Luận văn đẩy mạnh thực hiện chính sách bảo hiểm y tế toàn dân đến năm 2020 trên địa bàn tỉnh hà tĩnh

LỜI CAM ĐOAN tttttttt tttttttt Tôi xin cam đoan Luận văn “Đẩy mạnh thực sách Bảo tttttttt tttttt tt 1tttttt tt t ttttt t ttt ttttt ttt tttt t tttttttt 1tttttt tt tttt tttt tttt tttt 1tttttt tt ttttt ttt 1ttttt ttt hiểm y tế toàn dân đến năm 2020 địa bàn tỉnh Hà Tĩnh” kết tttt tttt tttttt tt 1ttttt ttt ttt tttt t tttt tttt ttttt ttt t ttttt t ttttt ttt nghiên cứu, tìm hiểu riêng 1tttttt tt 1ttttt ttt 1tttttt tt ttt ttttt tttt tttt tttttt tt t tttt tt ttttttt t ttt ttttt tttt tttt ttttt ttt ttttt ttt tttt tttt tttt tttt 1ttttt ttt ttttttt t Tôi đọc hiểu hành vi vi phạm trung thực học tttttttt 1tttttt tt ttt ttttt ttt ttttt tttttt tt t ttttt t ttt ttttt t ttttt t ttttttt t ttttttt t t ttttt t ttttt ttt tttt tttt ttttt ttt tttt tttt thuật Tôi cam kết danh dự cá nhân nghiên cứu này tttttt tt tttttttt tttt tttt tttttttt ttttttt t ttttt ttt ttt ttttt ttttttt t ttttt ttt ttttttt t ttttttt t t tttt tt tttttttt tttttttt tttttt tt tự thực không vi phạm yêu cầu trung thực học thuật./ t ttttt t t tttt tt tttt tttt ttt ttttt ttt tttt t tttttt tt ttttt ttt 1tttttt tt t tttt tt 1tttttt tt ttt ttttt 1tttttt tt Hà Tĩnh, ngày 1tttttt tt tttt tttt t ttttt t Xác nhận ngƣời hƣớng dẫn tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt ttt ttttt tttt tttt 1ttttt ttt t ttttt t ttt tttt t tháng 02 năm 2017 tttt tttt tttt tttt 1tttttt tt Học viên tttttttt tttttttt 1ttttt ttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt ttttttt Trần Thị Thanh Lƣơng tttt tttt 1ttttt ttt ttt ttttt 1tttttt tt 1tttttttt MỤC LỤC tttttttt LỜI CAM ĐOAN tttttttt tttttttt DANH MỤC CÁC CHỮ VIẾT TẮT tttttttt tttttttt tttttttt tttttttt tttttttt DANH MỤC CÁC BẢNG BIỂU tttttttt tttttttt tttttttt ttttttt DANH MỤC SƠ ĐỒ, BIỂU ĐỒ tttttttt tttttttt tttttttt tttttttt tttttttt TÓM TẮT LUẬN VĂN tttttttt tttttttt tttttttt LỜI MỞ ĐẦU tttttttt t ttttt t tttttttt CHƢƠNG 1: KHUNG LÝ THUYẾT VỀ THỰC HIỆN CHÍNH SÁCH ttttttt t tttttttt ttttt ttt tttttt tt tttttt tt t tttt tt t ttttt t tttttt tt ttttttt t 1ttttttt t BẢO HIỂM Y TẾ TOÀN DÂN 11 tttt tttt tttt tttt t ttttt t ttt tttt t ttt ttttt 1.1 Khái quát chung sách Bảo hiểm y tế tồn dân 11 t ttttt t tttt tttt t tttt tt 1ttttt ttt ttttt ttt ttt ttttt 1ttttt ttt t ttttt t ttttt ttt ttt ttttt t tttt tt ttt ttttt 1.1.1 Sơ lƣợc đời phát triển sách Bảo hiểm y tế 11 1tttttt tt 1ttttt ttt ttt tttt t 1tttttt tt t ttttt t t tttt tt ttt ttttt ttttt ttt 1tttttt tt ttttt ttt t tttt tt ttt ttttt 1tttttt tt tttt tttt 1.1.2 Đặc điểm, mục tiêu, nguyên tắc vai trị sách tt ttt ttt ttt ttt tt 1tttttt tt ttttt ttt ttt ttttt ttttt ttt 1tttttt tt tttttttt ttttt ttt t tttt tt tttt tttt t ttttt t ttttt ttt 1tttt tttt Bảo hiểm t ttttt t y tế toàn dân 12 tttttttt t ttttt t tttt tttt 1.1.3 Triển khai sách Bảo hiểm y tế toàn dân 14 tttt tttt 1.2 tttttt tt tttt tttt 1tttttt tt ttt ttttt 1tttttt tt tttt tttt t ttttt t tttt tttt Nội dung sách Bảo hiểm y tế toàn dân 17 ttttttt t ttttt ttt ttt ttttt 1ttttt ttt t ttttt t ttttt ttt ttt tttt t 1tttttt tt ttt ttttt 1.2.1 Xây dựng kế hoạch thực sách 20 ttt ttttt ttttt ttt 1tttttt tt ttttt ttt tttt tttt tttt tttt 1ttttt ttt tttt tttt 1.2.2.Phổ biến, tuyên truyền sách 21 ttttt ttt t ttttt t 1tttttt tt 1ttttt ttt tttt tttt 1.2.3 Phân công, phối hợp thực sách 23 tttt tttt t ttttt t 1tttttt tt ttt ttttt tttt tttt tttt tttt 1tttttt tt tttt tttt 1.2.4 Duy trì sách 25 tttt tttt 1tttttt tt ttttt ttt tttt tttt 1.2.5 Điều chỉnh sách 25 tttt tttt t ttttt t 1ttttt ttt tttt tttt 1.2.6 Theo dõi, kiểm tra, tra thực sách 26 tttt tttt t ttttt t tttttttt tttttt tt t ttttt t 1ttttt ttt ttttt ttt ttttt ttt t tttt tt ttttt ttt 1.2.7 Đánh giá, tổng kết, rút kinh nghiệm 27 tttt tttt ttt tttt t tttttttt 1tttttt tt t ttttt t t ttttt t tttt tttt 1.3 Các tiêu chí đánh giá kết thực sách Bảo hiểm y tế toàn ttt ttttt ttttt ttt t ttttt t ttttt ttt ttt tttt t ttt tttt t tttttttt ttt tttt t 1tttttt tt ttt tttt t t ttttt t ttt tttt t t ttttt t 1tttttt tt tttttttt tttttttt tttt tttt dân 27 1.4 Các yếu tố ảnh hƣởng đến việc thực sách Bảo hiểm y tế tttt tttt tttt tttt ttttttt t tttt tttt ttt ttttt tttt tttt ttt ttttt ttttttt t ttttt ttt ttttt ttt 1tttttt tt 1tttttt tt ttttttt t ttt tttt t tttttttt 1ttttt ttt toàn dân 30 ttt tttt t 1.4.1.Năng lực quản lý nhà nƣớc 30 t tttt tt tttt tttt t ttttt t tttttt tt t ttttt t 1.4.2.Hệ thống tổ chức, thực 31 ttt ttttt t ttttt t 1tttttt tt t tttt tt 1tttttt tt 1.4.3.Mức đóng, mức hỗ trợ 34 ttt ttttt t ttttt t t tttt tt 1tttttt tt 1.4.4.Phạm vi quyền lợi, mức hƣởng 35 t ttttt t tttttt tt ttttt ttt tttttt tt 1ttttt ttt 1.4.5.Phƣơng thức toán 36 ttt tttt t t ttttt t 1tttttt tt 1.4.6 Tổ chức cung ứng dịch vụ y tế 36 tttt tttt tttt tttt tttt tttt t ttttt t 1tttttt tt ttt tttt t t ttttt t ttttt ttt 1.4.7.Sự hiểu biết ngƣời dân 37 1ttttt ttt ttt tttt t tttttttt tttt tttt 1tttttt tt 1.5 Kinh nghiệm triển khai sách Bảo hiểm y tếtoàn dân 37 t ttttt t ttttt ttt 1tttttt tt ttt ttttt ttttt ttt tttt tttt 1ttttt ttt t ttttt t ttttt ttt ttt ttttt t ttttt t 1.5.1 Kinh nghiệm triển khai 37 tttt tttt t ttttt t ttt ttttt ttttt ttt 1.5.2 Bài học rút 39 tttt tttt t ttttt t ttttt ttt 1tttttt tt 1tttttt tt CHƢƠNG 2: THỰC TRẠNG TRIỂN KHAI CHÍNH SÁCH BẢO HIỂM Y tttt tttt tttt tttt 1ttttt ttt ttttt ttt t ttttt t tttttttt 1tttttt tt ttt ttttt ttttttt t tttt tttt 1tttt tttt TẾ TẠI TỈNH HÀ TĨNH 40 1tttttt tt ttttttt t t tttt tt ttt tttt t 2.1.Tổ chức hệ thống Bảo hiểm y tế tỉnh Hà Tĩnh 40 1ttttt ttt 1ttttt ttt ttttt ttt tttt tttt ttttt ttt ttt ttttt tttttt tt tttt tttt tttt tttt 1ttttt ttt 1ttttt ttt 2.1.1 Khái quát hình thành phát triển 40 1 ttt ttttt tttttt tt ttt ttttt ttttt ttt t ttttt t 1ttttt ttt ttttt ttt t ttttt t 2.1.2 Chức năng, nhiệm vụ quyền hạn 41 t tttt t ttttt t ttt ttttt 1tttttt tt 1tttttt tt 1ttttt ttt ttttt ttt tttt tttt 2.1.3 Bộ máy tổ chức hoạt động 42 t ttttt t ttttt ttt ttttt ttt ttttttt t 1tttttt tt 1tttttt tt ttt tttt t 2.2 Thực trạng triển khai sách Bảo hiểm y tế toàn dân tỉnh Hà 1tttttt tt 1ttttt ttt t ttttt t ttt tttt t ttt ttttt 1ttttt ttt 1tttttt tt t tttt tt ttt ttttt ttttt ttt t ttttt t ttt tttt t ttt tttt t tttttt tt 1tttttt tt 1ttttt ttt Tĩnh giai đoạn 2013 – 2015 44 ttt ttttt tttttttt t ttttt t ttttt ttt ttt tttt t 2.2.1.Xây dựng kế hoạch triển khai sách 44 ttttt ttt 1ttttt ttt ttttt ttt tttt tttt tttttt tt ttt tttt t 1tttttt tt 2.2.2 Phổ biến tuyên truyền sách .47 tttt tttt 