes overseeing women's and children's health, adolescent reproductive health, and preventing sexually transmitted infections and reproductive tract cancers Additionally, prioritize the prevention and control of leprosy, dermatological, and eye diseases within the community Ensure effective household health management through proper direction and decentralization of responsibilities.
Engage in monitoring food contamination risks to prevent food poisoning and food-borne diseases Collaborate in the investigation of food poisoning incidents and ensure compliance with food safety standards and regulations Additionally, perform various food safety tasks as mandated by law.
The Department of Health oversees professional activities related to the management and prevention of non-communicable diseases, including direction, guidance, inspection, and consultation Responsibilities also encompass first aid, emergency care, referrals, and the execution of approved health examination procedures Additionally, the issuance of health certificates and adherence to legal provisions are integral to these duties.
Conduct food safety testing, including assessments of water and environmental samples, as well as image diagnostics and functional explorations These tests support professional and technical activities aligned with the Center's responsibilities and community needs Additionally, implement and guide biosecurity measures in compliance with legal regulations.
Implementing effective health education communication involves organizing activities and measures focused on risk communication and behavior change that enhance public health This includes advocacy efforts to improve community health, providing essential information, and developing communication materials in accordance with regulations Additionally, coordination of these efforts is crucial for successful outcomes.
33 with mass media agencies and socio-political organizations to propagate the Party and State's guidelines and policies on health work and other communication activities of the health sector.
Implement the management of the supply, direction, inspection, supervision, storage, dispensing, and usage of drugs, vaccines, medical biological products, chemicals, equipment, and supplies essential for professional activities This includes the use of insecticidal and antibacterial chemicals in both household and medical settings, in accordance with the assignments and decentralization set by the Department of Health and relevant legal provisions.
The Department of Health serves as the central authority for providing direction, support, and technical guidance to medical facilities, particularly in emergency situations involving epidemics and public health events It plays a crucial role in combating AIDS, drug-related issues, and prostitution Additionally, the department collaborates on health projects and programs with both local and international organizations, adhering to legal requirements and the directives of the Quang Ninh provincial People's Committee.
Training in the health sector is grounded in legal provisions, ensuring that medical staff receive continuous education in management as mandated by relevant authorities Additionally, medical facilities are responsible for implementing training and development programs to enhance professional knowledge and skills, in accordance with the assignments and decentralization outlined by the Department of Health.
Engage in scientific research and apply advancements in science, technology, and information technology within your professional domain Provide technical expertise and guidance in accordance with the responsibilities assigned by the Department of Health.
To ensure proper medical examination and treatment for patients holding health insurance cards, it is essential to establish a contract with the Social Insurance agency, as authorized by the Department of Health and in accordance with legal regulations.
14) Implement statistical and reporting regimes according to the provisions of law.
15) Manage human resources, finance and assets according to assignment, decentralization and according to the provisions of law.
16) Perform other tasks and powers assigned by the Director of the Department of Health and competent authorities.
2.1.3 Organizational structure of the Center for Disease Control
2.1.3.1 Quang Ninh Provincial Center for Disease Control
Infectious Disease Prevention and Control
—— Vice precident kh gas and
Non-communicable Disease Prevention and Control and
Supplies iology and Hematology Testing
Figure 2.1 Quang Ninh Provincial Center for Disease Control structure
In particular, the General Clinic will be the unit that directly implements medical examination and treatment activities and the Family Doctor project.
SOME SOLUTIONS TO IMPLEMENT BUSINESS STRATEGY
Analyze Proposed Strate gieS ccccsccscccsccssessccsseeseessecsceesecsceeeesseeseeeseeseenaes 52 3.1.3 Strategic selection through QSPM matrix analySiS .-. -ô<- 55 3.1.4 Select goals based on OKRS TIH€WUOTĂ s5 555 +3 kEssvEssseessees 56 3.2 SUPPOTTt Strate nh 60 3.3 Propose solutions to implement the strategy 00.0 ce eeeeeesseeeeeeseceeeeneeeeeeneeees 60
To effectively penetrate the market for Family Doctor services, which remains relatively unknown, the Center must enhance its marketing efforts through both online channels, such as social media and websites, and offline initiatives at the Center and partner private clinics Leveraging information technology for e-marketing and brand development will be crucial in boosting market share and raising awareness of these essential services.
