The total operating costs of hospitals have increased over the years. The state budget has not increased much, however, the revenue from hospital fees and health insurance funds has increased over the years. The amount of money spent on drugs in hospitals has increased in both quantity and proportion compared to the total costs of hospitals over the years. This is a challenge for the pharmaceutical sector when it has to manage a large amount of funds in accordance with regulations and ensure timely treatment.
The current situation of the budget for hospitals is very limited while the funding from health insurance increases according to the contribution level of participants, but it is also very difficult while medical services are constantly developing, the list of drugs is increasingly expanding, and pharmaceutical departments always have to balance between the need for drugs and the financial capacity of the hospital.[18], [19], [20].
The lack of budget for drug purchase directly affects the quantity and quality of drugs. The first factor that determines the choice of drugs when evaluating bids is quality and treatment effectiveness, but the final factor in some cases is price. Therefore, the budget for drug purchase is an issue that needs to be considered, weighed and adjusted.
1.2.2.6. Drug and therapeutics committee
The Ministry of Health issued Circular No. 08/BYT-TT dated July 4, 1997 guiding the organization of functions and tasks of the hospital's Drug and Treatment Council to implement Directive 03/BYT-CT dated February 25, 1997 of the Minister of Health on rectifying the management and use of drugs in hospitals.
Duties of the drug and therapeutics committee [4],[7]
Develop a drug list suitable for the specific disease and the cost of drugs and treatment consumables of the hospital.
Supervise the implementation of regulations on disease diagnosis, medical record preparation and treatment prescription, drug use regulations and pharmacy department work regulations.
Monitor drug efficacy and adverse drug reactions (ADRs), learn from errors in medication use.
Organize drug information, monitor the application of new drugs in treatment.
Build a close cooperative relationship between pharmacists, doctors and nurses in which pharmacists are consultants, doctors are responsible for prescriptions and nurses are the ones who carry out medical orders.
In the composition of the Board of Directors and the Board of Management, the duties of the pharmacist of the pharmacy department include:
Pharmacist of the pharmaceutical department is vice chairman of the council and standing member.
Pharmacists in the pharmaceutical department consult with treating physicians to choose drugs to treat some serious and chronic diseases.
Introducing new drugs
The Pharmacy Department is responsible for drug information and implementing a network to monitor adverse drug reactions.
CHAIRMAN OF THE BOARD
DIRECTOR/DEPUTY DIRECTOR OF PHARMACY
Vice Chairman of the Board
HEAD OF PHARMACEUTICALS
NOTE
HEAD OF DEPARTMENT
GENERAL PLAN
MEDICAL
SOME FLOWERS
Figure 1.10: Composition of the Drug and Treatment Council
Activities of the drug and therapeutics committee :
Conduct regular meetings once every one to two months and when necessary, requested by the hospital director and convened by the council chairman. The vice chairman of the council - head of the Pharmacy department prepares the meeting content and sends documents to the council members before the meeting. On that basis, the council will discuss and analyze the proposed opinions. The standing committee members will synthesize and submit to the hospital director for approval and implementation decision. After 3-6-9-12 months, a preliminary and final report will be made.
The activities of the drug and therapeutics council have initially affirmed the role of the hospital pharmacy department in supporting the board of directors in enhancing the safe, rational and effective use of drugs. However, the council has not yet developed regulations to strengthen the close cooperation between pharmacists, doctors and nurses in which pharmacists are consultants, doctors are responsible for prescriptions and nurses are the ones who carry out medical orders. [54], [57], [72].
1.3. MODELS OF SOME MEDICINAL FLOWERS IN THE WORLD
According to the World Health Organization (WHO) and some hospitals in developed countries, the Pharmacy department is organized as follows depending on the size of the hospital and the services provided [64], [65]:
Retail packaging of drugs
Pharmaceutical flower
Outpatient Pharmacy
Inpatient Pharmacy
After-hours pharmacy
Emergency medicine warehouse
Main medicine
Main warehouse
Preparation of infusion solution
Drug information
Pharmacy
Figure 1.11: Pharmaceutical activity model according to WHO
Main pharmaceuticals : Purchasing and inventory management by computer.
Main warehouse.
Retail and packaging department.
Combined infusion preparation room.
Inpatient pharmacy : Responsible for dispensing and managing drugs, chemicals, and consumables. The dispensing system includes three forms: ensuring drug supply according to the base. System of requesting drugs for each patient. System of dividing drugs according to dose units.
a. Numerical guarantee system
In departments such as emergency and operating rooms, drugs are often requested immediately after being prescribed. Unless there is a satellite pharmacy, drugs may not be dispensed to each patient but on a per-patient basis. Drugs used in these departments are often expensive and controlling their use is always a difficult task for the pharmacy department.
b. Drug request system for each patient
Similar to outpatient treatment. Each course of treatment is prescribed for each patient. Compared to the block-based drug dispensing model, it is convenient for pharmacists to consider the appropriateness of treatment based on each patient's drug use record kept in the pharmacy department.
The pharmacist's responsibility to the patient in controlling the use is better. This system reduces the number of times the drug is dispensed. For example: Each patient is given medicine for
A 3-day course of treatment, if the 3-day treatment continues, the personal medicine box returns to the pharmacy and is reissued.
c. Drug dispensing system according to unit dose used
This system enables more comprehensive patient care and reduces medication errors. Medications are divided into doses, each individually packaged, and placed in individual compartments for each patient. The cost of shipping medications by dose is higher than bulk packaging, but this can be offset by reducing shortages and making it easier to prevent leaks.
