NHCNGVANO(;;(AHOI f ^.4 « - 6-' LIEN KET MANG LUOI BAO CHI, TAP CHi KHOA HOC SUC KHOE, GOP PHAN PHO BIEN VA PHAT TRI^N Y DUOC HOC VIET NAM • GS TSKH PHAM M ^ N H HtJNG Chd tich Tong hgi Yhgc ViitNam Chdm sdc sUc khde nhdn ddn (CSSK) lidgc bift li dan nghIo, nlu thay thudc kl ddn mdt sil nghiip gin Uln vdi an sinh xa eho bfnh nhin vdi d c logi thudc dat tien mi • hdi Trong dd, vai tid cfla bao chf, tap khdng d n thilt vi myc dich mde ndi vdi hifu chf ndi chung, bio ehi, tgp chi khoa hpc sflc thudc, hang thude lly hoa hdng thi khdng khde ndi riing cd vi tri •s^ y^ nghia quan tipng khac, chinh thiy thudc dd la ngfldi trilc tiep Nhfl chflng ta diu biit, bfnh tit Ii mdt giy ddi nghIo eho din chflng nhflng nguyin nhan phd biln nhit din din CSSK quan tipng nhfl vgy, nhflng nd chi d?t nghIo ddi Trfldc hit, mac bfnh thi sflc lao dflpc kit qui radt nd dfla trin sfl phit dpi^ cua ngfldi hi giim sflt vi nhfl vky inh triln vflng chac cfla khoa hoc y dflpe hpc hfldng trflc ti^ tdi vifc mflu sinh Nhflng Khoa hpc y dfldc hpc cung nhfl bat cfl mdt kinh tl thi trfldng thi ngoii vifc lim mit sflc Iao nginh khoa hpc nio khie phat tiiln dfldc li dpng, bfnh tit cdn dan din chi tilu mot khoan nhd nhflng nghiin cflu, tim tdi khim phi vl tiln ldn dl dilu tri; mi khdng phii mpi gia dinh cd the ngfldi, ve tic nhin gay benh vi hay d nhin nio cung ed thi cd hay vfldt cich ehdng dd nhflng tic nhin giy bfnh qua khointiendd, nen phii di vay nd va sau (trong dd ed thude), nhflng each phuc hdi sflc chfla khdi bfnh hay khdng khdi bfnh thi gia khde Nhflng nghien cflu khdng chi ddi^ cinh cfla hp rdi vio nghIo ddi hdn khung mdt nhi khoa hpc hay mpt tip d diy, bio chf, tap chf khdng ehi ed tic thi khoa hpc, mi tiii lgi nd chi cd the phit dung giio due ve tim quan tipng vl sfle khde triln nlu cd sfl trao ddi vi thdng tin d c kit vi tim quan tipng cua CSSK, mi cdn ed tic qui nghiin eflu, nhit li thdi dgi ngiy dung rat ldn giio dye dgo dflc nghl khoa hpe y dfldc hpc da phat triln rit nghifp y tl (y dflc) Bio chf, tap chf d n chi nhanh, xuit hifn nhilu kiln thflc mdi, nhilu cho thiy thude biet rang tiong cd chi thi phin/chuyin khoa radi vdi dp chuyin siu trfldng vdi chi phi kham chfla bfnh chilm ngiy eing phflc tgp Cac bao chi, tgp chf ndi mdt ty 11 eao tiong thu nhip cfla ngfldi dan chung, tap chi khoa hpc sfle khde ndi riing li I 58 TUYEN GlAO 56 7-2014 '^u^(; \ N ti^: \ iioi mdt kinh thdng tin die bift dl thflc hifn sfl trd nay: chung vacxin cd mdt t^ If nhd trao ddi vi thdng tin tiong xiy dflng vi phit ngfldi dfldc chung bi tai biln hay ckd bilu hifn khdng mong mudn, vi viy rapt sd ngfldi phu trien nin y dfldc hpc Ngoii ra, sfl nghifp CSSK chi dgt dflpc kit nhin tic dyng cfla vacxin Khi dd bio chf, tgp qui phit tiiln giio due sfle khde, giio dye chf cin lim ro vacxin vi chflng vacxin li mpt vi dio tao y hpc Cach CSSK hflu hifu nhit li tiong nhSi^ giii phip hing diu giflp cd the chfl giio due de mpi ngfldi biit tfl CSSK vi tfl giie ddi^ tgo sflc dl khing vdi d c vi sinh vit va tham gia vao CSSK Chfnh vi tim quan trpng dd la mpt giii phip phdng bfnh chu ddng cd cua giio due sflc khde mi