{"id":904,"date":"2021-07-19T16:07:24","date_gmt":"2021-07-19T09:07:24","guid":{"rendered":"https:\/\/cdchaiphong.gov.vn\/?p=904"},"modified":"2021-07-19T16:07:24","modified_gmt":"2021-07-19T09:07:24","slug":"cac-kho-khan-thach-thuc-trong-hoat-dong-phong-chong-benh-khong-lay-nhiem-tai-viet-nam","status":"publish","type":"post","link":"https:\/\/cdchaiphong.gov.vn\/index.php\/2021\/07\/19\/cac-kho-khan-thach-thuc-trong-hoat-dong-phong-chong-benh-khong-lay-nhiem-tai-viet-nam\/","title":{"rendered":"\u200bC\u00e1c kh\u00f3 kh\u0103n, th\u00e1ch th\u1ee9c trong ho\u1ea1t \u0111\u1ed9ng ph\u00f2ng, ch\u1ed1ng b\u1ec7nh kh\u00f4ng l\u00e2y nhi\u1ec5m t\u1ea1i Vi\u1ec7t Nam"},"content":{"rendered":"

1. C\u00e1c ch\u00ednh s\u00e1ch c\u00f2n ch\u01b0a \u0111\u1ea7y \u0111\u1ee7, toa\u0300n di\u00ea\u0323n v\u00e0 vi\u1ec7c tu\u00e2n th\u1ee7 ch\u01b0a t\u1ed1t<\/strong><\/p>\n

– Ch\u01b0a c\u00f3 m\u1ed9t k\u1ebf ho\u1ea1ch, chi\u1ebfn l\u01b0\u1ee3c qu\u1ed1c gia to\u00e0n di\u1ec7n ph\u00f2ng ch\u1ed1ng BKLN;<\/p>\n

– \u0110\u00e3 c\u00f3 m\u1ed9t s\u1ed1 ch\u00ednh s\u00e1ch ki\u1ec3m so\u00e1t y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0ng ch\u01b0a \u0111\u1ea7y \u0111\u1ee7 (thi\u1ebfu lu\u1eadt ph\u00f2ng ch\u1ed1ng t\u00e1c h\u1ea1i r\u01b0\u1ee3u bia\u2026). V\u1eadn \u0111\u1ed9ng ch\u00ednh s\u00e1ch g\u1eb7p kh\u00f3 kh\u0103n, kh\u00f3 huy \u0111\u1ed9ng ngu\u1ed3n t\u00e0i ch\u00ednh cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng.<\/p>\n

– Thi\u1ebfu m\u1ed9t s\u1ed1 ch\u00ednh s\u00e1ch \u0111a ng\u00e0nh trong ki\u1ec3m so\u00e1t y\u1ebfu t\u1ed1 nguy c\u01a1: gi\u1ea3m s\u1eed d\u1ee5ng mu\u1ed1i \u0103n, ki\u1ec3m so\u00e1t ch\u1ea5t b\u00e9o b\u00e3o ho\u00e0 trong ch\u00ednh s\u00e1ch v\u1ec1 dinh d\u01b0\u1ee1ng; ch\u00ednh s\u00e1ch t\u1ea1o \u0111i\u1ec1u ki\u1ec7n m\u00f4i tr\u01b0\u1eddng thu\u1eadn l\u1ee3i cho t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c, th\u1ec3 thao qu\u1ea7n ch\u00fang; ch\u00ednh s\u00e1ch khuy\u1ebfn kh\u00edch c\u00e1c th\u1ef1c ph\u1ea9m c\u00f3 l\u1ee3i cho s\u1ee9c kh\u1ecfe, h\u1ea1n ch\u1ebf c\u00e1c th\u1ef1c ph\u1ea9m kh\u00f4ng c\u00f3 l\u1ee3i cho s\u1ee9c kh\u1ecfe; ch\u00ednh s\u00e1ch r\u01b0\u1ee3u bia ch\u01b0a ch\u00fa tr\u1ecdng \u0111\u1ebfn ph\u00f2ng ch\u1ed1ng BKLN; b\u1ea5t c\u1eadp trong ch\u00ednh s\u00e1ch thu\u1ebf \u0111\u1ed1i v\u1edbi thu\u1ed1c l\u00e1 v\u00e0 r\u01b0\u1ee3u bia\u2026<\/p>\n

– Th\u1ef1c thi c\u00e1c ch\u00ednh s\u00e1ch, ph\u00e1p lu\u1eadt ch\u01b0a \u0111\u01b0\u1ee3c tu\u00e2n th\u1ee7 t\u1ed1t. Vi\u1ec7c th\u1ef1c thi Lu\u1eadt PCTHTL ch\u01b0a nghi\u00eam, ch\u1ebf t\u00e0i x\u1eed ph\u1ea1t ch\u01b0a \u0111\u1ee7 s\u1ee9c r\u0103n \u0111e. Kh\u00f3 ki\u1ec3m so\u00e1t vi\u1ec7c kinh doanh, ti\u00eau th\u1ee5 r\u01b0\u1ee3u, bia. H\u1ea1n ch\u1ebf trong ki\u1ec3m so\u00e1t vi\u1ec7c s\u1eed d\u1ee5ng h\u00f3a ch\u1ea5t \u0111\u1ed9c h\u1ea1i trong s\u1ea3n xu\u1ea5t, ch\u1ebf bi\u1ebfn th\u1ef1c ph\u1ea9m\u2026<\/p>\n

