Kết hợp quốc phòng với kinh tế ở bệnh viện quân y 175 tt tiếng anh

1 INTRODUCTION Reasons for choosing dissertation topic Combining economy with defense and defense with the economy is a normative issue when society still exists in class and class struggle It arises from the relationship between economy with war and defense; the relationship between construction and defense of nation It also is an effective way to both enhance the economic potential and strengthen the national defense potential In Vietnam, combining economy with defense and defense with economy has been carried out by generations of our ancestors very early and in many periods they had the idea of combining before the era Since the birth and leadership of the revolution so far, the Communist Party of Vietnam has always been interested in combining economy with national defense and defense with the economy to create a synergy to build and protect the Fatherland Combining economy with national defense and defense with our economy is carried out in all sectors, fields and localities on a long-term basis from planning to organization implement development programs and projects of branches, localities and fields of the country Health is a service industry that plays a particularly important role in health care for people and soldiers Therefore, combining economy with national defense and defense with the economy in the field of health has always been an important content in the Party's economic and defense policy At present, we have "The program of military - civil medicine combination" (hereinafter referred to as the Health Program No 12 formed in the late 1990s and officially implemented since mid-1991) This is a program that combines military health and civil health in health care for people and soldiers, contributing to building the country's defense potential Implementing the policy and guidelines of the Party and the State on combining economy with national defense and defense with the economy, in the past years, Military Hospital 175 has well implemented the contents in combination with examination and treatment for the soldiers and people, combined in applied research on medical achievements, in training human resources for health This combination has allowed 175 Military Hospital to take advantage of the skills of medical staff, medical staff, and modern facilities of hospitals in medical examination and treatment for people; At the same time, the hospital has an additional source of income to improve the lives of health workers and staff, and purchase new equipment Besides the advantages, the implementation of combining economy and defense in Military Hospital 175 in the past time still has many shortcomings that need to be resolved Many theoretical and practical issues of combining national defense with health have not been answered promptly in terms of awareness, management and implementation, such as: Awareness of a part of officials, staff in the hospital on combination of defense with the economy is incomplete; content and method of combination are not rich enough, there are many issues that are not uniform, slow to innovate compared to the development of the situation; combined in medical examination and treatment for people and multi-faceted troops is still limited; coordination holds forces in research and application of in-depth medical achievements; education and training of health workers for the army and civilian has not fully utilized its potential Therefore, the topic "Combination of defense with economy at 175 Military Hospital" that PhD student choice is a matter of profound theoretical and practical significance Research purpose and tasks * Research purpose Clarifying theoretical and practical basis, proposing views and solutions to combine defense with economy at 175 Military Hospital * Research tasks - Overview of research situation related to the dissertation - Analyzing and clarifying the rationale of combining defense and economy at 175 Military Hospital : clarifying the concept, analyzing the content and factors affecting the combination of defense with the economy at the 175 Military Hospital 3 - Studying the experience of combining defense with the economy in some military hospitals and drawing the lessons for the 175 Military Hospital - Evaluating the achievements, limitations, pointing out the causes and contradictions to focus on resolving from the situation of combining defense with the economy at 175 Military Hospital.- Proposing views and solutions to better implement the combination of defense with economy at the 175 Military Hospital in the coming time The subject and scope of research * Research subject: Combination of defense with the military in health sector * Scope of research: The scope of content: Researching the combination of defense and economy in the 175 Military Hospital on the following contents: medical examination and treatment for people and soldiers; research and application of medical achievements; training human resources for health and building medical facilities - The scope of space: Making reseacher at 175 Military Hospital - The scope of time: the data used from 2013 to 2018 Theorical, practical basis and research methods * Theoretical basis: The dissertation is based on the views of Marxism-Leninism, Ho Chi Minh's thought, the Communist Party of Vietnam’s guidelines, the Vietnam’s policies and the view of the Central Military Commission and the Ministry of Defense on combination of economy with defense and defense with the economy in general and the health sector in particular * Practical basis: The dissertation is based on the practical survey of PhD students, annual