Inpatient pharmacy departments are sometimes divided into satellite pharmacies within the hospital. In large hospitals, satellite pharmacies are useful because they reduce the time it takes to dispense medications to patients, especially in dispensing systems that are responsible for distributing medications to individual patients. Satellite pharmacies also increase the presence of pharmacists in patient care areas, facilitating interactions between pharmacists and medical, nursing and patient staff, and fundamentally improving patient care.
Outpatient pharmacy.
Drug information unit : Ensures provision of drug information to patients and medical staff.
After-hours pharmacy : Although the need for medicine is continuous, some hospitals do not have 24-hour pharmacy service. If medicine is needed after hours, a pharmacist or nurse must be called to provide a replacement. It is necessary to limit the dispensing of medicine not done by a pharmacist and there should be checks to prevent possible errors.
Emergency medicine warehouse : Responsible for dispensing medicines for emergency care outside of working hours.
The Singapore General Hospital (SGH) pharmacy model includes [66]: :
Inpatient pharmacy :
Control and supply of drugs according to medical orders for inpatients
Satellite pharmacies serving inpatient areas
Professional advice for patients on asthma, COPD, cardiovascular disease, organ transplant, anticoagulant treatment.
Dispensing prescriptions
Control of treatment drugs
Monitoring antibiotic use according to the program
Outpatient Pharmacy:
Dispensing medicine and consulting.
Professional advice for patients on asthma, COPD, cardiovascular disease, digestive tract disease...
Drug use management.
Medicine delivery service to your home.
Hematology and Pharmacy Center : Prepares drugs to treat blood diseases, mixes cancer chemotherapy into doses for use. Dispenses and consults inpatients and outpatients.
Drug information center .
Pharmacy : providing drugs not listed, OTC drugs, drugs for outside customers.
Sterile preparation room : Preparation of parenteral nutrition infusion, ...
Operation model of pharmacy department of Samsung hospital, Korea [67]:
The pharmacy department at a 1,263-bed general hospital has a staff of 59 pharmacists, 6 resident pharmacists, 3 technicians, and 26 secondary pharmacists.
Head of Department
Deputy Director of Pharmacy
Chief pharmacist
Drug information
Main Pharmacy Management Purchasing Control Inventory Control
Prescription control
DS: 5;
Technician: 2
- Drug information
- ADR
- DS training: 2
KTV: 1; DNT: 9
- Inpatient pharmacy
- Night shift
- Simple preparation DS: 20: KTV: 16
Deputy Director, Dispensing & Preparation Deputy Director, Clinical Pharmacy
Inpatient Pharmacy
Outpatient Pharmacy
Clinical pharmacy practice
Infusion solutions
- Outpatient pharmacy DS: 9; KTV: 3
- Infusion | -CPS |
nurture | - ACS |
NDTH | - RS |
- Chemotherapy DS:13;KTV:4 | DS:5 |
Maybe you are interested!
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![Pre-tax Profit of Bidv Tien Giang in the Period 2011-2015
zt2i3t4l5ee
zt2a3gsnon-credit services, joint stock commercial bank
zt2a3ge
zc2o3n4t5e6n7ts
At that time, the Branch had to set aside a provision for credit risks, which reduced the Branchs income.
Chart 2.2. Pre-tax profit of BIDV Tien Giang in the period 2011-2015
Unit: Billion VND
140
120
100
80
60
40
20
0
63.3
80.34
89.29
110.08
131.99
2011 2012 2013 2014 2015
Profit before tax
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
However, through chart 2.2, it can be seen that BIDV Tien Giangs profit is still increasing continuously, and its operating efficiency is currently leaking. This is a contribution of non-credit services, and this service segment will be increasingly focused on growth by BIDV Tien Giang to ensure the highest profit safety because credit activities have many potential risks. At the same time, focusing on developing non-credit services is consistent with one of the contents of restructuring the financial activities of credit institutions in the project Restructuring the system of credit institutions in the period 2011-2015 approved by the Prime Minister in Decision No. 254/QD-TTg dated March 1, 2012 [14]: Gradually shifting the business model of commercial banks towards reducing dependence on credit activities and increasing income from non-credit services.
2.2. Current status of non-credit service development at BIDV Tien Giang.
2.2.1. BIDV Tien Giang has deployed the development of non-credit services in recent times.
Along with the development of the Head Office, BIDV Tien Giangs products and services are constantly improved and deployed in a diverse manner to ensure provision for many different customer groups in the area: individual customers, corporate customers, and financial institutions. Typical services are as follows: Payment services, treasury services, guarantee services, card services, trade finance, other services: Western Union, insurance commissions, consulting services, foreign exchange derivatives trading, e-banking services,...
2.2.1.1. Payment services:
In accordance with the Prime Ministers Project to promote non-cash payments in Vietnam [15], banks in Tien Giang province have continuously developed payment services to reduce customers cash usage habits through card services and electronic banking services such as: salary payment through accounts, focusing on developing card acceptance points, developing multi-purpose cards, paying social insurance by transfer, paying bills through banks, etc.