2. \u01afu ti\u00ean \u0111\u00e2\u0300u t\u01b0 va\u0300 ph\u00f4\u0301i h\u01a1\u0323p li\u00ean nga\u0300nh pho\u0300ng ch\u00f4\u0301ng BKLN co\u0300n ha\u0323n ch\u00ea\u0301<\/strong><\/p>\n

– Ch\u01b0a c\u00f3 s\u1ef1 \u01b0u ti\u00ean v\u00e0 cam k\u1ebft ch\u00ednh tr\u1ecb cho ph\u00f2ng ch\u1ed1ng BKLN, g\u00e1nh n\u1eb7ng b\u1ec7nh t\u1eadt v\u00e0 g\u00e1nh n\u1eb7ng kinh t\u1ebf c\u1ee7a BKLN ch\u01b0a \u0111\u01b0\u1ee3c nh\u1eadn th\u1ee9c \u0111\u1ea7y \u0111\u1ee7. Kh\u00f4ng \u0111\u1ec1 c\u1eadp t\u1edbi ph\u00f2ng ch\u1ed1ng BKLN trong V\u0103n ki\u1ec7n \u0110\u1ea1i h\u1ed9i \u0110\u1ea3ng XI. Ngu\u1ed3n t\u00e0i ch\u00ednh cho c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh ph\u00f2ng ch\u1ed1ng BKLN b\u1ecb c\u1eaft gi\u1ea3m.<\/p>\n

– Ch\u01b0a co\u0301 m\u1ed9t \u0111\u1ea7u m\u1ed1i t\u1ed5 ch\u1ee9c th\u1ed1ng nh\u1ea5t \u0111\u00ea\u0309 \u0111i\u00ea\u0300u ph\u00f4\u0301i, huy \u0111\u1ed9ng s\u1ef1 tham gia li\u00ean ng\u00e0nh trong ki\u00ea\u0309m soa\u0301t ca\u0301c y\u00ea\u0301u t\u00f4\u0301 nguy c\u01a1 BKLN. Ban ch\u1ec9 \u0111\u1ea1o Ch\u01b0\u01a1ng tr\u00ecnh Ph\u00f2ng, ch\u1ed1ng BKLN ch\u01b0a \u0111\u1ea3m b\u1ea3o s\u1ef1 tham gia \u0111a ng\u00e0nh, m\u1edbi ch\u1ec9 gi\u1edbi h\u1ea1n trong ng\u00e0nh y t\u1ebf.<\/p>\n

– Nhi\u1ec7m v\u1ee5 ph\u00f2ng ch\u1ed1ng ca\u0301c y\u00ea\u0301u t\u00f4\u0301 nguy c\u01a1 BKLN ch\u1ee7 y\u1ebfu v\u1eabn do ng\u00e0nh y t\u1ebf \u0111\u1ea3m nh\u1eadn. Ca\u0301c B\u00f4\u0323, nga\u0300nh li\u00ean quan ch\u01b0a pha\u0301t huy hi\u00ea\u0323u qua\u0309 vai tro\u0300, tra\u0301ch nhi\u00ea\u0323m trong th\u01b0\u0323c thi ca\u0301c chi\u0301nh sa\u0301ch cu\u0309a ca\u0301c B\u00f4\u0323, nga\u0300nh mi\u0300nh \u0111\u00ea\u0309 ki\u00ea\u0309m soa\u0301t r\u01b0\u01a1\u0323u bia, thu\u00f4\u0301c la\u0301, khuy\u00ea\u0301n khi\u0301ch dinh d\u01b0\u01a1\u0303ng h\u01a1\u0323p ly\u0301 va\u0300 hoa\u0323t \u0111\u00f4\u0323ng th\u00ea\u0309 l\u01b0\u0323c\u2026<\/p>\n

– Ca\u0301c t\u1ed5 ch\u1ee9c ch\u00ednh tr\u1ecb x\u00e3 h\u1ed9i l\u1edbn ch\u01b0a chu\u0309 \u0111\u00f4\u0323ng, t\u00edch c\u1ef1c va\u0300o cu\u00f4\u0323c \u0111\u00ea\u0309 ph\u00f2ng ch\u1ed1ng BKLN (M\u0103\u0323t tr\u00e2\u0323n T\u00f4\u0309 qu\u00f4\u0301c v\u00e0 c\u00e1c \u0111\u01a1n v\u1ecb th\u00e0nh vi\u00ean\u2026)<\/p>\n

– Ch\u01b0a co\u0301 c\u01a1 ch\u00ea\u0301 ph\u00f4\u0301i h\u01a1\u0323p li\u00ean nga\u0300nh, ki\u00ea\u0309m tra, gia\u0301m sa\u0301t vi\u00ea\u0323c th\u01b0\u0323c thi chi\u0301nh sa\u0301ch cu\u0309a ca\u0301c B\u00f4\u0323, nga\u0300nh.<\/p>\n