reports of 175 Military Hospital; statistical documents, summarized reports of relevant ministries and departments and inherited relevant research projects * Research methods: - Method of dialectical and historical materialism: This is the method used in the entire content of the dissertation in order to build theoretical and practical basis, proposing views, solutions to combine economy with defense at 175 Military Hospital 4 - Methods of scientific abstraction: This method is mainly applied in Chapter in building concepts of tools, central concepts and content analysis, factors affecting the combination of defense with the economy at 175 Military Hospital - Statistical - comparison method: Mainly used in chapter to clarify the situation of combining defense with economy at 175 Military Hospital - Methods of analysis - synthesis: Used in all chapters of the dissertation, but mainly in chapter 3, chapter in order to properly assess the situation of combining defense with economy at 175 Military Hospital, proposing perspective solutions to better implement the combination in the future - Logical - historical method: Mainly used in chapter to find out the cause of achievements, limitations and pointing out the conflicts that need to be solved from the situation of combining national defense with the economy at 175 Military Hospital - Methods of collecting and processing information: Used in all three chapters, especially chapter to inherit research results of published works New contributions of the dissertation - Pointing out concepts and contents of combining defense with economy at 175 Military Hospital - Pointing out conflicts that need to focus on resolving from the situation of combination of defense with economy at 175 Military Hospital - Proposing views and solutions to better implement defense and economic combination at Military Hospital 175 Theoretical, practical significances of the dissertation * In theory - Addition to improve the theory of defense with the economy combination in the health sector - Contributing to the theoretical issues on the defense and economic combination at 175 Military Hospital 5 * In practice - Successful research topics are documents for managers of the Ministry of Defense, the Military Medical Department, and the 175- Military Hospital to propose solutions to combine defense with the economy - The dissertation can be used as reference material in teaching and researching political and economic science in academies and schools inside and outside the military Structure of the dissertaion The dissertation includes introduction, four chapters (9 periods), conclusions, list of scientific works of the author related to the dissertation, list of references and appendices Chapter OVERVIEW OF RESEARCH ISSUES RELATED TO DISSERTATION 1.1 Overseas scientific research works related to dissertation 1.1.1 Overseas scientific research works A Larocop (1962) "The organization of armed and defending the socialist country"; M V Phrunde (1974) "Building an army to strengthen defense ready to fight"; John Wilson Lewis, Xue Litai (1977) "China's strategic power at sea - Policies of military modernization in the nuclear age"; Mr.P.Upeninop (1982) "Selected military lessons"; A.I.Pogiarop (1985) "The economic foundations of the defense power of the socialist state"; "Foreign military thinking" (1990); B James and D Goure (2001) "A draft of the new US military strategy"; Reppy Judith with the book: "The nature and scope of the defense economy: a comment"; Suvanthoong ThepVong Sa (2015) "The impact of the market economy on defense in Lao People's Democratic Republic" 1.1.2 The scientific research works that related to the dissertation in Vietnam 1.1.2.1 Scientific works on the relationship between economy and defense have been published Tran Thai Binh (2010), "The relationship between economy and defense - security in the cause of national construction and defense"; Nguyen Van Ngum (2010) "Current economic development trends in the world and impacts on security in Vietnam"; Nguyen Xuan Yêm (2014), "The relationship between socio-economic development and strengthening national defense and security, crime prevention in the current situation" 1.1.2.2 The published scientific works on the combination of economy and defense have been Van Tien Dung (1975), Some issues of combination of economic construction with defense consolidation; Le Van Dung (1997), Combination of economy with national defense and security in the southern key economic region [39]; Tran Xuan Truong, Nguyen Anh Bac (1980), "The issue of combining economy with defense in Vietnam"; Tran Trung Tin (1998), "Combination of economy with national defense in Vietnam today"; Dinh Van Hue (1999), "Some thoughts on combination of economic with defense security in the southern key economic region"; National Defense Academy (1999) "Combination of economy with national defense and security in the process of industrialization and modernization of the country" [76], the research work of state-level science, Code KHXH-07-07; Hoang Xuan Lam (2000) "Combination of economy with national defense in the period of industrialization and modernization of the country" [86], Sub-article "Combination of economy with national defense", the Department of Information for Science, Technology and Environment, No 1-2000, the General Department of Technology and the Department of Military Science and Technology Strategies shall coordinate in the implementation Nguyen Van Rinh (2003) "Combination of defense and security with the process of industrialization and modernization of Vietnam"; Ngo Xuan Lich (2006) " Combination of socio-economic development