Duc Nhu Dang, Thanh Trung Nguyen, Ngoc Thanh Nguyen, Ngoc Nghia Nguyen, Lam Toi Phung, Huynh Phuong Anh Nguyen, Thi Ly Tran, Trong Khoa Nguyen, Huy Luong Duong, Quoc Thang Tran, Vuong The Vinh Tran, Thi Thu Ha Luong, Ngoc Quang La
University of Medicine and Pharmacy, Vietnam National University at Hanoi, Hanoi, Vietnam.
Hanoi Medical Assessment Center, Hanoi, Vietnam.
Medicine (Baltimore). 2025 May 30;104(22):e42439. doi: 10.1097/MD.0000000000042439.
Accurate disability assessment is a crucial aspect of ensuring that individuals receive the appropriate benefits for their daily lives. The study aimed to evaluate the management and factors of compliance with regulations and medical assessment procedures. This was a cross-sectional descriptive study combining quantitative and qualitative research methods. The study period was from October 2022 to October 2023 at Hanoi Medical Assessment Center, Hanoi, Vietnam. Quantitative information was collected, following the 8-step process for disability assessment, issued by the Minister of Health, Vietnam. For qualitative research, people with disabilities and their guardians, dossier-receiving and reception offers, the center leader, staff from District labor and social affairs department, medical evaluators were dept-interviewed. Most of the medical assessment cases (98.3%, n = 113) had their identification documents verified by the receiving staff. Percentage of assessment documentation was 98.3% (n = 113). All cases underwent specialized examination, with internal medicine being the most common (39.1%). A 99.1% (n = 114) of participants received professional consultation. All cases involved medical assessment council meetings. All cases (100%, n = 115) had records stored in accordance with regulations. Primary concerns were the financial burden and complicated procedures placed on patients who must undergo multiple specialist consultations. The study confirmed the effectiveness of the current referral system at the Hanoi Medical Assessment Center, it also points to the need for ongoing improvements. By addressing the financial burden and enhancing the coordination between healthcare providers, the disability assessment process can be made more efficient and equitable.
准确的残疾评估是确保个人在日常生活中获得适当福利的关键环节。该研究旨在评估法规和医学评估程序的管理情况及合规因素。这是一项结合定量和定性研究方法的横断面描述性研究。研究时间段为2022年10月至2023年10月，地点在越南河内医学评估中心。按照越南卫生部发布的残疾评估八步骤流程收集定量信息。对于定性研究，对残疾人及其监护人、档案接收和接待人员、中心负责人、地区劳动和社会事务部门工作人员、医学评估人员进行了部门访谈。大多数医学评估案例（98.3%，n = 113）的身份证件由接收人员核实。评估文件的比例为98.3%（n = 113）。所有案例都接受了专科检查，其中内科最为常见（39.1%）。99.1%（n = 114）的参与者接受了专业咨询。所有案例都涉及医学评估委员会会议。所有案例（100%，n = 115）的记录都依规存储。主要问题是必须接受多次专科咨询的患者所面临的经济负担和复杂程序。该研究证实了河内医学评估中心当前转诊系统的有效性，同时也指出了持续改进的必要性。通过解决经济负担并加强医疗服务提供者之间的协调，残疾评估过程可以变得更加高效和公平。