3. C\u00f4ng ta\u0301c th\u00f4ng tin, gia\u0301o du\u0323c truy\u00ea\u0300n th\u00f4ng ch\u01b0a hi\u00ea\u0323u qua\u0309<\/strong><\/p>\n

– G\u00e1nh n\u1eb7ng b\u1ec7nh t\u1eadt v\u00e0 g\u00e1nh n\u1eb7ng kinh t\u1ebf c\u1ee7a BKLN co\u0300n ch\u01b0a \u0111\u01b0\u1ee3c ca\u0301c c\u00e2\u0301p, ca\u0301c nga\u0300nh nh\u1eadn th\u1ee9c \u0111\u1ea7y \u0111\u1ee7. V\u1eadn \u0111\u1ed9ng ch\u00ednh s\u00e1ch g\u1eb7p kh\u00f3 kh\u0103n, kh\u00f3 huy \u0111\u1ed9ng ngu\u1ed3n l\u01b0\u0323c cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng.<\/p>\n

– Y\u0301 th\u1ee9c ch\u1ea5p h\u00e0nh pha\u0301p lu\u1eadt v\u00ea\u0300 PCTHTL, pho\u0300ng ch\u00f4\u0301ng ta\u0301c ha\u0323i r\u01b0\u01a1\u0323u bia cu\u0309a ng\u01b0\u01a1\u0300i d\u00e2n co\u0300n ch\u01b0a cao. Nh\u00e2\u0323n th\u01b0\u0301c cu\u0309a c\u00f4\u0323ng \u0111\u00f4\u0300ng v\u00ea\u0300 n\u00e2ng cao s\u01b0\u0301c kho\u0309e, pho\u0300ng ch\u00f4\u0301ng y\u00ea\u0301u t\u00f4\u0301 nguy c\u01a1 co\u0300n ch\u01b0a \u0111\u00e2\u0300y \u0111u\u0309. Ty\u0309 l\u00ea\u0323 ng\u01b0\u01a1\u0300i d\u00e2n co\u0301 ki\u00ea\u0301n th\u01b0\u0301c \u0111u\u0301ng v\u00ea\u0300 t\u1ef1 theo d\u00f5i ph\u00e1t hi\u1ec7n s\u1edbm b\u1ec7nh, ch\u0103m s\u00f3c, theo d\u00f5i v\u00e0 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb co\u0300n th\u00e2\u0301p.<\/p>\n

– Th\u00f4ng tin, gia\u0301o du\u0323c, truy\u00ea\u0300n th\u00f4ng c\u00f2n chung chung, ch\u01b0a hi\u00ea\u0323u qua\u0309, \u0111\u0103\u0323c bi\u00ea\u0323t trong truy\u00ea\u0300n th\u00f4ng pho\u0300ng ch\u00f4\u0301ng ta\u0301c ha\u0323i c\u1ee7a r\u01b0\u01a1\u0323u, bia, khuy\u00ea\u0301n khi\u0301ch hoa\u0323t \u0111\u00f4\u0323ng th\u00ea\u0309 l\u01b0\u0323c, h\u01b0\u01a1\u0301ng d\u00e2\u0303n v\u00ea\u0300 dinh d\u01b0\u01a1\u0303ng h\u01a1\u0323p ly\u0301. Truy\u00ea\u0300n th\u00f4ng v\u00ea\u0300 dinh d\u01b0\u01a1\u0303ng ch\u01b0a chu\u0301 tro\u0323ng \u0111\u00ea\u0301n n\u00f4\u0323i dung gia\u0309m \u0103n m\u0103\u0323n, ki\u00ea\u0309m soa\u0301t ch\u00e2\u0301t b\u00e9o chuy\u00ea\u0309n ho\u0301a va\u0300 h\u01b0\u01a1\u0301ng d\u00e2\u0303n s\u01b0\u0309 du\u0323ng th\u01b0\u0323c ph\u00e2\u0309m.<\/p>\n

4. H\u00ea\u0323 th\u00f4\u0301ng cung \u01b0\u0301ng ca\u0301c di\u0323ch vu\u0323 y t\u00ea\u0301 ch\u01b0a \u0111a\u0301p \u01b0\u0301ng y\u00eau c\u00e2\u0300u<\/strong><\/p>\n

– T\u1ed5 ch\u1ee9c ph\u00f2ng ch\u1ed1ng BKLN ch\u01b0a c\u00f3 s\u1ef1 l\u1ed3ng gh\u00e9p. Ca\u0301c d\u01b0\u0323 a\u0301n ph\u00f2ng ch\u1ed1ng BKLN thu\u00f4\u0323c CTMTQG v\u1ec1 y t\u1ebf \u0111\u01b0\u1ee3c tri\u1ec3n khai theo chi\u1ec1u d\u1ecdc, thi\u1ebfu s\u1ef1 l\u1ed3ng gh\u00e9p gi\u1eefa c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh, gi\u1eefa c\u00e1c c\u01a1 s\u1edf y t\u1ebf d\u1ef1 ph\u00f2ng v\u00e0 kh\u00e1m ch\u1eefa b\u1ec7nh t\u1eeb trung \u01b0\u01a1ng \u0111\u1ebfn \u0111\u1ecba ph\u01b0\u01a1ng.<\/p>\n