with national defense and security in Military Region 3"; Nguyen Duc Do (2010) "Some issues of economic integration with national defense in Vietnam in the new situation"; Tran Dang Bo (2011) "Combining economy with national defense, security and foreign affairs in the XI Congress documents"; Tran Huu Sam (2011), " Combination of economy with national defense, security and foreign affairs in managing sovereignty and national border security"; Tran Dang Bo (2012) "Applying and developing Ho Chi Minh's thought about combining economy with defense in the current situation"; Tran Dang Bo (2012) "Some basic issues about combining industry defense with civilian industry in our country today"; Duong Van Minh (2013) Chairman of the project: "Combination of defense with economy, security and foreign affairs in Vietnam in the new situation"; General Department of Politics (2013) " Combination of economy with national defense, security and foreign affairs in managing and protecting sovereignty and national border security"; Dang Duc Quy (2014) Chairman of the project: "Summarizing activities of economic integration and defense in Vietnam from 1975 to now"; Military Institute of Social Sciences and Humanities, Ministry of Defense "Some issues of economic integration with Vietnam defense in situation present"; Military Academy of Humanities and Social Sciences (2014) "Vietnam's defense ideology"; Tran Dang Bo (2016) "The development of the Party of awareness of economic integration with defense, foreign affairs in the XIIth Congress Document" 1.1.2.3 The published scientific works of the military and civilian combination of health Do Nguyen Phuong (1998), "Combining military and civilian forces in the protecting Fatherland strategy, taking care of people and soldier health in remote areas"; Dinh Phoi, Minh Son (2016), "The Military-Civil Combine Program- model of health care and protection of people's health and soldiers"; Pham Le Tuan (2016), "Health sector with defense career"; The State-level project belongs to the key science and technology program: "Study and propose solutions to combine military and civil medicine in prevention and control of dangerous diseases, overcome the consequences of natural disasters, disasters and other emergency situations ”[13] The 108 Central Military Hospital together with the Military Medical Department deployed the project: "Researching and building a process of combining forces in organizing the collection, emergency and mass treatment at hospitals for responding to rescue when disaster strikes ”[12] - Code KC.10.04 / 06-10; Ministry-level project: "Researching the situation of people's health care needs, armed forces of the military and civilian forces on a number of islands belonging to Military Region and Military Region 9" [24], issued by the Ministry Health The study "Researching the situation of human resources and proposing solutions to improve the quality of medical examination and treatment at medical and military establishments" [23] of the Ministry of Health The Military Medical Department has completed the compilation and publication of documents: "Pre-mobilized Regional Hospital"; "Motivational field hospital" and "Preventive treatment team" These are documents aimed at helping provinces and cities directly under the Central Government to organize the construction of preventive medical units to meet the requirements of mobilizing health for the war Nguyen Dong Minh (2015), Model of combining civilian and military forces to ensure health in island areas [95] The article mentioned the theoretical basis, practical summation of civilian military activities combined in ensuring health in the island waters of the country 1.2 Overview of research results of published scientific works related to dissertation and issues that need to be solved 1.2.1 Outline the results of the published scientific work Through an overview of scientific works related to the dissertation, initially the author generalizes the results of those works mentioned on some of the following contents: Firstly, the works of international and domestic authors, depending on the capacity and scope of the study, have mentioned the relationship between economy and defense; defense with the economy Secondly, some projects have discussed the combination of economy with defense and defense with the economy Thirdly, some works have mentioned factors affecting the combination of economy with national defense and defense with the economy in our country today Fourthly, some projects have discussed the combination of civilian - military forces in health care for people and soldiers These works have mentioned different levels of theoretical and practical basis for combining economy and defense in the field of civilian military health, thereby proposing solutions to combine economy with defense in the field The area of military and civilian forces is better next time Thus, the works and articles of the above-mentioned authors mentioned the issue of combining economy with defense in many different aspects, in which each perspective is deeply analyzed and evaluated It is a valuable resource for the thesis to inherit However, the works have not mentioned the combination of defense with the economy at the military hospital in general and the Military Hospital 175 in particular 1.2.2 The issues that dissertation to be solved Combining military and civilian forces in medical examination and treatment Firstly, the dissertation must clarify why it is necessary to combine defense and economy in Military Hospital 175; What is the combined content? In which combination, are there any factors that affect the combination? In