TAP CHI PHATTRIEN N H A N LUC - SO 3(56)2018 CHAM SOC NGl/dl CAO TUOI d VIET NAM - THl/C TRANG VA GIAI PHAP THS HUfHH VANG PHUdC' T6MTAT Dil nude ta dd cd nhiiu chinh sdch cho ngudi cao tudi nhung ngudn luc han che nen khd ndng dapdngnhu cdu cua nhdm ddi tugng ndy thdp Theo dubdo, 50 ndm nua Viet Nam seed the hon 10 triiu ngudi cao tuoi Vdi so lugng nhu vdy, Viit Nam si phdi ducing ddu vdi thdch thdc gi luc luang lao ddng tdng chi phiy ti, trg cdp cao tudi vd luang huu , dieu kien kinh ten ta nhiiu khd khdn Muon nen kinh tiphdt triin ben vimg vd diiu kiin sdng ciia ngudi ddn n diung ngudi cao tudi ndi riing dugc cdi thien, Chinh phu cdn dua cdc gidi phdp cu thi, nha diong dig^di quyit dugc vdn degid hda ddn sd dang dien Tir khda: ngudi cao tudi; chinh sdch; gidi phdp l.Datvande Cach day vai thap nidn, d cac qudc gja phuong Ddng nhu Viet Nam, Trung Qudc, Han Qudc, Nhat Ban, , quan nidm dao diic vd truyen thdng van hda "con cai phai hidu thao vdi cha me, dng ba" dng ba mudn dupe d gan chau ndn ngudi cao mdi (NCT) d cac nude se dupe cai phung duong bet tudi lao ddng Vide dua dng ba, cha me vao viln dudng lao (VDL) dupe xem la trai dao ly Neu CO trudng hpp NCT vdo VDL thi dd chi la didu batkha khang va NCT cung nhu eon cai hp xem VDL chi la noi d tam thdi md thdi Tuy nhidn, thdi gian gan day, trudc dp luc ddn sd gid hda [nhu d Viet Nam va Trung Qudc), song song d6 la hien tupng eang ddng ngudi trudng iidnh chpn ldi sdng ddc thdn (nhu d Nhat Ban vd Han Qudc), Chinh phii cac nude ndy da phai nhanh chdng tridn khai cdc ehuong trinh tu van va chdm sdc NCT dd phue vu eho nhdm ddi tupng ngudi gia dang mdt tdng cao quan trpng cua vific ehdm sdc NCT nln ludn cd nhiing chinh sdch thidt thuc cham lo siic khde thd chdt va tmh than NCT, ndng cao chat lupng cupc sdng NCT, xem vile chdm sdc NCT la trach nhiem ehung ciia toan xd hdL Cdc chu truong chinh sdch ddi vdi NCT tdp trung vao sau hnh vue chu ydu: sflc khde va an udng; nhd d vd moi trudng; gia dinh; dich vu va baottpxd hpi; vile 1dm; ndng cao su hieu biet cua NCT Tuy nhidn, ngudn lue vd eae didu kiln kinh td - xa hpi ciia nude ta edn nhidu ban che ndn kha nang daptingnhu cdu cua nhdm ddi tupng ndy cdn thap Theo du bao 50 nam nUa Vilt Nam si ed thlm hon 10 ttiln ngudi cao mdi.'^' B6 giai quyet dupe vdn dd gta hda dan sd dang didn ngdy eang manh me, Chinh phii cdn dua cdc gjai phap ddng bd, nhanh chdng vd cu the hon nfla ThUc trang cham sdc ngudri caottidi6 Viet Nam Viet Nam dang d thdi ky gid hda dan sd vdi d Viet Nam, Nhd nude sdm nhdn thay tam ^ Khoa 0ai cuong - Hpc vien Can bp Thanh p ih Chi Minh '" Nghiem Trung: "Gia hoa dan so Thach thiic vi ccr hpi", tir website, http //nhandan com.vn/suckhoe/tin-tuc/ item/30619302-gia-hoa-dan-so-thach-thuc-va-co-hoi.html, truy cap 20/4/2018 H U V N H VANG PHUOC - CHAM SOC NGUCfl C A T U L ' tdc dp gid hda thudc hang nhanh nhat the gidi dua di khdm chfla benh Chua ke, ty ll sinh Nam 2016, Viet Nam cd 10,1 trieu NCT chiem Viet Nam ngdy eang thap, dac biet la d cdc 11% tdng ddn sd, ttong dd ed ban hai trieu phd Idn, nen ty ll NCT sdng cd don ng^' ngudi trin 80 tudi,'^' Theo du bdo, ddn sd Vidt cdng gia tang, didu khidn cho mo hinh ttr' Nam se ehinlitildebudc vao giai doan "gia hda" cham sdc sflc khde NCT tai nha se khdng ' tfl ndm 2017.