Thtf c tign - Bonh nghiem Tap chi C^ng sdrn DAY MANH XA HOI HOA DICH VU Y TE > DOAN NGOC XUAN* Xd hpi hda cdc djch vuytidd vd dang gdp phdn ldm thay ddi dign mgo ngdnh y ti, giup ngu&i bpnh dugc thu hu&ng cdc dfch vu y ti chdt lugng cao Song ITnh vuc ndy cung ddng tdn tgi nhiiu hgn chi edn kip th&i khde phuc th&i gian t&L '^A hpi hoa dich v\i y te thuc chdt la thj tmdng hoa sdn phdm y te Id vide xa hdi Jham gia qua tiinh y te thong qua eo ehe thi tmdng, la quan he eung - cau De cd dupe quan he eung cdu ttdn thi tmdng y td can cd cdc yeu to dau vdo vd ddu Ddu vao la cae yeu td ve kdt cdu hg tdng, may mde,ti-angthidt hi, vat tu va nhdn lyc y te; ddu la dich vu y tl Vdi dgc ttung dich vu y te la sdn phdm hdng hda ddc biet anh hudng trye tiep den sftc khde vd tinh mgng ngudi nen gid cd ciia hang hoa ciing dupe hinh thdnh bdi nhieu yen td, vfta chi phi dau vdo ddng thdi cd ydu td chdt lupng dich vu mang lai ma ngudi tidu dung chi cd thd cam nhdn dupe da trd tien cho dich vy md minh dd mua Be thyc hien xa hdi hda cdc hoat ddng y te, ndi dung cae chinh sach khuyen khich edn tap trung vao khuyen khich cdc ca sd edng vd ngodi cdng lap phat trien mot each binh dang Cac ndi dung bao gdm: chinh sdch khuydn khich ve ca sd vat chdt, dat dai, thue, gid, tin dyng, bao hidm Sy phat trien ben viing sy nghiep y te phai ludn dupe dgt mdi quan he hd ttp qua lai giua phdt tridn cdc dan vi y te cdng lap va ngodi cdng lap ma cdc chinh sdch xa hdi hda da de ra, hay ndi cdch khde, can cd sy cgnh franh va cd sy kiem sodt ciia Nhd nudc tren thi tiudng dich vy y te Dich vu y tl nlu ehi dupe bdo dam tft phia Nhd nudc se kho ed thd cd du ngudn lyc cho sy phdt tiiln nhanh vd bin vftng Xd hdi hoa nhdm tao dilu kidn ldng ghep cdc yeu cdu bao vd va ndng eao sftc khde ciia nhdn dan cdc chinh sdch vT md ve kinh te, xa hpi, cac chuang tiinh, dy an phdt tridn sdn xudt, tgo vi?c ldm, xda ddi gidm ngheo; da dang hda eac logi hinh dich vu cham sdc sftc khde, tim kiem vd khai thde cdc ngudn dau to khae cho y te, nhu bdo hiem y tl ty nguyen, vien ttp nudc ngoai xay dyng cdc didn hinh tien tien ve vd sinh mdi tmdng, an toan cpng ddng; tidp tuc cimg cd vd phat trien cdc trung tam tmyen thdng gido due sftc khde nhdn dan Do vdy, yeu cdu ddt Id xd hdi hda dich vu y td phai dupe tidn hanh mdt each than trpng vd todn dien, ed sy djnh hudng, kidm sodt to nhieu phia, ttong dd vai frd eua Nha nudc, td chftc bdo hiem, hdi nghe nghiep vd ngudi tieu dimg cd tinh quydt dinh Xa hpi hda dich vu y tl khdng chi la viec tiidnh lap nhidu ca sd y tl ngodi cdng lap vd tang thu to cdc dich vu kham, chiia bdnh ma cdn ddi hdi sy quan tam nhieu hon tdi thu hut ngudn lye xa hpi, ngudn lyc cua nhdn dan eho dich vu cham sdc sftc khde eua nhdn ddn; bang chu tiirang va cac chinh sdch khuyin khich, uu dai cua Nhd nude tgo dieu kidn de cac thdnh phan kinh te bd vdn, bd ngudn luc, tii to? vdo dich vu y te; gid dich vu phdi toong xftng vdi chdt lupng dich vu M a t dirtfc tir x a h $ i h o a d i c h v u y t l Mdt la, huy dpng, khoi thdng cae ngudn lyc efta xd hpi eho phdt