– Hoa\u0323t \u0111\u00f4\u0323ng ph\u00f2ng ch\u1ed1ng BKLN thi\u00ean v\u1ec1 ti\u1ebfp c\u1eadn c\u00e1 nh\u00e2n m\u00e0 ch\u01b0a \u0111\u1ea3m b\u1ea3o s\u1ef1 c\u00e2n \u0111\u1ed1i gi\u1eefa ti\u1ebfp c\u1eadn d\u1ef1a tr\u00ean c\u1ed9ng \u0111\u1ed3ng v\u00e0 ti\u1ebfp c\u1eadn c\u00e1 nh\u00e2n. C\u00e1c ch\u01b0\u01a1ng tr\u00ecnh \u0111\u1ec1u c\u00f3 \u0111\u1ec1 c\u1eadp t\u1edbi ki\u1ec3m so\u00e1t c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0ng t\u1eadp trung ch\u1ee7 y\u1ebfu v\u00e0o qu\u1ea3n l\u00fd v\u00e0 \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi b\u1ec7nh, ch\u01b0a ch\u00fa tr\u1ecdng t\u1edbi d\u1ef1 ph\u00f2ng, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u00e0 gi\u00e1m s\u00e1t theo d\u00f5i. Ch\u01b0a ti\u00ea\u0301p c\u00e2\u0323n toa\u0300n di\u00ea\u0323n theo ca\u0309 chu tri\u0300nh v\u00f2ng \u0111\u01a1\u0300i.<\/p>\n

– D\u1ef1 ph\u00f2ng \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng tuy nhi\u00ean m\u1ea1ng l\u01b0\u1edbi y t\u1ebf d\u1ef1 ph\u00f2ng ch\u01b0a tham gia t\u00edch c\u1ef1c v\u00e0 ch\u1ee7 \u0111\u1ed9ng v\u00e0o ho\u1ea1t \u0111\u1ed9ng pho\u0300ng ch\u00f4\u0301ng BKLN. Nhi\u1ec7m v\u1ee5 ph\u00f2ng ch\u1ed1ng BKLN ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ch\u1ee9c n\u0103ng nhi\u1ec7m v\u1ee5 c\u1ee7a Trung t\u00e2m Y t\u1ebf d\u1ef1 ph\u00f2ng c\u00e1c t\u1ec9nh, th\u00e0nh ph\u1ed1. Y t\u1ebf c\u01a1 s\u1edf (huy\u1ec7n, x\u00e3) tuy \u0111\u01b0\u1ee3c n\u00e2ng c\u1ea5p v\u1ec1 trang thi\u1ebft b\u1ecb v\u00e0 nh\u00e2n l\u1ef1c, nh\u01b0ng ch\u01b0a \u0111\u1ee7 n\u0103ng l\u1ef1c s\u00e0ng l\u1ecdc, ph\u00e1t hi\u1ec7n s\u1edbm BKLN, cung \u1ee9ng c\u00e1c d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c, qu\u1ea3n l\u00fd ng\u01b0\u1eddi BKLN, d\u1eabn t\u1edbi qu\u00e1 t\u1ea3i \u1edf c\u00e1c b\u1ec7nh vi\u1ec7n tuy\u1ebfn tr\u00ean v\u00e0 kh\u00f4ng \u0111\u1ea3m b\u1ea3o c\u00f4ng b\u1eb1ng trong CSSK.<\/p>\n

– C\u00e1c gi\u1ea3i ph\u00e1p c\u00f3 t\u00ednh chi ph\u00ed hi\u1ec7u qu\u1ea3 cao m\u1edbi b\u01b0\u1edbc \u0111\u1ea7u tri\u1ec3n khai t\u1ea1i y t\u1ebf c\u01a1 s\u1edf \u1edf di\u1ec7n h\u1eb9p, ch\u01b0a \u0111\u01b0\u1ee3c l\u1ed3ng gh\u00e9p trong ho\u1ea1t \u0111\u1ed9ng th\u01b0\u1eddng quy c\u1ee7a y t\u1ebf c\u01a1 s\u1edf, \u0111\u1eb7c bi\u1ec7t l\u00e0 y t\u1ebf x\u00e3 ph\u01b0\u1eddng.<\/p>\n

– M\u1ed9t s\u1ed1 m\u1ee5c ti\u00eau c\u1ee5 th\u1ec3 c\u1ee7a K\u1ebf ho\u1ea1ch chi\u1ebfn l\u01b0\u1ee3c to\u00e0n c\u1ea7u d\u1ef1 ph\u00f2ng v\u00e0 ki\u1ec3m so\u00e1t BKLN c\u1ee7a WHO kh\u00f4ng c\u00f3 trong ch\u00ednh s\u00e1ch, ch\u01b0\u01a1ng tr\u00ecnh ph\u00f2ng ch\u1ed1ng BKLN c\u1ee7a Vi\u1ec7t Nam. V\u00ed d\u1ee5 nh\u01b0 kh\u00f4ng \u0111\u1ec1 c\u1eadp t\u1edbi m\u1ee5c ti\u00eau gi\u1ea3m mu\u1ed1i, \u0111\u1ea3m b\u1ea3o s\u1ef1 s\u1eb5n c\u00f3 \u0111\u1ed1i v\u1edbi ky\u0303 thu\u00e2\u0323t c\u01a1 b\u1ea3n v\u00e0 thu\u1ed1c thi\u1ebft y\u1ebfu c\u1ea7n d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c BKLN ch\u00ednh.<\/p>\n

