VietNamNet Bridge – After fatal medical error, the anguish of victims and their families often drags on because of a lack of specific regulations to determine the appropriate compensation for medical malpractice.

Doctors at Hoa Binh General Hospital take care of patients who suffered anaphylactic shocks while undergoing kidney dialysis there. Due to the lack of specified regulations on compensation for patients when medical malpractice occurs, the health sector faces difficulty in determining how to compensate victims. — VNA/VNS Photo

Take, for example, a recent case in the northern province of Hoa Binh.

On May 29, 18 patients underwent kidney dialysis treatment in Hoa Binh’s general hospital. Soon, they reported nausea, abdominal pain and shortness of breath.

The same day, eight patients died of suspected anaphylactic shock. The remaining 10 patients were transferred to Hanoi’s Bach Mai Hospital for emergency treatment and stabilised.

Tests samples revealed that the water used for kidney dialysis in the Hoa Binh General Hospital did not meet health standards.

Several meetings have been held between Hoa Binh General Hospital and victims’ families regarding the level of compensation. But they have failed to reach an agreement.

"Victims’ families do not agree with the compensation rates proposed by Hoa Binh General Hospital at VND242 million (US$10,700) for the highest level and 136 million (US$6,000) for the lowest level. They requested compensation of VND250 million per victim”, wrote Pham Ngoc Thao, a representative for victims’ families in a letter sent to Minister of Health Nguyen Thi Kim Tien, Lao Dong (Labour) newspaper reported.

In the letter, the victims’ families said they were waiting for the minister to visit their families and quickly resolve the compensation matter.

According to the victims’ families, at one meeting hospital leaders promised to cover two payments, including mental compensation and assistance for family members who were under 18. The two payments will be paid by the hospital in advance while the funeral costs will be paid after an agreement is reached between the hospital and victims’ families. But negotiations have still not resolved.

Officials from the hospital said that this was the first such incident that had occurred at the hospital; consequently, they were unsure how to solve it. They said the hospital could not afford the compensation of sought by families of the victims, adding that they were waiting for written guidance from competent authorities and for the final conclusion of the investigation agency.

If they do not receive instructions, the case will be referred to the court. 

The medical error at Hoa Binh General Hospital was just one of many medical malpractice incidents recorded in Vietnam over the past few years.

Earlier last year, the family of Trinh Quang Son, a 55 year-old HCM City businessman, asked for compensation of VND23.6 billion (US$1 million) as he was left in a vegetative state after a surgery in August 2015. Son was diagnosed with a leak in the cavernous fistula. 

After the incident, the hospital had offered a hospital fee worth VND600 million ($26,400) to support Son’s family, but they didn’t accept the figure.

As negotiations dragged on for nine months with no result, Son’s family filed a lawsuit against Ho Chi Minh City University of Medicine and Pharmacy and asked for compensation of VND33 billion ($1.4 million), including hospital fees and losses to Son’s business caused by his ailment.

Only after Son died in November, more than two years after the incident, could the hospital and his family reach a compromise. The hospital would cover over VND1 billion ($44,000), including the money that Son’s family was supposed to pay for the treatment at the hospital and an undisclosed sum as support for his family, the Tien Phong (Vanguard) newspaper reported.

According to Deputy Minister of Health Nguyen Viet Tien, Vietnam has no regulations on victim compensation when medical errors occur, so the amount depends on negotiations between the hospital and the family of patients.

In July, for example, Tuyen Quang General Hospital in the northern province of Tuyen Quang agreed to pay VND100 million ($4,400) to the family of a newborn who died after the hospital forced his mother to wait too long to receive a cesarean section.

In May, Na Hang General Hospital in the same province committed to pay VND130 million ($5,700) for the two surviving children of a pregnant women who died during delivery, along with her unborn child. In exchange for the payment, the family agreed to withdraw a petition letter sent to the Ministry of Health, the Health Department of Tuyen Quang Province and Na Hang District Police denouncing the irresponsibility of doctors that they claimed led to the death of mother and fetus.

Currently the government only has regulations on compensating people receiving vaccines through the free national immunisation programme in case the immunisation fails or causes serious side effects.

If people die as a result of immunisations, their families will receive VND10 million ($500) as compensation and funeral expenses, which is equal to 10 times the average monthly wage set by the Government [currently at VND1,300,000 ($57)].

Nguyen Trong Khoa, deputy head of the Department of Medical Examination and Treatment under the health ministry, said there is always high risk of medical error at hospitals. The ministry is working on a draft circular to guide health facilities in responding to medical errors.

While waiting for the circular, about 20 per cent of hospitals have purchased occupational insurance for doctors as a solution to the problem, according to a recent survey. When malpractice occurs, the insurance company pays compensation to the victims’ families. 

Source: VNS