order to have a good combined solution, what kind of experience hospitals need to learn? Secondly, the dissertation must focus on clarifying in the past how the 175 Military Hospital combined economy with defense? What are the causes of achievements and limitations? Which conflicts have been emerging and are there conflicts that need to be addressed? Thirdly, in the future, what views and solutions are needed to better implement the combination of defense and economy at 175 Military Hospital? Conclusion of Chapter The dissertation has reviewed foreign and domestic research projects related to the topic under the following issues: research works discussing the relationship between economy and defense; combine economy with defense; combine economy with defense in the field of health 10 On the basis of researching domestic and foreign research works, the researcher generalizes the main results of the published works and the issues raised by the dissertation in relation to the thesis topic With the research results, the topic: “Combining defense with economy in Military Hospital 175” does not overlap with published works and practical significance in both theoretical and practical aspects Chapter THEORETICAL BASIS OF COMBINING DEFENSE WITH ECONOMY IN MILITARY HOSPITAL 175 AND PRACTICAL EXPERIENCE 2.1 Some common issues in economy and defense, combination of economy with national defense 2.1.1 Economic concepts Inheriting the notion of researchers, approaching from the perspective of political economy, the author said that: the economy is the overall activity of producing and reproducing material wealth for people and human society 2.1.2 The concept of defense 2.1.3 The concept of economy and defense combination Inheriting these views, the researcher said that: Combining national defense with the economy is a positive and proactive activity of subjects in closely linking defense activities with economic activities aimed at creating a national synergy, successfully implementing two strategic tasks of building socialism and defending the socialist Vietnam 2.2 Concepts, content and factors affecting the combination of defense with the economy at Military Hospital 175 2.2.1 The concept of combining defense with economy at Military Hospital 175 Combining defense and economy in Military Hospital 175 is a specific form of integration in a specific area that is the military field of the military Inheriting the notions of combining economy with national 11 defense and defense with the economy, the researcher said that: Combining defense and economy in Military Hospital 175 is an active and proactive activity of the hospital subjects in carrying out military tasks associated with the implementation of economic tasks on the basis of the law allowing contributing to socio-economic development, strengthening the health potential of the country to meet application for national construction and defense in the new situation 2.2.2 The content of combining defense with economy at Military Hospital 175 From the concept of combining national defense with economy at Military Hospital 175, from the hospital's capabilities and tasks, the content of combining hospital with economy of the Hospital is shown as follows: Firstly, combining in emergency medical treatment for soldiers and people Secondly, combining in human resource training Thirdly, combining in research, application and transfer of intensive medical achievements Fourthly, to participate in building a grassroots health line, building a medical center of Truong Sa island district and medical facilities on the sea and a continental shelf of the country 2.2.3 Factors affecting the combination of defense with the economy at 175 Military Hospital 2.2.3.1 External factors affect the combination of defense with the economy at 175 Military Hospital Firstly, the Party's policy guidelines, policies and laws of the State on combining economy with national defense and defense with economy Secondly, guidelines, policies and directives of the Ministry of Defense and the Ministry of Health Thirdly, the socio-economic conditions of the area where the hospital stands and are assigned to help Fourthly, international integration 12 2.2.3.2 Internal factors affecting the combination of defense with the economy at 175 Military Hospital Firstly, the organizational capacity and management of the Hospital Board of Directors Secondly, qualifications, moral qualities of officers and employees of Military Hospital 175 Thirdly, the physical condition and service quality of Military Hospital 175 Fourthly, the coordination between Military Hospital 175 and local authorities, authorities and hospitals and medical facilities in the area 2.3 Experience in combining defense with economy in some military hospitals and lessons learned for 175 Military Hospital 2.3.1 Experience of combining defense with economy in some military hospitals 2.3.1.1 Experience of 108 Central Military Hospital Firstly, to thoroughly grasp the Party's viewpoints and resolutions and directives of the Central Military Commitee and the Ministry of Defense on combining economy with national defense Secondly, mobilize and rationally use financial resources for construction activities and purchase medical equipment for medical examination and treatment for soldiers and people Thirdly, actively coordinating with local authorities in training health workers for both the military, civilian and technical transfer to lower levels Fourthly, respecting and promoting human factors in the combination of defense and economy Fifthly, maintaining and promoting the role of mass organizations in combining defense with the economy of the