trien y tl Ddu to cho y tl khdng chi la sy nghiep cua Nha nudc md cdn la viec eua ca nhdn, gia djnh, cdng ddng va xa h9i Xd hdi hda dich vu y td, khdng phdi Id gidm ddu to tir ngudn ngan sach nha nude ma Id huy dpng mpi ngudn lyc cho phat tiiln y tl'" Qua dd, gdp • TS, Chanh Van phong Ban Kinh tfi Trung irong, nguyen Pho Hieu tmong kiem Pho Gidm dfic Benh vien Dai hoc Y Ha Noi So 867 ( t h a n g nam 2015) T^p chf C d n g sAn Thuc tien - Kinh nghiem phdn quan frpng cho phat triln, ftng dung cae tiln bd, khoa hpc ky tiiudt tien tidn ve y hpe cua thi gidi vdo phdt triln y hpe Viet Nam Cdc co sd kham benh, chfta benh da chft y, quan tam din vide huy dong cae ngudn lyc xd hdi, ngoai ngan sach dl ddu to ket cdu tdng, trang tiiiet bi, tftng budc ndng cao sd lupng ciing nhu chat lupng cae dich vu kham benh, chfta bdnh; cac thilt hi xa hdi hda ehu ylu la tiiiet hi chan dodn, dilu tii, ky thudt cao ndn gdp phdn thfte day cdc ky thugt y tl phat tridn; ndng cao chdt lupng chan doan, didu tri Hai la, y thfte va trdch nhiem bdo ve va cham sdc sftc khde khdng chi la cua ngdnh y te ma cdn la cua mdi ngudi dan Tao su chuyen bidn tich cue vl nhan tiiuc cua cdc cap uy dang, chinh quyen viec (juan tam ddu to cho y te Xa hdi hda dich vu y td va trao ddn quyen ty chu cua benh vien qua tiidi gian trien Idiai da dat dupe mdt sd mat tieh eye Vide xd hdi hda, lien doanh, lien ket da gdp phdn lam thay ddi nhan thfte cua eac don vi ttong viec huy ddng vdn de cd trang thiet bi phye vu hoat ddng ehuyen mdn, khdng chi ttdng chd vdo ngudn ngan sdch nhd nudc Ba la, xa hdi hoa dich vu y tl gan vdi viec tdng cudng ddu to to ngdn sdeh va tiiyc hien tdt viec ttp giup cho cac ddi topng chinh sach, ngudi ngheo Trong thdi gian vua qua, W t Nam la mdt ttong nhung nudc dupe Td chftc y td the gidi danh ^ a rat cao ve ehinh sdch an sinh xa hpi, nhu hd ttp cho ngudi ngheo, ngudi gid, thyc hien 100% bdo hiem y td cho tte em tft todi ttd xudng vd hd frp ddn 70% menh gid cho ddi topng can ngheo Bon la, chinh sach xa hpi hda dich vy y tl, ngodi viec huy dpng mpi ngudn lyc eho phat trien y td, cdn ddng gop quan ttpng cho qua trinh cdi edeh he tiidng y td nha nudc Viec tiiue hien ty chu la giao quydn nhieu hon vd tao didu kien eho cac co sd y te ty hogeh todn, chft ddng huy dong cac ngudn lyc cho hoat ddng, xda bo bao cdp, tao ngudn tdi chinh dd bft ddp chi phi va tiiu lao cho can bd, nhdn vidn y te Trong cdc benh vien cdng, vdi ca che ty chu tai chinh, xa hdi hda dieh vy y te bang viec xdy dyng cac md hinh khoa kham benh theo yeu cdu, kham dich vu, ty nguyen, chdt lupng cao da giup ngudi benh cd 94 S6 867 (thang nam 2015) nhieu lya chpn theo khd nang chi trd, tiep cgn dich vu tdt han, dupe cham sdc tdt hon, dupe lya chpn bdc sT, phdu thudt vien vd dac biet Id trdnh phien ha, giam thdi gian chd dpi, Mat han ch£ Thi tiudng ndi chung cung nhu tiii tindng dich vy y tl phdi chiu sy tae ddng cua cac quy lugt kinh td khdch quan Trong dieu kien nen kinh td dang ttong qud ttinh chuyen ddi, lihh vyc y ll khdng ehi don thudn la cham sdc sftc khde Khi