Chart 2.3. Net income from payment services in the period 2011-2015
Unit: Million VND
6000
5000
4000
3000
2000
1000
0
3922 4065
4720 5084 5324
2011 2012 2013 2014 2015
Net income from payment services
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
Along with the technological development of the entire system, BIDV Tien Giang has a payment system with a fairly stable transaction processing speed, bringing many conveniences to customers. The results of observing chart 2.3 show that the income from payment services that the Branch has achieved has grown over the years but the speed is not high and the products are not outstanding compared to other banks. Domestic payment products such as: Online bill payment, electricity bills, water bills, insurance premiums, cable TV bills, telecommunications fees, airline tickets, etc. bring many conveniences to customers. Regarding international payment, this is an indispensable activity for foreign economic activities, BIDV Tien Giang is providing international payment methods for small enterprises producing agriculture, aquatic food and seafood that have credit relationships with banks in industrial parks in Tien Giang province such as: money transfer, collection, L/C payment.
2.2.1.2. Treasury services:
BIDV Tien Giang always focuses on ensuring treasury safety and currency security, always complies with legal regulations, and minimizes risks in operations such as: counting and collecting money from customers, receiving and delivering internal transactions, collecting from the State Bank (SBV) or other credit institutions, receiving ATM funds, bundling money, etc. BIDV Tien Giangs treasury service management department is always fully equipped with modern machinery and equipment such as: money transport vehicles, fire prevention tools, money counters, money detectors, magnifying glasses, etc. to ensure absolute safety in treasury operations, immediately identifying real and fake money and other risks that may affect people and assets of the bank and customers. In addition, implementing regulation 2480/QC dated October 28, 2008 between the State Bank of Tien Giang province and the Provincial Police on coordination in the fight against counterfeit money, in the 3-year review of implementation, BIDV Tien Giang discovered, seized and submitted to the State Bank of Tien Giang province 475 banknotes of various denominations and was commended by the Provincial Police and the State Bank of Tien Giang province [17].
Chart 2.4. Net income from treasury services in the period 2011-2015
Unit: Million VND
350
300
250
200
150
100
50
0
105 122
309 289 279
2011 2012 2013 2014 2015
Net income from treasury services
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
However, as shown in Figure 2.4, income from treasury operations is not high and fluctuates. Specifically, in the period 2011-2013, net income increased and increased most sharply in 2013, then in the period 2013-2015, there was a downward trend. This fluctuation is due to the fact that fees collected from treasury services are often very low and can even be waived to attract customers to use other services.
2.2.1.3. Guarantee and trade finance services:
BIDV Tien Giang, thanks to the advantages of the province and the favorable location of the Branch, has continuously focused on developing income from guarantee services and trade finance.
Chart 2.5. Net income from guarantee and trade finance services in the period 2011-2015
Unit: Million VND
14000
12000
10000
8000
6000
4000
2000
0
5193 5695
2742 3420
8889
3992
11604 12206
5143 5312
2011 2012 2013 2014 2015
Net income from guarantee services Net income from Trade Finance
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
Through chart 2.5, we can see that BIDV Tien Giangs income from guarantee services and trade finance has grown over the years. The reason is: Among BIDV Tien Giangs corporate customers, the construction industry is the industry with the highest proportion of customers after the trading industry, this is a group of customers with potential to develop guarantee services. The second group of customers is corporate customers in the fields of agricultural production, livestock and seafood processing with high import and export turnover in the area.
are the target of trade finance development. In addition, BIDV Tien Giang also focuses on continuously developing these customer groups to increase revenue for many other products and services in the future.
2.2.1.4. Card and POS services:
As a service that BIDV Tien Giang has recently developed strongly, it can be said that this is a very potential market and has the ability to develop even more strongly in the future. Card services with outstanding advantages such as fast payment time, wide payment range, quite safe, effective and suitable for the integration trend and the Project to promote non-cash payments in Vietnam. Cards have become a modern and popular payment tool. BIDV Tien Giang early identified that developing card services is to expand the market to people in society, create capital mobilized from card-opened accounts, contribute to diversifying banking activities, enhance the image of the bank, bring the BIDV Tien Giang brand to people as quickly and easily as possible. BIDV Tien Giang is currently providing card types such as: credit cards (BIDV MasterCard Platinum, BIDV Visa Gold Precious, BIDV Visa Manchester United, BIDV Visa Classic), international debit cards (BIDV Ready Card, BIDV Manu Debit Card), domestic debit cards (BIDV Harmony Card, BIDV eTrans Card, BIDV Moving Card, BIDV-Lingo Co-branded Card, BIDV-Co.opmart Co-branded Card). These cards can be paid via POS/EDC or on the ATM system. In addition, with debit cards, customers can not only withdraw money via ATMs but also perform utilities such as mobile top-up, online payment, money transfer,... through electronic banking services.
In order to attract customers with card services, BIDV Tien Giang has continuously increased the installation of ATMs. As of December 31, 2015, BIDV Tien Giang has 23 ATMs combined with 7 ATMs in the same system of BIDV My Tho, so the number of ATMs is quite large, especially in the center of My Tho City, but is not yet fully present in the districts. Basic services on ATMs such as withdrawing money, checking balances, printing short statements,... BIDV ATMs accept cards from banks in the system.
Banknetvn and Smartlink, cards branded by international card organizations Union Pay (CUP), VISA, MasterCard and cards of banks in the Asian Payment Network. From here, cardholders can make bill payments for themselves or others at ATMs, by simply entering the subscriber number or customer code, booking code that service providers notify and make bill payments.
Chart 2.6. Net income from card services in the period 2011-2015
Unit: Million VND
3500
3000
2500
2000
1500
1000
500
0
687
1023
1547
2267
3104
2011 2012 2013 2014 2015
Net income from card services
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
Through chart 2.6, it can be seen that BIDV Tien Giangs card service income is constantly growing because the Branch focuses on developing businesses operating in industrial parks, which are the source of customers for salary payment products, ATMs, BSMS. Specifically, there are companies such as Freeview, Quang Viet, Dai Thanh, which are businesses with a large number of card openings at the Branch, contributing to the increase in card service fees [25].