Td ehflc Y te the gidi hifu qua (nhd vacxin mi ngiy chung ta cd di dgt nd la nhifm vu quan tipng hing diu thi logi trfl hay hgn chi mdt sd bfnh nhilm npi dung CSSK ban diu Hdn nfla, nin y trflng da tflng 14 ndi sp hai kinh hoing cfla loii dfldc hpc cd dfldc nhfl ngiy Ii sfl kl tilp ngfldi qua khfl nhfl bfnh d^u mfla, bfnh dio tgo, nghien cflu cua nhilu thi hf bgi Ult, bfnh ti ) Dinh hfldng dfl luin dl thdng qua vifc truyin thy kiln thfle tfl thi hf ngfldi dan hiiu dflng vl cic giii phip phdng vi chfla bfnh eung li mdt chflc niy cho thi hf khie Cie bio nang quan trpng cfla bio chi, chi, tgp chf khoa hpc sfle khde tgp chi cdn cd vai trd quan trpng Bao clii, tap i l i Iham Ngiy nay, rai cd cbl thj tiong Iflu gifl tii lifu, dio tgo >j}i; j^ j'n-" duelao dxic canbp, danh gia trinh dd efla nghe sirSiffp , le thong trfldng phit triln, rage dfl nhi nghiin cflu, khfch If d c qua vier pii- phan chflng ta ndi tdi khii nifm nhi nghien cflu thdng qua nhixng bseu \ei\ thieu dinih hfldng xa hdi chfl nghia vifc xit giii thfldng, xit d c dao due en;: ]_.-y thuoc vi tang cfldng giio due dgo hpc him hoac hpevi VI v^y, yk ca viee h^ ^a dutfng dflc nghl nghifp y te (y dflc), bao chi, tgp chi khoa hpe sfle nhfln^i; giujnf tot cua nhflng dgo dflc nghl nghifp aoc khde ddng vaitidcflc ky quan j cua rapt bd ph|ai tbly thudc dang bi xudng cap nghiem trpng giao due, nang eao trpng Nhilu bilu hifn cua din til vl sfle khde, CSSK vi khuynh hfldng thfldng mai hda phit triln giio dye dio tao y hpc Mdt chflc nang quan tipng cua bio chf, tgp khdng dfldc kiem soit, vi viy hdn luc nio hit, chf li hfldng din dfl lugn Trong CSSK, vile vifc bao chi, tap chi tham gia vio vifc giio due hfldng din dfl luin cfla bio chi, tgp chf rit quan dao dflc nghl nghiip y tl cho dpi ngu thiy tipng Chflng ta diu biit, hifn edn mot sd thudc la mdt nhifm vy khdng thi khdng ndi tdi bfnh tit, ngfldi ta chfla hiiu nguyin nhin vi Bao chf, tgp chf tham gia giio dye dgo dflc nghl qua trinh sinh bfnh, vi viy vifc dilu tri edn hgn nghifp y te thdng qua vifc phi phin nhflng bilu dll hoac bd tay Trong ddi sdng hing ngiy, mdt hifn thilu dgo dflc efla thiy thudc vi ci vife sd ngfldi Idi dung khd khan niy efla y hpc da bieu dfld:^ nhflng gfldng tdt cua thay thudc dung d c bifn phip me tin, lfla bip dl bit diet Giao dye dao dflc nghl nghifp y tl phii dfldc vi kilm Idi tfl ngfldi bfnh Trong trfldng hdp ddi mdi vi khdiig thi gifl nguyin npi dung vi niy, bio chf, tgp chi cd vai trd dinh hfldng dfl phfldng phip nhfl thdi ky bao d p d did: Trong lugn de chdng lai d c bifn phip mang tinh Ifla cd che thi tnidng, phii ndi tdi ldi fch kilm sdr^ bip cd hgi din tinh mang vi kinh tl cua ngfldi cua thay thuoc thdng qua hinh nghl Bit luin bfnh Mdt vf du khie dl chflng minh eho vai nhfl vgy, chung ta phii phin tich cho dflde mdi T U Y E N G I A O 567-2014 NHLTNGVANOEXAHOI quan hf gifla sil hy sinh cua thay thudc vi tfnh mgng vi sflc khde ngfldi bfnh vdi vife kilm sdng, phii dgt tinh mgng, sflc khde cfla ngfldi bfnh lln tien ldi ich sfl mflu suih cfla thiy thudc Diy khdng nhflng Ii rauc dich hinh nghl cfla thiy thudc mi cdn la dilu