till tmdng da tac dpng vao qua trinh y tl gdn vdi nhu cdu ddi voi timg mgng sdng cua ngudi till mat ttai cua thi tmdng da tac ddng rdt ldn, lam anh hudng khdng nhd ddn vai ttd, ttdch nhiem ciia Nha nude ttong vide bdo dam phuc loi xa hdi cho nhdn ddn Mat chua dupe vl xa hpi hda dich vu y tl co tiie khdi guat nhu sau: Mdt Id, chinh sdch phat trien dich vu y te ttong nen kinh td dinh hudng xa hdi chu nghla edn nhieu lung tiing, dde biet la ve chinh sach gid (co cau gid mdi tinh 3/7 ydu td chi phi true tiep chua bao gdm tidn luong, khdu hao tai san vd chi phi quan ly) Chua cd sy minh bach, rd rang ttong quan didm kinh te ve phi va gid dich vu Da cd thdi gian khd dai vd den van cdn sft dung phi kham, chfta benh Cd sy tiiam gia cua cac thdnh phdn kinh te qua trinh dich vy y te tin cdc chi phi dd phai tta tiieo co ehi tiii tmdng Id gid dieh vu y tl Mat khac, mftc phi dich vu y te (thin gian thay ddi danh mye dich vu ky thudt rdt cham, can trung binh mat nam, tibidm chi 10 nam) chua theo kip thay ddi iheo mat bang gia ddu vdo cdc yeu td cua tiii tmdng dieh vu y td Hai la, tinh fr^g ddu to ti^ng, thidt hi ngoai danh myc, sy thidu minh bach, lung tiing ttong tinh gid dich vu, chia ty Id phdn tram, khdu hao thiet bi giiia benh vien va chu ddu to khiln eho (1) Tinh dfin nay, theo th6ng kg cua Bp Y te, ca mrdc CO khodng 170 benh vien tu nhan, trSn 100.000 phdng k h ^ da khoa Hau het cac bfinh vien n^y co ca sd vat chdt, trang thiet bj kha tot; dpi ngu y bac sT t | n tinh, chu ddo Tuy nhien, chua co nhieu bSnh viSn tu tihSn c6 thuong hi|u khien ty le Idiara, chiia b?nh' ciia khii niy vln tit thip, chi chiSm 7% digu tri ngoai tni va 6% di8u trj noi tni; cong suit sii dyng giucmg b^nh chi chiSm 40% 60%, phye vu khoar^ duoi 4% lupt khtei bao hiem y t^ Thuc tien - Kinh nghipm gia dieh vu kham, chfta benh tang cao, ngudi bdnh chiu nhilu thi^t thdi Thye hien ehinh sdeh xa hdi hda dich vu y tl, mdt sd benh vidn cd xu hudng chi quan tdm din Idioa, phdng, Imh vi^c ed thu hoac tdp trung kinh phi vd nhdn lyc vdn da hgn hep dd phdt tiien khu dich vu theo yeu cau; ddu to trang thilt hi ky tiiudt cao chua toong xftng vdi ndng lyc, ttinh dp chuyen mdn, nhu eau Ididm, chiia benh, nhdt la mdt sd ttang thiet hi chdn doan, ky thugt cao Ba Id, thyc hidn chinh sach xa hdi hda y te, nhidu co sd y td ngodi cdng lgp ddi da gdp phan cimg cdp da dgng sdn phdm dich vu y te Song vdn de la chua cd sy ddng bd binh ddng giiia benh vidn edng va benh vien to; chua cd sy kiem sodt chdt ehe chat lupng dich vu y tl Bdn Id, thyc hidn chinh sdch xd hdi hda dich vy y tl frong timg eo sd y tl cdng lap CO sy chua tach bach ro rang "cdng - to" nen ty Id chia lpi nhudn giua benh vien vd nha dau to tai eae don vi dang ed sy chenh lech khd Idn'^' Trong do, cac co sd y t l cua Nhd nude ludn dupe chia phdn lpi nhugn nhd hon Dieu ddng ndi, vide chua tinh gid tri kdt cdu hg tdng, gid trj thuong hidu, nhdn cdng vao co cau gia thu phi sft dung eac thidt bj y td dftpc xa hdi hda dang dien tai hdu hdt cdc md hinh to bdnh vidn cap I, II, bdnh vidn chuydn khoa