Table 2.6. Number of ATMs and POS machines in 2015 of some banks in Tien Giang area.
Unit: Machine
STT
Bank name
Number of ATMs
Cumulative number of ATM cards
POS machine
1
BIDV Tien Giang
23
97,095
22
2
BIDV My Tho
7
21,325
0
3
Agribank Tien Giang
29
115,743
77
4
Vietinbank Tien Giang
16
100,052
54
5
Dong A Tien Giang
26
97,536
11
6
Sacombank Tien Giang
24
88,513
27
7
Vietcombank Tien Giang
15
61,607
96
8
Vietinbank - Tay Tien Giang Branch
6
46,042
38
(Source: 2015 Banking Activity Data Report of the General and Internal Control Department of the Provincial State Bank [21])
Through table 2.6, the author finds that the number of ATMs of BIDV Tien Giang is not much, ranking fourth after Agribank Tien Giang, Dong A Tien Giang, Sacombank Tien Giang. The number of POS machines of BIDV Tien Giang is very small, only higher than Dong A Tien Giang and BIDV My Tho in the initial stages of merging the BIDV system. Besides, BIDV Tien Giang has a high number of cards increasing over the years (table 2.7) but the cumulative number of cards issued up to December 31, 2015 is still relatively low compared to Agribank, Vietcombank, Dong A (table 2.6).
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div.maincontent .s40 { color: black; font-family:Times New Roman, serif; font-style: normal; fo](https://tailieuthamkhao.com/uploads/2022/06/06/dich-vu-phi-tin-dung-tai-ngan-hang-thuong-mai-co-phan-dau-tu-va-phat-8-1-120x90.png)
![Pre-tax Profit of Bidv Tien Giang in the Period 2011-2015
zt2i3t4l5ee
zt2a3gsnon-credit services, joint stock commercial bank
zt2a3ge
zc2o3n4t5e6n7ts
At that time, the Branch had to set aside a provision for credit risks, which reduced the Branchs income.
Chart 2.2. Pre-tax profit of BIDV Tien Giang in the period 2011-2015
Unit: Billion VND
140
120
100
80
60
40
20
0
63.3
80.34
89.29
110.08
131.99
2011 2012 2013 2014 2015
Profit before tax
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
However, through chart 2.2, it can be seen that BIDV Tien Giangs profit is still increasing continuously, and its operating efficiency is currently leaking. This is a contribution of non-credit services, and this service segment will be increasingly focused on growth by BIDV Tien Giang to ensure the highest profit safety because credit activities have many potential risks. At the same time, focusing on developing non-credit services is consistent with one of the contents of restructuring the financial activities of credit institutions in the project Restructuring the system of credit institutions in the period 2011-2015 approved by the Prime Minister in Decision No. 254/QD-TTg dated March 1, 2012 [14]: Gradually shifting the business model of commercial banks towards reducing dependence on credit activities and increasing income from non-credit services.
2.2. Current status of non-credit service development at BIDV Tien Giang.
2.2.1. BIDV Tien Giang has deployed the development of non-credit services in recent times.
Along with the development of the Head Office, BIDV Tien Giangs products and services are constantly improved and deployed in a diverse manner to ensure provision for many different customer groups in the area: individual customers, corporate customers, and financial institutions. Typical services are as follows: Payment services, treasury services, guarantee services, card services, trade finance, other services: Western Union, insurance commissions, consulting services, foreign exchange derivatives trading, e-banking services,...
2.2.1.1. Payment services:
In accordance with the Prime Ministers Project to promote non-cash payments in Vietnam [15], banks in Tien Giang province have continuously developed payment services to reduce customers cash usage habits through card services and electronic banking services such as: salary payment through accounts, focusing on developing card acceptance points, developing multi-purpose cards, paying social insurance by transfer, paying bills through banks, etc.
Chart 2.3. Net income from payment services in the period 2011-2015
Unit: Million VND
6000
5000
4000
3000
2000
1000
0
3922 4065
4720 5084 5324
2011 2012 2013 2014 2015
Net income from payment services
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
Along with the technological development of the entire system, BIDV Tien Giang has a payment system with a fairly stable transaction processing speed, bringing many conveniences to customers. The results of observing chart 2.3 show that the income from payment services that the Branch has achieved has grown over the years but the speed is not high and the products are not outstanding compared to other banks. Domestic payment products such as: Online bill payment, electricity bills, water bills, insurance premiums, cable TV bills, telecommunications fees, airline tickets, etc. bring many conveniences to customers. Regarding international payment, this is an indispensable activity for foreign economic activities, BIDV Tien Giang is providing international payment methods for small enterprises producing agriculture, aquatic food and seafood that have credit relationships with banks in industrial parks in Tien Giang province such as: money transfer, collection, L/C payment.
