Đỗ Thị NhườngĐảng bộ tỉnh Thái Nguyên lãnh đạo công tác y tế từ năm 2005 đến năm 2015.Đỗ Thị NhườngĐảng bộ tỉnh Thái Nguyên lãnh đạo công tác y tế từ năm 2005 đến năm 2015.Đỗ Thị NhườngĐảng bộ tỉnh Thái Nguyên lãnh đạo công tác y tế từ năm 2005 đến năm 2015.Đỗ Thị NhườngĐảng bộ tỉnh Thái Nguyên lãnh đạo công tác y tế từ năm 2005 đến năm 2015.Đỗ Thị NhườngĐảng bộ tỉnh Thái Nguyên lãnh đạo công tác y tế từ năm 2005 đến năm 2015.Đỗ Thị NhườngĐảng bộ tỉnh Thái Nguyên lãnh đạo công tác y tế từ năm 2005 đến năm 2015.Đỗ Thị NhườngĐảng bộ tỉnh Thái Nguyên lãnh đạo công tác y tế từ năm 2005 đến năm 2015.Đỗ Thị NhườngĐảng bộ tỉnh Thái Nguyên lãnh đạo công tác y tế từ năm 2005 đến năm 2015.Đỗ Thị NhườngĐảng bộ tỉnh Thái Nguyên lãnh đạo công tác y tế từ năm 2005 đến năm 2015.Đỗ Thị NhườngĐảng bộ tỉnh Thái Nguyên lãnh đạo công tác y tế từ năm 2005 đến năm 2015.Đỗ Thị NhườngĐảng bộ tỉnh Thái Nguyên lãnh đạo công tác y tế từ năm 2005 đến năm 2015.Đỗ Thị NhườngĐảng bộ tỉnh Thái Nguyên lãnh đạo công tác y tế từ năm 2005 đến năm 2015.Đỗ Thị NhườngĐảng bộ tỉnh Thái Nguyên lãnh đạo công tác y tế từ năm 2005 đến năm 2015.Đỗ Thị NhườngĐảng bộ tỉnh Thái Nguyên lãnh đạo công tác y tế từ năm 2005 đến năm 2015.
The thesis is completed at Ho Chi Minh National Academy of Politics Supervisors: Assoc Prof., Dr Tran Trong Tho Assoc Prof., Dr Tran Thi Vui Reviewer 1: Reviewer 2: Reviewer 3: The thesis shall be defended in front of the Thesis Committee at Academy Level at the Ho Chi Minh National Academy of Politics At the time of date month year 2022 The thesis can be found at the National Library and The Library of Ho Chi Minh National Academy of Politics INTRODUCTION The necessity of the thesis Health is the precious capital of each person and the whole society During his lifetime, President Ho Chi Minh was very interested in health care for the people People consider health to be the most important factor for the prosperity of a nation According to President Ho Chi Minh, the people's healthcare work is closely and directly related to the building of comprehensive human development They are Vietnamese people who are intellectually developed, physically healthy, spiritually rich and have pure morals This work is the responsibility of the whole society, in which the health sector must be the vanguard force on the front of fighting the sick enemy “protecting the health of the race” In the renovation process, the protection and care of people's health have always been paid special attention by the Party, State, and the health sector, investing in human resources and facilities to build a really strong Vietnamese medicine The Communist Party of Vietnam determines investment for protection, taking care of, and improving people's health is an investment in development, bringing common and long-term benefits to the whole society Resolution No 46-NQ/TW dated February 23, 2005, of the Politburo on the protection, care, and improvement of people's health in the new situation affirms the protection, taking care of, and improving people's health is a humanitarian activity that directly ensures human resources for the cause of construction and defending the Fatherland, is one of the top priority policies of the Party and State Health policy is placed in the social policy system, so the Party and State have a mechanism to mobilize and use resources to build a health system towards equity, quality, and efficiency Under the leadership of the Communist Party of Vietnam on medical work, the grassroots health network covers a wide area; policies and systems of legal documents have been increasingly improved; the medical staff is enhanced in both quantity and quality; the investment of the state and other social resources for the protection and care of people's health is increasing; health indicators, the average life expectancy of the people improved Vietnam is evaluated by international organizations as one of the bright spots in the implementation of the United Nations Millennium Development Goals Besides these achievements, medical work, especially in remote and isolated areas, still faces many difficulties Inadequacies such as the lack of medical staff and the limited quality of health care To solve the shortcomings, and to remove the difficulties, it is necessary to study and summarize the good experience in health development leadership at the national and local levels to be able to apply it in current practice Thai Nguyen province is the economic, political, and cultural center of the Northern Midlands and Mountains Through the years of national renewal, under the leadership of the Party, Thai Nguyen province has made strong development steps in all areas of life, including the health sector Medical facilities have made innovations in examination activities, and medical treatment to better meet the people's health care needs; new methods and techniques in treatment have been applied more and more popularly in hospitals; many dangerous infectious diseases have been controlled and repelled; shining examples of expertise as well as medical ethics of doctors who are devoted to patients appear more and more, etc The above changes have made the medical work in Thai Nguyen province has changed fundamentally in a positive direction Achieving these encouraging results is due to the correct leadership of the Communist Party of Vietnam, of the Party Committee of Thai Nguyen province on medical work, and at the same time, is the result of the continuous efforts of the entire people, especially medical staff in Thai Nguyen province However, in the context of developing a socialist-oriented market economy, the medical