hay ty ehu tai ehinh todn phdn Trong do, vide thu phi sft dyng cdc thidt hi y tl xa hdi hda ndy deu dupe tinh theo gid dieh vy, cao hon rat rtiiidu so vdi mftc vidn phi Nhd nudc quy dinh, va ngudi benh phdi trd tdt ed mftc gia ndy Tpp c h i CAng s d n Tai cdc bdnh vien edng, ddy mgnh xd hdi hoa dich vu y td, td chftc ldn ldn khu dich vy khdm, chfta benh tiieo yeu cdu tinng cimg mdt benh vien cdng, ndn hinh anh rat toong phdn viee bd tri phdng bdnh cung nhu quan he giiia bdc sT vd ngudi benh giiia logi dich vu y te thdng thudng vdi dieh vu y tl theo yeu edu Mdt sd noi da xdy tinh trgng lam dung tdi sdn cdng, thdi gian ldm viec, thuong hidu benh vien, sai pham qudn ly tai sdn, tdi ehinh tgi benh vien edng Nhidu tieu cue vide hen kit, lien doanh ttang tinlt bi y tl, ddu tiidu tiiudc didn cho thdy sy yeu kem vd tiiilu minh bach ttong quan ly, tta, kidm tta Do la chira kl din vide lien doanh, lien ket mua thiet bi y te nen ddn den lam dung dich vu y tl d nhilu noi cd xa hpi hda dd tiiu hdi vdn nhanh vd kiem lpi nhudn gdy hgu qua ldm tang ehi phi eho ngudi benh vd quy bdo hidm y te Sdu Id, qua trinh xa hpi hda dich vu y td ttong cdc CO sd y te cdng lap chua ed sy minh bgch tdi chmh, tdi san cdng vd to ttong cdc hoat ddng xa hdi hda ndn de sai phgm ttong qudn ly, sft dung tdi chinh, dd xdy tidu eye lien doanh, lien ket, ttong dau thdu tiiudc Phuang tiiftc ehi tra dieh vu y td hien ttong co chd ty ehu tai chinh vd dp lyc phdi thu hdi vdn nhanh lien doanh, hen ket se ddn din tinh trgng dd lgm dung xet nghiem, lgm dung tiiudc, lam dyng ky thudt eao gdy thiet hai cho ngudi bdnh vd mdt can ddi Qay bao hidm y te; mdt sd it benh vidn dp dung bien phdp khodn thu cho cdc khoa chuyen mdn se Idm tdng xu hudng lgm dung, nhdn benh nhan khdng dung toyen; tang benh nhdn dieu tii npi tni khdng hpp ly gdy qud tai cho benh vien Nam Id, ngodi vi?c hen doanh, hdn ket trang thiet hi y te, nhieu b?nh vien cdng ciing tridn khai cdng tae xd hdi hda frong hogt dpng Ididm, chfta benh theo yeu cdu Tgi nhieu benh vien, du frong tinh tinng qud tdi giudng dieu tii, nhung vdn Giai phap ntiam day manh xa hoi danh didn tich dang kd tai cae budng benh dupe hoa dich yu y te ddu to bang ngan sdeh nha nudc de ke giudng Thic nhdt, tiep toe hoki thien the chi phdt dilu tii tiieo ydu cdu'^\ He luy la dd lam tang tinh tridn tilii tiudng dich vy y tl trang qud tdi tgi cdc bdnh vidn, dnh hudng trye tilp den quyen lpi eiia ngudi benh n ^ e o , cdc _ (2) Vi du: Qua giam sat cua Hoi d6ng nhan dan ddi topng chinh sdch vd cd ngudi benh kham, ph6 Ha Ngi da phat hien vi?c lien doanh, lien kat c6 ry- IS chfta benh dich vu hp phdi ndm xen ke ttong thu huong rat Idiac nhau, nliu B?nh vien Van Dinh, ty phdng dilu fri cdng lap md vdn phdi tra tiiem le la 50% - 50%; Benh vi^n Tim Ha Npi 40% - 60%; Benh vien Da khoa Ha Dong: 30% - 70%; B?nh vien Ung mdt khodn tien phi dieh vu budu Ha Ngi: 30% - 70% nam dSu S6 867 (thang nam 2015) 95 Thuc tien - Kinh nghiem - Nghien cim thay ddi ca che chuydn tft vien phi sang co che gid gdn vdi chat lupng dieh vy y tl, trdn