5. M\u01b0\u0301c \u0111\u00f4\u0323 bao phu\u0309 ca\u0301c di\u0323ch vu\u0323 thi\u00ea\u0301t y\u00ea\u0301u v\u00ea\u0300 pha\u0301t hi\u00ea\u0323n, d\u01b0\u0323 pho\u0300ng, qua\u0309n ly\u0301 \u0111i\u00ea\u0300u tri\u0323 BKLN co\u0300n ch\u01b0a cao<\/strong><\/p>\n

– T\u1ef7 l\u1ec7 bao ph\u1ee7 c\u1ee7a ca\u0301c d\u01b0\u0323 a\u0301n ph\u00f2ng ch\u1ed1ng BKLN c\u00f2n th\u1ea5p: Quy m\u00f4 tri\u00ea\u0309n khai cu\u0309a d\u01b0\u0323 a\u0301n co\u0300n nho\u0309, d\u1ef1 \u00e1n pho\u0300ng ch\u00f4\u0301ng COPD m\u1edbi tri\u1ec3n khai t\u1ea1i m\u1ed9t s\u1ed1 \u00edt t\u1ec9nh, d\u1ef1 \u00e1n THA m\u1edbi tri\u1ec3n khai qu\u1ea3n l\u00fd b\u1ec7nh <10% s\u1ed1 x\u00e3 ph\u01b0\u1eddng. M\u1ed9t s\u1ed1 ho\u1ea1t \u0111\u1ed9ng d\u1ef1 \u00e1n m\u1edbi ch\u1ec9 gi\u1edbi h\u1ea1n ch\u1ee7 y\u1ebfu t\u1ea1i c\u00e1c c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh (COPD, ung th\u01b0). H\u1ec7 th\u1ed1ng ghi nh\u1eadn ung th\u01b0 m\u1edbi bao ph\u1ee7 20% d\u00e2n s\u1ed1, to\u00e0n qu\u1ed1c ch\u1ec9 c\u00f3 5 c\u01a1 s\u1edf c\u00f3 th\u1ef1c hi\u1ec7n ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9.<\/p>\n

– Hoa\u0323t \u0111\u00f4\u0323ng pha\u0301t hi\u00ea\u0323n s\u01a1\u0301m, qua\u0309n ly\u0301, t\u01b0 v\u00e2\u0301n va\u0300 d\u01b0\u0323 pho\u0300ng cho ng\u01b0\u01a1\u0300i nguy c\u01a1 cao co\u0300n ch\u01b0a tri\u00ea\u0309n khai m\u00f4\u0323t ca\u0301ch h\u00ea\u0323 th\u00f4\u0301ng, r\u00f4\u0323ng kh\u0103\u0301p. Ca\u0301c can thi\u00ea\u0323p gia\u0309m \u0103n m\u0103\u0323n, can thi\u00ea\u0323p sa\u0300ng lo\u0323c gia\u0309m ta\u0301c ha\u0323i r\u01b0\u01a1\u0323u bia, cai nghi\u00ea\u0323n r\u01b0\u01a1\u0323u, cai nghi\u00ea\u0323n thu\u00f4\u0301c la\u0301 m\u01a1\u0301i tri\u00ea\u0309n khai \u01a1\u0309 quy m\u00f4 nho\u0309.<\/p>\n

– Sa\u0300ng lo\u0323c pha\u0301t hi\u00ea\u0323n s\u01a1\u0301m BKLN c\u00f2n nhi\u1ec1u b\u1ea5t c\u1eadp. BHYT ch\u01b0a c\u00f3 c\u01a1 ch\u1ebf chi cho kh\u00e1m s\u00e0ng l\u1ecdc ph\u00e1t hi\u1ec7n s\u1edbm. Ty\u0309 l\u00ea\u0323 b\u00ea\u0323nh nh\u00e2n THA, tim ma\u0323ch, \u0111a\u0301i tha\u0301o \u0111\u01b0\u01a1\u0300ng, ung th\u01b0, COPD \u0111\u01b0\u01a1\u0323c ph\u00e1t hi\u1ec7n s\u01a1\u0301m qua s\u00e0ng l\u1ecdc ch\u1ee7 \u0111\u1ed9ng co\u0300n th\u00e2\u0301p.<\/p>\n