work of the Party Committee, the government, and the health sector of Thai Nguyen province still have limitations, which are: The leadership of the provincial Party Committee in some aspects has not kept up with the development requirements of the sector; quantity, quality, training, arrangement, and employment of medical work in some localities and fields are still inadequate; in some places, the grassroots health system is still slow to innovate; Preventive medicine in Thai Nguyen province is still facing the situation of non-communicable diseases and new infectious diseases The successes and limitations in health leadership of the Thai Nguyen Provincial Party Committee need to be studied from many angles, including the science of Party history to clarify the leadership role of the Party Committee as well as provide more scientific arguments, and good experiences to be able to apply to develop local medical work today For the above reasons, the PhD candidate chooses the topic: “Thai Nguyen Provincial Party Committee leadership of the medical work from 2005 until 2015” to a doctoral thesis, majoring in the History of Vietnamese Communist Party Research purpose and research task of the thesis 2.1 Research purposes Clarifying the process of the Thai Nguyen Provincial Party Committee leadership medical work from 2005 until 2015; summarizing some experiences from the process of the provincial Party Committee leadership medical work to apply in the current context 2.2 Research task - Clarifying the factors affecting the leadership of the Party Committee of Thai Nguyen province for medical work from 2005 until 2015 - Analyze and interpret the policies of the Party Committee of Thai Nguyen province on medical work from 2005 until 2015 - Recreate the process of the Party Committee of Thai Nguyen province directing medical work through two phases (2005 - 2010), (2010 - 2015) - Evaluate successes, limitations, and causes and summarized some experiences from the process of the Party Committee of Thai Nguyen province medical work from 2005 until 2015 Research subject and research scope of the thesis 3.1 Research subject The thesis studies the policy and direction of the Thai Nguyen Party Committee on medical work from 2005 until 2015 3.2 Research scope About the content: The content and leadership method of the Party Committee of Thai Nguyen province for medical work is very rich Within the scope of the thesis, the author focuses on researching the policy and direction of the Party Committee of Thai Nguyen province for medical work on the following issues: Healthcare; Preventive healthcare; medical management, medical facilities; building a contingent of medical staff; medical socialization About time: The study dates back to 2005, the year the Politburo issued Resolution No 46-NQ/TW on protection, taking care and improving people's health in the new situation and the year Thai Nguyen begins to implement the Resolution of the 17th Provincial Party Congress to 2015, is the end of the term of the 18th Provincial Party Congress In terms of space: Researching the leadership process of medical work of the Thai Nguyen Provincial Party Committee in the province, including districts, city, and town, in which research focuses on provincial medical units, district health centers, and commune health stations Theoretical basis, source material and research methodology 4.1 Theoretical basis The thesis is carried out based on dialectical materialism methodology and historical materialism of Marxism-Leninism, Ho Chi Minh's thoughts on people's health care and medical work 4.2 Source material The thesis is based on the following main sources: - Documents, resolutions, and directives of the Party and State on medical work - Documents of the Thai Nguyen Provincial Party Committee on medical work, relevant documents and documents of the Party, government and medical sector agencies of Thai Nguyen province - The research works of domestic and foreign authors have been published, including books, newspapers, Journals, theses and dissertations related to the research content of the thesis 4.3 Research methodology The PhD candidate uses a combination of specialized and interdisciplinary research methods, mainly historical methods and logical methods The historical method is used to systematize the guidelines and policies of the Party and State on health; medical work is associated with the implementation of political tasks in the locality under the leadership of the Party Committee of Thai Nguyen province from 2005 until 2015 The logical method is used to clarify the relationship between the policy of the Party Committee of Thai Nguyen province with the implementation process and the achieved results From there, it summarizes the advantages, and limitations and summarizes some experiences from the practice of the Party Committee of Thai Nguyen province leadership medical work from 2005 until 2015.At the same time, the PhD candidate use methods of synthesis, analysis, comparison, statistics, etc to solve the problems posed by the thesis 5 New scientific contributions of the thesis - The thesis collects and systematizes materials in the field of health leadership of the Party in a province in the Northern Midlands and Mountains, namely Thai Nguyen province, from 2005 until 2015 - The thesis clarifies the influencing factors and systematically reproduces the leadership of the Party Committee of Thai Nguyen province in a leadership field, especially care, protection and improving people's health from 2005 until 2015 - The thesis summarizes some experiences from the process of the Thai Nguyen Provincial