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I N g h i g n ciJiT G i a dinhi v a G i d i S6 - Mdt sH dac (Rim cua ngirori cao tuoi stir dung djch vu cham s6c tfp tning tai Hd Noi Nguyin Ha Ddng V i ^ Nghitn olu Gia dWi v« GiOi Tdm tdt: Dun tren kdt qua khao sat Vifn NKh,.-.,, ciiu Gia dinh va Gidi thur hi^n ndm 2015, bAi vidt t^p trung tim hieu m$t so dac dum co ban riia ngudi cao tuoi iNCT) u dung dich vy cham soc l^p trung (loai hinh c6 tra phi) tai HA N6i B.ii vict chi rang NCT den vdi cae trung tam chAm sdc su ddi rd ret Quan niem "Ud cAy cha, gii ciy con" vAn cdn phd bidn xa hdi nhung xu hudng NCT sdng ddc lap vdi chAu cd xu hudng gia i.mg (Giang Thanh lx)ng & Bili Dai Thu, 2012: Giang Thanh Long & Wade Donald l>fau, 2007) Theo kOi qua Didu tra miic sdng hd dAn cu V l l l ^ giai doan 1993-2010, ly le NCT sdng mdt minh tAng tir 3,470; Ifin f'.sr; t> le NCT sdng ciing vp/ehdng ting tir 9,48% len 24.8'; (Giang Thanh Long & Biii Dai Thu 2012) Trong dd ly le NCT Viet Nam cd sdc khde bmh diudng va tdt chi chiem 3.V/r vi phAn Idn phai ddi mat vdi cAc nguy co sdc khde bOnh tat (VNAS, 2011 dAn Iheo Giang TTianh Ixmg & Bill Dai TTiu 2012 Didu niy dat nhidu thdch thdc ddi vdi vi^: chAm scK N( I dac b,ei la cham sdc tap trung - vAn dd vdn duoc xem la nghia vu cua gia dinh li iraeh nhiem cua ngudi phu nii I lien tren ca nude da ed nhidu md hlnh cham sdc NCT dupe ^pnhuchAm sdc NtTdua va., tinh nguyen vien e ^ g ddng cAe tning tim bao trp xa hdi dinh cho S r i ; CAU lae bd lien Ihdh^ Tuy nhien Ihco kdt qua danh g.a eua Giang m m h l ^ g vi Biii Dai TTiu (2012) hien cAc md bmh Cham sdc lAp tning nha nude cung cAp chu ydu dimg d cAc irung tam bao up xa hdi danh cho cac nhdm ddi tuong chinh sAch, ngudi I M i ¥ iNilii Nguypn Ha Doag 17 ^^ gii khdng noi nuong tua cdn eae md hinh [*i Ipi nhuAn chua cd md hlnh 1^ ^^^^'^ «5c NCT tip Uiing, chu ydu didn dudi hinh thuc cAu lac bd tinh ^ nguyen vien hd trp hoAc tu vAn cham sdc sue khoe c6 then han nhat djnh Rd rang, cac loai md hinh niy chua dip ung duoc nhu eau chAm sdc lAp tnmg eiia m ^ bd phAn khdng nhd NCT hien nav ^1 Trong \^i ihAp ky qua cAc dich vu lAp uung chAm sdc cho NCT da ,^ duw: phat uidn nhanh d nhidu nude W n the gidi nhu Nhat Ban Ha ^ Lan Tuy nhien eimg vdi qud tfmh gia hda dan sd nhanh tir md hmh nhi ^ nude cham lo cho NCT cac nude cung da phdi chuyen hudng sang da ^ dang hda cAc md hinh Nhi nude lAp ining chAm sdc nhdm ddi lupng dAe fe ^ n?»»fi»i« va ChAm S.K y id cdng ddng ciing Iham gia eui^ cip dich vu biei \ i md rdng eo che cho cAc dich vu tu nhAn cic to chue idn giAo tin I ^ p T r o n g md hinh chAm sdc 'kim cuong"do Shahra Razavi (2007) dd xuAt , Ihinh phAn chinh diam gia vio chAm sdc NCT gdm gia dinh nhi nude u eae Id chdc phi Ipi nhuAn \a thi tnidng Trong bdl canh Vict Nam vai I trd cham s.Sc cua gia dinh cd xu hudng giam hoat il,-n;j eua nhi nude v i , cac td chuc phi Ipi nhuan cdn ban chd v^ ird