VIET DUC UNIVERSITY HOSPITAL
(Vietnam German Friendship Hospital)
Address: 40 Trang Thi street, Hanoi, Vietnam
Tel: +84-24-38253531 Fax: +84-24-38248308
Email: email@example.com; firstname.lastname@example.org
Viet Duc University Hospital (VDUH) was established in 1906 by the French Colonist Government and was located on Phu Doan street in the center of Hanoi. Its original name “Phu Doan” was changed to “Viet Duc Friendship Hospital” in 1973 as the memoire of non-refundable aid from the Democratic Republic of Germany. The official name was Vietnam Democratic German Friendship Hospital, later shortened to Vietnam German Friendship Hospital. The hospital was built in the French architectural style common during the period of the early 1900’s. The founding directors of VDUH were Professor Ho Dac Di and Professor Ton That Tung, both famous surgeons specialized in heart and liver surgery respectively.
VDUH is the largest surgical centre in Vietnam and specializes in the following major areas: medical care, scientific research, education and training, international cooperation, medical direction guidelines, medicine prevention and economic management.
Located over an area of 30,000 square meters, VDUHwas originally planned to accommodate 430 beds, according to the Ministry of Health guidelines in 2004 but it increased year by year in the same place to serve more patient and in fact it now has over 1500 beds with 26 clinical, laboratory and administration departments. There are 52 operating rooms, equipment that is invested in domestic projects (Specialized Health Centre, hospital improvement). It also has ODA projects funded by the Federal Republic of Germany from 1995 to 2000. The Government of the French Republic also provided assistance in different phases from 1992 to 2000.
The hospital performs different fields of surgery such as: Neurosurgery, Orthopedic surgery, Thoracic and Cardiovascular surgery, Emergency Abdominal surgery, Gastroenterology and Hepato-biliary surgery, Pediatric surgery and Urology surgery. The hospital also in neurosurgery, urology surgery, gastrointestinal surgery… frequently carries out high technology diagnosis and treatment such as: hybrid in cardiac surgery, heart valve replacement, coronary artery by-pass, hip joints surgery, laparoscopic surgeries, removal of pituitary tumors through the sphenoid, spine surgery, percutaneous lithotripsy, organ transplant and robotic surgery was introduced.
1. Patient services
– Patient services rendered to the public are divided as follows:
– Regular consultation services open from 6:30 AM to 5 PM daily, Monday through Friday,
– Emergency services
– In-patient services
– Around-the-clock emergency services deliver surgical emergencies to those in critical condition. In-patients are admitted through the regular consultation services or the emergency department for further surgery care. These activities include:
– Neurosurgery and neurology care
– Cardio-vascular and thoracic surgery
– Orthopedic surgery
– Emergency abdominal surgery
– Digestive surgery (Gastroenterology)
– Hepato-biliary surgery
– Urology surgery
– Septic surgery
– Intensive care
– Pediatric surgery
– Digestive endoscopy
– Physiotherapy and rehabilitation
– Maxillo-facial and plastic surgery
– Spine surgery
– Organ transplantation
Emergency services are reinforced with state-of-the-art equipment and provide 24/7, on–site coverage by doctors in surgery and anesthesiology as well as imaging diagnosis.
Quality and effective emergency care is achieved through emphasis on an efficient triage system capability for high quality care with ICU, and modern operating rooms with new equipment provided by the German and French governments. Trauma teams and anesthetist teams provide prompt critical care, e.g: neurosurgery, heart-thoracic surgery, multiple trauma and bone fracture as well. Right now, VDUH is the largest centre of surgery in the North of Vietnam. As a national referral centre, nearly 70% of the patients are referred from the provincial hospitals. Every day, over 800 consultations are done, and from 160 up to 180 operations are performed. On average, every year nearly 300,000 consultations and over 60,000 operations are conducted at the hospital. In 2018, 66,000 operations were performed. The hospital has steadily increased its workload and is presently operating 1,500 beds (though the hospital capacity had only 700 beds in 2009) through operational support from the Ministry of Health. Every day, there are more than 300 patients visit and approximately 6,000 minor surgery cases performed in the emergency department each year.
There are some new techniques that hospital has recently implemented:
1. Surgical management for the Parkinson disease
2. Spine surgery with artificial disk replacement
3. Lung transplantation
4. Reconstruction of the spine disk using new high frequency (IDET – Intradiscal Electrothermal Annulopasty)
5. Artificial discal replacement
6. Endoscopy surgery for spine surgery
7. Local anesthesia guided by ultrasound
8. Anesthetic vaporization closed system low flow.
9. IV anesthesia controlled by target dosage, and laryngeal mask
10. Removal of kidney from living donor by laparoscopy
11. New technique for hepatectomy by lifting liver and hepatectomy by pedicle control
12. Extended duodeno-pancreatectomy with extension of lymphadenectomy.
(Extra hepatectomy associated with lymphadenectomy)