Party Committee leadership medical work from 2005 until 2015 Scientific and practical significance of the thesis - Scientific significance Through researching, recreating, and interpreting the leadership of the medical work of the Party Committee of Thai Nguyen province, the thesis contributes to portraying the overall historical picture of the provincial Party Committee from 2005 until 2015; contributes to making the research and propaganda on the history of the whole Party during the renovation period more comprehensive and profound - Practical significance The research results of the thesis, especially the experiences drawn from the practice of leadership in the medical work of the Party Committee of Thai Nguyen province can be used as arguments, refer and apply to develop health care in Thai Nguyen and the northern midland and mountainous regions The thesis can be used as a propaganda document, as a reference in research and teaching on protection work, and as taking care of people's health in medical schools in Thai Nguyen and Vietnam Structure of the thesis The thesis consists of an Introduction, conclusion, list of references, appendix, and contents including chapters Chapter OVERVIEW OF RESEARCH WORKS 1.1 RESEARCH WORKS RELATED TO THE THESIS 1.1.1 The group of research works related to the leadership of the Party, State management of health and medical aspects in Vietnam * Research related to viewpoints, ways, the Party's guidelines, the State's policies, and laws on medical in Vietnam The research on the leadership of the Party, the policies of the State and the problems posed to the health sector in Vietnam has always attracted many research authors such as: Developing the medical career in our country in the period present by Do Nguyen Phuong; Vietnam's medical in the innovation process of Pham Manh Hung; Building an equitable and developing Vietnamese medical by Tran Thi Trung Chien; Report SÉNAT La politique Sanitaire du Vietnam l’heure du “DOI MOI” (Renouveau Économique) of the French Senate; Health Care System in Vietnam: Current Situation and Challenges by Duc-Cuong Le et al; Vietnam: Learning from smart coverage on the road to universal health coverage by Helene Barry, Eva Jarawan, Sarah Bales In general, the above domestic and foreign studies have mentioned the leadership role of the Party, and the Vietnamese State's policy on medical in the doi moi process * Research on medical examination and treatment The research referring to this field mainly discusses improving the quality of medical examination and treatment, competing in the health sector, including some works such as Building Vietnamese healthcare towards equity, quality, efficiency and development by Nguyen Thi Kim Tien; Evaluation of patient satisfaction with using medical examination and treatment services at some public hospitals of Tran Thi Hong Cam; Improving the quality of medical examination and treatment services of Linh An; Competition policy in medical service delivery in Vietnam by Truong Bao Thanh * Research on preventive medicine Research in this field has typical authors such as Vietnam's Preventive Medicine Innovation and Development by Trinh Quan Huan; 40 years of building and developing the preventive medicine system of Nguyen Van Vy; the results of 25 years of expanded vaccination in Vietnam by Nguyen Tran Hien, etc., have summarized the functions and tasks and achievements of preventive medicine from the central level to the grassroots level * Research on grassroots health Research on grassroots health care with authors such as Pham Manh Hung, Building grassroots health care: “An important strategy of Vietnamese health care”; Nguyen Thi Kim Tien, Strengthening grassroots health care to ensure that people receive primary health care, aiming at health care for the entire population; Nguyen Van Hung and Nguyen Van Khai, Renovating the health care model at the grassroots level; Dao Van Dung, Commune Health Station The authors all affirmed that strengthening grassroots health care and renovating primary health care activities is necessary * Research on building medical staff In recent years, studies on the development of policies for the development of medical work have been increasingly focused, typically: Promoting the role of Vietnamese medical intellectuals in the renovation work of Nguyen Thi Hoa Binh; Improving the quality of health human resources to meet the requirements of Huy Tuan's people's health care; Moving the mountain: Renovating medical education in a changing Vietnam by Luu Ngoc Hoat; Making primary health care work: Challenges for the education and practice of the medical workforce (post-conference excursion on community-based health professions education) of the University of Medicine and Pharmacy of Ho Chi Minh City, etc * Research on medical socialization In this issue, there are studies such as Socialization of health in Vietnam: Theory - practice and solutions of Dang Thi Le Xuan; Contributing to the socialization of public services in the health sector by Nguyen Thi Thanh Binh; Building a public-private cooperation mechanism in the health sector of Su Dinh Thanh, etc All studies have assessed that in the context of the limited state budget, the policy of socialization of health has promoted organizations, Individuals participating in providing more and more diverse types of health services 1.1.2 The group of research works on medical work in local Party committees Notable studies include: The Party Committee of Ha Giang province led the work of taking care of people's health from 2000 until 2010 by Nguyen The Diep; Ha Tinh Provincial Party Committee