hospital 2.3.1.2 Experience of Military Hospital 103 Firstly, thoroughly grasp and organize the effective implementation of training human resources of health sector for the military and civilian 13 Secondly, paying attention to training and improving the quality of human resources, this is a decisive factor to well perform the task of combining defense with the economy of the Hospital Thirdly, paying attention to well perform the tasks of scientific research and technology transfer Fourthly, coordinating with medical institutions in training health workers for the military and civilian; actively participate in social programs for the community Fifthly, promoting the role of the youth union and women's union in implementing the task of combining defense with the economy 2.3.1.3 Experience of Military Hospital 105 Firstly, promoting scientific research; combining modern medicine with traditional medicine in medical examination and treatment for soldiers and people Secondly, paying attention to investment in modern medical equipment to serve the needs of examination and treatment for ministries and people Fourthly, coordinating well between the Hospital and the locality in training civilian health resources and medical examination and treatment for people in remote areas 2.3.2 Experience of 175 Military Hospital on the combination of defense and economy 2.3.2.1 Regularly and well perform the task of combining defense with the economy 2.3.2.2 Mobilizing and effectively using resources for the performance of tasks, including the task of combining defense with the economy 2.3.2.3 Coordinate well between hospitals and localities, hospitals in the area to implement defense and economic integration 2.3.2.4 To bring into play the role of organizations and individuals in performing the task of combining defense and economy Conclusion of Chapter 14 On the basis of developing the concepts such as economy and defense, combination of economy with defense, the dissertation focuses on building a central concept that combination of defense with economy in Military Medical Hospital 175 Accordingly: Combining defense with the economy at Military Hospital 175 is an active and active activity of the Hospital's subjects in combining military tasks with economic tasks on the basis of law allows contributing to socio-economic development, strengthening the nation's health potential Based on the functions and tasks and conditions of the 175th Military Hospital, the dissertation has pointed out four basic contents of combining military and economic defense of Military Hospital 175: Firstly, combining in collection and treatment of medical examination and treatment for soldiers and people; Secondly, combine in training human resources for the military and training health human resources for the people; Thirdly, combining in research, application and transfer of intensive medical achievements; Fourthly, participating in building the grassroots health bases, build a medical center in Truong Sa island district and the medical facilities on the sea and the continental shelf of the country The dissertation also focuses on analyzing the internal and external factors affecting the combination of defense with the economy at 175 Military Hospital and studying the experience of combining defense with the economy at Military Medical Hospital 108; Military Medical Hospital 103; Military Medical Hospital 105 which draws lessons that Military Hospital 175 can refer to well implement its defense and economy combination Chapter PRACTICAL SITUATION OF COMBINING DEFENSE WITH ECONOMY IN MILITARY HOSPITAL 175 3.1 Advantages and limitations in combining defense with economy at Military Hospital 175 over the past time 3.1.1 Advantages in combining defense with economy at Military Hospital 175 over the past time 15 Firstly, Military Hospital 175 has well combined the examination and treatment for the army and the people to actively contribute to the care and protection of health for the army and the people in the area to be stationed and vicinity regions Secondly, 175 Military Hospital has actively trained health human resources for the military and civilian Thirdly, combining defense and economy in Military Hospital 175 is implemented in research, technical and scientific applications of intensive medical achievements to achieve positive results in scale and method and practicality Fourthly, Military Hospital 175 has actively participated in building the grassroots health bases, building a medical center in Truong Sa island district and medical facilities on the sea and the continental shelf of the country to contribute to the health care for the soldiers and the people so that they can feel secure to attach to the sea to exploit aquatic resources on the fishing ground and preserve the national theme on the sea 3.1.2 Limitations of economy with defense combination at Military Medical Hospital 175 years ago Firstly, the quality of medical examination and treatment for soldiers and people is still limited in medical examination and treatment Secondly, training health human resources for the army and civilians of Military Hospital 175 is still limited in terms of education, training scale and quality Thirdly, research and application of intensive medical achievements for examination and treatment for the army and the people have not had clear breakthroughs Fourthly, in supporting the grassroots level of health care, and ensuring that military forces on the Spratly Islands were present did not meet the requirements 3.2 The causes of advantages and limitations and the issues should be addressed from the situation of combining defense and economy in