13. Plasma replacement
14. CPAP- Boussignac, Smartcare – to stop ventilation
15. Used ICP-CPP in management of head trauma
16. Continuous Heart Flow control – Pump Intra-cardiac Continue (PICCO).
17. Implementing ECMO for critical patients at beds
18. Diagnosis and resuscitation for brain death.
19. Brain tissue oxygen monitoring system (LICOX).
1. Elisa test for Taenia
2. Plasma replacement
3. Test of INTEM
4. Test of EXTEM
5. Test of INTEM associated with HEPTEM
6. Test of EXTEM associated with FIBTEM
7. Test of EXTEM associated with APTEM
8. Test of NATEM
9. Analysis of sperms by automatic system or papanicolaou
10. Analysis of active sperms by EOSIN procedure.
11. Analysis of residual in urine by automatic system
12. Nuclear Analysis Techniques – NAT
Qualified Rehabilitation in cooperation with Japan partner:
Since 2017, Viet Duc and Kitahara Group (Tokyo – Japan ) specialized on Rehabilitation has signed on the MOU at the presence of Prime Ministers of Vietnam and Japan for providing the medical services to the patients suffering from brain mattes such as head trauma, stroke caused the paralysis and needed the rehabilitation care after surgery. This programme is highly appreciated by Ministry of Health so both Viet Duc and Kitahara are planning to improve this project to high level, not only providing the rehabilitation services to patients, also improving the knowledge and skill of staff on this matter. As the trend of aging population in Vietnam, and brain disease as well as trauma are still major problem, this new service has promised to develop in the future.
The first tissue bank of Vietnam was opened at Viet Duc Hospital in Hanoi in 2018. It is tasked with receiving, preserving, delivering, supplying and exchanging tissue for medical, training and research purposes. Vietnam has mastered important organ transplant techniques relating to kidneys, hearts, livers, pancreases and lungs. The country conducts more than 1,500 transplants each year with a success rate comparable to that in many developed countries.
2. Medical education and training:
There are 34 professors and Assistant Professors, 132 physicians at the PhD level and Master degree, 15 doctors in Second degree and First degree, 1,195 nurses at university level and others. As a teaching Hospital and surgical center affiliated with the Hanoi Medical University, VDUH serves the important function of teaching and training a great variety of medical and para-clinical professionals including medical and para-clinical students, doctors, nurses and technicians in the following dimensions:
1. The 1st, 2nd, 3rd, 4th and 6th year medical students, from the 1st to 4th year for nursing and medical technology.
2. Under the residency training program, VDUH regularly enrolls about 4 surgeons, 2 anesthesiologists, and 1 to 2 imaging diagnostic doctors per year for 3 to 4 years of training in various disciplines of clinical medicine as well as post-graduated training in the Master or PhD degree.
3. The Hospital also provides technical support to many hospitals in the Hanoi area and in the northern part of Vietnam on the basis of regular assignments or part-time consultations.
4. On a regular basis and at the request of various medical associations, VDUH also provides lectures on topics of current interest for other practitioners.
Each day, the hospital accepts over 350 students as well as doctors who are studying in many fields at different levels, from basic studies to post-graduate M.A and PhD. studies. In addition, to meet the need for improving consultation and surgical abilities for local hospitals, VDUH performs the role of medical supervision, organizes training courses at the hospital or at the local hospitals for doctors and nurses. The hospital has conducted many training courses each year in basic and advanced laparoscopy, plastering procedures and general surgery.
The hospital is providing short-term (up to one month), medium term (up to six months), and post-graduate study in surgery, anesthesiology and imaging diagnostics. In addition about 100 nurses will be trained in patient care and anesthetist assistance per year.
More and more foreign students come to study at the hospital together with short and medium term from France, Germany, Australia, England, Japan, Laos, and Cambodia… In 2018, there were more than 170 international students.
VDUH has become one of the largest cooperative hospitals with France in the training of doctors and nurses, especially FFI programme ( FFI – Faisant Fonction Interne) . There are approximately 2 – 3 doctors receiving training in France each year.
Besides, the hospital has set up successfully the program namely Telemedicine with the peripheral hospitals in the Northern part of Viet Nam. The network to training by this way is to provide the knowledge and updated techniques/procedures these hospitals is functioning well in order to improve the capacity of health care in provinces. This programme is improving by ODA project funded by German government from 2015 to 2020 and the network setting VDUH to two provinces Thanh Hoa and Nghe An.
3. Scientific research:
In regard to scientific research, VDUH has devoted enormous resources to medical research with support and cooperation from the Ministry of Health, the medical universities of Hanoi and Ho Chi Minh City. Research materials are mostly drawn from in-patient and consultation data.
Every year, VDUH is financed by the government nearly 10 research projects. Major research currently underway is focused on the following fields:
1. Multiple organ transplant for patients from brain death donors
2. Arthroscopy in diagnosing and treating the joint problem
3. Vascular interventions and laparoscopic surgery
4. Some newest techniques implemented in anesthesia and resuscitation.
5. Newest techniques of laparoscopic surgery in treating the abdominal pathologies
6. Management of brain matter in both trauma and disease such as stroke
7. Spine disease and trauma management
8. Sport medicine and orthopedic
4. Lower hospitals monitoring:
The mission of VDUH is to educate and re-train doctors, technicians and nurses and to provide a spectrum of comprehensive knowledge, and patient care and service of the best quality to the population of Vietnam by using a new technology and procedures. Annual training courses will take place for doctors, technicians and nurses who come from other hospitals in Vietnam.