leadership Duong Thi Ninh Huong's health care work from 2006 until 2014; Improving the quality of medical examination and treatment services of central hospitals in Hanoi by Le Thu Thuy; Research on some characteristics of disease structure, ability to respond to health care activities of Central Highlands border commune health stations and intervention solutions of Nguyen Minh Hung, etc The research works on the process of implementing medical work under the leadership of the local Party Committees from different angles are valuable sources for our reference on the content, methods, and approaches, contributing to clarifying the contents of the thesis 1.1.3 The group of research on medical work in Thai Nguyen province Researching scientific grounds to build task targets, and solutions for the socio-economic development of Thai Nguyen province in the period 2011 - 2015 serving the 18th Provincial Party Congress of the People's Committee of Thai Nguyen province; the process of socio-economic transformation of Thai Nguyen province from 1997 until 2010 by Hoang Thi My Hanh; Current situation and solutions to develop human resources for traditional medicine in Thai Nguyen province by Truong Thi Thu Huong; The actual situation of performing tasks and training results to improve the capacity of village medical work in Vo Nhai and Dinh Hoa districts of Thai Nguyen province by Hoang Viet Ngoc, etc 11 Chapter POLICY AND DIRECTIONS OF THE PARTY COMMITTEE OF THE THAI NGUYEN PROVINCE ON MEDICAL WORK FROM 2005 UNTIL 2010 2.1 FACTORS AFFECTING THE PROCESS BY WHICH THE PARTY COMMITTEE OF THE THAI NGUYEN PROVINCE LEADERSHIP MEDICAL WORK 2.1.1 Natural, economic and social conditions in Thai Nguyen province 2.1.1.1 Natural condition Thai Nguyen is a midland and mountainous province in the Northeast and is an important traffic hub connecting with the northern midland and mountainous provinces and the Red River Delta The geographical and natural features of Thai Nguyen province create favorable conditions for economic and social development, local culture, education, and health 2.1.1.2 Socio-economic situation, population up to 2005 Thai Nguyen is the economic, political, cultural, and educational center of the northeastern midland and mountainous region Before 2005, the economic situation had good development, people's living standards were improved, and the unity of ethnic groups is an important factor in the implementation of medical work under the leadership of the Party 2.1.2 Status of medical work in Thai Nguyen province before 2005 After re-establishing the province, Thai Nguyen's medical work has made new advances: National health target programs continue to be deployed to the grassroots and bring practical effects; medical examination and treatment for the poor and people in remote and isolated areas have received more attention To implement the Resolution of the XV and XVIth Party Congress of Thai Nguyen Province, government involvement and the key role of the health sector, as of 2005 medical work has achieved positive results, but there are still many difficulties and limitations that need to be overcome 12 2.1.3 The Party's guidelines and the State's policies on medical work from 2005 until 2010 Politburo issued Resolution No 46-NQ/TW dated February 23, 2005, on the protection, care, and improvement of people's health in the new situation Resolution No 46-NQ/TW comprehensively mentioned the medical work of the country with five guiding points of view and seven key solutions to develop the medical sector in the following years The 10th National Congress of the Party (2006) continue to give new guidelines in the medical field such as the hospital fee regime according to the principle of correct and sufficient calculation; diversified types of health insurance; development of the non-public health system 2.2 POLICY OF THE PARTY COMMITTEE OF THE THAI NGUYEN PROVINCE ON MEDICAL WORK FROM 2005 UNTIL 2010 Resolution No 12-NQ/TU (2005) of the Standing Board of Thai Nguyen Provincial Party Committee on the protection, care, and improvement of people's health in the new situation; Resolution of the 17th Provincial Party Congress (December 2005); Project No 03-DA/TU (2006) of the Provincial Party Executive Committee on building Thai Nguyen to become a regional health center for the Northeastern provinces in the period 2006 - 2010 with a comprehensive focus on the field of medical examination and treatment, develop preventive medicine, build grassroots health care, perform the state management of health, build a contingent of medical staff, and socialize health 2.3 THE PROCESS OF DIRECTING THE IMPLEMENTATION OF MEDICAL WORK OF THE PARTY COMMITTEE OF THE THAI NGUYEN PROVINCE FROM 2005 UNTIL 2010 2.3.1 About medical examination and treatment To implement the direction of the Provincial Party Committee on medical work, the people's Committee of Thai Nguyen province issued Decision No 788/2005/QD-UBND dated May 6, 2005, on the approval 13 of the master plan for the development of the health network in Thai Nguyen province in the period of 2005 - 2010 development orientation of hospitals in the direction of specialization, suitable to the conditions and characteristics of each unit Medical examination and treatment activities and implementation of professional regulations at central and provincial hospitals are well maintained The district level has sufficient equipment according to the technical division and can perform professional tasks as prescribed Commune health stations have enough basic equipment to operate, effectively maintaining medical examination and treatment for