Military Hospital 175 3.2.1 The cause of achievements 16 3.2.1.1 Objective reasons Firstly, the Communist Party of Vietnam has a way and policy to combine economy with defense promptly and properly Secondly, the coordination between the two Ministry of Defense and the Ministry of Health in implementing the civilian military program is an important premise for 175 Military Hospital to carry out activities to combine defense and economy effectively Thirdly, the 175 Military Hospital has always received the attention of the Party and the Government but directly the leadership, direction and conditions of the Central Military Commission, the Ministry of Defense and the interest and guidance and assistance of superior professional agencies 3.2.1.2 Subjective causes Firstly, the Party Committee of Military Hospital 175 has many guidelines and proper leadership measures in combination of defense with economy Secondly, the Board of Directors of 175 Military Hospital organized a drastic and effective operation to combine defense with the economy Thirdly, 175 Military Hospital has promoted the responsible role of mass organizations, the Military Council and the activeness and initiative of all officials, employees and soldiers in the entire Hospital in combining defense with economy 3.2.1 Causes of limitations 3.2.1.1 Objective reasons Firstly, the mechanisms and policies of the State and the Ministry of Defense on the combination of economy and defense in the field of health and defense are insufficient and inconsistent 17 Secondly, people's health care needs are increasing in both quantity and quality, changing disease patterns, new epidemics and strange diseases that are unpredictable Thirdly, the socio-economic conditions of some localities and the island's sea route where the 175 Military Hospital carried out its tasks still faced many difficulties Fourthly, the facilities for the hospital's medical examination and treatment activities are still incomplete, some of them are inadequate and outdated 3.2.1.2 Subjective reasons Firstly, a part of cadres and staff of 175 Military Hospital is still limited in political awareness and professional qualifications Secondly, the organizational capacity and the task implementation of combining defense and economy of a part of the Division of Departments of 175 Military Hospital has not kept up with the requirements of practice and the quality is still limited 3.2.3 Issues need to be solved from the situation of combining defense with economy at 175 Military Hospital Firstly, the conflict between the objectives, requirements and tasks of combining defense with economy in 175 Military Hospital with the policy mechanism of the Party, State, Ministry of Defense and Ministry of Health is currently incomplete and synchronized Secondly, there is a conflict between the high demand for investment in resources to well implement the combination of defense and economy of 175 Military Hospital with the financial conditions and facilities of the Hospital still lacking Thirdly, contradictions between the objectives, requirements and tasks of combining defense with economy in 175 Military Hospital with the awareness, capacity and ethics of a part of the staff and staff of the Hospital are still many limitations Conclusion of Chapter 18 To thoroughly grasp and organize the implementation of the Party's policy guidelines on combining economy with defense and defense with the economy, in the past years, the 175 Military Hospital has well implemented the combination of defense with the economy in examination and treatment for soldiers and people; in training human resources; in research and application, intensive medical technology transfer; in the collection, emergency and treatment of the army and people on the Spratly Islands, in the direction of the line; actively contributing to the care and protection of health for the army and people in the area to be stationed and neighboring areas; At the same time, it contributes to socio-economic development and enhances the national health potential The achievements and limitations are from many different causes, including both objective and subjective causes, in which subjective causes are main Since then, it is necessary to focus on the issues that need to be addressed: the conflict between the objectives, requirements and tasks of combining military defense with 175 Military Hospital with the policy of the Party and State, The Ministry of Defense and the Ministry of Health are currently incomplete and incomplete; the contradiction between high demands on investment of resources to well implement the 175 Military Hospital defense and economy combination with financial conditions, the hospital's facilities are still inadequate; Conflicts between the requirements that require higher and higher ability to organize and administer the Institute's activities of combining defense and economy with the level of organization and administration of the Board of Directors, departments and faculties are still limited; contradictions between objectives, requirements and tasks of combining defense with economy in 175 Military Hospital with the awareness, capacity and medical ethics of a part of cadres and military personnel of the Hospital is still limited In order to well implement the combination of defense with the economy in the coming time, the institute must have synchronous solutions to solve well the emerging conflicts 19 Chapter VIEWPOINTS, SOLUTIONS OF COMBINING DEFENSE WITH ECONOMY IN MILITARY HOSPITAL 175 IN THE COMING TIME 3.1 Viewpoints of combining defense with economy in military hospital 175 in the coming time 3.1.1 Combining defense