ciia dij tnidng irong viec , cham stK NCT la mdi xu hudng lAt ydu bdi nd dip ung nhu cAu cua mdt , hd phan dan sd nhat dinh Tuy nhien, viec sir dung loai hinh djch \v niy , hidn vin cdn nhidu y kidn irai chidu \ > nhihig NCT nJo dang su dung eae dich vu chim sdc tap trung? Dua tren kci qua khao sat Vien Nghien edu Gia dinh v i Gidi thuc hien nam 201.5 bii viet tap ining tim hidu moi sd dac didm co ban ciia NCT sir dung djch vu chAm sdc tap tnmg (loai hinh cd tra phO tai 11 Ndi Nghidn cuu dupe tiOn hinh tai mdt eo so cua nhi nude (Irung lAm bao up xa hdi III ciia Sd L D m X l l Ha No.) va *> CO s.t cung cap djch N-u tu nhan M i u dinh lupng dupe lira chpn cd chu dich gdm 100 NCT dang sir dung eae djch vu chim sdc lap tnmg va edn minh Npoai nghien edu cdng thuc hien cAc phdng vAn sAu cac gia dinh cd sir dung djch VTJ niy Mpl vai d$c d-M&n cua NCT c i c trimg tam chain sdc tap trung Dd phic hpa chin dung aia nhdm ddi lupng sir dung dich vu tai cac tnmg tarn cham sdc Up uung lai Ma Ndi bii vitfl >!, sAu tim h.C-u mdi sd dac didm CO Kin cua NCT gdm dd tudi tinh trang hdn nhAn sd didu kien kinh tf vi noi eu tru It NgMincduGiadinh vaGidi Quy chung tdi IJ nhOng NCT edn luong ddi minh mfin nhung ddi lupng elu chidm nu>i ty le khidm tdn tdng sd NCT tai cae irung lAm V i du lin tnmg lAm Thien Diie ed khoang 200 NCT dang dupe chAm sdc tai ila\ nhung v> ngudi cdn tuong ddi minh m i n chi chidm khoang 1/5 hoAc Uu trung lAm Phil Ddng ed khoang 20 NCF edn tuong ddi minh m4n trdu tdng so 70 NCT due*: cham six lai day Cae eon so na\ cho IhAy phAn Idii NCT v i o eae trung tarn tudi dii eao v; tinh Uang sdc khoe ea \d ih chat \-a tam ly d j giiim sut nhidu KOi qua niy eung phii hpp \iTi quan nifm phd bidn \d vai trd cham sdc ciia gia dinh ddi \xn NCT ( ^ Ngoc I An 20121 Cac gia dinh Ihudng chi tim ddn vdi trung t i m hp khdng cdn giai ph.ip nio tdi hon Dang chij y l i utjng m i u khao sAt cdn ed nhdng eu cdn khod manh vii minh hing nam ddu ddn eae Uung tAm cham SIK khoang 2-3 thiing I lo dOn vdi cAc irung lAm nhi.m myc dich nghi ducing phue hdi sue khoe O nhd t ,m khdng hdo lam nliung ihay Idm bd ian giiip Dai dd\ dilik n.,!hi ngoi hodn lodn khoiis; phai Idm gi Lan nao ydo day cmf llki\ khoe htm ve nha (on bao •hd hro len Jay Vi vas (if dift ndo yeu ihifon^ Id Jau hi: ltd lai vdo Jay " (PV nO, 89 tudi) Rd r i n g , ciie trung tAm eham s ^ Nf-I tap trung hien khdng don thuAn la noi nudi du.mg Bicu I Tinh Irang hon n h i n ciia N( T (%) p"^n 50 *C X 24 • 20 10 H LJ , c;,>.i t"" Ly h(^/ty dian Chj.iUihAn Nguy^a Ha Ddng cham sdc cho cAc cu gia ydu, tin tat hay khdng noi nuong tua nhu quan niem thdng ihudng m i dang dAn u d thinh mdt noi an dudng cho cAceu 19 Hdp Vd chdng NCT sdng tnmg tAm chAm sdc tip trung (^1 X, sinh nam 1933, d bung tim A AMB gAn nAm Cu va chdng cu tnldc dAy dfa tAm (hioc sy c6 da lAp Tinh trang hdn nhAn ^ anh vA d
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