Thực trạng triển khai hoạt động công tác xã hội tại bệnh viện nguyễn đình chiểu, tỉnh bến tre, giai đoạn 2016 2019

Tgp chi Khoa hpc Nghien c&u Sue khoe va Phdt triin (Tdp 04, Sd 01-2020 Joumal ofHealth and Development Studies (Vol.04, No 01-2020) tiyc tr^ng trien khai hoat dong cdng t^c xa hoi tai Benh vien Nguyin Dinh Chieu, tinh Ben Tre, giai do?n 2016 - 2019 Ehidng Thi True', Phung Van Bong', Nguyfln Kim Oanh^, Phgm Tifln Nam^' T M TAT Myc tieu: Nghien ciiu nhiim mfl tfi thuc trang trien khai ho^t dong cong tac xa h^i (CTXH) tai bfnh vifn Nguyin Dinh Chieu, tinh B i n Tre, giai doan 2016 - 2019 Phinmg phfip nghien cvu: Phuong phap nghiSn ciiu dupc thuc hifn thflng qua viec sii dung tai lifu thii cip: cfic van bdn, bfio cao, s l sfich, quy djnh lien quan den trien khai hoat dpng CTXH tai bfnh vifn Nguyin Dinh Chieu tii thfing 4/2016 d i n thdng 3/2019 Kit qufi: Bfnh vifn da triln khai ca 07 ho^it dpng theo Thflng tu 43 ciia Bp Y te Tuy uhiSn, kSt qud ghi nhan cfl 03 ho^t dpng r i t thilt thuc va dugc su fing hp rat nhieu tu cac doi tugng co Hen quan gom: ho^t dpng tu vSn giai quy^t cac vdn d^ ve CTXH cho ngucri bfnh/ngirdi nha nguoi bfnh qud trinh kham chiia bfnh; bo^t dflng v$n dflng, tiep nhan tai frp; hoat dpng to chiic cdc ho^t dpng tii thifn, CTXH ciia benh vifn t^ii cpng dflng Hoat dfng thflng tin, truyin thong phfl biSn gido dye phdp lu|t va ho?t df ng dao t?io, bfli diiSng la 02 hoat df ng n c dil bfnh vifn co trien khai nhung k£t qua c6n rdt nhieu h^tn che Kit luSn: NghiSn ciiu cho thdy cSn bfl sung them nhan luc co trinh dp chuyen mon c4n thiit nhu tam ly hpc, bao chi vd CTXH Ngodi ra, cdn tao diiu kien thuan lgi nhdt dS nhan vien y t6 dugc clip nhdt kifin thiic vk CTXH, vk y hpc, tfi chiic tap huAn vd triSn khai Thong tu 43 d i n todn t h i tfi chiic, cd nhan cfl lien quan Tie khoa: Hogt dpng cong tac xa hgi, B^nh vi$n Nguyen Dinh Chieu, Ben Tre fi^T VAN DE Ng4y nay, tgi c^c bflnh vifn da sfl nhan vien y te (NVYT) khflng cfl dd thdi gian va kha nang de giSi quylt nhiflu nhu can hue xuc cua ngudi bfnh/ngufli nha nguoi bfnh (NB/ NNNB) nhu: huflmg din giai thieh ve quy trinh kham chua bfnh, ta vSn vfl phac dieu tii, cdch phflng ngua bfnh t|t cho dfln ho tra ve tam ly, tmh than cho NB, khai thac thflng tin vk dgc diflm nbSn khiu xa bgi cua NB, gm 'Tde gia lien A|; Phgm Tien Nam Email: ptn!