people, achieving the goals of Project 03-DA/TU 2.3.2 About preventive medicine The Provincial Party Committee has directed the People's Committee to urgently perfect the personnel structure, and merger, and clearly define the position and function of each center in the provincial preventive medicine system The health sector closely cooperates with agencies and authorities at all levels to well implement disease prevention and control The monitoring system was maintained regularly and promptly extinguished, so no major outbreaks occurred in the province National target programs on health have been implemented effectively 2.3.3 About health management, grassroots health Provincial People's Committee promulgates Scheme on implementation of national standards on commune health - Period 2006 - 2010 according to Decision No 1331/DA-UBND (2005) and Decision No 572/2006/QDUBND (2006) Approval of the Scheme on the implementation of the National Standards on Commune Health in Thai Nguyen Province - Period 2006-2010 The two documents above focus on four major groups of solutions: Firstly, staff organization and policies Secondly, improving the quality of implementation of health programs Thirdly, coordinate programs and projects with the People's Committees of districts and departments 14 Fourthly, upgrade, renovate and repair stations and invest in medical equipment for medical stations 2.3.4 About building a team of medical staff Implementation of Project No 03-DA/TU, Resolution No 02/2006/NQHDND, and Decision No 788/QD-UBND, the Department of Health develops a plan to strengthen the contingent of medical staff to ensure the quantity, quality, and structure according to regulations Policies on career incentives and toxic allowance are taken seriously and promptly contribute to stabilizing the material and spiritual life of medical staff in the units 15 Chapter THAI NGUYEN PROVINCE PARTY COMMITTEE LEADERSHIP TO PROMOTE MEDICAL WORK FROM 2005 UNTIL 2015 3.1 NEW SITUATION AND POLICY OF THAI NGUYEN PROVINCE PARTY COMMITTEE ON MEDICAL WORK 3.1.1 The impact of the world situation, in the country and Thai Nguyen on the leadership of the Provincial Party Committee for medical work Impact of the world situation Globalization and international integration have had a strong impact on countries, including Vietnam Factors such as information technology, biotechnology, new materials technology, and automation strongly influenced the development of modern medicine Impact of a domestic situation After nearly 25 years of reforming the country, the material and spiritual life of the people has been improved Viet Nam has achieved most of the Millennium Development Goals set by the United Nations by 2015 The health sector under the leadership of the Communist Party of Vietnam has achieved important achievements The situation of Thai Nguyen province and new requirements in medical work After years of implementing the Resolution of the 18th Provincial Party Congress, Thai Nguyen's socio-economic status has undergone fundamental changes It is these positive results that create favorable conditions for the province to have material resources to invest in the health sector However, the achieved results are still not commensurate with the potential and advantages of the province, which are also challenges affecting the health work of the province 3.1.2 The Party's guidelines, the State's policies on medical work from 2010 to 2015 16 The XI National Congress of the Party (2011) comprehensively defined healthcare work in the new period as follows: Firstly, focus on improving the quality and promoting preventive medicine Secondly, renovate the management mechanism and the financial mechanism, improve the efficiency of resource allocation and use and strengthen the control of health costs Thirdly, continue to strengthen and develop the grassroots medical network Fourthly, continue to innovate the construction of medical staff at all levels Fifthly, promoting the work of medical socialization 3.1.3 Policy of the Party Committee of Thai Nguyen province on promoting medical work The policy on medical work is expressed in the Resolution of the 18th Provincial Party Congress Action Program No 05-CTr/TU to implement the Resolution of the 11th Party Congress, Action Program No 20-CTr/TU Continue to implement Resolution 37-NQ/TW of the IX Politburo in Thai Nguyen province until 2020 The provincial Party Committee orients the development of healthcare in the direction of universalization and specialization; strengthening state management in the field of health, especially for establishments that practice medicine, pharmacy, and distribute medicines; pays attention to training and improving the qualifications of medical staff; Mobilize resources to invest in building and upgrading health facilities, especially grassroots health care 3.2 THE PROCESS OF INSTRUCTING PROTING THE IMPLEMENTATION OF MEDICAL WORK OF THE PARTY COMMITTEE OF THAI NGUYEN PROVINCE FROM 2010 UNTIL 2015 3.2.1 Directing the promotion of quality improvement of medical examination and treatment Provincial People's Committee issued Decision No 2843/QD-UBND dated November 9, 2011, on the approval of the Health career development program in Thai Nguyen province for the period 2011-2015, with a vision to 2020 with a total implementation budget of 1,959 billion VND The People's Council of Thai Nguyen province issued Resolution No 11/2012/NQ- 17 HDND (2012) on approving the project of consolidating and perfecting the grassroots health network in Thai Nguyen province by 2020; resolution No 04/NQ-HDND (2013) on approving the project of developing intensive health