*^' Tdc dp gid hda dan sd nhanh, phu hpp tuong lai nhung cho den nay, mang ludi an sinh xa hpi NCT nude ta thudng ed sflc khde ban chdvi' ddi vdi NCT d Viet Nam cbua dupe bao phu thditteva trung nien it van ddng, tudi thp chi vd dau tu dung mdc, ehi nhung ngudi ttin 80 bdy muoi nhung da cd khoang chuc nam dau tudi mdi dupe nhdn trp cap vdi sd tidn 270.000 ydu Benh cua NCT chu yeu la cac benh man ddng/ngudi/thdng.^''' Ngoai ra, sd ngudi tham tinh Ddng thdi, ngudi gia thudng mac va dieu • gia bao hiem y te cdn rat thap, dac bilt la nhihig tri nhieu benh eung mpt thdi didm, Cdc benh' NCT lao dpng tu do, 1dm viec d khu vue ndng thudng gap Id cao buydt dp, lodng xuong tieu 1dm ngu nghidp Theo thdng kd ciia Vu Bao dudng, gan nhiem md, ung thu, tuyen tien liet, ^ hiem xa hdi thudc Bd Lao ddng - Thuong binh sa sut tri me Do mang ludi hdttptidp can y te vd Xd hpi nam 2017 cd tdi 62,6% sd NCT khdng d nude ta chua thuc su dap iing dupe nhu cau cd luong huu hode hudngttpcap tfl nhd nude chdm sdc NCT, ban than nhieu NCT gap Do do, nhieu NCT van phai tu lao ddng kiem nhiing khd khdn vd tdi chinh ddn den he qua sdng, tham cbi d nhieu vflng ndng thdn, NCT klii hp ddn benh vien dd chfla tri thi benh da rat cdn Id lao dpng chinh gia dinh nang hoac roi vdo giai doan cudi Qua trinh dd thi hda dang diln nhanh Ngodi ra, he thdng trung tam baottpxa hoi chdng, keo theo dd Id qua trinh gia tdng su (biln cd khodng 400 trung tdm) chdm sdc chuyen ddi vile Idm tfl ndng nghilp sang cdng ngudi gid,tteem, ngudi khdng noi nuong tua nghidp, tfl mdi trudng sdng ndng thdn sang dd chi mdi ddp ihig com dn vd noi d, ehua dap img' thj Dieu khien mpi ngudi ngdy cdng ban ve cham sdc y td Nhd dudng Ido (NDL) dupe ^ rpn hon, dae bilt la nhiing ngudi dangttongdp nha nude baottphien van cdn it so vdi nhu ' tudi lao dpng, vdy thdi gian cham sdc dng ba, eau, trang thiet bi, co sd vat chat, y bdc si, can bd' cha me se bi ban chd chuyin ngdnh, san choi sinh boat cho NCT.,,,' Theo dieu tra ciia Quy Dan sd Lien Hidp ehua dupe dau tu diing mflc Mpt vai nam gan Qudc tai Viet Nam, cd gdn 20% NCT Viet Nam ddy md hinh NDL tu nhan da xudt hien niiung sdng dudi mflc ngheo, da sd hp van phai lam rao can ve truyen thdng van hda, chi phi djch viec, chu yeu Id lao ddng tay chdn vdi thu nhdp VII nln mo hinh ndy cung chua thuc sir dupe i ddn nhdn thap vd khdng dn djiih Bin canh dd, viec ehdm sdc sflc khde cho Thuc trang trin cho thay van de cham sdc y NCT van chu yeu la chdm sdc tai nhd vl chi phi tl va tinh than cho NCT cdn phai dupe ddu tu khdm ehua benh cao vd NCT khdng cd cdi nhieu ban nfla de ddp ting nhu cau ciing nhu ndng cao chat lupng sdng eua NCT '" Thong lan xa Vjfl Nam: "70% so ngucri cao tu6i Viet Giai phap Nam khong nh^n dupe trp cap", tit website, https7/tuoi1re Ve phuong didn chinh sdch, song song v6\ vn/70-so-nguoi-cao-luoi-o-viet-nam-khong-nhan-duoc-trochinh sdch ddc thfl cho NCT, cdn dua vdn de gia cap-1354123.htm tmy cap 20/4/2018 "' T6ng c\ic Thdng ke, 2010 hda ddn sd long ghep vdo cdc chinh sach phat '"'Chinh phii "Nguoi cao tu6i hucmg trp cip thip nhit 270 000 tridn kinh te - 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