and economy in Military Hospital 175 must be based on a thorough grasp of the Party's guidelines and the State's policies and laws on combining economy with defense and defense with the economy; well solve the relationship between defense tasks and economic tasks Firstly, regularly grasp thoroughly the guidelines of the Party, the policy of the state in determining policies, contents and measures to combine defense with the economy of Military Hospital 175 Secondly, the Hospital must perform well the task of combining defense with economy while placing on top of the central political task Thirdly, solving well the relationship between military defense missions and economic tasks, participating in socio-economic development in the areas 3.1.2 Ensuring the comprehensiveness but focus in implementing defense and economic combination in Military Hospital 175 Firstly, ensuring comprehensiveness in the combined process Secondly, aiming at good implementation of some key contents 3.1.3 Promoting synergy in implementing defense and economic combination at Military Hospital 175 Firstly, promoting the role of forces Secondly, mobilize and effectively use resources for the task of combining economy with national defense 20 Thirdly, promoting internal resources, taking advantage of external forces to perform the task of combining defense with the economy 3.2 Solutions of combining defense with economy in military hospital 175 in the coming time 3.2.1 Improving the leadership capacity of the party ministries, the management of leaders of Military Hospital 175 in performing the task of combining defense with the economy of the Hospital In order to implement this solution, it is necessary to concentrate on well implementing the following specific measures: * For the party levels Firstly, improving capacity to grasp and disseminate resolutions of party committees on the task of combining defense with the economy of the hospital Secondly, improving the quality of the resolutions, thoroughly implement the resolution Thirdly, it is necessary to build a team of qualified officials and party members to perform their tasks Fourth, continue to promote the implementation of the Party building work in the spirit of the Resolution of the Central Party XII, improve the leadership and fighting capacity of the party level in all hospitals * For the contingent of officers at all levels Firstly, doing well the planning of staff Secondly, well the training and retraining of staff Thirdly, well perform the review and evaluation of cadres and officials 3.2.2 Supplement of the policy mechanism to create a favorable basis for the combination of defense with economy of Military Hospital 175 Firstly, supplement and completion of mechanisms and policies to attract, use and remunerate workers in general and 21 contract labor in particular Secondly, perfecting mechanisms and policies to mobilize and use investment capital, ensuring sufficient capital sources to meet defense mission requirements and tasks of participating in the socioeconomic development of the hospital Thirdly, perfecting mechanisms and policies related to scientific and technological research, application and transfer activities in hospitals 3.2.3 Improving the quality of human resources to meet the requirements of the task of economy and defensecombination of the Military Medical Hospital 175 in the new situation Firstly, supplementing and completing the planning of improvng the quality of human resources Secondly, promoting the training and retraining of existing human resources to improve the quality of human resources Thirdly, improving the quality of human resource recruitment 3.2.4 Strengthening the facilities of the Hospital to meet the requirements of combining military with economy of Military Hospital 175 Firstly, investing in purchasing medical equipment and supplies Secondly, investing in building hospital infrastructure Actively implement projects, build new approved hospitals Closely directing the investment in basic construction to ensure good quality, schedule, estimation and quick settlement of works; urgently completing the procedures for construction construction, striving to basically complete the construction of the hospital according to the overall planning in the 2016-2020 term, creating a clear, green, clean and beautiful environment Promoting the role of the Project Management Board and the Hospital Procurement and Procurement Council, especially the 22 projects of Orthopedic Trauma Hospital and General Hospital, well deploying the relocation plan Strengthen monitoring, inspection and supervision of projects, conducting maintenance, warranty and repair of equipment to ensure mission requirements Thirdly, well performing financial work for infrastructure construction and purchasing medical equipment 3.2.5 Coordinating closely between Military Hospital 175 and localities, relevant forces in the implementation of combining defense with the economy of the Hospital Firstly, strengthening coordination with hospitals both inside and outside the army in the southern region Secondly, strengthening coordination with local authorities and people, especially in localities where the hospital stands Thirdly, promoting international cooperation in implementing the task of defense with economy combination Conclusion of Chapter Defense and economy combination in Military Hospital 175 is a difficult, long and complex task Therefore, it is necessary to grasp thoroughly and firmly the basic points of direction, including: Combining defense with economy in Military Hospital 175 must be based on the completion of central political tasks; Ensuring the comprehensiveness