care in Thai Nguyen province until 2020 The Resolution has oriented specific development for central and provincial hospitals, district and commune health stations towards universal and specialized, etc 3.2.2 Directing continued consolidation of preventive medicine To implement the Resolution of the 18th Provincial Party Congress, the People's Committee and the Department of Health of Thai Nguyen province determine to build a provincial preventive health system in a positive, proactive, and comprehensive way, focusing on limiting risk factors affecting public health; controlling and extinguishing outbreaks; well control non-communicable diseases, contribute to improving physical and mental health to serve the cause of local socio-economic development 3.2.3 Directing the renewal of medical management and grassroots health The Provincial Party Committee directs the People's Committee and Department of Health to make innovative efforts in planning for local health development and re-planning the network of medical facilities The Provincial People's Committee directs strictly controls the practice of licensing activities by the provisions of current law For grassroots health care, based on the direction of the Provincial Party Committee and implementation of Resolution No 11/2012/NQHDND of the People's Council on the approval of the project on consolidating and perfecting the grassroots health network in Thai Nguyen province by 2020, Decision No 2074/QD-UBND dated September 17, 2012, on the approval of the consolidation project and complete the grassroots health network in Thai Nguyen province by 2020, focusing on upgrading facilities, equipment for district hospitals, 14 regional general clinics, 181 commune health stations throughout the province 3.2.4 Directing the construction of medical staff 18 Resolution No 04/2013/NQ-HDND Regarding the approval of the project on developing intensive health care in Thai Nguyen province in 2020, providing solutions to staff work is a key task Provincial People's Councils develop financial policies and incentives for health workers Programs and projects implemented by the province have brought positive results to the construction of Thai Nguyen's medical staff and are higher than the national average 3.2.5 Directing further expansion of forms of medical socialization Resolution No 04/NQ-HDND (2013) of the People's Council, Decision No 2843/QD-UBND of the Provincial People's Committee has provided many solutions to solve many problems in terms of mechanisms for public health units, and also created a legal corridor for private clinics, and traditional medical and pharmaceutical establishments transmission, grassroots health care focuses on investing in promoting internal resources to serve health care for people in the province 19 Chapter REVIEWS AND EXPERIENCES 4.1 SOME REVIEWS 4.1.1 Advantages and achievements of the Party Committee of Thai Nguyen province in leadership medical work 4.1.1.1 The Party Committee of Thai Nguyen province thoroughly grasped and applied the guidelines, guidelines and policies of the Party and State on reforming medical work, promptly set out policies on medical work appropriate to the locality The Provincial Party Committee has issued many thematic projects and resolutions on health as a basis for directing the People's Committee, implemented by the health sector as Resolution No 12-NQ/TU (2005), and Project No 03-DA/TU (2006) consistent with local innovation characteristics and practices 4.1.1.2.The Party Committee of Thai Nguyen province directs medical work comprehensively and synchronously with many effective solutions, promoting the potential and strengths of the local In developing local key health projects and programs, the Standing Committee of the Provincial Party Committee directly assigns the People's Committee to develop the contents for submission to the Standing Board of the Provincial Party Committee for consideration to decide on big goals, directions, and solutions Therefore, resolutions, the project of the Provincial Party Committee is concretized by the resolutions of the Provincial People's Council, term XII (term 2006 - 2010), term XIII (term 2011 - 2015) 4.1.1.3 Under the leadership of the Party Committee Thai Nguyen province health care has achieved important results * About medical examination and treatment From 2005 until 2015, the number of patient visits, treatments, inpatient visits, the number of surgeries, scans, screenings, and testing at public health 20 facilities has steadily increased the years The rate of patients coming for medical examination and treatment always exceeds the assigned target * About preventive medicine From 2005 until 2015, Thai Nguyen has well implemented the national target programs on health in the province National health targets are implemented and implemented, always meet and exceed the National Standards on commune health in the period (2001 - 2010), (2010 - 2020) * About medical management, medical facilities From 2005 until 2015, the medical network at the grassroots was improved in terms of facilities, equipment, and staff This makes it easier for people to access primary health services; disease prevention, reproductive health care, and expanded vaccination are always guaranteed and improved; receiving medical staff and gradually mastering specialized techniques right at district hospitals, contribute to reducing the load on the upper-level * About building medical staff After 10 years of implementing resolutions, programs, and plans of the Party Committee, People's Council, and Provincial People's Committee, the work of building medical