– Ty\u0309 l\u00ea\u0323 ng\u01b0\u01a1\u0300i m\u0103\u0301c BKLN \u0111\u01b0\u01a1\u0323c ti\u00ea\u0301p c\u00e2\u0323n v\u01a1\u0301i ca\u0301c di\u0323ch vu\u0323 qua\u0309n ly\u0301 \u0111i\u00ea\u0300u tri\u0323 va\u0300 ch\u0103m so\u0301c l\u00e2u da\u0300i ta\u0323i c\u00f4\u0323ng \u0111\u00f4\u0300ng co\u0300n r\u00e2\u0301t th\u00e2\u0301p.<\/p>\n

6. Nh\u00e2n l\u1ef1c y t\u1ebf co\u0300n ch\u01b0a \u0111a\u0309m ba\u0309o v\u00ea\u0300 ch\u00e2\u0301t l\u01b0\u01a1\u0323ng va\u0300 s\u00f4\u0301 l\u01b0\u01a1\u0323ng<\/strong><\/p>\n

– Nh\u00e2n l\u1ef1c y t\u1ebf c\u00f4ng t\u00e1c trong l\u0129nh v\u1ef1c BKLN \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 c\u00f2n y\u1ebfu, thi\u1ebfu v\u00e0 kh\u00f4ng \u0111\u1ed3ng b\u1ed9. H\u1ea1n ch\u1ebf v\u1ec1 n\u0103ng l\u1ef1c ch\u1ee7 y\u1ebfu t\u1eadp trung \u1edf tuy\u1ebfn t\u1ec9nh v\u00e0 huy\u1ec7n, x\u00e3. Nhi\u00ea\u0300u t\u00e0i li\u1ec7u h\u01b0\u01a1\u0301ng d\u00e2\u0303n chuy\u00ean m\u00f4n ch\u01b0a \u0111\u01b0\u01a1\u0323c chu\u00e2\u0309n ho\u0301a, th\u1ed1ng nh\u1ea5t \u00e1p d\u1ee5ng tr\u00ean ph\u1ea1m vi to\u00e0n qu\u1ed1c.<\/p>\n

– Ca\u0301c n\u00f4\u0323i dung \u0111\u00e0o t\u1ea1o v\u1ec1 ph\u00f2ng ch\u1ed1ng BKLN trong c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh \u0111\u00e0o t\u1ea1o c\u1ee7a c\u00e1c tr\u01b0\u1eddng trung c\u1ea5p, cao \u0111\u1eb3ng v\u00e0 \u0111\u1ea1i h\u1ecdc y co\u0300n thi\u00ea\u0301u c\u00e2\u0323p nh\u00e2\u0323t; \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh \u0111\u00e0o t\u1ea1o b\u00e1c s\u1ef9 y h\u1ecdc d\u1ef1 ph\u00f2ng, c\u1eed nh\u00e2n y t\u1ebf c\u00f4ng c\u1ed9ng v\u00e0 c\u1eed nh\u00e2n dinh d\u01b0\u1ee1ng.<\/p>\n

– Chi\u1ebfn l\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c ch\u01b0a ph\u00f9 h\u1ee3p, kh\u00f4ng c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c nhi\u1ec1u v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng v\u00e0 n\u0103ng l\u1ef1c cho c\u00e1n b\u1ed9 y t\u1ebf. Hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c ho\u1ea1t \u0111\u1ed9ng \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c ch\u01b0a \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 r\u00f5 r\u00e0ng.<\/p>\n

7. T\u00e0i ch\u00ednh y t\u1ebf co\u0300n r\u00e2\u0301t ha\u0323n ch\u00ea\u0301<\/strong><\/p>\n

– M\u0103\u0323c du\u0300 BKLN chi\u00ea\u0301m 70% ga\u0301nh n\u0103\u0323ng b\u00ea\u0323nh t\u00e2\u0323t va\u0300 t\u01b0\u0309 vong nh\u01b0ng pho\u0300ng ch\u00f4\u0301ng BKLN v\u00e2\u0303n ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh \u01b0u ti\u00ean th\u1ecfa \u0111\u00e1ng trong ph\u00e2n b\u1ed5 kinh ph\u00ed, chi\u0309 chi\u00ea\u0301m 2,5% t\u1ed5ng chi y t\u1ebf n\u0103m 2009. Ng\u00e2n s\u00e1ch cho c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh ch\u1ee7 y\u1ebfu t\u1eeb ng\u00e2n s\u00e1ch nh\u00e0 n\u01b0\u1edbc, kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u1ee7 nhu c\u1ea7u v\u00e0 \u0111ang b\u1ecb c\u1eaft gi\u1ea3m r\u00e2\u0301t nhi\u00ea\u0300u. Trung bi\u0300nh ng\u00e2n s\u00e1ch cho cho BKLN trong t\u1ed5ng kinh ph\u00ed CTMTQG y t\u1ebf chi\u0309 t\u01b0\u0300 13-17%, n\u0103m 2014 bi\u0323 c\u0103\u0301t gia\u0309m t\u01a1\u0301i 50-70%.<\/p>\n