kifn hinh nghl cfla thiytiiuec Hdn nfla, bao chf, tap chf phii dl eip vifc gan kit gifla giio dye y dflc vdi giio due tinh chuyin nghifp y hpc (medical professionaUsm) Chi cd gan kit gifla y dflc vdi tfnh chuyin nghifp y hpc, thi dao dflc y tl cfla thay thudc mdi bin viiiig theo nguyin 1^ dUc gan vdi tdi, hdng gin vdi ehuyin Ndi tdra Igi, dc bio chf, tgp chf khoa hpe sfle khde cd vai tid vi vi tri quan tipng phit trien khoa hpc y dfldc hpe, phd bien kiln thfle y dfldc hpc, ning cao din tri vl sflc khde, CSSK, giio due dgo dflc nghl nghiip eho thiy thudc vi dinh hfldng dfl luin dung dantiongCSSK Nhflng ylu clu mdi xuit bin vi phit hinh cac bao chf, tap chf • sflc khde: Mdt Id, dfl che dp chfnh tii cd khac nhau, nhfltig qudc gia nio cung phai quan tim din vln dl sfle khde vi CSSK NhQng ngfldi d m quyln diu phii dfla nhflng chfl trfldng, dfldng ldi vl CSSK nfldc ta cung vgy Ding vi Nhi nfldc da khang dinh sflc khde li vdn qu^ nhit efla mdi eon ngfldi vi toan xa hdi, CSSK li mdt nhflng chfnh sieh dflde quan tira hing diu cua Ding vi Nha nfldc Chung ta xiy dflng nin y tl theo cd chi thi tnidng dinh hfldng xa hdi chu nghia, nhflng chung ta ehfla cd mdt md hinhtienIf nao theo cd chi niy Vi vgy, mpi chfl trfldng vi chinh sach CSSK cfla Ding vi Nhi nflde phii dflpc ngfldi din bilu, ngfldi din biit, ngfldi din tin vi ngfldi din lira theo Day li nhifravu rit ning nl efla bio chf, tap chf tiong CSSK ndiriengvi an sinh xa h0i ndi ehung y dflpc hpc phit trien rit nhanh chdng, d c kit qui vi phit minh thu dfldc ngiy cing Idn Vi viy, vile cdng bd d c kit qui tim tdi nghiin cflu ngiy cing cd nhu cau cad khdng nhflng d difn rdng (tflc li c&c bio chf, tgp chf mang tfnh khoa hpc phd cip) mi ci dd siu (tfle cic tgp chf khoa hpc chuyin nginh) Ba Id, nhu clu efla ddc gii ngiy tang lln rit nhanh chdng, mdt phin dl thu Ifldm nhflng kiln thflc mdi phue vu eho vife bd tuc kien thflc cfla gidi tbly thudc; mat khie, nhilu ngfldi tiong din chflng cd trinh dp van hda ngiy cing eao mudn tim hiiu d c kien thflc y dflpe hpc thdng qua tham khao d c bio chi, tgp chf khoa hpc sflc khde dl tfl bio vf sflc khde cho bin thin vi gia ^ h minh Bon Id, bin canh dch xuit bin truyin thdi^ vi thfldng quy, ngiy cdng nghf thdng tin li mdt cupc dch raang thit sfl da lim thay ddi nhilu vl bd mat, phfldng thfle xuit bin vi phat hinh Dae bift li d c bio chf, tap chf difn tfl da mang lgi nhilu tifn ieh cho d tic gii, ddc gia vi ngfldi lim xuat bin, phit hinh Biit tin dung nhflngfludiem cua moi phfldng thflc xu^ ban (gifla truyin thdng ^^ sd hda) di tao ein bai^ raditiongxu^ bin vk phit hinh Ii rapt yeii td khdng nhd giup ckc bio chi, tgp chf tdn tgi vk thinh cdng Ndm Id, cct die dich vy xuit bin vi phat hinh bio chi, tap chi da thay chd dch xuat bin vi phat hinh mai^ tinh thuln tfly phye vu theo kieu thdi bao d p Dilu niy dgt eho d c ban biln tip bio chf, tap chi phii biet quin Iy kinh tltiongxuit bin, phat hinh: tgo vdn, tfl chfl vi hach toin tiong xuit bin, phit hinh Ngiy nay, xuat bin, phit hinh vfla nhim myc dich tfl nudi sdng, tri bio chf, tgp chf, vfla dl kilm sdng cho d n bd, nhin viln Xuit