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Telemedicine in Vietnam: Regulations and their Impact on Healthcare Service Providers01.03.2024
Telemedicine is the provision of healthcare services facilitated “remotely”, without the need for in-person interaction. This activity is carried out by healthcare professionals using information and communication technology to gather information for the diagnosis, treatment and prevention of diseases and injuries, with the aim of improving individual and community health.
Telemedicine is not a substitute for direct healthcare. However, it has been applied to specific diseases and conditions specified in the remote examination and treatment list.
II. Legal Framework
1. Law on Healthcare Examination and Treatment No. 15/2023/QH15, issued on January 9, 2023 (“Healthcare Law”).
2. Circular No. 30/2023/TT-BYT regulating the list of diseases, conditions for remote examination and treatment (“Circular No. 30”).
Since the beginning of 2023, the Ministry of Health in Vietnam has initiated the digital transformation of healthcare activities and comprehensive health management for the population. This includes:
- Establishing the VTelehealth telemedicine consultation support platform (“Platform”).
- Integrating the Platform with other healthcare software such as hospital information systems (HIS), electronic medical records systems (EMR), laboratory information systems (LIS), picture archiving and communication systems (PACS), and telemedicine support solutions.
- Integrating the Platform with healthcare databases, including but not limited to the national drug database, electronic prescription database, healthcare workforce database and the professional practice management database.
From January 1, 2024, the Healthcare Law and Circular No. 30 officially took effect, stipulating the application of telemedicine and support for telemedicine among healthcare facilities. In addition, the Ministry of Health specifies a list of 50 diseases in approximately 20 specialties which are eligible for telemedicine. These conditions fall under pathological situations that can be diagnosed through information inquiry without the need for imaging, invasive procedures or surgery. This includes diseases with existing medical records requiring follow-up or re-examination, and infectious diseases that can be treated at home.
III. Impact on the Healthcare Service Industry
The development of telemedicine services profoundly affects the healthcare industry in various ways that businesses and organizations operating in this field need to consider:
1. Improved Service Accessibility: Telemedicine removes geographical barriers, enabling patients, especially those in remote or difficult-to-reach areas, to access large, high-quality healthcare centres.
2. Enhanced Healthcare Services: Telemedicine allows continuous monitoring of patients with chronic diseases, ensuring timely intervention and reducing the need for frequent hospital visits.
3. Increased Efficiency and Productivity: Telemedicine streamlines administrative processes, reducing paperwork and administrative burdens on healthcare providers.
4. Optimized Resource Utilization: By managing appointments more efficiently and reducing non-essential in-person visits.
5. Cost Savings: Telemedicine can result in cost savings for both patients and healthcare providers by minimizing the need for physical infrastructure, travel expenses and administrative overheads.
6. Public Health Assurance: Telemedicine contributes to public health efforts by enabling remote monitoring and early detection of disease outbreaks, facilitating a more proactive response.
- Compliance with complex regulations is essential to ensure adherence to healthcare laws and standards.
Data security and patient privacy are crucial, and telemedicine platforms must comply with strict privacy and data security standards.
- Successful technology integration, including incorporating telemedicine into existing healthcare systems, and ensuring continuous interaction with individual electronic health records, is necessary.
- Increased competition among healthcare facilities: Telemedicine supports the transition from fee-for-service models to value-based care, focusing on improving patient outcomes and experiences. Therefore, with geographical barriers eliminated, patients have more healthcare facility choices.
In conclusion, the development of telehealth services has the potential to revolutionize healthcare by improving access, enhancing patient care, increasing efficiency and transforming traditional healthcare service models.
However, careful consideration of factors, including legal regulations, technology, and ethics, is necessary to address the related challenges.
Cross border remote work: An employers’ guide to the new regulations in Luxembourg29.02.2024
From 1 July 2023, employers in Luxembourg have faced crucial regulatory changes following the adoption of the multilateral framework agreement on cross border remote work. ECOVIS IFG Audit S.A. in Luxembourg has prepared the following guide to the key points of the new law.
1. Adoption and scope: The framework agreement, adopted on 1 July 2023, involves Luxembourg and its neighbouring countries (Belgium, France, Germany), along with 15 other EU Member States and Switzerland. Notably, the United Kingdom has opted not to sign the agreement.