eo sd nguyen tde thu bao dam bft dap chi phi phu hpp vdi chdt lupng, hidu qua chdn doan va dilu tii; tgo mdi tiudng canh tranh, tiing budc hmh thdrtii gid tiii tmcmg cdc dich vu y tl; xdy dung dinh mftc kinh tl ky tiiudt tiieo tiing dich vu hoge nhdm dieh vu y te lam eo sd tinh gid co sd dieh vu y tl theo tftng dia ban, khu vyc, lam can cu cho co sd y tl ban hdnh bdng gia dich vy y tl cua minh eho phu hpp vdi dgc diem, khd ndng cgnh tianh gdn vdi chdt lupng dieh vu - Khi xdy dung co che tai chinh nham thuc ddy xa hdi hoa djch vu y tl, theo hudng ddi vdi cdc logi hinh lidn doanh lien ket gifta eo sd y te vdi td chftc, cd nhdn ben ngodi can phdn dinh ro pham vi, npi dung, mue dp Uen doanh, lidn kit Ddng tiidi, tgo dieu kien phat tiien co sd y te ngodi cdng lap, nhu thye hien chinh sdch uu dai vl thue, ddt dai, hd tip ngan sdch tiieo ket qud ddu dich vu y tl gan vdi dia ban dan cuya ehiu sy Idem sodt gid dich vu tiieo eo chd kidm sodt gid chung nhu ddi vdi cdc co sd y td khac - Thay ddi co che giao ngan sach cho co sd y te theo hudng gan vdi ket qua dau ra, dya fren bdng gid co sd dich vu y te va sd lupng bdnh nhan dy kien de phdn bd muc hd frp ngan sdch gan vdi quy md giudng benh Khdng phdn bidt CO sd y td edng lap hay ngodi cdng lap cd sy gidi hgn pham vi co sd giudng benh Trong hudng hop khdng dap ftng eo sd giudng benh hoge vupt qud co sd giudng benh thi ehi dupe hd trp mftc tiiap hon gdn vdi bidn phdp gidi quylt tinh trgng qua tai cua y tl toydn tren - Tren co sd chinh sdch hien hdnh, nham khuyen khich cdc co sd y te phdt tiidn eae dich vu mdi^ ky thudt eao de phuc vu cho viec ndng cao chat lupng vd hieu qud chdn doan vd dilu tii, han che tinh frang qua tai toyin frdn, bdnh vien ehuyen ngdnh cdn ed chinh sdch hd ttp vd rang budc cdc co sd y te toyen ttdn lidn doanh, lien ket vdi ca sd y t l toyen dudi, md rpng dia ban hogt ddng theo hinh thfte ddu to co sd 2, bdnh vien ed phan Md rpng quyen ty chu cho CO so y td ve xdc dinh ndi dung, mftc gid djch vu gan vdi chat lupng dich vy cung nhu cac tiift tijc mua sdm hdng hda phye vu hoat ddng eua 96 Sd 867 (thdng nam 2015) T(ip chf C ^ n g s d n CO sd y te Ddng thdi, can sdm sua ddi che dp tien luong eho nhdn lyc y te, theo hudng xac dinh chi eho dpi ngu bdc sT Id tmng tdm, ehidm ty ttpng hop ly ttong co cdu gid co sd dich vu y tl (tinde mat, didu chmh he sd luong tdi thieu eho phii hpp vdi thdi gian ddo tao gifta nghd y vd ngdnh, nghe khde) - Xdy dyng vd ban hdnh ehudn myc ehuyen mdn, ndi dung nghidp vy y td (theo timg npi dung ky thudt, gdi djch vu hodc kdt hpp), ehudn myc dgo dftc nghd y Tinh chdt dde thu cua nganh y Id ngdnh dgc biet, sdn phdm hoat d^ng la hang hda dich vy dgc bi?t gdn vdi sftc khde va tinh mgng ngudi Cac ky tiiugt chuyen mdn, ndi dung hogt ddng chuyen rndn cd tac ddng ddn chat lupng chdn dodn va didu tii; ben cgnh dd, dgo dftc nghd nghidp cua vidn chftc y te cd vai frd mang tinh quydt dinh ddn chdt lupng vd hi?u qud dieu tii, cimg nhu gidm thidu cae rui ro nghi nghiep Ddng thdi, vide cd dupe cdc chuan myc la co sd de kiem sodt