@huph.edu.vn 'Throng Dgi hpc Y ti cong cpng cung edp thflng tin ve gia ei, chdt lugng, dja diflm cua eac logi djch vu w Thuc trang dang din den khflng it nhimg phien eho NB nhu: s^t thiflu hut thflng tin tiflp can va su dung eac djeh vu kham chua bfnh, svr khflng hai long eua NB dfli vdi cac co sd y tfl w Hoat dgng cflng tac xa hgi (CTXH) d bfnh vifn se gii^ eho mdi quan hf giua NVYT va NB, NNNB tflt hon Day la mgt bude phat trifln mdi tiong cflng tie cham sdc vaphue vuNB (1) Ngdy nhgn bdi:28/02/2020 Ngdy phdn bi$n-03/03/2020 Ngdy dang bdi: 24/03/2020 Du&ng Tkj Triic vd cpng sg- Tgp cl CTXH tiong bflnh vifn cfl vai tio quan trgng tiong viflc tao d\mg mfli quan hf hai hda giua tinh thdn va thfl ehdt eiia NB, giua NB vdi ngudi than, giua NB vdi nhung ngufli xung quanh va vdi NVYT Do do, tiong Itnh vuc cham soc sdc khoe, bfnh vifn la noi can cd boat dgng eua CTXH nhat Tgi cac nude phat trifln, bau hflt cac bflnh vifn dflu cfl phong CTXH va day la mgt nhung dieu kifn dugc cong nhan la hgi vifln cua Hgi eae bflnh vifn Su bfl tig cua nhan vien CTXH ^ tang thflm si^ hai long cda NB va NNNB den dieu tri tai benh vifn (1) Tai Viet Nam, dfln nam 2020 Bg Y tfl se trifln khai tiianh l$p phong CTXH tai 100% bfnh vifn tayfln Tiung uong, 60% bfnh vifn tayen tinh va 30% eac bfnh vien va tiung tam y tfl quan, huyen cfl lap phdng CTXH (2) Journal ofHealth and Development Studiei(nH.tf9.nw.^- DOI TlTONG VA PHUONG PHAP NGHIEN ClTU Phinrng phap nghien cfru Sd dyng tiiiflt kfl nghien cdu mo ta edt ngang, thu th|ip sfl lifu thd cap Dja diem vi thM gian nghifln cihi Dia diflm: Bflnh vien Nguyfln Dmh Chieu, tiidnh phfl Bfln Tre, tmh Ben Tre Thdi gian; Tu tiiang 01 dfln tiiang nam 2019 D6i tugng nghien cuu Cdc vdn ban, bdo cao, sfl sach, quy djnh lifln quan dfln trien khai hogt dgng CTXH tgi Bfnh vifn Nguyfln Dinh Chiflu tir tiiang 4/2016 dfln thdng 3/2019 Iieu chudn logi trir Hifln nay, cdc bfnh vifn tifln ca nude hau bet da tiidnh lap Phong/Tfl CTXH tiieo Thflng ta 43/2015/TT-BYT cua Bg Y te Riflng Phong CTXH cua Bflnh vifn Nguyen Dinh Chiflu tinh Bfln Tre duge lgp td nam 2016, vfli sfl nhan su la 05 ngudi, bude dau da trien khai dugc mflt sfl nhiem v\i theo Thdng ta 43/2015/TT-BYT (3) Tuy nhien, Thflng ta 43 eon rat khfl khan eho cae bflnh vien tayen tinh nflu mufln trifln khai thtrc hifn day du cac boat dgng CTXH dung vdi nhifm v\i da dugc quy djnh Do vgy, can hoan thifln khung phap ly cho phu hgp voi dieu kifn thuc tfl tai eac tayfln cua bfnh vifn va lap mang luoi CTXH d cdc tinh/tiianh phd nh4m cfl su kflt noi, chia se nhung thuan lgi khfl khan giua cdc phong CTXH tgi mfli bfnh vifn Chmh vi nhimg Iy tren nghifln cdu cua ehung tfli dugc tiln hanh voi myc tiflu: mfl ta thue trgng trifln khai hogt dgng CTXH tgi bflnh vien Nguyfln Dinh Chiflu, tinh Bfln Tre, giai doan 2016-2019 Cde bao cao, sfl sdch ghi chep cdc hogt dgng CTXH khflng chinh thuc Id cdc bao cdo chua du(?c lanh dgo phe duyet; Cde van bdn, quy djnh chua dugc lanh dgo ky duyet, dugc ky duyft nhung chua gui cho cac ben lifln quan Cd mau v^ phuwng phap chgn mau So