It is necessary to implement strategies in each phase to evaluate results because this is a new model in Quang Ninh.
Phase 1: From December 2024 to December 2025: Implement a small-scale project in a residential group in Hong Hai ward.
+ Arrange 01 Family Health Management Department under the Medical Examination and Treatment Department to manage, coordinate, and organize the implementation of services.
+ Coordinate with departments to coordinate shared human resources, deploy the provision of health insurance examination services and health examination services for customers.
+ Based on the number of customers using the service, assign doctors in charge of the areas to ensure fast and convenient service provision, effective and reasonable.
+ Arrange 01 consulting team, customer care, reception, appointment scheduling, return of results and online consultation.
Phase 2: From 2026 Expand the project implementation to wards in Ha Hong city + Implement as in phase 1, based on customer needs to supplement human resources, propose training, deploy services, and divide family health management areas by area for doctors participating in the project.
+ Coordinate with departments and offices to expand the implementation of activities in the project's specialties.
Invest in completing Family Doctor practice certificates for officers, civil servants, and employees participating in service provision.
Regularly organize in-depth, systematic training for the staff system on expertise and service activities to improve both professional knowledge and customer care.
Develop Family Doctor product packages suitable for the Center's conditions and meet the needs of each customer group.
Develop Family Doctor product packages suitable for the Center's conditions and meet the needs of each customer group.
The Quang Ninh CDC Center operates as a partially autonomous public unit, tasked with both service provision and state management responsibilities This dual role has resulted in overlapping duties among various departments To enhance efficiency, it is essential to balance human resources and establish specialized professional groups for the Family Doctor Group and the Contractor Group, thereby minimizing concurrent responsibilities and fostering specialization in these critical areas.
Strategy to seek cooperation opportunities
The Quang Ninh CDC Center, as a public entity, faces the challenge of balancing service provision with effective state management of epidemics This dual responsibility presents both difficulties and opportunities for the center to enhance its impact on public health.
The implementation of Family Doctor services is crucial for enhancing public health management and alleviating the burden on higher-level hospitals Quang Ninh CDC can proactively advise the Department of Health and relevant departments on regulations for coordination, referrals, and effective information exchange between family doctor clinics and the medical examination system, ultimately supporting disease prevention efforts.
The introduction of family doctor services in Quang Ninh presents both an opportunity and a challenge for the Quang Ninh CDC While this new service area can drive growth, establishing an appropriate pricing strategy tailored to various customer groups is essential for attracting a larger clientele.
A key challenge facing Family Doctor is the integration of electronic medical records at the Center with national health records To ensure the successful development of Family Doctor, Quang Ninh CDC must excel in this area.
Quang Ninh CDC is enhancing disease prevention through effective state management by continuously training its cadres and civil servants at major hospitals This initiative aims to develop high-quality human resources, which will contribute to establishing a more efficient and effective healthcare process.
CDC Quang Ninh needs to attract the attention of customers and people about disease prevention activities after the Covid 19 epidemic.
Prepare and continuously improve equipment, supplies and human resources to strongly develop when the Family Doctor service sector has not been exploited in Quang Ninh
CDC Quang Ninh needs to use its advantages to advise the authorities, thereby perfecting the regulations and guidelines for implementing the Family Doctor model in Quang Ninh.
Promote communication to change customers' perceptions and thoughts about CDC Quang Ninh in general and the Family Doctor service sector in particular.
