A Change of Guard

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Monday, 2 November 2009

Education, health top NA talks [ to provide medical care to foreigners like Cambodians also]

31-10-2009

HA NOI — National Assembly deputies yesterday spent much of their time discussing ways to improve the quality of national health care and education systems.

They spent the morning discussing how the draft Law on Health Examination and Treatment could be used to improve the quality of health-care units.

Deputies devoted attention to health staff issues in the private sector. They also discussed working licences for staff and medical units - and health examinations for foreign patients.

Deputy Bui Thi Hoa from Dak Nong said the law should regulate medical services for foreign patients.

"Many Cambodian patients who live along the Cambodian border go to Dak Nong’s hospitals for health examination and treatment," said Hoa.

"Our hospitals are ready to provide medical services to Cambodian patients. However, many short comings in examination and treatment need to be guided by law.

"There will be problems if the law has no regulations on providing these services to foreign patients."

Deputy Rcom Sa Duyen from Gia Lai agreed with draft law regulations that public health staff not be permitted to manage private hospitals or become involved in any form of private hospital, apart from private medical examinations outside working time.

Deputy Luu Thi Chi Lan from Vinh Phuc said that permission for private work would solve the increasing demand for health examinations and treatment.

However, Lan said, the law should detail health staff responsibilities and regulate extra working hours to ensure quality health treatment.

Concerning the training of family doctors, Deputy Vo Thi De from Long An suggested the law should encourage family doctors, who played an important role in early disease detection and patient management.

Most deputies agreed that working licences should be given to health staff for a lifetime instead of every five years. They said that another regulation should be introduced for licence inspections and licence withdrawal.

Some deputies said health examinations and treatment required constant updates and improvement. If working licences were reissued every five years, it would be a strong motive for health staff to update their knowledge.

In the afternoon, deputies pored over the revised Education Law, which was passed in 2005. Most agreed with the need to amend it to match current demand and to improve the quality of education.

Deputies Le Van Cuong from Thanh Hoa, Huynh Nghia from Da Nang City and Tran Tien Thanh from Ha Nam said they were concerned that some problems were still untouched.

These related to tertiary training, opening new schools, vocational training, tuition and the management of universities. It was pointed out that at present the Ministry of Education and Training controls only 18 per cent of 369 universities and colleges across the nation.

"The issue of most concern is the quality of education and human resources, but this revised law doesn’t touch it," Cuong said.

Deputies Ngo Doan Thanh from Ha Noi and Vo Thi Thuy Loan from Tien Giang agreed, saying that education quality was closely associated with teachers and school facilities, but they were still blurred in the revision.

Pham Thi Hong Nga from Ha Noi said private education competed with public education, but was yet to receive particular attention under the law.

"Currently, many non-public universities collect high tuition fees, but the quality is not improved accordingly. I suggest there should be one more chapter regulating non-public education," Nga said.

Another question of particular concern was whether it was necessary to grant the Minister of Education and Training the power to set up new higher places of learning instead of the Prime Minister as the law now stands.

Deputies Phung Thi Trinh from Yen Bai and Vu Thi Phuong Anh from Quang Nam supported the idea, given the current boom in low-quality universities.

"In this case, if the minister makes a wrong decision, he, as an individual, must bear responsibility," Anh said.

Pham Thi Hai from Dong Nai said if made responsible, the minister would have to supervise the quality of universities they licensed, creating a better quality of institutions.

However, others said they feared if the minister was given the power, each province would have a university, just as they had created golf courses.

"When the right to open new golf courses was shifted from the PM to provinces, the number of courses rose from three to 60," Deputy Tran Tien Thanh from Ha Nam said.

Thanh proposed the PM should issue the decisions while the ministry granted working licences.

Deputy Cuong from Thanh Hoa said the establishment of institutions or universities concerned several ministries, including planning and investment, finance and localities. Thus, he said the decisions should be left to the PM.

Also yesterday, most deputies spoke highly of an amendment to the law to universalise education for pre-school children.

They said the move would help narrow down the gap in education between different regions, particularly for ethnic minority groups.

Some, however, voiced concern over what they described as little attention paid to pre-school education. They said there was low enrolment among the three-to-five age group - and a shortage of public schools.

Later yesterday, Deputy Prime Minister and Minister of Education and Training Nguyen Thien Nhan said present difficulties in the education sector should be adjusted by revising the law and other legal documents.

He listed four objectives - standardising pre-school education, improving the quality of education, enhancing the efficiency of State management of education and boosting the quality of teachers and education managers.

According to Nhan, poor-quality universities were caused by lack of on-the-spot appraisals and too much documentation. However, he said this would be changed from December, when on-the-spot appraisals would be compulsory.

Meanwhile, there are still no strong penalties for universities of low quality.

Nhan said empowering the minister to set up universities would help solve the issue. — VNS

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