gid cd vd chdt lupng dich vy y te Vi?c ban hdnh ehudn myc chuydn mdn, nghi?p vy y tl vd ehudn mye dao dftc nghd y ed tic ddng rdt ldn den qud tiinh hien dai hda he thdng y te Thii: hai, nghien eftu chuyen ddi md hinh td chuc, hoat ddng ciia cdc co sd y te cd ngudn tiiu tu xd hdi hda dieh vy y te nhu doanh nghi?p Vide chuyen doi cdc co sd cdng lap sang hogt ddng theo ca che sy nghiep - hi chu, ty hgch toan, tiJ chiu trdch nhiem - ciing phdi dupe quy dinh rd ve chftc ndng, nhiem vu, pham vi ty ehju trdch nhiem Quy dinh rd Nha nudc sd can thiep Idii cd nhung tiiay ddi khdch quan, nhu cdc yeu td tac ddng den gid dich vy y tl, trudng hpp gid dich vy cao hon mgt bdng chung hodc thyc hien chinh sdch xa hpi Ngodi ra, ehe dp chiu traeh nhidm phdi dupe thyc hien nghidm tiic vd tiiudng xuyen Cimg vdi vi?c dat he tiidng tidu ehudn chdt lupng thi trdch nhiem cua mdi (3) Theo Bao cao giam sat cua Hpi ddng nhan dan ph6 Ha NOi, Bfnh vi?n Thanh Nhan, ngoai 540 giuong bSnh ke hoach dupe thinh Ha NOi giao, don vj kfi them gan 250 giucmg djch vu; BOnh vi?n Ung buou ke them 167 giudng, B^nh viOn Phy san Hti N6i them 290 giucmg, B.?nh vi^n Due Giang them 140 giuong, Ngucri bfnh ri5m a khu vyc djch vy phdi tra them tir lOO.OOOdong den 500.000d6ng/giuemg/ngiy Thirc tiln - Kinh nghiem cd nhdn, td chftc frong cung ftng dieh vu phdi dupe ndng cao; dk eao tiach nhiem cd nhdn ddng tiidi ddt CO chi gidi trinh hpp ly, nhu vdy cong tac kidm soat, gidm sdt se cd hieu qud hon Dd tiiay ddi, khde phye cdc tdn tai ttong qud trinh tiiyc hien chinh sdeh xa hdi hda dich vy y tl cdn nghien eftu ehuyin ddi md hinh td chftc, hogt dpng ddi vdi cdc ca sd y te edng ed thuc hien dich vu y tl sang md hinh hoat ddng nhu doanh nghi^ cdng ich Theo dd, Nhd nudc thyc hien chinh sach giao vdn, tdi sdn, hd trp ngmi sach gdn vdi nhiem vu dupc^ao, don vi cd quyln vd trach nhidm bdo toan vdn, thyc hidn nhiem vu Id noi cung cdp dieh vy y te Thir ba, hodn thidn quan tri bdo hidm y t l vd da dgng hda cdc logi hinh bao hilm y tl - Md rdng dien bao phft vd ndng ty Id bao phii bdo hiem y tl gdn vdi chat lirong dich vy y te dupe bdo ddm theo yen cdu gdn vdi gid co sd dieh vu y tl; md rpng logi hinh bdo hiem ty nguyen vd bdo hiem thuong mgi gdn vdi chdt lirpng dich yu y td gia tang - Thay ddi phuang thfte tiianh todn bdo hilm tiiay vi Idem sodt todn nhu hidn sang CO ehe ttr tudn thu, theo co sd y tl can eft sd lupng, chat lupng dich vu y td yd mftc gia ca sd tirong ftng de tu xdc dinh sd tien bdo hidm y tl tiianh toan thay cho b?nh nhdn Ddng thdi, co CO chd kidm sodt, xft ly yi phgm neu cd gian ldn - Ddi mdi CO che kiem sodt thu, chi vd qudn ly quy bao hiem y tl theo hudng tgo dieu kien de eac hidp hdi y hpc chuyen ng^ih tham gia qua trinh xdy dyng djnh mftc kinh tl - ky thudt vd gid ca sd dich vy y tl Ihir tu, cdc gidi phdp hd trp khae - Tang eudng ngdn sdch hd trp dao tao ngudn nhdn lyc y t l y d ddi mdi ca chi tiln luong cho vien chftc y td Khde vdi cae ngdnh, nghi khae, vi?c ddo tao nhdn lye y tl cd dgc tiift rieng (chu yeu dpi ngu bdc sT) ddi hdi thdi