li?u thu cap: Bao gflm cdc tai lieu (Bdo edo nam 2016 - 2019 eua Phong CTXH; Bdo cdo nam 2016 - 2019 ciia bfnh vifn; Bdo cdo thu, chi quy van dflng tai trg tu nam 2016 - 2019; Bao edo boat dgng tiep nhgn tu duong day nong cua bfnh vifn nam 2016 - 2019; CJuy trinh tiep nhan tai ti^ va hfltiigNB; (Juy trinh ndu an theo che df bfnh ly; (>y trinhtiflpnhan va xu Iy phdn anh eua NB/ NNNB; Dfl dn caitiflnchat lugng bfnh vifn) Phuongphi^ chgn mau: Sfl lifu dugc lay td cac bdo cdo cua bfnh vifn, xay dyng bdng kiflm dya trfln 07 nhifm vu CTXH tgi Thflng tu 43, tdt ca dugc tgp hgp cac bien s6 eua nghifln cdu dira vdo bang kiflm thu thgp so hfu sin cfl Tgp chi Khoa hpc Nghien cuu Siec khde vd Phdt tnin (Tgp 04 S6 01-2020) Joumal of Health and Development Studies (Vol 04 No.01-2020) Phuong phdp thu thap so lifu Dao dure nghien cihi Su dung bang kiflm sogn sin dua tiieo 07 Duoc su chdp thuan sfl 267/2019/YTCCHD3, 25 tiiang nam 2019 cua Hfli dflng dgo due tiong nghifln cdu Y sinh hgc Truflmg Dai hgc Y tfl cflng cgng vfl vifc chap thudn ede vdn de dao due NCYSH nhifm vy ve CTXH dugc quy djnh tgi Thflng ta 43/201 Snr-BYT, dfl tiiu tiiap s6 hfu thd edp Sfl liflu dugc thu Ihap tu cdc bdo cao hfln quan dSndfltdi, idytiltiidng4/2016dfln tiiang 3/2019 Xu* ly v^ phan tich so liflu KET QUA Sd dung phan mflm Microsoft Excel 2013 de nhgp va tflng hgp so heu thd edp ta Bang thu thap sfl lifu djnh lugng Ket qua xd ly so lieu duge trinh bay duoi dgng bdng Hoat dflng tir van giai quylt cdc van de v l CTXH cho NB/NNNB qua trinh khdm chua bfnh Bang K i t qua triln khai ho^t dgng t u vdn giai quylt cdc vdn d l vl CTXH cho NB/ NNNB qud trinh kham chira bfnh Hoat dgng CTXH dugc BV triln khai Donav| tinh Ket qud t h ^ hifn 4/2016-3/2017 (Giai doan 1) 4/2017-3/2018 (Giai dogn 2) 4/2018-3/2019 (Giai dogn 3) Trg giup NB vfl thu tye hanh chinh Trg giup NB ve tam I^, tinh thdn, tim ngufli thdn choNB Trudng hgp Dgng vifln NB/NNNB den bfnh vifn hodn tdt thii tyc vifn Nguoi bfnh Hfl trg chi phi diflu trj choNB Lugt 41 62 62 Dflng 93.079.115 185.306.860 250.485.792 Bang cho thdy hoat dflng ta van gidi quyflt cdc vdn dfl vfl CTXH cho NB/NNNB qud trinh khdm chira bfnh d giai doan luon cao hon giai doan trudc va chu yeu tig giup NB vfl tiiu tyc hanh chinh tir 4/2016 - 3/2019 Id 1.357 lugt tig giup Hoat dgng trg giup ve tdm ly, tinh tiidn, tig giup tim ngudi than cho NB ngi tru ciing tang len qua tung giai doan Ngoai ra, Phdng CTXH hfl tig chi phi dieu tri cho NB tang ddn qua cdc giai dogn Bfln cgnh do, Phdng CTXH da dflng vifln NB/ NNNB dfln bfnh vifn hodn tat thu tyc vifln vd ddng vien phi NB da tron vifn Hoat d$ng van dgng, tilp nhdn tdi trff Budfug Thi True vd cpng Sfr Joumal ofHealth and Devel