– Ph\u00e2n b\u1ed5 kinh ph\u00ed chia c\u1eaft theo c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh d\u1ecdc, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ea7n l\u1edbn cho \u0111i\u1ec1u tr\u1ecb, trong khi 10 can thi\u1ec7p l\u1ef1a ch\u1ecdn h\u00e0ng \u0111\u1ea7u theo khuy\u1ebfn c\u00e1o c\u1ee7a WHO \u0111\u1ec1u l\u00e0 c\u00e1c can thi\u1ec7p d\u1ef1 ph\u00f2ng y\u1ebfu t\u1ed1 nguy c\u01a1 v\u00e0 th\u1ef1c hi\u1ec7n tr\u00ean quy m\u00f4 d\u00e2n s\u1ed1. Ch\u01b0a s\u1eed d\u1ee5ng c\u00e1c b\u1eb1ng ch\u1ee9ng chi ph\u00ed hi\u1ec7u qu\u1ea3 trong x\u00e1c \u0111\u1ecbnh \u01b0u ti\u00ean ph\u00e2n b\u1ed5 ng\u00e2n sa\u0301ch.<\/p>\n

– Ch\u01b0a t\u1ea1o \u0111\u1ee7 c\u01a1 ch\u1ebf t\u00e0i ch\u00ednh b\u1ec1n v\u1eefng cho ph\u00f2ng ch\u1ed1ng BKLN. Di\u1ec7n bao ph\u1ee7 BHYT m\u1edbi \u0111\u1ea1t 70% d\u00e2n s\u1ed1 trong khi BHYT kh\u00f4ng chi tr\u1ea3 m\u1ed9t s\u1ed1 d\u1ecbch v\u1ee5 ph\u00f2ng ch\u1ed1ng BKLN.<\/p>\n

8. Cung \u01b0\u0301ng d\u01b0\u1ee3c, v\u1eafc xin v\u00e0 trang thi\u1ebft b\u1ecb y t\u1ebf co\u0300n b\u00e2\u0301t c\u00e2\u0323p<\/strong><\/p>\n

– M\u1eb7c d\u00f9 nhi\u1ec1u thu\u1ed1c thi\u1ebft y\u1ebfu \u0111i\u1ec1u tr\u1ecb BKLN \u0111\u00e3 c\u00f3 trong danh m\u1ee5c thu\u1ed1c ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c b\u1ea3o hi\u1ec3m y t\u1ebf thanh to\u00e1n, nh\u01b0ng m\u1ed9t s\u1ed1 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb BKLN th\u01b0\u1eddng kh\u00f4ng s\u1eb5n c\u00f3 t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf c\u00f4ng, \u0111\u1eb7c bi\u1ec7t t\u1ea1i c\u00e1c tr\u1ea1m y t\u1ebf x\u00e3, ph\u01b0\u1eddng. Thu\u1ed1c thi\u1ebft y\u1ebfu cho hen ph\u1ebf qu\u1ea3n v\u00e0 COPD, \u0110T\u0110 kh\u00f4ng c\u00f3 s\u1eb5n t\u1ea1i y t\u1ebf c\u01a1 s\u1edf. Ti\u1ebfp c\u1eadn thu\u1ed1c \u0111i\u1ec1u tr\u1ecb THA c\u00f2n b\u1ea5t c\u1eadp trong vi\u1ec7c x\u00e2y d\u1ef1ng danh m\u1ee5c v\u00e0 l\u1ef1a ch\u1ecdn thu\u1ed1c, quy \u0111\u1ecbnh v\u1ec1 th\u1eddi gian c\u1ea5p thu\u1ed1c \u0111\u1ecbnh k\u1ef3. BHYT kh\u00f4ng chi tr\u1ea3 m\u1ed9t s\u1ed1 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb theo khuy\u1ebfn c\u00e1o, thi\u1ebfu \u0111i\u1ec1u ki\u1ec7n c\u01a1 s\u1edf v\u1eadt ch\u1ea5t, trang thi\u1ebft b\u1ecb v\u00e0 thi\u1ebfu c\u01a1 ch\u1ebf khuy\u1ebfn kh\u00edch cho c\u00e1n b\u1ed9 tr\u1ea1m y t\u1ebf x\u00e3.<\/p>\n

– S\u01b0\u0309 du\u0323ng v\u0103\u0301c xin pho\u0300ng HPV ch\u01b0a \u0111\u01b0\u01a1\u0323c \u0111a\u0301nh gia\u0301 \u0111\u00e2\u0300y \u0111u\u0309 \u0111\u00ea\u0309 a\u0301p du\u0323ng r\u00f4\u0323ng ra\u0303i.<\/p>\n

9. Ch\u01b0a thi\u00ea\u0301t l\u00e2\u0323p h\u00ea\u0323 th\u00f4\u0301ng gia\u0301m sa\u0301t BKLN qu\u00f4\u0301c gia<\/strong><\/p>\n