staff has made clear changes, Many national health targets set by the Ministry of Health in Thai Nguyen province have been achieved and some are even higher than the national average * About medical socialization The private health system and private medical and pharmaceutical practice establishments have developed in a variety of forms, spread throughout the province, making great contributions to the achievement of national health targets in particular and the socio-economic development of the province in general 4.1.2 Some limitations of the Party Committee of Thai Nguyen province in leadership medical work 4.1.2.1 Limitations in awareness and policy Firstly, the awareness of a part of Party committees, officials, and party members about medical work is still not up to the mark considering medical 21 work is the sole responsibility of the health sector, leadership to determining the position and role of protection work, care for the people's health has not been commensurate, and this work has not been considered as a pillar in the country's rapid and sustainable development Secondly, the organization and implementation of medical work are sometimes inconsistent and lack concentration; the province's mechanisms for health are many, but the effectiveness is not high Thirdly, in terms of field structure, there is a difference between the field of examination, direct treatment with preventive medicine, and medical facilities 4.1.2.2 Limitations in direction of implementation Firstly, limitations in directing the implementation of medical work in general Secondly, limitations in directing medical examination and treatment Thirdly, limitations in directing preventive medicine work Fourth, limitations in directing the state management of health, construction of medical facilities Fifthly, limitations in directing training, fostering, arranging, and employing medical staff Sixthly, limitations in directing medical socialization work 4.2 SOME EXPERIENCES 4.2.1 Constantly innovating and raising awareness of Party ministries, authorities, health sector and people about the position, the importance of medical work From 2005 until 2015, all levels of Party committees, authorities, the Front, and mass organizations in Thai Nguyen province always focus on thoroughly understanding the people's deep awareness that health is an activity field that brings mutual and long-term benefits to society When fully aware of the importance of medical work, the Party committees, authorities, and the people have mobilized and concentrated resources to develop the health cause of the province 22 4.2.2 Promoting the spirit of initiative and creativity in mastering and applying viewpoints, guidelines, and policies of the Party and State on health into local practice The Party Committee of Thai Nguyen province has flexibly and creatively placed healthcare work in a dialectical relationship with the local economy, politics, culture, and society In directing medical work, applying the guidelines of the Party, policies, and laws of the State, Party committees, and authorities, the Thai Nguyen health sector always pays attention to the stages, times, investors, and beneficiaries of health services 4.2.3 Improving the effectiveness of state management in medical work from the provincial to grassroots levels The Party committees, authorities, and health sector of Thai Nguyen province have conducted research to rearrange the centers, and preventive medicine unit to form drug control agencies, food and medical equipment in the direction of international integration 4.2.4 Implement synchronously and effectively all fields of medical work Thai Nguyen province's health sector focuses on rationally developing universal health services, rehabilitation, intensive medical care, and specialized hospitals, to build grassroots health care to create the best conditions for people to access basic health services, quality at the grassroots level and at the same time access to high-tech healthcare services on demand 4.2.6 Consistently and actively implementing the policy of socialization of medical work The provincial Party Committee has policies and mechanisms to encourage private medical facilities to boldly invest in preventive medicine in rural areas to share difficulties with the public health system so that people have easier access to health services 23 CONCLUSION Human health is an important endogenous resource for the development of each individual and society Medical work aims to protect, care for and comprehensively improving people's health This work is not only the responsibility of Party committees at all levels of government but is the responsibility of both the political system and the people in which the health sector plays a pivotal role In the process of comprehensively leadership of the country in the renovation process, the Party and the State of Vietnam have always paid great attention to medical work Determining that health is a precious capital of people and the whole society, from 2005 until 2015, the Communist Party of Vietnam made many breakthrough policies to guide the Government and the health sector to implement On that basis, the State and the health sector have issued documents such as decrees, decisions, directives, and circulars to put the policies of the Party into life toward the goal of building a fair, efficient, and developed healthcare system in Vietnam Thoroughly, comprehensively, and creatively grasp the guidelines and policies of the Party and State, from 2005 until 2015, the Party Committee of Thai Nguyen province focused on leadership comprehensive health care work In