2. Applicability and eligibility: The agreement applies to telework accounting for between 25% and 50% of total working time. Eligible employees must meet specific conditions, including signatory status of both the employer’s and employee’s country of residence.
3. Declaration procedures: Employers must declare cross border remote work activities to the Joint Social Security Center (Centre Commun de la Sécurité Sociale (CCSS)). Declarations can be submitted online at www.teletravail.ccss.lu using a provisional form. A token, sent via post, is required for online submissions.
4. Transitional period: The framework allows for a transitional period until 30 June 2024, during which regular telework activities from 1 July 2023 can be declared retroactively.
5. European regulations: Telework linked to activities in two or more Member States is subject to European regulations (nos. 883/2004 and 987/2009). Further details on procedures are available at www.teletravail.ccss.lu/information-en.
6. Importance of compliance: Employers are urged to declare cross border remote work promptly to avoid potential sanctions and fines. Non-compliance may result in retroactive disaffiliation from Luxembourg’s social security system, necessitating the repayment of benefits. The penalties for fraudulent activities include fines and imprisonment.
TDo you have questions about the new rules for cross border remote work? We can advise you on the correct implementation.Arnaud Yamalian, Réviseur d’entreprises agréé, Managing partner, ECOVIS IFG Audit S.A., Luxembourg, Luxembourg
Companies should note the following
The adoption of the framework agreement marks a significant shift in cross-border remote work regulations. It is important to proactively assess telework practices and ensure compliance with the new regulations. These activities should be declared promptly using the system provided by CCSS to mitigate risks and also maintain a transparent relationship with employees.
For further information please contact:
Arnaud Yamalian, Réviseur d’entreprises agréé, Managing partner, ECOVIS IFG Audit S.A., Luxembourg, Luxembourg
Forging the Future of Work: How EXXETA Pioneers Global Remote Work Solutions, supported by ECOVIS Heidelberg28.02.2024 | Under the guidance of Richard Hoffmann, Lawyer and Senior Partner, Ecovis Heidelberg has fostered a deep and enduring business relationship with Marcus Bingenheimer-Zimmermann, Director of ...
Forging the Future of Work: How EXXETA Pioneers Global Remote Work Solutions, supported by ECOVIS Heidelberg28.02.2024
Under the guidance of Richard Hoffmann, Lawyer and Senior Partner, Ecovis Heidelberg has fostered a deep and enduring business relationship with Marcus Bingenheimer-Zimmermann, Director of People & Culture at EXXETA, previously the Head of Human Resources at the esteemed football club, Eintracht Frankfurt.
, a leading consultancy specializing in business and IT consulting, is at the forefront of providing integrated strategies, processes, and IT solutions across diverse sectors such as automotive, energy, banking, and retail. The company is dedicated to propelling digital transformation and technological innovation, thereby amplifying the operational capabilities and competitive positioning of its clients.
In the context of our global remote work policy, EXXETA praises Ecovis Heidelberg’s indispensable role: “Ecovis Heidelberg, particularly through the contributions of Richard Hoffmann, has been a pivotal partner in enabling EXXETA to implement a flexible, worldwide remote work framework. Their adept handling of the legal and tax intricacies associated with our diverse international operations has been nothing short of exemplary. The customized legal and tax strategies developed by Ecovis have ensured our seamless compliance across multiple jurisdictions, empowering us to offer our employees the freedom to work from anywhere globally. We are immensely grateful for the strategic insights and dedicated support provided by Ecovis Heidelberg, which have been crucial in navigating the complexities of our transition to a more flexible and global work environment.”
Utilizing the global Ecovis network and our specialized expertise, we have equipped EXXETA with the necessary tools for ensuring legal and tax compliance, thus fostering a supportive remote work culture. Our comprehensive solutions, deeply rooted in an understanding of international regulations, have enabled EXXETA to confidently embrace remote work while adeptly managing cross-border obligations.
At Ecovis Heidelberg, we are proud of our instrumental role in facilitating this significant shift towards a more adaptable and globally-focused work culture. Our ongoing partnership with EXXETA, highlighted by their positive feedback, exemplifies our commitment to supporting our clients through innovative and flexible corporate transformations.