2.2.1.2. Treasury services:
BIDV Tien Giang always focuses on ensuring treasury safety and currency security, always complies with legal regulations, and minimizes risks in operations such as: counting and collecting money from customers, receiving and delivering internal transactions, collecting from the State Bank (SBV) or other credit institutions, receiving ATM funds, bundling money, etc. BIDV Tien Giangs treasury service management department is always fully equipped with modern machinery and equipment such as: money transport vehicles, fire prevention tools, money counters, money detectors, magnifying glasses, etc. to ensure absolute safety in treasury operations, immediately identifying real and fake money and other risks that may affect people and assets of the bank and customers. In addition, implementing regulation 2480/QC dated October 28, 2008 between the State Bank of Tien Giang province and the Provincial Police on coordination in the fight against counterfeit money, in the 3-year review of implementation, BIDV Tien Giang discovered, seized and submitted to the State Bank of Tien Giang province 475 banknotes of various denominations and was commended by the Provincial Police and the State Bank of Tien Giang province [17].
Chart 2.4. Net income from treasury services in the period 2011-2015
Unit: Million VND
350
300
250
200
150
100
50
0
105 122
309 289 279
2011 2012 2013 2014 2015
Net income from treasury services
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
However, as shown in Figure 2.4, income from treasury operations is not high and fluctuates. Specifically, in the period 2011-2013, net income increased and increased most sharply in 2013, then in the period 2013-2015, there was a downward trend. This fluctuation is due to the fact that fees collected from treasury services are often very low and can even be waived to attract customers to use other services.
2.2.1.3. Guarantee and trade finance services:
BIDV Tien Giang, thanks to the advantages of the province and the favorable location of the Branch, has continuously focused on developing income from guarantee services and trade finance.
Chart 2.5. Net income from guarantee and trade finance services in the period 2011-2015
Unit: Million VND
14000
12000
10000
8000
6000
4000
2000
0
5193 5695
2742 3420
8889
3992
11604 12206
5143 5312
2011 2012 2013 2014 2015
Net income from guarantee services Net income from Trade Finance
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
Through chart 2.5, we can see that BIDV Tien Giangs income from guarantee services and trade finance has grown over the years. The reason is: Among BIDV Tien Giangs corporate customers, the construction industry is the industry with the highest proportion of customers after the trading industry, this is a group of customers with potential to develop guarantee services. The second group of customers is corporate customers in the fields of agricultural production, livestock and seafood processing with high import and export turnover in the area.
are the target of trade finance development. In addition, BIDV Tien Giang also focuses on continuously developing these customer groups to increase revenue for many other products and services in the future.
2.2.1.4. Card and POS services:
As a service that BIDV Tien Giang has recently developed strongly, it can be said that this is a very potential market and has the ability to develop even more strongly in the future. Card services with outstanding advantages such as fast payment time, wide payment range, quite safe, effective and suitable for the integration trend and the Project to promote non-cash payments in Vietnam. Cards have become a modern and popular payment tool. BIDV Tien Giang early identified that developing card services is to expand the market to people in society, create capital mobilized from card-opened accounts, contribute to diversifying banking activities, enhance the image of the bank, bring the BIDV Tien Giang brand to people as quickly and easily as possible. BIDV Tien Giang is currently providing card types such as: credit cards (BIDV MasterCard Platinum, BIDV Visa Gold Precious, BIDV Visa Manchester United, BIDV Visa Classic), international debit cards (BIDV Ready Card, BIDV Manu Debit Card), domestic debit cards (BIDV Harmony Card, BIDV eTrans Card, BIDV Moving Card, BIDV-Lingo Co-branded Card, BIDV-Co.opmart Co-branded Card). These cards can be paid via POS/EDC or on the ATM system. In addition, with debit cards, customers can not only withdraw money via ATMs but also perform utilities such as mobile top-up, online payment, money transfer,... through electronic banking services.
In order to attract customers with card services, BIDV Tien Giang has continuously increased the installation of ATMs. As of December 31, 2015, BIDV Tien Giang has 23 ATMs combined with 7 ATMs in the same system of BIDV My Tho, so the number of ATMs is quite large, especially in the center of My Tho City, but is not yet fully present in the districts. Basic services on ATMs such as withdrawing money, checking balances, printing short statements,... BIDV ATMs accept cards from banks in the system.
Banknetvn and Smartlink, cards branded by international card organizations Union Pay (CUP), VISA, MasterCard and cards of banks in the Asian Payment Network. From here, cardholders can make bill payments for themselves or others at ATMs, by simply entering the subscriber number or customer code, booking code that service providers notify and make bill payments.
Chart 2.6. Net income from card services in the period 2011-2015
Unit: Million VND
3500
3000
2500
2000
1500
1000
500
0
687
1023
1547
2267
3104
2011 2012 2013 2014 2015
Net income from card services
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
Through chart 2.6, it can be seen that BIDV Tien Giangs card service income is constantly growing because the Branch focuses on developing businesses operating in industrial parks, which are the source of customers for salary payment products, ATMs, BSMS. Specifically, there are companies such as Freeview, Quang Viet, Dai Thanh, which are businesses with a large number of card openings at the Branch, contributing to the increase in card service fees [25].
Table 2.6. Number of ATMs and POS machines in 2015 of some banks in Tien Giang area.
Unit: Machine
STT
Bank name
Number of ATMs
Cumulative number of ATM cards
POS machine
1
BIDV Tien Giang
23
97,095
22
2
BIDV My Tho
7
21,325
0
3
Agribank Tien Giang
29
115,743
77
4
Vietinbank Tien Giang
16
100,052
54
5
Dong A Tien Giang
26
97,536
11
6
Sacombank Tien Giang
24
88,513
27
7
Vietcombank Tien Giang
15
61,607
96
8
Vietinbank - Tay Tien Giang Branch
6
46,042
38
(Source: 2015 Banking Activity Data Report of the General and Internal Control Department of the Provincial State Bank [21])
Through table 2.6, the author finds that the number of ATMs of BIDV Tien Giang is not much, ranking fourth after Agribank Tien Giang, Dong A Tien Giang, Sacombank Tien Giang. The number of POS machines of BIDV Tien Giang is very small, only higher than Dong A Tien Giang and BIDV My Tho in the initial stages of merging the BIDV system. Besides, BIDV Tien Giang has a high number of cards increasing over the years (table 2.7) but the cumulative number of cards issued up to December 31, 2015 is still relatively low compared to Agribank, Vietcombank, Dong A (table 2.6).
