Phụ cấp ngành y 13 năm không đổi (2): Đứng 12 tiếng ghép tạng ‘được’ 280.000 đồng; cả tháng trực ‘thua’ ship hàng 1 ngày

Viet Duc Hospital is a special-class medical and surgical facility, on the front line of emergency care, performing surgery on serious and difficult cases, and is also the address where many successful organ transplants are performed for the first time in Vietnam. But in such a “top” place, there are also extremely unbelievable things.

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In a recent sharing with reporters, Dr. Duong Duc Hung – Director of Viet Duc Hospital said whether the surgery is long or short, including special surgeries such as the recently completed simultaneous heart-liver transplant. Workers, main doctors, and main anesthetists only receive an allowance of 280,000 VND – the level for the highest-class hospitals.

“The doctors assisting in surgery and anesthesia and resuscitation are only given 200,000 VND in allowance. Our doctors stand for 8-12 hours to perform the transplant and only receive the same allowance” – Dr. Hung sadly said.

The successful simultaneous heart-liver transplant at Viet Duc Hospital has left a proud mark for Vietnamese doctors, but even if it takes 8 or even 12 hours for the transplant, the main surgeon will not only 280,000 VND – the allowance level has been maintained for 13 years without change.

But director Viet Duc, himself a famous surgeon, affirmed: “We always put the patient's health and life first. Therefore, although there is still a small glimmer of hope for patients, We also tried our best but never thought about the allowance we would receive”…

Dr. Ng. working at a class 2 hospital in Hanoi, please do not provide detailed personal information, revealing that each month he is on duty about 5-7 days but the total on-duty allowance is less than 1 million VND. He bitterly compared his hard days on duty for a whole month to really not be as good as the student running Shopee in just one day!

“My colleagues and I receive an allowance of 90,000 VND and 15,000 VND for meals for a 24-hour shift, from the previous morning to the next morning. This food money cannot buy good bread, let alone pho. We work because responsibility to patients, to the profession of saving lives, and when it comes to on-call allowances, no one really wants to have to work hard at night and not receive adequate compensation…” – Dr. Ng said.

Dr. Duong Duc Hung and doctors from Viet Duc Hospital consulted the patient.

During the time Minister Dao Hong Lan (when he was Acting Minister) went to work at Bach Mai Hospital, Dr. Doan Thu Tra – Chairman of Bach Mai Hospital's union frankly “cried”: Due to the influence of Due to the epidemic and many other factors, the lives of medical staff and staff at Bach Mai Hospital in the past 2 years have been quite difficult. For many months, doctors and medical staff at Bach Mai Hospital had to go to work from 5 to 6 a.m. to promptly examine patients. But there are people who only earn 5 million, and there are nurses who have to sell more online to make ends meet.

“However, we are paid 115,000 VND for a whole night of duty (only class 1 and special class hospitals have this allowance), it's very hard, the pressure is not only on taking care of patients but also the pressure of violence.” from the patient's family. Many doctors and nurses work and are on duty 24/7, and the next morning are still ready to provide guidance to lower levels” – Dr. Thu Tra said.

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A doctor discusses with a patient visiting Bach Mai Hospital.

On behalf of more than 4,000 hospital medical staff and industry unions, Chairman of Bach Mai Hospital union Doan Thu Tra hopes to have a new decision on how to collect correctly and sufficiently so that medical staff have a suitable salary coefficient. appropriate, with adequate allowances to ensure a stable life, so that medical staff can work with peace of mind and not have to change jobs.

And in fact, job shifts in the medical industry have taken place. According to statistics from the health sector, from early 2021 to mid-2022, the whole country has had nearly 10,000 medical workers quitting their jobs, the most of which are in Ho Chi Minh City, Hanoi, Dong Nai, Binh Duong, An Giang, Da Nang.

One of the main reasons why medical workers quit their jobs is due to work pressure. While the income is low, looking for a better working environment is more than a realistic wish or desire…

In 2011, when Decision 73 stipulating a number of special allowances for civil servants, public employees, and workers in public health facilities and anti-epidemic allowances was issued, workers The medical profession feels excited and mentally motivated.