1tttttt tt ttt tttt t 1tttttt tt 1tttttt tt tttt tttt 2.2.3 Phân công, phối hợp tổ chức thực sách 49 ttt ttttt t ttttt t tttt tttt 1tttttt tt tttt tttt tttt tttt tttt tttt 1tttttt tt ttttt ttt 2.2.4 Duy trì điều chỉnh sách 56 ttt tttt t ttttttt t 1tttttt tt ttt ttttt t tttt tt ttttt ttt 2.2.5 Đánh giá, kiểm tra, giám sát 58 tttt tttt ttttt ttt ttt tttt t ttt ttttt tttttt tt 2.3 Kết triển khai sách Bảo hiểm y tế toàn dân địa bàn tỉnh ttt tttt t ttttt ttt ttttt ttt ttt tttt t tttttt tt ttttt ttt ttttt ttt ttt ttttt 1tttttt tt 1ttttt ttt ttttt ttt ttttt ttt ttt ttttt 1tttttt tt tttt tttt tttttt tt tttt tttt Hà Tĩnh 59 ttttt ttt 2.3.1 Kết địa bàn tỉnh Hà Tĩnh 59 tttt tttt 1ttttt ttt 1tttttt tt ttt tttt t ttt tttt t tttt tttt ttttt ttt ttttt ttt 2.3.2 Kết điều tra đơn vị nghiên cứu 63 tttt tttt 1ttttt ttt 1tttttt tt ttt ttttt ttt tttt t ttttttt t tttt tttt ttttttt t ttt ttttt 2.4.Các nhân tố tác động đến thực sách BHYT tồn dân địa t ttttt t 1ttttt ttt ttttt ttt 1tttttt tt tttt tttt 1tttttt tt t tttt tt tttt tttt ttt ttttt 1tttttt tt t ttttt t 1ttttttt t tttt tttt t tttt tt 1tt ttttt t bàn tỉnh Hà Tĩnh 68 t tttt tt ttt ttttt ttt ttttt 2.4.1 Năng lực quản lý nhà nƣớc 68 tttt tttt ttt tttt t ttttt ttt ttt ttttt ttttttt t ttt ttttt 2.4.2 Hệ thống tổ chức, thực 70 tttt tttt tttt tttt ttt ttttt t ttttt t ttt ttttt ttt tttt t 2.4.3 Mức đóng, mức hỗ trợ 71 tttt tttt tttt tttt ttt ttttt ttt tttt t t ttttt t 2.4.4 Phạm vi quyền lợi, mức hƣởng 71 tttt tttt ttt ttttt ttttttt t 1tttttt tt ttttttt t t ttttt t 2.4.5 Phƣơng thức toán 74 tttt tttt tttt tttt ttt ttttt t ttttt t 2.4.6 Tổ chức cung ứng dịch vụ y tế 75 tttt tttt tttt tttt tttt tttt t ttttt t 1tttttt tt ttt tttt t t ttttt t ttttt ttt 2.4.7 Sự hiểu biết ngƣời dân 77 tttt tttt t ttttt t tttt tttt ttttt ttt 1ttttt ttt ttt tttt t 2.5 Đánh giá chung công tác triển khai Bảo hiểm y tếtoàn dân tỉnh t tttt tt t ttttt t tttttttt ttttt ttt ttttttt t t tttt tt ttt ttttt ttttttt t tttttt tt ttttt ttt ttttt ttt tttttttt ttt ttttt 1tttttt tt ttttttt t 1tttttt tt Hà Tĩnh 78 1ttttt ttt 2.5.1 Những mặt đạt đƣợc 78 tttt tttt t ttttt t ttt ttttt tttt tttt 2.5.2 Những mặt hạn chế 79 tttt tttt t ttttt t ttt ttttt tttt tttt ttttt ttt 2.5.3 Nguyên nhân hạn chế 80 tttt tttt 1tttttt tt tttt tttt tttt tttt ttttt ttt CHƢƠNG 3: GIẢI PHÁP ĐẨY MẠNH THỰC HIỆN CHÍNH SÁCH BẢO tttttt tt tttttttt tttttttt ttttttt t tttttttt tttt tttt t ttttt t tttt tttt tttt ttt t ttttttt t 1tttttttt HIỂM Y TẾ TOÀN DÂN TẠI TỈNH HÀ TĨNH 82 1ttttt ttt tttt tttt tttt tttt ttttt ttt ttt ttttt ttttt ttt tttt tttt ttttt ttt 3.1 Quan điểm, mục tiêu đẩy mạnh thực sách Bảo hiểm y tế tttt tttt 1tttttt tt ttt ttttt ttt ttttt ttttttt t ttttttt t tttt tttt t ttttt t t ttttt t tttt tttt ttttt ttt ttttttt t ttt ttttt tttttttt 1tt tttt tt toàn dân 82 ttt tttt t 3.1.1 Căn đề xuất quan điểm, mục tiêu 82 tttt tttt 1tttttt tt ttt ttttt t ttttt t tttt tttt t tttt tt 1ttttt ttt t ttttt t 3.1.2 Quan điểm mục tiêu tỉnh Hà Tĩnh đến năm 2020 85 tttt tttt ttt tttt t 1ttttt ttt ttttt ttt t tttt tt ttt ttttt tttt tttt ttttt ttt ttttt ttt ttt tttt t ttt ttttt 1ttttt ttt 3.2 Giải pháp để đẩy mạnh thực hiệnBảo hiểm y tế toàn dân tỉnh Hà tttt tttt tttttttt 1tttttt tt tttt tttt tttttttt ttttt ttt ttt ttttt tttt tttt ttttt ttt ttttttt t tttt tttt tttt tttt t ttttt t tttt tttt tttt tttt 1ttt tttt t Tĩnh đến năm 2020 88 ttt ttttt tttt tttt 1tttttt tt 3.2.1.Tăng cƣờng công tác lãnh đạo, đạo, phối hợp tổ chức thực 88 1tttttt tt ttt ttttt 1tttttt tt 1tttttt tt ttt tttt t tttt tttt ttttt ttt t tttt tt tttt tttt ttttt ttt tttt tttt tttt ttt t tttt tt 3.2.2.Đẩy mạnh cơng tác tun truyền, vận động tồn nhân dân việc tttt tttt t ttttt t tttt tttt ttt ttttt 1tttttt tt 1ttttt ttt 1ttttt ttt ttt tttt t tttt tttt 1ttttt ttt tttt tttt t ttttt t 1ttttttt t thực sách Bảo hiểm y tế tồn dân 89 ttttt ttt t ttttt t 1ttttt ttt ttt tttt t tttt tttt t ttttt t ttttt ttt tttt tttt 1ttttt ttt 3.2.3.Nâng caochất lƣợng hệ thống cung cấp dịch vụ y tế, bảo đảm tttt tttt tttttttt ttttt ttt ttttttt t ttttttt t ttttttt t ttttttt t tttttttt tttttttt ttt ttttt ttttttt t tttttttt tttttttt 1ttt ttttt quyền lợi cho ngƣời tham gia Bảo hiểm y tế 91 ttttt ttt ttttt ttt 1tttttt tt ttt tttt t 1ttttt ttt tttttt tt t ttttt t ttttt ttt ttt ttttt 3.2.4 Nâng cao chất lƣợng đội ngũ cán bộ, công chức, viên chức 92 tttt tttt ttt tttt t ttt ttttt ttttt ttt t ttttt t t ttttt t tttt tttt tttt tttt ttttt ttt t ttttt t ttt ttttt ttttt ttt tttt tttt 3.2.5.Thực tốt công tác thi đua khen thƣởng, tra, kiểm tra 93 tttt tttt 1ttttt ttt 1ttttt ttt ttt ttttt ttt ttttt ttt tttt t tttt tttt 1tttttt tt 1ttttt ttt tttt tttt ttttt ttt 1tttttt tt 3.3 Kiến nghị 95 t ttttt t tttt tttt 3.3.1 Đối với Chính phủ 95 tttt tttt ttttt ttt t tttt tt 1tttttt tt 3.3.2 Đối với Bảo hiểm xã hội Việt Nam 95 tttt tttt ttttt ttt t tttt tt ttt ttttt 1tttttt tt ttttt ttt ttttt ttt ttttttt t 3.3.3 Đối với tỉnh Hà Tĩnh 96 tttt tttt ttttt ttt t tttt tt ttt ttttt ttt ttttt Kết luận 97 tttttt tt Tài liệu tham khảo 99 tttttt tt t ttttt t ttttt ttt DANH MỤC CÁC CHỮ VIẾT TẮT BHXH Bảo hiểm xã hội BHYT Bảo hiểm y tế BHTN Bảo hiểm thất nghiệp NLĐ Ngƣời lao động NSDLĐ Ngƣời sử dụng lao động NSNN Ngân sách nhà nƣớc CSSK Chăm sóc sức khỏe KCB Khám chữa bệnh UBND Ủy ban nhân dân tỉnh ILO Tổ chức lao động giới WB Ngân hàng giới CNTT Công nghệ thông tin NQ Nghị TW Trung ƣơng DANH MỤC CÁC BẢNG BIỂU Bảng 2.1: Một số kết chủ yếu thực nhiệm vụ chuyên môn qua năm 44 Bảng 2.2: Số ngƣời, số tiền thu BHYT tỉnh Hà Tĩnh năm 20132015 59 Bảng 2.3: Mức độ hồn thành tiêu đạt sách BHYT toàn dân 60 Bảng 2.4: Số liệu thống kê mức đóng qua năm 2013-2015 61 Bảng 2.5: Tổng hợp kết điều tra nhóm NLĐ doanh nghiệp 65 Bảng 2.6: Kết vấn hộ gia đình 67 Bảng 2.7: Lý ngƣời dân không tham gia bảo hiểm y tế 68 DANH MỤC SƠ ĐỒ, BIỂU ĐỒ Sơ đồ 1.1: Chu trình sách 19 Sơ đồ 1.2: Mơ hình Hệ thống Tổ chức BHXH 32 Sơ đồ 2.1: Cơ cấu tổ chức BHXH tỉnh Hà Tĩnh 43 Sơ đồ 2.2: Quy trình Thu - Cấp thẻ BHYT Khám chữa bệnh BHYT 50 Sơ đồ 2.3: Quy trình quản lý tiền thu BHYT 53 Biểu đồ 2.4:Mơ hình tổng thể kết nối hệ thống tin học KCB BHYT 56 Biểu đồ 2.5: Tỷ lệ đóng phí BHYT thành phần .63 PHẦN MỞ ĐẦU tttttttt tttttttt Tính cấp thiết đề tài tttttttt tttttttt tttttttt 1tttttttt tttttttt tttttttt Sức khỏe vốn quý ngƣời Có sức khỏe, ” “ “ tttttttt ” t ttttt t “ ” “ tttttttt ” “ 1tttttt tt ”.” t tttt tt ttt ttttt tttttttt tttt tttt ” 1 tttttttt 1ttttt ttt ttttt ttt tttttttt 1tt ttttt t ngƣời