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div.maincontent .s40 { color: black; font-family:Times New Roman, serif; font-style: normal; fo](data:image/svg+xml,%3Csvg%20xmlns=%22http://www.w3.org/2000/svg%22%20viewBox=%220%200%2075%2075%22%3E%3C/svg%3E)
Pre-tax Profit of Bidv Tien Giang in the Period 2011-2015
zt2i3t4l5ee
zt2a3gsnon-credit services, joint stock commercial bank
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zc2o3n4t5e6n7ts
At that time, the Branch had to set aside a provision for credit risks, which reduced the Branch's income.
Chart 2.2. Pre-tax profit of BIDV Tien Giang in the period 2011-2015
Unit: Billion VND
140
120
100
80
60
40
20
0
63.3
80.34
89.29
110.08
131.99
2011 2012 2013 2014 2015
Profit before tax
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
However, through chart 2.2, it can be seen that BIDV Tien Giang's profit is still increasing continuously, and its operating efficiency is currently leaking. This is a contribution of non-credit services, and this service segment will be increasingly focused on growth by BIDV Tien Giang to ensure the highest profit safety because credit activities have many potential risks. At the same time, focusing on developing non-credit services is consistent with one of the contents of restructuring the financial activities of credit institutions in the project "Restructuring the system of credit institutions in the period 2011-2015" approved by the Prime Minister in Decision No. 254/QD-TTg dated March 1, 2012 [14]: "Gradually shifting the business model of commercial banks towards reducing dependence on credit activities and increasing income from non-credit services".
2.2. Current status of non-credit service development at BIDV Tien Giang.
2.2.1. BIDV Tien Giang has deployed the development of non-credit services in recent times.
Along with the development of the Head Office, BIDV Tien Giang's products and services are constantly improved and deployed in a diverse manner to ensure provision for many different customer groups in the area: individual customers, corporate customers, and financial institutions. Typical services are as follows: Payment services, treasury services, guarantee services, card services, trade finance, other services: Western Union, insurance commissions, consulting services, foreign exchange derivatives trading, e-banking services,...
2.2.1.1. Payment services:
In accordance with the Prime Minister's Project to promote non-cash payments in Vietnam [15], banks in Tien Giang province have continuously developed payment services to reduce customers' cash usage habits through card services and electronic banking services such as: salary payment through accounts, focusing on developing card acceptance points, developing multi-purpose cards, paying social insurance by transfer, paying bills through banks, etc.
Chart 2.3. Net income from payment services in the period 2011-2015
Unit: Million VND
6000
5000
4000
3000
2000
1000
0
3922 4065
4720 5084 5324
2011 2012 2013 2014 2015
Net income from payment services
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
Along with the technological development of the entire system, BIDV Tien Giang has a payment system with a fairly stable transaction processing speed, bringing many conveniences to customers. The results of observing chart 2.3 show that the income from payment services that the Branch has achieved has grown over the years but the speed is not high and the products are not outstanding compared to other banks. Domestic payment products such as: Online bill payment, electricity bills, water bills, insurance premiums, cable TV bills, telecommunications fees, airline tickets, etc. bring many conveniences to customers. Regarding international payment, this is an indispensable activity for foreign economic activities, BIDV Tien Giang is providing international payment methods for small enterprises producing agriculture, aquatic food and seafood that have credit relationships with banks in industrial parks in Tien Giang province such as: money transfer, collection, L/C payment.
2.2.1.2. Treasury services:
BIDV Tien Giang always focuses on ensuring treasury safety and currency security, always complies with legal regulations, and minimizes risks in operations such as: counting and collecting money from customers, receiving and delivering internal transactions, collecting from the State Bank (SBV) or other credit institutions, receiving ATM funds, bundling money, etc. BIDV Tien Giang's treasury service management department is always fully equipped with modern machinery and equipment such as: money transport vehicles, fire prevention tools, money counters, money detectors, magnifying glasses, etc. to ensure absolute safety in treasury operations, immediately identifying real and fake money and other risks that may affect people and assets of the bank and customers. In addition, implementing regulation 2480/QC dated October 28, 2008 between the State Bank of Tien Giang province and the Provincial Police on coordination in the fight against counterfeit money, in the 3-year review of implementation, BIDV Tien Giang discovered, seized and submitted to the State Bank of Tien Giang province 475 banknotes of various denominations and was commended by the Provincial Police and the State Bank of Tien Giang province [17].
Chart 2.4. Net income from treasury services in the period 2011-2015
Unit: Million VND
350
300
250
200
150
100
50
0
105 122
309 289 279
2011 2012 2013 2014 2015
Net income from treasury services
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
However, as shown in Figure 2.4, income from treasury operations is not high and fluctuates. Specifically, in the period 2011-2013, net income increased and increased most sharply in 2013, then in the period 2013-2015, there was a downward trend. This fluctuation is due to the fact that fees collected from treasury services are often very low and can even be waived to attract customers to use other services.