3.1.3 Strategic selection through QSPM matrix analysis.
Table 3.2 QSPM Matrix - S-O Strategy Group
Use both human resources and Use only CDC
Classification resources from private clinics
AS TAS AS TAS Strength
2 The center is a public unit, which 2 3 6 3 6
55 can be proactive in policy advice
3 The center has high expertise in
1 Some equipment and supplies arequip Pp 2 4 6 still lacking
2 The center is still lacking in
3 Employees are not familiar with the working style in the service 4 8 16 sector
1 There is no unit in the province
4 12 12 that provides Family Doctor services.
4 Insurance mechanism is receiving attention for application to family 4 4 4 doctors.
5 Technology in health protection and management is _ receiving 2 4 4 attention.
1 Issuing family doctor practice certificates is still difficult
2 Purchasing equipment, drugs, and vaccines still has many procedures.
3 Regulations for coordination, referral, and appropriate information exchange between family doctor clinics and the medical examination and treatment system in the process of patient management have not been established.
4 Fees for home _ medical examination and treatment services are still spontaneous and have not been paid by health insurance.
5 A unified paper medical record form and electronic medical records of family doctor clinics have not been developed.
6 People do not yet understand the family doctor clinic model.
7 Customers’ impression of CDC's professional qualifications is not good.
8 As a pioneer, there is no similar model to learn from and gain experience
Comments: Through analyzing the QSPM matrices, we have the following total attractiveness scores for each strategy:
Comments: Through the analysis of the QSPM matrices, we have the following total attractiveness scores for each strategy:
The strategy of utilizing human resources from private clinics is significantly more appealing, achieving an attractiveness score of 168, while the approach of relying solely on CDC human resources scores lower at 139.
- The strategy of using both human resources from private clinics stands out with three main advantages:
To address the human resource shortage at CDC Quang Ninh, it is essential to optimize the utilization of skilled personnel from private clinics By leveraging the expertise of highly specialized and reputable doctors, as well as tapping into professionals experienced in service-oriented environments, we can effectively enhance the workforce and improve healthcare delivery in the region.
+ Exploiting the source of regular customers from private clinics, expanding the source of customers and increasing brand coverage
+ Exploiting the source of machinery and medical equipment from these private clinics.
- The strategy of using both human resources from private clinics has the following weaknesses:
The lack of established regulations for coordination, referrals, and information exchange between family doctor clinics and the medical treatment system is creating pressure on patient management Notably, the absence of a standardized paper medical record and electronic medical records in family doctor clinics complicates this issue Effective coordination requires meticulous planning to enhance collaboration while adhering to existing regulations.
3.1.4 Select goals based on OKRs framework.
O1 Ensure sufficient staff to work in 2026
In Quarter IH/2025, the KRI will collaborate with various departments and divisions to formulate the recruitment plan for the third quarter This plan will subsequently require approval from the Board of Directors before it can be implemented.
In the first quarter of 2025, we aim to enhance our recruitment efforts by purchasing a brand advertising service package on a job website Additionally, we will establish partnerships with two medical universities in Hanoi and Quang Ninh Medical College to link training and recruitment To support these initiatives, we will develop comprehensive operating procedures and regulations for coordination with private clinics and other relevant entities.
In the second quarter of 2025, KRI aims to enhance the medical examination and treatment processes within the Family Doctor service sector Additionally, efforts will be made to improve coordination with private clinics, ensuring seamless collaboration Ongoing communication with local private clinics will further support these initiatives.
KRI1 |Organize training on Family Medicine and its role in| Quarter III — disease prevention to promote the new service Quý IH/2025 KR2_ {| Contact local private clinics Quarter TI -—
Quy IV/2025 O4 Increase the recognition of CDC Quang Ninh
Every month, a leader from KRI participates in interviews with various press agencies, including television, radio, and print media, focusing on professional topics relevant to Family Medicine These engagements aim to enhance public understanding of the field and its significance.