có hàng trăm ƣớc mơ, khơng có sức khỏe ngƣời có t ttttt t t tttt tt 1ttttt ttt ttt ttttt ttttt ttt tttt tttt 1ttttt ttt ttttt ttt tttt tttt ttt tttt t ttttt ttt ttttt ttt 1tttttt tt t ttttt t ttt tttt t 1tt tttt tt mơ ƣớc “đƣợc khỏe” Trong sống đại ngày nay, ttt ttttt 1tttttt tt 1tttttt tt tttt tttt ttt ttttt tttttttt t ttttt t “ ttt ttttt ” t ttttt t “ ” ttt ttttt “ ” ttttt ttt “ ” 1tttttt tt “ ” tttttttt “ ” tttttttt “ ” lúc hết, nhận thấy sức khỏe ngƣời “ ttttt ttt ” “ tttt tttt ” “ ttt tttt t ” “ t tttt tt ” “ 1tttttt tt ” “ ttt ttttt ” “ ttttt ttt ” “ 1ttttt ttt ” “ ttttt ttt ” “ 1ttttt ttt ” “ t ttttt t ” “ t ttttt t ” “ t ttttt ” “ ttttt ttt ” 1ttttt ttt đứng trƣớc thách thức nguy nhƣ: môi trƣờng sống bị “ ” t ttttt t “ ” tttt tttt “ ” t tttt tt “ ” ttttt ttt “ ” ttttt ttt “ ttt tttt t ” “ tttttt tt ” 1tttttt tt “ ” “ 1tttttt tt ” “ ttt ttttt ” t tttt tt “ ” “ ttt ttttt ” 1tttttt tt “ ” 1ttttt ttt đe dọa nghiêm trọng, dịch bệnh , thiên tai ngày xuất nhiều , vệ “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” “ tttttttt ” tttttttt “ ” “ ttttt ttt ” tttttttt “ ” ttttttt t “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” “ tttttttt ” 1ttttttt t sinh an tồn thực phẩm khơng đƣợc kiểm soát chặt chẽ … Và ốm “ ” “ tttt tttt ” “ 1tttttt tt ” “ tttttt tt ” “ ttt ttttt ” ttttt ttt “ ” “ ttt tttt t ” “ 1tttttt tt ” “ ttttttt t ” “ tttttt tt ” “ tttttt tt ”” ” “ ttt ttttt ” “ ttt ttttt ” “ tttttt tt ” 1ttttt ttt đau xảy đủ khả để trang trải khoản chi “ ” ttttt ttt “ ” tttttttt “ ” tttttt tt “ ” tttttt tt “ ” tttttttt “ ” tttttttt “ ” ttttttt t “ ” ttt ttttt “ ” ttttt ttt “ ” tttt tttt “ ” tttt tttt “ ” ttttttt t “ ” tttttttt “ ” tttttttt “ ” t tttt tt “ ” 1tttttttt phí khám chữa bệnh , đặc biệt ngƣời nghèo, ngƣời yếu “ ” “ tttttttt ” “ t tttt tt ” “ tttttt tt ” “ ttttt ttt ” “ ttttt ttt ” “ tttttttt ” “ tttttttt ” “ tttttt tt ” “ tttttttt ” “ ttttttt t ” “ tttttttt ” “ tttttttt ” 1ttttttt t xã hội Và vƣớng mắc phần đƣợc giải , hỗ “ ” tttt tttt “ ” t tttt tt “ ” ttttt ttt “ ” “ ttttt ttt ” tttt tttt “ ” tttt tttt “ ” 1ttttt ttt “ ” 1tttttt tt “ ” ttttt ttt “ ” ttt ttttt “ ” ttttt ttt “ ” ttttt ttt trợ sách mang tên Bảo hiểm y tế “ ” ttt ttttt “ ” tttt tttt “ ” ttt ttttt “ ” tttt tttt “ ” tttt tttt “ ” ttttt ttt “ ” ttt tttt t “ ” t tttt tt “ ” t ttttt t “ ” ttttttt t “ ” ” t tttt tt “ ” 1tttttt tt “ ”” tttt tttt “ ” ttt tttt t “ ” ttttttt t “ ” ttt tttt t ” ttt ttttt “ ” ttttt ttt “ ” tttttt tt “ ” ttttt ttt “ ” ttttttt t “ ” tttttt tt “ ” 1tttt tttt tttt tttt Nhà nƣớc ta xác định “Bảo hiểm y tế “ “ ” tttt tttt tttt tttt tttt tttt tttt tttt ttttt ttt sách quan ” tttttttt “ ” tttt tttt “ ” 1tttttt tt “ ” t ttttt t “ ” trọng hệ thống sách an sinh xã hội, mang tính cộng “ ttttt ttt ” “ 1tttttt tt ” “ t ttttt t ” “ tttt tttt ” “ 1tttttt tt ” “ tttt tttt ” “ 1ttttt ttt ” “ ttttt ttt ” “ t ttttt t ” “ t ttttt t ” “ tttt tttt ” “ tttttttt ” “ t tttt tt ” “ 1tttttt tt ” 1tttttt tt đồng chia sẻ sâu sắc đƣợc áp dụng lĩnh vực khám chữa bệnh “ ” “ t ttttt t ” “ ttttttt t ” “ ttttt ttt ” tttt tttt “ ” “ ttt ttttt ” “ ttt tttt t ” “ ttttt ttt ” “ t ttttt t ” “ tttt tttt ” “ tttt tttt ” “ t tttt tt ” tttt tttt “ ” “ 1tttttt tt ” ttt tttt t “ ” 1ttttt ttt chăm sóc sức khỏe cho ngƣời, khơng mục đích lợi nhuận , Nhà “ ttttt ttt ” ttt ttttt “ ” tttttttt “ ” ttt ttttt “ ” tttttt tt “ ” ttt tttt t “ ” tttttttt “ ” “ ttttttt t ” t ttttt t “ ” tttttt tt “ ” tttt tttt “ ” tttttt tt “ ” tttttt tt “ ” t ttttt t “ ” ttttttt t “ ” nƣớc tổ chức thực đối tƣợng có trách nhiệm tham gia theo “ ” ttttt ttt “ ” tttttttt “ ” tttt tttt “ ” ttt ttttt “ ” ttttt ttt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” tttttt tt “ ” ttttt ttt “ ” tttttttt “ ” ttttttt t “ ” tttt tttt “ ” tttttttt “ ” 1ttttt ttt quy định Luật Bảo hiểm y tế”.Theo đó, Nghị Đại hội đại biểu “ ” tttttttt “ ” 1tttttt tt “ ” tttttt tt “ ” ttt ttttt “\\“ ” tttttt tt “ ” tttttttt “ ” tttttttt “ “ tttt tttt ” tttttt tt tttttttt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” 1tttttttt toàn quốc lần thứ XI rõ : “Đổi hồn thiện đồng “ ” “ ttttttt t ” ttttt ttt “ ” ttttt ttt “ “ t ttttt t ”” tttttttt “ ” tttttttt “ ” ” tttttttt tttttttt “ ” tttttt tt “ ” ttttt ttt “ ” ttt ttttt “ ” tttttt tt “ ” tttt tttt “ ” tttttttt “ ” tttttttt “ sách bảo hiểm y tế, khám , chữa bệnh viện phí phù hợp; có lộ trình “ ” “ tttt tttt ” “ ttttt ttt ” “ tttt tttt ” “ ttt tttt t ” “ ttt tttt t ” ttt tttt t “ ” ttt ttttt “ ” t ttttt t “ ” “ t tttt tt ” tttt tttt “ ” 1ttttt ttt “ ” t ttttt t “ ” t tttt tt “ ” “ t tttt tt “ ttttt ttt ” 1tt ttttt t ” 1ttt ttttt thực bảo hiểm y tế toàn dân”[ Văn kiện đại hội đại biểu toàn quốc “ ttttt ttt ” tttt tttt “ ” tttttt tt “ ” tttttt tt “ ” tttt tttt “ ” ttttttt t “ ” ttttt ttt “ ” t ttttt t “ ttttt ttt “ ” tttt tttt “ ” ttttt ttt “ ” t tttt tt “ ” t tttt tt “ ” t ttttt t “ ” “ ttt ttttt ” 1ttttt ttt “ ” lần thứ XI, 2011] “ ” ttt ttttt “ ” ttt ttttt ” tttt tttt Năm 2013 , Chính phủ ban hành Quyết định phê duyệt đề án lộ “ ttttt ttt ” ttt tttt t ” 1ttttt ttt “ 1ttttt ttt “ ” tttt tttt “ ” 1ttttt ttt “ ” ttttt ttt “ ” 1tttttt tt “ ” tttt tttt “ ” tttttttt “ ” 1tttttt tt “ ” t ttttt t “ ” tttttttt “ ” tttttt tt “ ” 1tttttt tt “ trình tiến tới BHYT tồn dân đến năm 2015 , định hƣớng tới năm 2020 “ ” tttttt tt “ ” tttttt tt “ ” tttttttt “ ” tttt tttt “ ” ttttt ttt “ ” tttt tttt “ ” tttt tttt “ ” ttttt ttt “ ” ttt tttt t “ ” ttt ttttt “ ” “ ttttt ttt ” tttttttt “ ” 1tttttt tt “ ” ” 1ttt tttt t với mục đính sâu sắc mở rộng phạm vi bao phủ bảo hiểm y tế “ ” tttttttt “ ” t ttttt t “ ” ttt ttttt “ ” ttt tttt t “ ” ttttttt t “ 1tttttt tt “ ” ttt ttttt “ ” tttt tttt “ ” t tttt tt “ tỷ lệ dân số tham gia bảo hiểm y tế , “ ” “ ttttttt t ” “ tttttttt ” tttt tttt “ ” “ tttttt tt ” ttt tttt t “ ” tttttt tt “ ” “ tttttt tt ” “ t ttttt t ” “ tttttttt “ ”” ” tttttttt tttttttt “ “ ” tttttttt “ ” tttt tttt “ ” ttt ttttt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” 1tttttt tt phạm vi dịch vụ y tế đƣợc t ttttt t “ ” “ t ttttt t ” tttt tttt “ ” “ tttttt tt ” tttttt tt “ ” 1ttttt ttt “ ” tttttt tt “ ” “ tttt tttt ” 1ttt tttt t thụ hƣởng giảm tỷ lệ chi trả từ tiền túi ngƣời sử dụng dịch vụ y “ ttttt ttt ” 1tttttt tt “ ” 1tttttt tt “ ” tttttt tt “ ” tttttt tt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” tttttt tt “ ” ttt ttttt “ ” tttt tttt “ ” tttttttt “ ” tttt tttt “ ” ttttt ttt “ ” t ttttt t “ ” ttt ttttt “ ” ttttt ttt “ ” tttt tttt “” tế, góp phần tạo nguồn tài ổn định cho cơng tác chăm sóc sức “ ” “ ttttt ttt ” “ tttttttt ” t ttttt t “ ” tttttttt “ ” tttt tttt “ ” tttttttt “ ” tttt tttt “ ” “ 1ttttt ttt ” tttt tttt “ ” “ tttttt tt ” ttttt ttt “ ” tttttt tt “ ” 1tttttt tt “ ” tttttttt “ ” khỏe nhân dân theo hƣớng công bằng, hiệu quả, chất lƣợng phát triển “ ” tttttttt “ ” 1tttttt tt “ ” 1tttttt tt “ ” tttttt tt “ ” ttt ttttt “ ” tttt tttt “ ” tttttt tt “ ” ttttttt t “ ” ttt tttt t “ ” ttt ttttt “ ” tttt tttt “ tttttttt “ ” ttttt ttt “ ” 1tttttttt bền vững Đây định hƣớng quan trọng “ để thực mục tiêu bảo hiểm “ ” ttttttt t “ ””” “ ” ” tttttttt “ ” 1ttttt ttt “ ” tttttt tt “ ” 1tttttt tt “ ” ttt tttt t “ ” 1tttttt tt “ ” tttt tttt “ ” ttt ttttt “ ” ttt ttttt “ ” tttttttt “ ” tttttttt “ 1ttttttt t ” 1ttttt ttt “ y tế tồn dân , bƣớc đạt tới cơng CSSK Và ” tttttttt “ ” tttttt tt “ ” tttt tttt “ ” ttttttt t “ ttttt ttt ” tttttt tt “ ” ttttttt t “ ” tttt tttt “ ” tttttttt “ ” tttttttt “ ” ttttttt t “ ” ttttttt t “ ” tttttttt ttttt ttt ” tttttttt ” tttttt tt ” 1ttt tttt t đây, khái niệm “Bảo hiểm y tế tồn dân” đƣợc hình thành triển khai ” “ tttttttt ” tttttttt “ ” tttttttt ” tttttt tt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” ttttt ttt “ “ tttt tttt ” ttttttt t “ ” ttt tttt t “ ” tttt tttt “ ” tttttttt “ ” tttttttt “ ” 1tttttttt cách sâu rộng với phạm vi điều chỉnh toàn quốc “ ” tttt tttt “ ” tttt tttt “ ” t ttttt t “ ” t ttttt t “ ” ttttt ttt “ ” t tttt tt “ ” tttttttt “ ” t ttttt t “ ” ttt ttttt “ ” tttt tttt “ ”” ttttt ttt “ ”” ” “ Hà Tĩnh có dân số khoảng 1,3 triệu ngƣời với 53% độ “ ” ttttt ttt “ ” ttttt ttt “ “ tttttttt ” ttttttt t “ ” tttttttt “ ” ttttt ttt ” ttttttt t ttttt ttt “ ” tttttttt “ ” tttttttt “ ” tttttt tt “ ” ttttt ttt “ ” tttttttt “ ” 1ttttt ttt tuổi lao động Tính đến 31/12/2015 , tồn tỉnh có 72% dân số có thẻ BHYT, “ ” ttttt ttt “ ” tttttttt “ ” “ 1tttttt tt ” t ttttt t “ ” 1tttttt tt “ ” “ t ttttt t ” t ttttt t “ ” t ttttt t “ ” ttttt ttt “ ” 1ttttt ttt “ ” ttttt ttt “ ” thấp mức bình qn nƣớc (76%), điều cho thấy thách thức ” tttttttt “ ” tttt tttt “ ” ttttt ttt “ ” ttttt ttt “ ” tttt tttt “ ” ttttttt t “ ttttttt t ” tttttt tt “ ” tttttttt “ ” tttttt tt “ ” tttttttt “ ” tttttt tt để tiến tới BHYT toàn dân địa bàn tỉnh Hà Tĩnh lớn “ ” “ tttt tttt ” “ ttttt ttt ” “ ttttt ttt ” ttttt ttt “ ” “ t ttttt t ” “ ttt tttt t ” “ tttt tttt ” “ tttttttt ” ttttt ttt “ ” “ 1tttttt tt ” “ 1tttttt tt ” tttt tttt “ ” “ ttttttt t ” “ tttttttt ” “ ” 1tttttttt Với “ tttt tttt “ tttt tttt ” 1tttt tttt mục tiêu đặt Nghị 21 - NQ /TW, Bộ Chính trị Quyết “ ” 1tttttt tt “ ” tttttt tt “ ” ttttt ttt “ ” ttttt ttt “ ” ttt tttt t “ ” ttt tttt t “ ” ttttt ttt “ ” ttttttt t “ ” t tttt tt “ ttttt ttt ” định Chính phủ : “Phấn đấu đến năm ” “ tttt tttt ” “ tttt tttt ” “ ttt ttttt ”” ” tttttttt “ tttt tttt ” “ ttttt ttt ” “ 1ttttt ttt ” 1tttttt tt “ ” “ ttttt ttt ” tttt tttt “ ” ttt ttttt “ ” ttttttt t ” tttt tttt “ “ ” tttttttt “ 1ttt tttt t 2020 , có 80 % dân số ” 1ttttt ttt “ ” “ t ttttt t ” “ tttttt tt ” “ t ttttt t ” “ t ttttt t ” “ ttt ttttt ” ttttt ttt ttttt ttt tham gia bảo hiểm y tế” nhƣng tỷ lệ bao phủ BHYT toàn dân địa “ ” “ 1tttttt tt ” “ tttttttt ” tttttt tt “ ” “ tttt tttt ” “ tttt tttt “ 1ttttt ttttt tt ” ttt tttt t “ ” “ tttttttt ” “ ttttt ttt ” “ ttt ttttt ” t tttt tt “ ” tttt tttt “ ” ttt ttttt “ ” “ ttttt ttt ” ttt tttt t “ ” phƣơng thấp, tốc độ tăng chậm , năm 2013 đạt 67% đến năm “ ” “ tttt tttt ” “ tttttttt ” “ tttttttt ” “ tttttttt ” “ tttttttt ” “ tttttttt ” “ ttttttt t ” “ ttttt ttt ” “ tttt tttt ” “ ttttt ttt ” “ tttttttt ” “ tttt tttt ” “ ttt ttttt 1ttttt ttt ” 1ttt ttttt 2014 , đạt 70% đến năm 2015 đạt 72% , so với mức bình quân “ ” “ 1tttttt tt ” “ t ttttt t ” “ ttttt ttt ” “ ttttt ttt ” “ t ttttt t ” “ ttttt ttt ” “ ttt ttttt ” tttt tttt “ ” “ ttt ttttt ” “ tttt tttt ” “ ttttt ttt ” “ 1ttttt ttt ” “ 1tttttt tt ” “ ttttt ttt ” 1tttt tttt nƣớc năm 2015 76% Xuất phát từ thực tế , chọn đề tài nghiên “ ” tttt tttt “ ” ttt ttttt “ ” tttt tttt “ ” ttttt ttt “ ” “ 1ttttt ttt ” 1tttttt tt “ ” 1ttttt ttt “ ” tttt tttt “ ” t tttt tt “ ” ttt ttttt “ ” “ ttt tttt t ” ttttt ttt “ ” ttttt ttt “ ” 1tttttt tt “ ” tttttttt “ ” 1tttttt tt cứu “Đẩy mạnh thực sách Bảo hiểm y tế tồn dân đến “ ” ” ttttt ttt “ tttttttt ” “ tttttttt ” “ tttttttt ” “ tttttttt ” tttttttt “ ” tttttttt “ ” “ tttttttt ” “ tttttttt ” “ tttttttt ” “ tttttttt ” tttttttt “ ” tttttttt “ ” 1tttttttt năm 2020 địa bàn tỉnh Hà Tĩnh” Đây đề tài mang tính cấp thiết, “ ” tttttttt ttttt ttt “ ” tttttttt “ ” 1tttttttt “ ” ttttttt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ “ ttt tttt t ” ttttttt t “ ” ttttttt t “ ” ttt tttt t “ ” tttttttt “ ” ttt ttttt “ ” tttt tttt “ ” tttttttt “ ” có ý nghĩa mặt khoa học thực tiễn Đề tài đƣợc chọn nhằm “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” tttttt tt “ ” tttttt tt “ ” ttt ttttt “ ” ttt ttttt “ ” tttttt tt “ ” ttttt ttt “ “” ” “ tttttttt ” tttt tttt “ ” ttttttt t “ ” ttt ttttt “ ” tttttttt “ ” 1ttttt ttt “ ” 1ttt ttttt giải hai vấn đề: “ ” tttttttt t ttttt t ttttt ttt t ttttt t ttttt ttt ttt ttttt “ 1tttttt tt ” ttttt ttt “ ” ttt ttttt “ ” t tttt tt “ ” - Đánh giá ” thực trạng thực sách Bảo hiểm ” y tế tồn dân tttt tttt “ ttt ttttt ” “ t tttt tt ” ttttttt t “ ” tttt tttt “ ” tttt tttt “ ” ttt tttt t “ ” t ttttt t “ ” ttt ttttt “ ” ttttt ttt “ ” ttt ttttt “ ” tttt tttt “” tttttttt “ ” ttt tttt t “ ” tttt tttt “ ” nói chung địa bàn tỉnh Hà Tĩnh nói riêng giai đoạn 2013 -2015 “ ” tttttttt ttt tttt t ttt ttttt “ tttt tttt ” ttttt ttt “ ” t tttt tt “ ” 1ttttt ttt “ ” ttt ttttt “ ” t tttt tt “ ” 1ttttt ttt “ ” ttt ttttt “ ” ttt ttttt “ ” tttttt tt “ ” tttttt tt “ ” ttttt ttt “ ” 1ttttt ttt “ ” “ ” - Đƣa giải pháp nhằm đẩy mạnh thực “ Bảo hiểm y ttttt ttt “ tttttttt ” tttttttt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” ttt ttttt “ ” tttttttt “ ” ttttttt t “ ” ttt ttttt “ ” ttttttt t “ ” ttttttt t “ ” ttttttt t “ ” 1tttttttt tế” toàn dân địa bàn tỉnh Hà Tĩnh , hƣớng tới mục tiêu đƣợc “ ” tttttttt “ ” “ ttt ttttt ” “ ttt ttttt ” Chính phủ giao “ ” ttt tttt t “ ” 1tttttt tt “ ” “ tttt tttt ” “ tttttttt ” “ ttt ttttt ” “ tttt tttt ” “ ttt ttttt ” “ 1tttttt tt ” “ ttt tttt t ” “ ttttttt t ” “ ttt ttttt ” “ tttttttt ” t ttttt t “ ” 1tt tttt tt tttttt tt 2.Tổng quan nghiên cứu đề tài tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt Bảo hiểm y tế (BHYT) “chính sách lớn hệ thống an “ ” tttttttt “ ” “ tttttttt ” tttttttt “ ” ttttt ttt “ ttttt ttt ” tttttttt “ ” ttt ttttt ” t ttttt t “ ” tttt tttt “ ” ttttt ttt “ ”” tttttttt “ ”” ttttt ttt “ ”” tttttttt “ sinh xã hội, có ý nghĩa nhân đạo, nhân văn ƣu việt, hƣớng tới “ ”” “ tttt tttt ” “ tttttttt ” “ ttttttt t ” “ ttttttt t ” tttttttt “ ” “ tttttt tt ” “ 1ttttt ttt ” ttt ttttt “ ” t ttttt t “ ” tttt tttt “ ” “ ttttt ttt ” “ tttttt tt ” tttt tttt “ ” “ ttttttt t ” “ 1tttttt tt ” ” 1tttt tttt 1ttttttt t mục tiêu cơng lĩnh vực chăm sóc sức khỏe nhân dân” Bảo “ ttttt ttt ” 1ttttt ttt “ ” ttttt ttt “ ” 1ttttt ttt “ ” 1tttttt tt “ ” t ttttt t “ ” t ttttt t “ ” tttt tttt “ ” ttttt ttt “ ” tttt tttt “ ” “ tttttt tt ” t tttt tt “ ” ttt tttt t “ ttttt ttt “ ” ttt ttttt “ ” hiểm y tế toàn dân chủ trƣơng, lộ trình sách “ ” “ ttttt ttt ” “ tttttttt ” ttttttt t “ ” t tttt tt “ ” ttttt ttt “ ” tttttttt “ ” ttttt ttt “ ” tttt tttt “ ” ttttt ttt “ ” “ tttt tttt ” “ tttttttt ” tttttt tt “ ” tttttttt “ ” tttt tttt “ ” 1tttt tttt tổng thể BHYT , đƣợc đề vào năm 2013 với mục tiêu cụ thể toàn dân “ ” tttttt tt “ ” t tttt tt “ ” “ t ttttt t ” ttt tttt t “ ” t tttt tt “ ” ttttt ttt “ ” ttttt ttt “ ” t ttttt t “ ” tttt tttt “ ” ttttt ttt “ ” 1tttttt tt “ ” ttttttt t “ ” 1tttttt tt “ ” ttt ttttt “ ” ttttt ttt “ ” 1ttttt ttt tham gia BHYT , đƣợc san sẻ chi phí khám chữa bệnh “ ” ttt tttt t “ ” 1ttttt ttt “ ” tttttt tt “ ” “ t ttttt t ” ttt ttttt “ ” tttt tttt “ ” ttttt ttt “ ” tttt tttt “ ” tttt tttt “ ” ttttt ttt “ ” 1ttttt ttt “ ” tttt tttt “ ” t ttttt t “ ” ttttt ttt “ ” 1tttttt tt không may gặp rủi ro Và thấy, đánh giá , nhận định “ ” tttttt tt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ”” tttttttt “ ” tttt tttt “ ” tttttt tt “ ” ttt ttttt “ ” tttttttt “ ” tttttttt “ ” 1tttttt tt “ ” tttttttt “ ” 1tttttt tt “ ” 1ttttt ttt “ ” ttttttt t “ 1tttt tttt sách Bảo hiểm y tế “ toàn dân ” vấn đề mới, chƣa đƣợc đề “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” ttttt ttt “ ” tttt tttt “ ” tttttttt “ ” tttttt tt “ ” tttt tttt “ ” tttttt tt “ ”” tttttttt “ ” ttttttt t “ ” tttt tttt “ ” 1tttttt tt cập nhiều tài liệu nghiên cứu , luận văn thạc sỹ hay tiến sỹ Cá “ ” tttttttt “ ” ttttt ttt “ ” ttt ttttt “ ” tttttttt “ ” tttttttt “ ” ttttt ttt “ ” tttttt tt “ ” 1tttttt tt “ ” ttt ttttt “ ” ttttt ttt “ ” t ttttt t “ ” tttttt tt “ ” tttttt tt “ ” tttttttt “ ” tttttttt “ ” ttttt ttt nhân xin đƣợc nêu số nhận định viết, đánh giá “ ” tttt tttt “ ” tttttt tt “ ” tttt tttt “ ” 1tttttt tt “ ” tttt tttt “ ” ttttt ttt “ ” tttt tttt “ ” ttt ttttt “ ” tttttttt “ ” tttttt tt “ ” tttttttt “ ” “ tttttttt ” tttttttt “ ” t ttttt t “ ” tttttttt “ ” 1tt ttttt t tạp chí có phân tích sâu BHYT toàn dân “ ” tttttttt “ ” tttttt tt “ ” tttt tttt “ ” 1tttttt tt “ ” ttt tttt t “ ” t ttttt t “ ” t ttttt t “ ” tttttt tt “ ” tttt tttt “ ” 1tttttt tt “ ” tttt tttt “ ” ttt ttttt “ ” Ngay từ năm 1992 , Điều 39 Hiến pháp nƣớc Cộng hòa xã hội chủ ” “ “ “ ” tttttttt ” ““ ” tttt tttt “ ” “ ” ttt ttttt “ ”” ” ““ ttttttt t ” tttt tttt “ ” ” ““ ttttt ttt ” ” tttttt tt “ ” ” tttt tttt “ ” ” 1tttttt tt ” “ ” “ tttttt tt ” ” tttt tttt ” “ ” ttttttt t “ ” ” “ tttttttt ” ” 1ttttt ttt nghĩa Việt Nam ghi : “thực Bảo hiểm y tế , tạo điều kiện để ” ” tttttt tt “ ” tttttttt “ ” ” ” 1tttttttt “ ” ” 1tttttt tt “ ””” ” ttt tttt t tttttttt “ ” ttt tttt t “ ” ” “ tttt tttt ” ” “ t ttttt t ”.” ” ”” ” “ ttttt ttt ” ttt ttttt “ ” ” ttttt ttt “ ” ” “ tttt tttt ” ” ttt ttttt “ ” ” 1ttttt ttt ngƣời dân đƣợc chăm lo sức khỏe đƣợc tiếp tục khẳng định Hiến ” ” tttt tttt “ ” ” 1tttttt tt “ ” ”” ttt ttttt “ ” “ t ttttt t ” ” tttttt tt “ ” ” “ 1ttttt ttt ” ” ” ttt ttttt tttt tttt ” “ ” t ttttt t “ ” ” tttttttt “ ” ” tttt tttt “ ” ” tttt tttt “ ” ” ttttt ttt “ ”” tttttt tt ” 1ttttt ttt pháp sửa đổi năm 2013 : thực bảo hiểm y tế tồn dân , có sách ” tttt tttt ttttt ttt ” tttt tttt ” tttttt tt ” tttt tttt ” “ ttttt ttt ” t ttttt t “ ” t tttt tt “ ” “ tttttt tt ” 1tttttt tt “ ” ttttttt t ” t tttt tt “ ” 1tttttt tt “ ” “ 1ttttt ttt ” tttttt tt “ ” t ttttt t “ ƣu tiên chăm sóc sức khỏe cho đồng bào dân tộc thiểu số, đồng bào “ ” tttt tttt “ ” tttttttt “ ” tttt tttt “ ” tttttttt “ ” ttttttt t “ ” ttttttt t “ ” tttttt tt “ ” t tttt tt “ ” tttttttt “ ” ttt ttttt “ ” tttttttt “ ” tttttt tt “ ” tttttt tt “ ” ttt ttttt “ ” tttttttt “ ” 1ttt tttt t miền núi, hải đảo vùng có điều kiện kinh tế xã hội đặc biệt khó “ ” “ tttttttt ” “ tttttttt ” “ tttttttt ” “ tttttttt ” “ tttttttt ” “ tttttttt ” “ ttttttt t ” “ tttttttt ” “ tttttttt ” “ tttttt tt ” “ tttttttt ” “ ttttttt t ” “ tttttttt ” “ tttttttt ” “ tttttttt ” ” 1tttttt tt khăn” Trong luận văn này, đề cập chi tiết khía cạnh tỷ lệ dân số “ ttttt ttt tttt tttt “ “ 1ttttt ttt ” ttt ttttt “ ” ttt ttttt “ ” ttt tttt t “ ” “ ttttttt t ” ttttt ttt “ ” ttt tttt t “ ” tttttt tt “ ” ttttt ttt “ ” tttttttt “ ” tttttttt “ ” tttt tttt “ ” t ttttt t “ ttttt ttt “ ” tttttttt “ ” tttttt tt “ ” 1tttttt tt “ ” tham gia BHYT địa bàn mức độ bao phủ ngƣời dân “ ” tttttt tt “ ” “ tttttttt ” tttt tttt “ ” tttttttt “ ” tttttttt “ ” tttttt tt “ ” tttttttt “ ” ttt ttttt “ ” tttttttt ““ ” ttttt ttt “ ” tttttttt “ ” ttttttt t “ ” ttttttt t “ ” ttttttt t “ ” 1ttttttt t tham gia BHYT , yếu tố dịch vụ y tế , mức hƣởng sách “ ” “ tttt tttt ” “ tttt tttt ”” “ t tttt tt ” “ ttt tttt t ” “ ttt ttttt ” “ t ttttt t ” “ tttt tttt ” “ ttt ttttt ” “ tttttt tt ”” “ t tttt tt ” “ 1tttttt tt ” “ tttt tttt ” “ t ttttt t ” “ tttt tttt ” 1ttt ttttt đƣợc đánh giá khía cạnh yếu tố ảnh hƣởng “ ” tttt tttt “ ” tttt tttt “ ” tttttt tt “ ” 1ttttt ttt “ ” ttttt ttt “ ” ttttt ttt “ ” ttt ttttt “ ” tttt tttt “ ” ttt ttttt “ ” Theo viết “Tiến tới bao phủ Bảo hiểm y tế toàn dân Việt “ “ ttttt ttt “ tttttttt tttttttt “ tttttt tt “ ttttttt t “ tttttttt “ t ttttt t “ ttttt ttt “ tttttttt “ ttttttt t “ ttttttt t “ ttttt ttt “ t ttttt t “ ttttt ttt 1tttttttt Nam” Ngân hàng giới WB, “Trong năm đầu thập kỷ 1990, “ “ ttt ttttt “ tttt tttt “ t ttttt t “ ttttt ttt ttttt ttt “ “ tttttttt tttt tttt “ ttt ttttt “ ttttt ttt “ t tttt tt “ t ttttt t “ tttt tttt “ tttttttt chi phí y tế từ tiền túi chiếm tới 70% tổng chi tiêu cho y tế, dẫn “ “ tttttttt ttttttt t “ “ tttttttt “ ttttt ttt “ tttt tttt “ tttt tttt “ tttttt tt “ tttt tttt “ t ttttt t “ t ttttt t “ t ttttt t “ ttt tttt t “ tttttt tt “ ttttt ttt “ t tttt tt ttttttt t “ “ ttttt ttt 1tttt tttt đến tác động xấu vấn đề bình đẳng bảo vệ tài Trong “ “ ttt tttt t “ tttt tttt “ ttttttt t “ tttt tttt “ tttt tttt “ ttttttt t “ t tttt tt “ tttt tttt “ ttttt ttt “ t ttttt t “ ttttt ttt “ tttttttt “ ttttttt t “ tttttttt “ tttt tttt 20 năm sau đó, loạt cải cách bƣớc làm tăng mức bao/ “ “ ttt tttt t “ ttt tttt t “ 1tttttt tt “ ttttt ttt tttt tttt “ “ tttttttt “ tttt tttt “ tttttt tt “ t tttt tt “ tttt tttt phủ BHYT tới nhóm đối tƣợng dân cƣ khác “ “ 1tttttt tt 1tttttt tt “ “ tttttt tt “ ttttttt t “ 1tttttt tt “ ttttttt t “ tttt tttt “ ttttt ttt “ t ttttt t “ ttt ttttt ” “ tttt tttt “ ttt tttt t “ 1ttttt ttt ttt ttttt “ “ tttt tttt “ tttt tttt “ t ttttt t 1tttttttt thông qua Luật BHYT nhằm tạo chƣơng trình BHYT quốc gia, “ “ 1ttttt ttt “ t ttttt t “ ttttt ttt “ 1tttttt tt “ 1ttttt ttt “ 1tttttt tt “ 1tttttt tt “ ttt ttttt “ ttt tttt t giúp BHYT trở thành chế để thực “ “ tttttttt 1tttttt tt “ “ t tttt tt “ ttttt ttt “ ttttt ttt “ tttttt tt “ ttttt ttt “ ttttt ttt “ ttttt ttt “ 1tttttt tt “ ttttttt t tttt tttt “ 1tttttt tt “ tttt tttt 1tttttt tt bao phủ chăm sóc “ tttttttt “ ttttt ttt “ “ t tttt tt 1ttttttt t sức“ khoẻ toàn dân Q trình thực bao phủ tồn diện Việt Nam “ “ ” “ tttt tttt t ttttt t “ ”” “ tttttt tt “ tttt tttt ttt ttttt “ “ tttt tttt “ t ttttt t “ ttttt ttt “ t ttttt t “ 1tttttt tt “ tttttttt tttt tttt “ “ tttttttt “ ttttt ttt đạt đƣợc kết đáng kể, nhờ tăng nhanh tỉ lệ tham gia áp “ “ tttttt tt “ 1ttttt ttt “ 1tttttt tt tttt tttt “ “ ttt ttttt tttt tttt “ “ ttttttt t “ t ttttt t “ t ttttt t “ ttttt ttt tttttttt “ “ ttttttt t “ tttt tttt “ ttttttt t ttttt ttt “ “ ttt ttttt “ t ttttt t “ ttt tttt t “ t tttt tt “ tttt tttt “ tttt tttt “ tttt tttt “ ttt tttt t “ 1ttttt ttt “ t ttttt t “ 1ttttt ttt “ tttt tttt “ 1tttttt tt “ tttt tttt 1tttt tttt cam kết đảm bảo nguồn kinh phí đủ để đạt đƣợc mục tiêu “ “ tttttt tt “ ttttt ttt ttttttt t “ “ tttttt tt “ tttttttt “ tttttttt ttt ttttt “ “ ttttttt t “ tttttttt “ tttttt tt “ ttttttt t “ ttttt ttt ttttttt t “ “ tttttttt “ ttttttt t 1tttttttt đề chƣơng trình Tuy nhiên, Việt Nam nhiều thách thức đáng “ “ ttttt ttt tttt tttt “ “ tttt tttt ttt ttttt “ “ t tttt tt “ ttt tttt t ““ t ttttt t “ ttttt ttt “ ttt tttt t “ ttt ttttt “ t ttttt t “ tttt tttt “ ttt ttttt 1tttttt tt 1ttttttt t dụng mơ hình có bên chi trả chế BHYT Chính phủ “ 1ttt tttt t 1ttttt ttt Năm 2008, Quốc hội “ ttttttt t “ 1ttttt ttt 1tt ttttt t 1tttttt tt kể nâng cao tính cơng với tỷ lệ ngƣời dân có thẻ BHYT thấp “ ttttt ttt ttttttt t “ tttt tttt “ 1ttttt ttt “ tttt tttt “ “ tttt tttt “ 1ttttt ttt “ t tttt tt “ ttttt ttt tttttttt “ tttttttt “ “ ” Tỷ lệ tham gia thấp kể nhóm đối tƣợng phải tham gia bắt buộc “ t tttt tt “ “ tttt tttt tttttttt “ t tttt tt “ ttttttt t “ “ ttttt ttt tttt tttt ttt tttt t ttttt ttt ttt ttttt ttttttt t ttt ttttt tttttttt t tttt tt tttttttt ttttt ttt 1tt ttttt t theo quy định (nhóm lao động thức) nhóm hộ cận nghèo t ttttt t ttt ttttt “ tttt tttt ” t tttt tt “ ” tttttttt “ ” tttt tttt “ ” tttt tttt “ ” t tttt tt “ 1ttttt ttt ” “ 1ttttt ttt ” t tttt tt “ ” tttt tttt “ ” t ttttt t “ ” 1ttt ttttt có gia tăng hỗ trợ mức phí từ ngân sách nhà nƣớc Các phân tích “ ” “ tttttttt ” “ ttttt ttt ” tttttttt “ ” “ ttttttt t ” tttt tttt “ ” “ t ttttt t ” tttt tttt “ ” “ ttttttt t ” “ tttttt tt ” 1tttttt tt “ ” “ tttttt tt ” “ tttt tttt ”” tttt tttt “ ” tttttttt “ ” tttt tttt “ ” 1tttttttt đƣợc nêu cụ thể Báo cáo chung Tổng quan ngành Y tế “ ” ttttttt t “ ” 1tttttt tt “ ” ttt tttt t “ ” ttttt ttt “ ” 1tttttt tt “ ” t ttttt t “ ” tttttttt “ tttt tttt ““ ” t tttt tt “ ” ” 1tttttt tt “ ” 1tttttt tt “ ” ttttt ttt “ ” 1ttttt ttt “ ” 1ttttt ttt “ ” ttttt ttt “ ” 1ttttttt t năm 2013 , 2014 , đề cập đến Bảo hiểm y tế , đặc biệt năm 2013 với “ ” ttttt ttt “ ” ttttt ttt “ ” ” tttttttt ttttt ttt “ ” ttttt ttt “ ” tttttttt “ ” tttt tttt “ ” tttttt tt “ ” tttttttt “” tttttttt “ ”” tttttttt “ ” tttttt tt “ ” tttttttt “ ” ttttttt t “ ” t tttt tt “ chủ đề chăm sóc sức khỏe tồn dân , báo cáo đề cập sâu sắc đến “ ” tttttt tt “ ” tttttttt “ ” ttttt ttt “ ” tttttttt “ ” tttttt tt “ ” ttttttt t “ ” ttttttt t “ ” ttttttt t “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” tttttt tt “ ” tttttttt “ ” tttttttt “ ” tttttttt “ ” 1tttttttt ” 1ttt ttttt 72 CHƢƠNG 3: GIẢI PHÁP NHẰM ĐẨY MẠNH THỰC HIỆN CHÍNH 1tttttttt 1tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt ttttttt tttttttt SÁCH BẢO HIỂM YTẾ TOÀN DÂN TẠI TỈNH HÀ TĨNH tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt 3.1 Quan điểm, mục tiêu đẩy mạnh thực sách Bảo hiểm y tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt 1tttttttt tế toàn dân tttttttt tttttttt 3.1.1 Căn đề xuất quan điểm, mục tiêu tttt tttt t tttt tt tttt tttt ttt ttttt 1tttttt tt tttt tttt ttt ttttt ttttt ttt 3.1.1.1 Quan điểm t ttttt t 1ttttt ttt Quan điểm 1: Bảo hiểm y tế sách xã hội quan trọng, trụ cột “ " 1tt 1tt 1tt t “ 1tt t t 1tt t “ 1tt t 1tt t 1tt t 1tt t 1tt t 1tt t “ 1tt t 1tt t ” 1tt “ 1tt t 1tt t 1tt 1tt t hệ thống an sinh xã hội, góp phần thực tiến công xã 1tt 1tt t 1tt t “ 1tt 1tt t 1tt “” 1tt 1tt t “ 1tt t “ 1tt 1tt “ 1tt t 1tt 1tt t 1tt t 1tt t hội”, bảo đảm ổn định trị - xã hội phát triển kinh tế - xã hội “ 1tt t 1tt t t 1tt t t 1tt t t 1tt t 1tt t 1tt t t 1tt t t 1tt t t 1tt t 1tt t 1tt t t 1tt t t “ 1ttt t tt 1tt t ”” 1tt t 1tt t “ 1tt 1tt 1ttt t Quan điểm 2: Mở rộng hồn th iện chế độ, sách bảo hiểm y tế” “ " “ tttt 1ttt t t t tttt “ tttt 1ttt t t t 1ttt t t t “ tttt tttt 1ttt t t t tttt tttt 1ttt t t t tttt 1ttt t t t tttt 1tt t t t tồn dân có bƣớc đi, lộ trình phù hợp với phát triển kinh tế - xã hội đất tttt 1ttt t t t nƣớc “ 1ttt t t t 1ttt t t t “ tttt t t ttt t t t tttt 1ttt t t t “ 1ttt t t t tttt 1ttt t t t 1ttt t t t 1ttt t t t 1ttt t t t “ tttt ttt t t t ttt t t t 1ttt t ttt “ 1ttt t t t Quan điểm 3: Bảo hiểm y tế phải theo nguyên tắc có đóng, có " 1ttttt ttt hƣởng “ 1ttttt ttt ttttttt t “ tttttttt ttttt ttt “ ttttt ttt ttttttt t “ tttt tttt ”“ tttttttt t ttttt t “ ttttt ttt tttt tttt ttttttt t “ ttttttt t t ttttt t t ttttt t ttt ttttt “ “ t ttttt t “ tttt tttt t tttt tt “ tttt tttt ttt ttttt 1ttttt ttt 1tttttt tt ttttt ttt “ ttt ttttt ttt tttt t ” ttt tttt t toàn dân trách nhiệm cấp u ỷ đảng, quyền, đoàn th ể tổ ttttttt t 1ttttt ttt tttttttt ttttt ttt “ ttttt ttt ttt tttt t ttttt ttt “ tttttttt tttttttt t ttttt t ttt tttt t chức xã hội, doanh nghiệp ngƣời dân 1ttttt ttt 1tttttt tt " Quan điểm 4: Th ực tốt ch ế độ, sách bảo hiểm y tế “ 1tt t t t ttttt ttt tttttt tt 1ttttt ttt tttttt tt ttttt ttt 1tttttt tt ” t ttttt