– Vi\u1ec7t Nam ch\u01b0a c\u00f3 h\u1ec7 th\u1ed1ng c\u01a1 s\u1edf d\u1eef li\u1ec7u qu\u1ea3n l\u00fd th\u00f4ng tin v\u1ec1 BKLN v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1, c\u00f2n thi\u1ebfu c\u00e1c s\u1ed1 li\u1ec7u chu\u1ea9n h\u00f3a mang t\u00ednh h\u1ec7 th\u1ed1ng. Co\u0300n r\u00e2\u0301t thi\u00ea\u0301u th\u00f4ng tin, s\u00f4\u0301 li\u00ea\u0323u qu\u00f4\u0301c gia \u0111\u00ea\u0309 theo do\u0303i xu h\u01b0\u01a1\u0301ng, quy m\u00f4 va\u0300 s\u01b0\u0323 ph\u00e2n b\u00f4\u0301 cu\u0309a BKLN va\u0300 ca\u0301c y\u00ea\u0301u t\u00f4\u0301 nguy c\u01a1. Ca\u0301c ch\u1ec9 s\u1ed1 gia\u0301m sa\u0301t ch\u01b0a s\u1eed d\u1ee5ng trong th\u1ef1c t\u1ebf, nhi\u00ea\u0300u chi\u0309 s\u00f4\u0301 ch\u01b0a phu\u0300 h\u01a1\u0323p v\u01a1\u0301i b\u00f4\u0323 chi\u0309 s\u00f4\u0301 gia\u0301m sa\u0301t toa\u0300n c\u00e2\u0300u. Ca\u0301c s\u00f4\u0301 li\u00ea\u0323u, quy tri\u0300nh th\u00f4\u0301ng k\u00ea ba\u0301o ca\u0301o th\u01b0\u01a1\u0300ng quy ch\u01b0a h\u01a1\u0323p nh\u00e2\u0301t, chu\u0309 y\u00ea\u0301u phu\u0323c vu\u0323 cho nhu c\u00e2\u0300u ca\u0301c ch\u01b0\u01a1ng tri\u0300nh.<\/p>\n

– Ho\u1ea1t \u0111\u1ed9ng gi\u00e1m s\u00e1t ch\u01b0a mang ti\u0301nh h\u00ea\u0323 th\u00f4\u0301ng. Ch\u01b0a th\u1ef1c hi\u1ec7n \u0111\u1ecbnh k\u1ef3 \u0111i\u1ec1u tra c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1, co\u0300n nhi\u00ea\u0300u nghi\u00ean c\u01b0\u0301u ri\u00eang le\u0309 theo nhu c\u00e2\u0300u t\u01b0\u0300ng ch\u01b0\u01a1ng tri\u0300nh, d\u00e2\u0303n \u0111\u00ea\u0301n la\u0303ng phi\u0301 v\u00ea\u0300 ngu\u00f4\u0300n l\u01b0\u0323c, kh\u00f4ng th\u00f4\u0301ng nh\u00e2\u0301t, chu\u00e2\u0309n ho\u0301a v\u00ea\u0300 ph\u01b0\u01a1ng pha\u0301p. Ho\u1ea1t \u0111\u1ed9ng ghi nh\u1eadn ung th\u01b0 c\u00f3 di\u1ec7n bao ph\u1ee7 ch\u01b0a r\u1ed9ng. Ch\u01b0a tri\u1ec3n khai h\u00ea\u0323 th\u00f4\u0301ng gi\u00e1m s\u00e1t t\u1eed vong t\u1ea1i c\u1ed9ng \u0111\u1ed3ng.<\/p>\n

– Ch\u01b0a t\u1ed5 ch\u1ee9c theo d\u00f5i \u0111\u00e1nh gi\u00e1 ho\u1ea1t \u0111\u1ed9ng qu\u1ed1c gia v\u1ec1 ph\u00f2ng ch\u1ed1ng BKLN \u0111\u1ec3 b\u00e1o c\u00e1o qu\u1ed1c t\u1ebf n\u0103m 2016 theo cam k\u1ebft.<\/p>\n

C\u1ee5c Y t\u1ebf d\u1ef1 ph\u00f2ng, B\u1ed9 Y t\u1ebf<\/strong><\/em><\/div>\n","protected":false},"excerpt":{"rendered":"

1. C\u00e1c ch\u00ednh s\u00e1ch c\u00f2n ch\u01b0a \u0111\u1ea7y \u0111\u1ee7, toa\u0300n di\u00ea\u0323n v\u00e0 vi\u1ec7c tu\u00e2n th\u1ee7 ch\u01b0a t\u1ed1t – Ch\u01b0a c\u00f3 m\u1ed9t k\u1ebf ho\u1ea1ch, chi\u1ebfn l\u01b0\u1ee3c qu\u1ed1c gia to\u00e0n di\u1ec7n ph\u00f2ng ch\u1ed1ng BKLN; – \u0110\u00e3 c\u00f3 m\u1ed9t s\u1ed1 ch\u00ednh s\u00e1ch ki\u1ec3m so\u00e1t y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0ng ch\u01b0a \u0111\u1ea7y \u0111\u1ee7 (thi\u1ebfu lu\u1eadt ph\u00f2ng ch\u1ed1ng t\u00e1c h\u1ea1i r\u01b0\u1ee3u […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[112],"tags":[],"class_list":{"0":"post-904","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-phong-chong-benh-khong-lay-nhiem"},"_links":{"self":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/904","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/comments?post=904"}],"version-history":[{"count":0,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/904\/revisions"}],"wp:attachment":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media?parent=904"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/categories?post=904"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/tags?post=904"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}