gian ddo tao ddi (6 nam), chi phi ddo tao ldn, luu lupng ddo tgo phdi phft hpp vdi dilu kidn tiiyc tap, tiiyc hdnh ldm sang Do vdy, xa hpi hda ttong ddo tao y tl se la rdt khd khdn Vi vay, Nhd nudc cdn ed chinh sdch phdt tiiln cae co sd ddo tao nghi y tiieo hudng gdn vdi quy md ddn sd tftng vftng, mien''*' vd cdc tmdng dai hpe y hidn ed Tap chi C^ng s d n ddc biet la cdc tmdng co be day vd uy tin ddo tgo ngdnh y Dong tiidi, cdn sdm ed co che tdi ehinh de gdn ket co sd ddo tao y hpc vdi ca sd y te, theo hudng danh mpt khodn ngdn sach hdng nam giao eho co sd y tl theo kit qud ddu Id sd sinh vien tham gia thyc hdnh lam sang, can ldm sdng - Cdn cd chien lupc phat trien cdc ngdnh cdng nghiep sdn xudt cdc hdng hda phye vy dich vu y te dya tren lpi tiie so sdnh gdn vdi quy hoach phdt tiiln h? tiidng y tl Viec tiiuc hien minh bach, cdng khai gid ca dieh vy y td gdn vdi chdt lupng dich vu y te, cd sy kiem sodt cua he tiidng cac CO quan qudn ly y tl, hiep hpi ngdnh, nghe, td chftc qudn ly quy bdo hidm y tl va tii kiem sodt efta ca sd y tl, chdc chan chat lupng hoat dpng dich vy y te tai cdc co sd y te se tdng len, mftc dp hdi long va hi?u qud didu tii timg budc ddp ftng yeu cau ciia nhdn dan Do dac dilm hoat ddng eua eo so y te phdi sft dung nhieu logi may mde trang tiiidt bi, vgt to, dupe phdm, chilm ty ttpng ldn ttong chi phi y tl ma phdn ldn hidn chftng ta dang phdi nhap khdu la chu ylu, vi vdy cdn nghien eftu xdy dyng kl hoach phdt trien tdng thd dd khuyen khich, mdi gpi ddu to, nham tung budc ndng ddn ty Id hang hda sdn xudt ttong nudc, cac hdng sdn xudt tiiilt hi y tl md dai didn, nhd mdy san xudt de tft dd cd dieu kien gidm gid hodc gia sdt vdi gia thi tmdng, chu ddng hon himg hda phuc vu dich vu y tl Ngodi ra, de cd tiie danh gid ddy du, todn dien yd cdc giai phdp ddng bd, quylt liet, cdn td chftc cdng tac tdng ket 10 nam thuc hien Nghi quylt sd 46/NQ/TW, 23-22005, ciia Bd Chinh tii khda DC vd cdng tde bdo ve, cham soc va ndng cao sftc khde nhdn ddn tinh hinh mdi vd Kdt ludn sd 43-KL/TW, 01-4-2009, cua Bd (Thinh tri vd kdt qud ndm Ihyc hien Nghi quylt sd 46-NQ/TW, ttong cdc ndi dung lien quan den ddi mdi chinh sdch tdi chinh va xd hdi hoa y td la nhftng nhiem vy ttpng tam, cd tinh dot pha ttong edi cdch vd phat trien he tiidng y tl VietNam.P (4) O mpt so nuoc, voi quy mo khoang - 1,5 trieu dan CO mpt trudng dai hpc y; moi truong co quy mO tuyen sinh hSng nSm khoang 150 - 200 sinh vien So 867 (thang nam 2015) 97 ... gifta nghd y vd ngdnh, nghe khde) - Xdy dyng vd ban hdnh ehudn myc ehuyen mdn, ndi dung nghidp vy y td (theo timg npi dung ky thudt, gdi djch vu hodc kdt hpp), ehudn myc dgo dftc nghd y Tinh chdt... lupng dich vy y te Vi?c ban hdnh ehudn myc chuydn mdn, nghi?p vy y tl vd ehudn mye dao dftc nghd y ed tic ddng rdt ldn den qud tiinh hien dai hda he thdng y te Thii: hai, nghien eftu chuyen ddi md... y hpc chuyen ng^ih tham gia qua trinh xdy dyng djnh mftc kinh tl - ky thudt vd gid ca sd dich vy y tl Ihir tu, cdc gidi phdp hd trp khae - Tang eudng ngdn sdch hd trp dao tao ngudn nhdn lyc y