t ”” ttt ttttt ttttt ttt “ ”, “ ttt tttt t ttttt ttt 1tt ttttt t 1tttt tttt 1tttttt tt 3.1.1.2 Mục tiêu t ttttt t tttt tttt Thực có hiệu sách, chế độ bảo hiểm y tế; tăng “ tttt 1ttt t t t tttt 1ttt t t t tttt 1ttt t t t tttt tttt 1ttt t t t tttt 1ttt ttt t 1ttt t t t tttt tttt 1ttt t t t nhanh diện bao phủ đối tƣợng tham gia BHYT; thực mục tiêu bảo hiểm y 1ttt t t t tttt tttt tttt 1ttt t t t tttt tttt 1ttt t t t 1ttt t t t tttt 1ttt t t t 1ttt t t t “ 1ttt t t t 1ttt t t t t t t tt 1tt t t t tế tồn dân Phấn đấu đến năm 2020có 90% dân số tham gia bảo hiểm y “ 1ttt t t t tttt t ttt t t 1ttt t t t 1ttt t t t 1ttt t t t tttt tttt tttt 1ttt t t t 1ttt t t t 1ttt t t t 1ttt t t t tttt tttt 1ttt t t t 1ttt t t t tế.Quản lý, sử dụng có h iệu bảo đảm cân đối Quỹ bảo hiểm y tế X ây “ tttt ttt t t t 1ttt t t t tttt “ tttt 1ttt t t t tttt 1ttt t t t tttt tttt 1ttt t t t tttt tttt 1ttt t t t tttt ttt t t t “ tttt 1ttt t t t dựng hệ thống bảo hiểm y tế đại, chuyên nghiệp, hiệu cao, đáp ứn g 1ttt t t t tttt tttt 1ttt t t t 1ttt t t t tttt tttt 1ttt t t t tttt tttt ttt t t t tttt tttt ttt t t t “ tttt 1ttt t t t u cầu cơng nghiệp h ố, đại hố hội nhập quốc tế tttt 1ttt t t t 1ttt t t t “ 1ttt t t t tttt 1ttt t t t 1ttt t t t 1ttt t t t 1ttt t t t tttt tttt ”” tttt 3.1.1.3 Cơ hội thách thức triển khai Bảo hiểm y tế toàn dân t ttttt t ttt ttttt ttt ttttt t ttttt t ttttt ttt ttttt ttt ttt tttt t tttt tttt 1tttttt tt tttt tttt 1tttttt tt ttttt ttt t ttttt t Có thể nói từ bắt đầu thực sách BHYT tồn dân tttt tttt tttt tttt tttttttt “ t tttt tt ttttttt t ttttttt t ttt tttt t t ttttt t ttt tttt t “ tttt tttt 1tttttt tt 1tttttt tt ttt tttt t ttt ttttt địa bàn , tỉnh nhà nhận đƣợc quan tâm, đạo sâu sát Chính ” tttttttt tttt tttt ttttt ttt ttttt ttt 1ttttt ttt “ 1tttttt tt ttttt ttt t tttt tt tttt tttt ttttt ttt tttttttt tttt tttt tttt tttt tttttttt ttttt ttt 1tttt tttt 1tttt tttt phủ , Bộ ban ngành nhằm đảm bảo tốt quyền lợi BHYT cho gần triệu ” ttttt ttt tttt tttt ttttt ttt t ttttt t tttt tttt ttttt ttt tttt tttt ttt tttt t ttttt ttt 1tttttt tt t tttt tt tttttttt “ 1tttttt tt 1tttttt tt ttt ttttt ttt tttt t lƣợt ngƣời khám chữa bệnh BHYT hàng năm, đồn g thời quản lý chặt chẽ, t ttttt t ttttttt t tttt tttt t ttttt t t ttttt t 1tttttt tt t tttt tt t ttttt t “ “ 1ttttt ttt ttttt ttt tttt tttt tttttttt 1ttttt ttt hiệu quỹ BHYT theo quy định pháp luật Vấn đề đổi ttt ttttt tttt tttt “ ttttt ttt 1tttttt tt tttt tttt ttt ttttt ttttt ttt ttt ttttt ttttt ttt “ ttttt ttt ” tttt tttt t ttttt t tttt tttt ttttt ttt ttt ttttt đại hóa cơng tác quản lý, cải cách thủ tục hành đƣợc lấy làm t tttt tt ttttt ttt 1ttttt ttt t tttt tt tttt tttt “ tttt tttt ttttttt t tttttt tt t ttttt t 1tttttt tt ttttt ttt t tttt tt tttt tttt 1ttttt ttt tttt tttt 1ttttt ttt 1tttt tttt 1tttt tttt 73 trọng tâm, việc đẩy mạnh ứng dụng CNTT thực công tác “ ttt ttttt 1ttttt ttt t ttttt t tttttttt ttt ttttt 1ttttt ttt ttt ttttt 1ttttt ttt tttt tttt t tttt tt 1ttttt ttt t ttttt t tttt tttt 1ttt tttt t giám định , toán chi phí KCB BHYT ln đƣợc BHXH Việt Nam ” tttttttt ttttt ttt tttt tttt “ tttttt tt ttttttt t “ tttttttt ttttt ttt t ttttt t ttttt ttt ttttttt t ttttttt t tttttttt 1tttt tttt quan tâm trọng Đến nay, hầu hết sở khám chữa bệnh BHYT t ttttt t t tttt tt ” 1tttttt tt ” tttt tttt " ttttt ttt ttttt ttt tttt tttt ttt ttttt t tttt tt tttt tttt t ttttt t tttt tttt ttt t ttt ttt ttttt 1tt tttt tt kết nối vào hệ thống thông tin giám định BHYT Từ ngày 25/6/2016, t ttttt t tttttt tt ttttt ttt tttt tttt “ t ttttt t “ t ttttt t “ tttt tttt tttt tttt ttttt ttt 1tttttt tt 1ttttt ttt t tttt tt ttttttt t Cổng tiếp nhận BHXH Việt Nam thức vào hoạt động, tiếp ttt tttt t tttttttt t ttttt t ttt ttttt tttt tttt tttttt tt tttt tttt tttt tttt ttt tttt t ttt tttt t “ tttttt tt tttt tttt tttttttt ttt ttttt 1tttttt tt 1tttttttt nhận liệu đề nghị toán BHYT từ sở KCB BHYT ttt tttt t tttt tttt tttt tttt ttt tttt t tttt tttt t ttttt t ttt tttt t t ttttt t ttt ttttt t ttttt t 1tttttt tt ttttt ttt 1tttttt tt 1tttttt tt phạm vi toàn quốc, nỗ lực lớn ngành BHXH, Y tế ttttttt t ttttttt t tttttt tt tttttt tt tttttttt tttttttt ttttt ttt tttttttt “ tttttt tt ttttt ttt ttttttt t ttt ttttt “ “ tttt tttt “ tttttttt “ tttttttt ttttttt t 1tttttt tt 1tttttttt Bộ, ngành, đơn vị có liên quan, thể tâm thực tốt công tác ttttttt t ttttt ttt tttt tttt tttttttt ttt ttttt ttttttt t ttt ttttt t tttt tt tttttt tt ” ttttttt t 1ttttt ttt t tttt tt tttt tttt tttt tttt tttt tttt 1ttttttt t tin học hóa giám định, tốn chi phí khám, chữa bệnh BHYT tttttttt tttt tttt tttt tttt 1ttttt ttt “ tttttt tt tttt tttt t tttt tt ttt tttt t ttttttt t ttttttt t 1tttttt tt 1ttttt ttt t ttttt t 1tt ttttt t theo đạo Chính phủ Là bƣớc đầu ứng dụng CN TT KCB ttt ttttt ttttt ttt tttt tttt t tttt tt ttt ttttt ” tttt tttt " 1tttttt tt tttt tttt 1tttttt tt “ ttt ttttt ttt ttttt ttt ttttt “ t ttttt t t tttt tt 1tttttt tt nói chung, KC B tốn BHYT nói riêng, việc đƣa hệ thống thơng tttttttt “ ttt ttttt 1tttttt tt tttt tttt t tttt tt t ttttt t t tttt tt tttttttt tttttttt tttttttt “ tttt tttt tttttt tt tttt tttt 1tttttt tt tin giám định BHYT vào hoạt động có ý nghĩa quan trọng, vừa góp tttttttt tttttttt ” 1ttttt ttt ttt tttt t tttttttt tttt tttt tttt tttt tttttt tt ttttttt t tttttttt ttttt ttt ttttt ttt ttttttt t tttt tttt 1ttttttt t phần lớn việc giảm áp lực cán ngành BHXH, vừa đảm ttt ttttt ttt ttttt tttt tttt “ “ ttttt ttt ttttttt t ttttt ttt tttt tttt ttt tttt t ttt ttttt tttt tttt ttttt ttt ttttt ttt tttt tttt ttt tttt t t tttt tt bảo tính xác cơng tác giám định h iệu công tác tttttttt 1tttttt tt ttttt ttt ttttt ttt ttt ttttt tttttt tt tttttt tt ttttttt t ttt ttttt “ ttttttt t “ tttttt tt t ttttt t ttttt ttt ttt tttt t quản lý, ngăn ngừa tình trạng trụ c lợi, lạm dụng quỹ BHYT, vừa giúp giải t tttt tt tttttttt tttt tttt tttt tttt 1tttttt tt “ tttt tttt t ttttt t ttttttt t tttt tttt t ttttt t tttttttt ttttt ttt ttttttt t ttttt ttt 1tttttt tt 1tttttttt nhanh chóng, kịp thời cho ngƣời dân tham gia BHYT Ở địa phƣơng, tttttttt t ttttt t ttttt ttt tttttttt tttttttt ttt tttt t ttttttt t t tttt tt “ t ttttt t ” tttttttt " ttttttt t tttttttt UBND tỉnh có đạo liệt tới đơn vị liên quan “ ttt ttttt tttttt tt “ ttttttt t ttttttt t ttttttt t ttttt ttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt t ttttt t tttttttt ttttttt t tttttttt ttt tttt t tttttttt tttttttt ” ttttt ttt tttt tttt ttttt ttt tttttt tt tttt tttt tttt tttt ttttttt t