2.2.1.3. Guarantee and trade finance services:
BIDV Tien Giang, thanks to the advantages of the province and the favorable location of the Branch, has continuously focused on developing income from guarantee services and trade finance.
Chart 2.5. Net income from guarantee and trade finance services in the period 2011-2015
Unit: Million VND
14000
12000
10000
8000
6000
4000
2000
0
5193 5695
2742 3420
8889
3992
11604 12206
5143 5312
2011 2012 2013 2014 2015
Net income from guarantee services Net income from Trade Finance
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
Through chart 2.5, we can see that BIDV Tien Giang's income from guarantee services and trade finance has grown over the years. The reason is: Among BIDV Tien Giang's corporate customers, the construction industry is the industry with the highest proportion of customers after the trading industry, this is a group of customers with potential to develop guarantee services. The second group of customers is corporate customers in the fields of agricultural production, livestock and seafood processing with high import and export turnover in the area.
are the target of trade finance development. In addition, BIDV Tien Giang also focuses on continuously developing these customer groups to increase revenue for many other products and services in the future.
2.2.1.4. Card and POS services:
As a service that BIDV Tien Giang has recently developed strongly, it can be said that this is a very potential market and has the ability to develop even more strongly in the future. Card services with outstanding advantages such as fast payment time, wide payment range, quite safe, effective and suitable for the integration trend and the Project to promote non-cash payments in Vietnam. Cards have become a modern and popular payment tool. BIDV Tien Giang early identified that developing card services is to expand the market to people in society, create capital mobilized from card-opened accounts, contribute to diversifying banking activities, enhance the image of the bank, bring the BIDV Tien Giang brand to people as quickly and easily as possible. BIDV Tien Giang is currently providing card types such as: credit cards (BIDV MasterCard Platinum, BIDV Visa Gold Precious, BIDV Visa Manchester United, BIDV Visa Classic), international debit cards (BIDV Ready Card, BIDV Manu Debit Card), domestic debit cards (BIDV Harmony Card, BIDV eTrans Card, BIDV Moving Card, BIDV-Lingo Co-branded Card, BIDV-Co.opmart Co-branded Card). These cards can be paid via POS/EDC or on the ATM system. In addition, with debit cards, customers can not only withdraw money via ATMs but also perform utilities such as mobile top-up, online payment, money transfer,... through electronic banking services.
In order to attract customers with card services, BIDV Tien Giang has continuously increased the installation of ATMs. As of December 31, 2015, BIDV Tien Giang has 23 ATMs combined with 7 ATMs in the same system of BIDV My Tho, so the number of ATMs is quite large, especially in the center of My Tho City, but is not yet fully present in the districts. Basic services on ATMs such as withdrawing money, checking balances, printing short statements,... BIDV ATMs accept cards from banks in the system.
Banknetvn and Smartlink, cards branded by international card organizations Union Pay (CUP), VISA, MasterCard and cards of banks in the Asian Payment Network. From here, cardholders can make bill payments for themselves or others at ATMs, by simply entering the subscriber number or customer code, booking code that service providers notify and make bill payments.
Chart 2.6. Net income from card services in the period 2011-2015
Unit: Million VND
3500
3000
2500
2000
1500
1000
500
0
687
1023
1547
2267
3104
2011 2012 2013 2014 2015
Net income from card services
(Source: Report on the implementation of the annual business plan of the General Planning Department of BIDV Tien Giang [24])
Through chart 2.6, it can be seen that BIDV Tien Giang's card service income is constantly growing because the Branch focuses on developing businesses operating in industrial parks, which are the source of customers for salary payment products, ATMs, BSMS. Specifically, there are companies such as Freeview, Quang Viet, Dai Thanh, which are businesses with a large number of card openings at the Branch, contributing to the increase in card service fees [25].
Table 2.6. Number of ATMs and POS machines in 2015 of some banks in Tien Giang area.
Unit: Machine
STT
Bank name
Number of ATMs
Cumulative number of ATM cards
POS machine
1
BIDV Tien Giang
23
97,095
22
2
BIDV My Tho
7
21,325
0
3
Agribank Tien Giang
29
115,743
77
4
Vietinbank Tien Giang
16
100,052
54
5
Dong A Tien Giang
26
97,536
11
6
Sacombank Tien Giang
24
88,513
27
7
Vietcombank Tien Giang
15
61,607
96
8
Vietinbank - Tay Tien Giang Branch
6
46,042
38
(Source: 2015 Banking Activity Data Report of the General and Internal Control Department of the Provincial State Bank [21])
Through table 2.6, the author finds that the number of ATMs of BIDV Tien Giang is not much, ranking fourth after Agribank Tien Giang, Dong A Tien Giang, Sacombank Tien Giang. The number of POS machines of BIDV Tien Giang is very small, only higher than Dong A Tien Giang and BIDV My Tho in the initial stages of merging the BIDV system. Besides, BIDV Tien Giang has a high number of cards increasing over the years (table 2.7) but the cumulative number of cards issued up to December 31, 2015 is still relatively low compared to Agribank, Vietcombank, Dong A (table 2.6).
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Statistics By Job Position At Viet Duc Friendship Hospital -
Study on microbiological characteristics of foot ulcers in diabetic patients at the Department of Endocrinology - Diabetes, Bach Mai Hospital in 2021 - 11 -
Operating Model and Organizational Structure -
Overview of the Department of Pharmacy, Drug and Therapeutics Committee
CPS : Pharmacokinetics Consultation ACS : Anticoagulant Consultation RS : Respiratory Medicine Consultation
Figure 1.12: Operating model of the pharmacy department of Samsung hospital, Korea
According to the above model in developed countries, the pharmacy department has 6 main departments: In charge of main pharmacy, inventory, supply; drug information; inpatient pharmacy; outpatient pharmacy; preparation of infusion solutions; clinical pharmacy practice. [65], [66], [67].