With the introduction in 2004 of the satellite hospital referral system (6 altogether), every two months VDUH is sending a team of 2 to 4 doctors and 3 to 5 nurses for theoretical and practical training in local hospitals. The project will advance the training task, teach technical skills for consultations and specialized medical treatments, and apply the latest technologies so patients no longer have to go to central hospitals like they did in the past.
Beside this program, VDUH has also helped hospitals in remote areas such as Lang Son, Cao Bang and Lao Cai provinces, in providing the hands-on training in the fields of surgery, anesthesia and imaging diagnosis.
VDUH was assigned to be one of the central hospitals conducting the 1816 project of the Ministry of Health to send teams of doctors and nurses to help hospitals in remote areas. The staff of VDUH was very much appreciated by the provincial colleagues.
5. International cooperation:
As the largest and most famous center of surgery in the Northern part of Vietnam, VDUH has participated in increased cooperation with the French government and other Western countries. Many doctors, technicians and nurses have visited France and Germany to participate in post-graduate study in order to learn new technology in diagnosis, patient care and surgical fields so that these can be implemented on Vietnamese people. And international cooperation has been established with Asian countries such as Taiwan, Japan, Thailand and Singapore… Many doctors and nurses have been accepted for training in these countries, gained knowledge and updated their skills in the newest procedures in diagnosis and treatment as well as patient care. The staff of VDUH has had the opportunity to learn from the world’s leading and most respected hospitals, to share new medical and research information and to set up telecommunication teaching and medical services.
In the medical exchange program, doctors and nurses of France, Australia, America and other countries regularly come to VDUH for scientific seminars and work. The students from these countries have been accepted at VDUH for study tours in tropical pathology. In 2018, there were nearly 200 international students and visitors from France, Australia, Japan and other countries who visited and studied at VDUH.
The hospital has also received a large amount of donated medical supplies and equipment from its traditional partners at CHU in Limoges and Strasbourg (France), VinaCapital and REI (US), Hoc Mai (Australia), Facing the World (United Kingdom)…. These supplies, equipment and training supports will be a great help in improving the standard of care for VDUH’s patients.
6. Hospital Management:
All of the regulations and rules of VDUH were revised and updated according to the concept of modern management in order to strengthen inter-department cooperation and to foster a sense of responsibility of the individual employee. Thus, administrative efficiency was enhanced and the quality of patient care improved.
Administrative innovations cover the following areas:
1- Material control
4- Medical records
6- Out-patient registration
A total quality management system has been established for the advancement of patient care quality. This system is comprised of various quality assurance committees such as: infection control committee, medical waste management committee, pharmacy committee and the nursing committee.
The hospital has also supplied guidance from the Ministry of Health in medical services policies, and health insurance for patients.
Regarding the economic management, the hospital budget was provided by the National budget and from the patients and medical insurance. The hospital budget has increased considerably compared to previous years. The hospital was able to balance the budget in order to assure the continuation of professional activities. Note that the hospital budget for consultation services will be increasing.
7. Preventive medicine:
Together with the above task, preventive medicine also is one of the important missions the hospital has performed in the past year.
In association with the government’s preventive program such as traffic accident prevention and other injuries, VDUH has conducted many new programs and activities. For example:
Communication with patients regarding injuries, first aid, disease and injury prevention is practiced and improved. Manuals, video tapes and reading materials were also provided.
Injury surveillance has been conducted since 2005 with help from the Vietnam Preventive Medicine Department, Ministry of Health, National Traffic Safety Committee and some NGO.
Health education for patients, for example: injury prevention, nutrition, infection disease. Assistance has also come from Ministry of Health, WHO and other international partners.
With the prestige of the largest surgical centre in the country, together with assistance from the Ministry of Health over many years of its existence, VDUH not only created legendary pioneers and leaders in medicine, but also nurtured numerous dedicated medical professionals serving in every area of Vietnam, especially in the Northern part of the country. Bearing the responsibility for safeguarding health for the Vietnamese people, the hospital has carried out its mission with great pride.
Despite a brilliant past, the hospital has had some difficult days of its own as challenges emerged. However, through excellent leadership from our former board of directors and the dedication of our staff, the hospital has always been able to reposition itself as the true leader in Vietnam’s health care system. With the advent of the information technology age and globalization, we are now facing new challenges from our competitors, but also new opportunities which will enable us to overcome future obstacles and continue to strive for excellence. Our everlasting success depends on our ability to find the right people, to develop their full potential and to create an environment for all in which to excel.
* * * * *
MAJOR SERVICE STATISTICS
Number of beds
|39,680||40,688||42,968||49,912||65,059 cases||66,355 cases|
|10||Average length day||9.5||9.03||9.66||10||10||9,6|
|11||Mortality ratio (%)||0.32||0.35||0.25||0.22||0.19||1.53|
|17||Blood number at blood bank (l)||7,231||7,955||7,148||6,199||8,135||8,592|
Frequency of using bed (%)
(comparison with real beds)
* * * * *