the years 2005 - 2010, the Party Committee set out guidelines and directed the development of hospitals and staff in the direction of universalization and in-depth; upgrading of preventive medical facilities; perfecting the grassroots health system associated with rehabilitation, upgrading, and building new commune health stations Thai Nguyen Provincial People's Committee and Health sector as an advisory, management, and Executives have applied flexibly and creatively the guidelines of the Provincial Party Committee with action programs, plans, and projects in line with practical requirements as well as available strengths of the province The Party Committee of Thai Nguyen province has led the medical work to obtain positive results, and contribute significantly to the implementation of the province's socio-economic development program, which is: medical examination and treatment activities are invested and innovated towards a medical center in the Northeast; preventive medicine 24 centers are upgraded with modern testing laboratories; the province's grassroots health network is fully organized and has an adequate investment in finance, machinery, and medical equipment The medical staff at all levels has been continuously strengthened and the province's average number of doctors per ten thousand people is higher than the national average The public and private health systems are diversified, and social resources are increasingly invested in the health sector contributing to improving the quality of people's health care, etc Besides the achievements, in the leadership and direction of the Provincial Party Committee, there are still some limitations that need to be overcome such as awareness of position, the role of medical work in the socio-economic development in the locality of a part of the Party committee and government is still inadequate Access to health care services by ethnic minorities, limited remote areas; distribution of highly qualified health workers, mainly concentrated in urban areas, significantly affect the implementation of health programs, and technology transfer to lower levels according to the policy of the Provincial Party Committee Studying the process of the Thai Nguyen Provincial Party Committee leadership medical work from 2005 until 2015, the thesis has summarized the results achieved, and pointed out the advantages, limitations, and causes of this process From the leadership practice of the Party Committee of Thai Nguyen province, the thesis draws some main experiences as follows: Firstly, constantly innovating and raising awareness of all levels of the Party ministries, authorities, health sector, and the people about the position and importance of medical work Secondly, promoting the spirit of initiative, and creativity in mastering and applying viewpoints, guidelines, and policies of the Party and State on health in local practice Thirdly, improving the effectiveness of state management in medical work from the provincial to grassroots levels Fourthly, synchronously and effectively implement all fields of medical work Fifthly, pay attention to building a team of medical staff in sufficient quantity and gradually improving the quality Sixthly, consistently and actively implement the policy of socializing medical work LIST OF PUBLISHED WORKS OF THE AUTHOR RELATED TO THE THESIS Chu Tuan Anh, Do Thi Nhuong (2019), “The impact of the market economy on medical ethics and some solutions to improve medical ethics of medical staff in Vietnam today”, Theory politics of Journal, No 2, pp 93-98 Chu Tuan Anh, Do Thi Nhuong (2019), Educating medical ethics for students of medical schools in the socialist-oriented market economy in Vietnam, Proceedings of the Scientific Conference “Ethical and lifestyle education for students in the current context”, Academy of Educational Management, pp 112-118 Chu Tuan Anh, Do Thi Nhuong (2019), Dialectic between economics and ethics in improving medical ethics for medical work in Vietnam today, Political Theory Publishing House, Hanoi Đo Thi Nhuong, Chu Tuan Anh (2020), “Development of Vietnamese Medical Staff in the Period of Accelerated Industrialization and Modernization of the Country and International Integration”, Asian Journal of Social Science Studies, No.1, pp 39-48, Singapore Chu Tuan Anh, Do Thi Nhuong, Tran Cong Duong (2020), “Leadership of Thai Nguyen Provincial Party Committee in health socialization work from 2010 to 2018 and some lessons learned”, Science and Technology of Journal - Thai Nguyen University, No 255, p 129-136 Đo Thi Nhuong (2020), “Development of science and technology in the medical sector Some results and experience”, Journal of Vietnam Communis’s Party History, special edition 2020, pp 77-82 Chu Tuan Anh, Do Thi Nhuong (2021), “Preventive medical work: Policy, results and some experiences (1986 - 2021)”, Party History of Journal, (367), pp 60-65 Đo Thi Nhuong (2022), “The Party's policy on the protection of and care for the people's health”, Political theory, vol.32 (3/2022), pp 92-99 ... Fourthly, synchronously and effectively implement all fields of medical work Fifthly, pay attention to building a team of medical staff in sufficient quantity and gradually improving the quality Sixthly,... 2005 until 2015 Secondly, research and systematize the policy and direction of the Party Committee of Thai Nguyen province on medical work from 2005 until 2015 Thirdly, study the results achieved,... health system 2.2 POLICY OF THE PARTY COMMITTEE OF THE THAI NGUYEN PROVINCE ON MEDICAL WORK FROM 2005 UNTIL 2010 Resolution No 12-NQ/TU (2005) of the Standing Board of Thai Nguyen Provincial Party