With the operating model of Samsung hospital pharmacy, the pharmacy department participates in many activities of safe and appropriate use of drugs for patients such as preparing some special infusion solutions in the hospital, drug information, consulting on drug use for chronic diseases, managing some drugs with narrow therapeutic range...
1.4. MANAGEMENT OF DRUG BIDDING AT PUBLIC HOSPITALS
Main forms of selecting drug suppliers in hospitals [31]; [40]; [41]
Table .6: Forms of bidding for drug supply
TT
Form | Apply | |
1 | Open tender | - Applied in all hospitals in purchasing drugs on the list of essential drugs. |
2 | Bidding | - In special cases, rare drugs... are allowed to be imported without a Visa by the Ministry of Health (special drugs, natural disasters ... ) |
3 | Shop online | - Apply approved bidding results within 6 months to purchase drugs. |
4 | Competitive Bidding | - For bidding packages with a value of less than 2 billion VND, drugs are allowed to be purchased according to additional bidding regulations due to treatment needs. |
Existence and challenges in drug bidding at hospitals[45], [55].
Bidding separately at each medical service facility, not centralized as in some countries, leads to difficulty in control, so the Ministry of Health encourages health departments to bid centrally to gradually move towards national centralized bidding. [50]. That requires a higher standardization of criteria in bidding. Especially when bidding on such a large scale, to control the huge amount of information about drugs and contractors, the Ministry of Health needs to have a software program to help computerize, shorten manual work when bidding as well as help standardize drug selection in bidding to ensure the highest efficiency.
Limitations in the management capacity of staff, legal documents in the work of developing bidding plans, bidding documents, planned prices, as well as organizing bid evaluation are shown through the winning bid results: the winning bid price still fluctuates a lot, the time to complete the bidding work is prolonged, causing drug shortages.
Professional limitations: Bidding activities, standard bidding documents, and drug selection criteria in bidding evaluation still do not have specific guidance documents. The consensus on drug selection is still subjective and sometimes inaccurate.
Technical limitations: All work in bidding activities is still manual, bid evaluation takes a lot of time, human resources make bidding results slow, leading to a lack of medicine to serve the needs of medical examination and treatment. This requires computerization (building supporting software) to avoid shortages in human resources and time.
The list of drugs bid by brand name and the bidding results are subject to many negative impacts of the dominant market.
Sometimes, the price of the same winning drug item varies greatly between hospitals and between regions and areas in the country.[43], [49].
The winning bid price of some drugs is higher than the price of the same type of drug on the market at the same time. The high winning bid price is partly due to reasons such as collusion between contractors that have not been strictly controlled ...
There is no common price level for medicinal materials and vaccines, so it is difficult to manage the bidding prices for these items.[43]
Hospitals tend to choose imported drugs with increasingly high costs even though domestic drugs have been produced with the same active ingredients, good quality, and reasonable prices. Partly because domestic drug manufacturing companies have not paid enough attention and invested properly in marketing activities, building product strategies to enhance the reputation and brand of their drugs, reducing their competitive advantage when participating in bidding.
Evaluation of technical standards is not unified, treatment equivalence is almost not implemented, leading to the need to choose drugs that are already prestigious in the world despite the very high cost [45],[49],[55],[56]; .
1.5. SUMMARY OF RESEARCH TOPICS ON SUPPLY OF HOSPITAL DRUGS AND HOSPITAL PHARMACEUTICAL FLOWERS
In recent years, there have been many research topics on hospital drug supply activities conducted at Hanoi University of Pharmacy at the level of graduation thesis, master's thesis... The topics have focused on four contents of the drug supply cycle such as Friendship Hospital, Bach Mai Hospital, E Hospital.
[48], 108 Central Military Hospital, Central Hematology and Blood Transfusion Hospital, the topics have preliminarily shown that in recent years, the field of hospital drug supply has been getting better and better. Some topics have researched and partially intervened in the hospital's drug supply activities such as Do Bich Ha: Analysis and evaluation of bidding activities through surveying the bidding process and results at some hospitals in the period 2005-2007 [45]; Duong Thuy Mai's thesis initially applied information technology to support drug bidding activities at hospitals [49]... However, there are still many shortcomings that need to be improved and perfected by authorities and hospitals, and pharmaceutical departments in the following years.
Friendship Hospital is a grade 1 general hospital at the central level. In recent years, there have been a number of research topics on the hospital's drug supply activities. However, these topics have only studied some individual activities of the drug supply cycle and have not comprehensively studied the drug supply activities, found out the main shortcomings to propose solutions to improve the effectiveness of drug supply activities. Drug supply activities at Friendship Hospital are affected by many factors: human resources, facilities, operating models, disease models, etc. Drug supply bidding activities have many shortcomings that cause delays in treatment services. The topic focuses on describing the overall situation of drug supply activities at Friendship Hospital in recent years, and at the same time, implementing a number of intervention solutions in the management of toxic, addictive, psychotropic drugs and drug bidding management, thereby proposing a model of pharmacy activities and a number of solutions to improve the efficiency of drug supply activities, contributing to serving the health care for patients at Friendship Hospital.