bin vi phit hanh phii ludn biln ddng vi phii tuin theo quy luit cung du Ndi dch khie, muc dich cfla xuit Hai Id, tam quan tipng efla sflc khde vi bin, phit hinh bio chf, tgp chf khdng chi dflng cdng tic CSSK, cdng vifc nghien cflu khoa hpc lai d muc dichtiiylntruyin ^ khoa hpc mi cdn 60 TUYENGIA0 - NHCfNC VAN Dt XAHOI cd sfl dan xen cfla Idi fch (lpi fch cfla ngfldi xuat riing Vi viy, sfl phit tiien ly d n phii tgo ban, phit hinh, ldi fch cfla tic gii vi dac bift ldi mdt Uln kit gifla d c td chflc xi^t bin vi phit ich cfla ddc gia) hinh bao chi, tgp chf khoa hpc sflc khde, dl: Sdu Id, tinh canh tranh troi^xu^ bin vi phit Mdt Id, cflng bin bgc vi hifp thfldng hinh Do sd Ifldng tgp chf tang lln nhanh nhflng tilu chf vl sd Iflpng vi chit Ifldng cfla chdng, sfl trung lap trongraucdich tdn chi hogt xuit ban vi phit hinh cAc bio chi, tgp chf khoa ddng, ndi dung cdng bd Ii mdt dilu thfldng xiy hpc sflc khde \^ft Nam, gdp phin ning cao gia ra, rai thi trfldng cung khdng phii Ii rdng ldn tri d vl khoa hpc Ian gii tri tuyin truyin cfla vd bien Vi vky, tfnh eanh tranh khdng thi tranh cic bio chf, tgp chf khoa hpe sflc khde Vift khditiongxuit bin vi phit hinh Mgt dfldc cua Nara Bin cgnh sfl phit triln nd rd vl sd Ifldng, cgnh tranh li lim cho d c bao chf, tap chi phii di din luc d c bio dii, tap chf sflc khde d Vift ludn ludn ddi mdi vl ndi dung vk hinh thflc de Nam phii quan tam din chit Ifldng ci vl ndi dipflngvi thu hut ddc gji Nhflng eui^ d n Iflu dung lin hinh thflc Hai Id, tiao ddi nhflng kinh nghifm ve xuit f mgt trii cua cgnh tranh, li egnh tranh se dan vifc xuit bin vi phit hinh den sfl thiln bin vi phit hinh bio chf, tgp chf khoa hpc sflc lech theo khuynh hfldng thuan thfldng mgi khde de cung phit huy mat mgnh vi khlc hda, ching hgn nhfl khdng giii quylt dflng radi phue kip thdi nhflng bieu hifn Ifch Igc mat quan hf gifla ndi dung vi hinh thflc (chi chfl f trii eua cd cbl thi trfldng mang Igi, gdp phan tfnh hinh thflc de "bit mif ddc gii mi quen di thflc hifn tieh cflc vio sfl nghifp CSSK nhin nhflng tdn chi vi myc dfch vl ndi dung khoa din va sfl i^hifp phat tiiln bio chi theo quan hpc efla bio chf, tgp dif hoie chu trpng qua mflc dilm cua Ding din quing cio mi thilu hyt hoac coi nhe phin Ba Id, td chflc nhflng diln din, hdi thio vi ndi dung khoa hpc cfla bao chf, tgp chf) Ndi khda tip huln dl dio tao nhflng biln tip viln mpt cich khie, khdng the vi canh traih mi tam chuyin nghifp cho d c bio chi, tgp dii khoa hpc thfldng hda tfnh chit khoa hpe efla bio chf, tgp sfle khde cfla Vift Nam chi khoa hpc sflc khde; khdng thi biln nhflng Bdn Id, tranh thfl sfl hdp tie qude tl dl hpc bio chf, tap ehi khoa hpe sfle khde thinh nhfllng hdi kinh nghifm vl xuit bin vi phit hinh bio In phlm mang tfnh "Ii cii" chi, tap chi khoa hpc sflc khde cua d c nfldc, Yeu cau tit ylu cua vifc td chfle Uln kit tiong cd nhflng bio chf, tgp chf khoa hpc sflc cie t6 ehfle xuit bin vi phit hinh bao khde ndi tiing thi gidi • chf, tap chf khoa hpe sfle khde nhfl viy Ndm Id, chira lo din ddi sdng, die bift li ddi da qui rd ring Nhfl da trinh biy d trin, d c bao sdng tinh thin, troi^