but focus in implementing defense and economic combination in Military Hospital 175; Promoting synergy in implementing defense and economic combination at Military Hospital 175 On the basis of thoroughly grasping the above points of view, 175 Military Hospital needs to implement well the solutions: Improving the leadership capacity of the party level, the management of all levels of Military Hospital 175 in performing the task of combining defense with the economy; Completing mechanisms and 23 policies to create a favorable legal framework for the combination of defense with economy of Military Hospital 175; Improving the quality of human resources to meet the requirements of combining hospitals with the economy of the Hospital in the new situation; Strengthening the facilities of the Hospital to meet the requirements of combining military and economic tasks with Military Hospital 175; Coordinate closely between Military Hospital 175 and localities, relevant forces in the implementation of national defense combined with the Hospital's economy The above solutions are both urgent and basic and long-term solutions They form a unified whole, have a close relationship, create a premise for each other In particular, the first solution is decisive to the effectiveness of the combination; the third solution is breakthrough; the second and the fourth solutions have important implications for the integration process, the fifth solution is supportive, promoting the process of combining effectively CONCLUSION Combining economy with national defense and defense with the economy is indispensable for all societies In Vietnam, combining economy with defense and defense with economy has been carried out very early in history Since the birth and leadership of the revolution so far, our Party has always determined to combine the economy with defense and defense with the economy and is a consistent policy and has always been an important content in the leadership of congresses The issue of combining economy with national defense and defense with the current economy is carried out comprehensively, basically, long term, in all sectors, fields and localities Health is an important area of the country, is responsible for health care for people and soldiers, contributing to improving the quality of human resources of the country Combining economy with defense and defense with the economy in the health sector is an 24 objective necessity, to promote the role of civil and military health in health care for the people and the army Military Hospital 175 is the hospital of the army standing in Ho Chi Minh City, having a team of excellent medical doctors, modern facilities, and many experiences in medical examination and treatment for the people Therefore, the combination of defense and economy in the operation of the Hospital is an inevitable, reflecting the Party's policy guidelines on combining economy with defense and defense with the economy With the attention of the Party, the State, the government, the Central Military Commission and the Ministry of Defense, the functional agencies and local authorities, the Military Hospital y175 promoted the synergy and enlisted all resources, the help and support of the local units on that basis have the correct policy guidelines, well perform the task of treating wounded soldiers and people Actively participate in training, scientific research, directing the line, contributing to building local health care facilities However, the defense and economic combination still has limitations and shortcomings that the dissertation has pointed out that it is necessary to seriously implement and propose solutions to combine defense and economy in Military Hospital 175 in the coming time Combining defense with the economy of the hospital is indispensable to express the Party's policy of combining economic with defense and defense with the economy Decree 16/2015/ND-CP dated February 14, 2015 of the Government regulating the autonomy mechanism of public non-business units; Decree 85/2012 / ND-CP dated October 15, 2012 of the Government on operational mechanism, financial mechanism for public non-business units and prices of medical examination and treatment services of establishments public medical examination and treatment; Directive No 85/CT-BQP dated February 13, 2018 25 of the Ministry of National Defense on financial autonomy for hospitals and medical facilities in the Army With the guidelines of the Party, the state, the government and the Ministry of Defense for military hospitals in general and 175 Military Hospital in particular set a requirement to require hospitals to implement tasks and solutions to perform well defense service with economy Prepare financial autonomy plan, promote the advantages of human resources and equipment, material facilities in improving the quality of emergency aid treatment to serve the people and armed forces, foreigners Actively training scientific research, technology transfer, directing the grassroots level, successfully implementing the assigned tasks  ... and employees of Military Hospital 175 Thirdly, the physical condition and service quality of Military Hospital 175 Fourthly, the coordination between Military Hospital 175 and local authorities,... Hospital to carry out activities to combine defense and economy effectively Thirdly, the 175 Military Hospital has always received the attention of the Party and the Government but directly the leadership,... economy at 175 Military Hospital - Statistical - comparison method: Mainly used in chapter to clarify the situation of combining defense with economy at 175 Military Hospital - Methods of analysis