However, this allowance level has remained the same for the past 13 years, while the base salary has been adjusted 8 times and everything in life is moving and changing in an upward direction, making many doctors unable to cope. thoughts.

Also a famous surgeon at Viet Duc Hospital, Associate Professor Dr. Nguyen Manh Khanh – Deputy Director of the Hospital said that in the past 13 years, life has changed a lot, price slippage occurs frequently, but the allowance level The policy for medical staff remains the same, which is a disadvantage for doctors and nurses.

“Chief surgeon” Nguyen Manh Khanh during an operation at Viet Duc Hospital.

Therefore, Associate Professor Khanh believes that: Adjusting the increase in pre-duty and pre-operative allowances is necessary, helping doctors and nurses to partly ensure their life needs and feel secure in their professional work…

In fact, many medical staff hardly have days off, work at high intensity for long periods of time, risking physical and mental health effects. While salary and allowances only partially cover life's needs, they are not commensurate with work characteristics and training process…

“To be able to perform surgery, each doctor must study a lot. Unlike other professions, when we graduate from university, we have to practice for 18 months at the hospital, then continue to study for specialties and higher education. to be able to perform surgery; the study time is long, the cost to study is not small, but the allowance is very low. While medicine is a special profession, we have to study for a lifetime” – an anonymous doctor share.

Doctor II Pham Thanh Viet – Deputy Director of Cho Ray Hospital said that adjusting to increase on-duty, surgery and epidemic prevention allowances is necessary. When increasing allowances for medical staff, it is necessary to adjust service prices. medical examination and treatment, otherwise it will be very inadequate.

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“Previously, the base salary increased but the price of medical examination and treatment services did not increase, so now many autonomous hospitals are very stressed when paying salaries. We had to use the reserve salary fund to pay our patients. So the hospital is 'eating itself'” – BSCK II Pham Thanh Viet said.

Former Minister of Health – Associate Professor, Dr. Nguyen Thi Kim Tien expressed: Before salary reform (applied from July 1, 2024), civil servants received the same starting salary. If a person only studies for four years, then after 4-5 years of graduation, that person can increase their salary by two levels.

During the same period, the “future doctor” was still studying. That is, by the time a doctor has just graduated and receives a starting salary, a civil servant of the same age in another rank may have gone up two salary levels…

Each doctor himself has to study a lot, unlike other professions, when graduating from university, the doctor must practice for 18 months at the hospital, then continue to study to become a specialist, then study further before being able to perform surgery. …

Not only did medical professionals feel disadvantaged, but even voters spoke up. Recently, voters in Ha Giang province reflected that the current low duty allowance regime does not ensure a living standard, directly affecting the quality of task performance. Specifically, the commune health station staff's weekday duty fee is currently 18,750 VND/night, on weekends it is 32,500 VND, and the meal fee is 15,000 VND/night.

Therefore, voters proposed that the Ministry of Health increase the allowance for on-duty allowances and meals on weekdays to 100,000 VND/night; Weekends up to 150,000/night; Holidays increased from 45,000 to 200,000 VND/night. Food support on weekends and holidays from 15,000 to 150,000/day.

On October 8, the Ministry of Health announced a draft Decision of the Prime Minister stipulating a number of specific allowances for civil servants, public employees, and workers in public and private health facilities. Anti-epidemic allowance regime. The draft is collecting comments from people and relevant units and is expected to be submitted to the Government in November. In this draft, there are many adjustments to increase the levels of on-duty, surgical and anti-epidemic allowances…

Former Minister of Health Nguyen Thi Kim Tien, upon receiving this information, expressed: “I am very grateful and feel relieved to hear that the authorities have proposed to increase allowances and on-duty pay for medical staff. economy two to three times, to ensure income.

This is necessary work towards fairness for doctors and nurses in the context of escalating consumer prices and the old allowance levels becoming outdated. There are many reasons to wait for the draft to pass, sooner or later”…

How to collect correctly and sufficiently so that medical staff have a suitable salary coefficient and adequate allowances so that their life is stable, so that medical staff can work with peace of mind and not have to move around. .

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