tttt tttt tttttttt 1tttttt tt tâm tập trung vào giải pháp phối hợp chặt chẽ, bàn giải pháp “ tttttttt ttt tttt t ttttt ttt “ ttttt ttt tttttttt tttttt tt tttttttt ttt ttttt ttttttt t ttttt ttt tttt tttt t ttttt t tttt tttt tttttttt 1tttttt tt phát triển sách BH YT tồn dân Đồng thời, Sở Y tế, BHXH tỉnh ttttttt t ttttttt t tttt tttt “ ttt ttttt ttt tttt t ” t ttttt t ttt ttttt tttt tttt tttttttt “ tttt tttt ttttt ttt ttttttt t tttt tttt ttt ttttt Sở ngành có liên quan cần phân định trách nhiệm rõ ràng việc ttttttt t tttt tttt ttttt ttt 1tttttt tt tttt tttt ttt ttttt 1ttttt ttt ttttt ttt tttt tttt ttt ttttt tttt tttt ttttt ttt 1tttttt tt 1tttttt tt 1ttttt ttt 1tttttttt thực sách BHYT Việc tạo điều kiện thuận lợi để ngƣời dân tttttttt tttttt tt ttttttt t ” ttttt ttt ttttt ttt “ tttttttt tttttttt ttttttt t tttttttt tttttt tt tttttttt tttttttt “ tttttttt 1tttt tttt 1tttttt tt trực tiếp đến triển khai sách Yêu cầu hệ thống trị tttttttt 1tttt tttt 1tttt tttt tham gia BHYT giải quyền lợi cho ngƣời bệnh có BHYT , quản lý 1ttttt ttt ttttt ttt tttttttt ttt tttt t ttttt ttt tttttttt tttttt tt tttt tttt ttttttt t 1tttttt tt tttttt tt t ttttt t “ ” tttttt tt ttt ttttt tttt tttt quỹ BHYT trách nhiệm BHXH Việt Nam.Thƣờng xuyên trao đổi, tttttt tt 1tttttt tt tttttttt t tttt tt tttttt tt 1tttttt tt t tttt tt tttttttt “ ttttt ttt tttttt tt ttttttt t cung cấp thông tin ngƣời lao động, tiền lƣơng doanh nghiệp ttttt ttt tttttt tt tttttt tt tttttt tt tttttt tt tttttttt tttttttt tttt tttt tttttttt tttt tttt ttttt ttt tttttt tt ttttttt t đóng địa bàn để rà sốt, đối chiếu xử lý tình trạng trốn đóng, nợ tttttt tt tttt tttt tttttttt tttt tttt ttttt ttt tttttt tt tttttttt ttttttt t ttttttt t tttttttt ttttttt t tttttttt tttttt tt tttttt tt tttttttt tttttttt 1tttttttt 1tttttttt 1tttttt tt đóng bảo hiểm xã hội, BHYT ttt ttttt tttt tttt t ttttt t t tttt tt ” ttt ttttt Ủy ban nhân dân tỉnh bố trí ngân sách địa phƣơng huy động " ttttt ttt ttt ttttt ttt ttttt t ttttt t 1tttttt tt 1tttttt tt t tttt tt “ t ttttt t “ tttt tttt “ ttttt ttt 1ttttt ttt “ 1tttttt tt ttt ttttt ttt ttttt t ttttt t nguồn lực để hỗ trợ thêm cho ngƣời dân tham gia BHYT, cụ thể: Tập tttttttt ttttt ttt ttttt ttt t tttt tt ttt ttttt 1tttttt tt 1ttttt ttt tttt tttt ttt tttt t 1tttttt tt “ t ttttt t ” tttttttt tttt tttt 1ttttt ttt tttt tttt 1tt ttttt t 1tt ttttt t trung hỗ trợ ngƣời thuộc hộ gia đình cận nghèo (hỗ trợ 30% mệnh giá thẻ), ttttt ttt ttttt ttt “ ttttt ttt ttt ttttt ttt ttttt tttt tttt tttttt tt tttt tttt t tttt tt ” t ttttt t ttt tttt t tttt tttt ttt ttttt ttttt ttt ttttttt t 74 ttttt ttt “ bảo đảm sớm đạt mục tiêu 100% ngƣời thuộc hộ gia đình cận nghèo đƣợc 1ttttt ttt ttt ttttt t ttttt t ttt ttttt tham gia BHYT ttt ttttt ” tttttttt t tttt tt tttt tttt tttt tttt t ttttt t t ttttt t ttt tttt t tttttttt ttt tttt t tttt tttt ttttt ttt ttttt ttt Bên cạnh hội có đƣợc thách thức " ttt tttt t 1tt tttt tt ttt tttt t t ttttt t tttt tttt ttttttt t tttt tttt ttttt ttt ttt ttttt ttttt ttt tttt tttt t ttttt t t tttt tt ttt ttttt 1ttttt ttt phía trƣớc để đạt đƣợc số 90% vào năm 2020.Thực tế cho thấy, tỷ lệ ttttttt t ttt ttttt ttt tttt t ttt tttt t ttt ttttt tttt tttt ttt ttttt 1ttttt ttt 1tttttt tt “ ttt ttttt t ttttt t “ 1tttttt tt t tttt tt tttt tttt bao phủ BHYT tỉnh đạt 76% dân số, nhiên, số ttttttt t tttt tttt 1ttttt ttt ttt ttttt ttttt ttt t tttt tt 1tttttt tt tttt tttt tttt tttt ttttt ttt t ttttt t ttttt ttt “ t ttttt t tttt tttt tttttt tt t ttttt t “ ngƣời tham gia BHYT chủ yếu tập trung vào đối tƣợng ngƣời lao độn g tttttttt ttt tttt t tttttttt tttt tttt ttttt ttt tttttt tt ttttttt t ttttt ttt tttttt tt ttttttt t ttttt ttt tttttttt “ tttttttt 1ttt ttttt 1tttttt tt quan nhà nƣớc; đối tƣợng đƣợc quỹ BHXH đóng ngân sách nhà ttttt ttt ttttt ttt 1ttttt ttt tttt tttt ” 1tttttt tt ttttt ttt “ ttt ttttt 1tttttt tt tttt tttt “ ttt ttttt ttttt ttt tttt tttt tttt tttt tttt tttt t ttttt t nƣớc hỗ trợ Trong đối tƣợng ngƣời lao động doanh nghiệp ttt tttt t ”” ttttt ttt 1ttttt ttt t ttttt t ttttt ttt 1tttttt tt “ ttttttt t 1tttttt tt ttttt ttt tttttttt ttt ttttt tttttttt ttt tttt t t tttt tt 1tttttttt quốc doanh đối tƣợng đƣợc ngân sách hỗ trợ phần đối tƣợng tttttttt ”, 1ttttt ttt 1tttttt tt tttt tttt ttt ttttt 1tttttt tt 1tttttt tt 1ttttt ttt t ttttt t ttttt ttt ttt ttttt ttt ttttt tttttttt tttttt tt hộ gia đình cịn chiếm tỷ lệ thấp.Hà Tĩnh nhƣ nhiều địa phƣơng “ ttttt ttt tttttttt “ tttt tttt tttt tttt tttttt tt tttttttt tttttttt “ ttt ttttt ttt ttttt tttt tttt tttt tttt 1tttttt tt tttt tttt tttttttt khác nƣớc cịn gặp số khó khăn, vƣớng mắc tình trạng ttttt ttt ttt tttt t ttttt ttt ttttt ttt ttttt ttt ttttt ttt trốn đóng, nợ đóng BHYT t ttttt t 1tttttt tt 1tttttt tt tttt tttt ttttt ttt ttt ttttt ttt ttttt 1tttttt tt t ttttt t t1 t1 ttttt ttt 1ttttt ttt 1tttt tttt 1tt ttttt t “ ttttt ttt 3.1.1.4 Bối cảnh triển khai Bảo hiểm y tế toàn dân giai đoạn 2016-2020 t ttttt t ttt tttt t 1ttttt ttt ttt tttt t ttttt ttt 1tttttt tt tttt tttt t ttttt t 1tttttt tt ttt ttttt tttt tttt t tttt tt tttt tttt Với chủ đề “Chung tay thực mục tiêu BHYT toàn dân”, thời " tttttttt tttt tttt t ttttt t t ttttt t tttttttt ttttt ttt tttttt tt tttttt tt tttttt tt 1tttttt tt t tttt tt tttttttt 1tttttttt gian qua BHXH Việt Nam Bộ, ngàn h đề xuất với Chính phủ, tttttt tt t tttt tt t ttttt t tttttttt t tttt tt “ ttttt ttt ttt ttttt “ tttt tttt ttttt ttt tttt tttt ttt ttttt ttttt ttt tttttttt 1ttttt ttt Thủ tƣớng Chính phủ giải pháp nhằm với cấp ủy Đảng, ttt ttttt “ tttt tttt t ttttt t t ttttt t tttttt tt tttttttt tttttttt ” 1ttttt ttt 1tttttt tt tttttttt tttttttt ttttttt t tttt tttt 1tt ttttt t 1tttttt tt quyền, tổ chức trị xã hội tiếp tục vận động tồn dân tích cực ttt tttt t “ tttttt tt tttt tttt ttt tttt t tttt tttt tttttt tt tttt tttt ttttttt t tham gia BHYT năm 2016 t tttt tt ” tttttttt ttttt ttt ttt tttt t tttt tttt t tttt tt ttttt ttt ttttt ttt tttttt tt “ ttttt ttt tttt tttt “ tttt tttt t ttttt t ttttt ttt ttttt ttt 1tttttt tt giai đoạn 2016-2020 với mục tiêu có tttttttt 1tttttt tt 1tttttt tt t tttttt ttttt ttt tttttt tt 1tttt tttt 90% dân số tham gia BHYT vào năm 2020 theo đạo Thủ ttttttt t ” ttt ttttt ttt tttt t t ttttt t tƣớng Chính phủ t ttttt t ” t ttttt t tttt tttt 1tttttt tt tttt tttt t tttt tt ttt ttttt tttt tttt ttttt ttt ttttt ttt tttt tttt 1tttttt tt ttttt ttt 1ttttt ttt ttttt ttt Tỷ lệ tham gia BHYT toàn quốc năm 2015 6,5% dân số, vƣợt " tttttttt tttttttt 1ttttt ttt tttttttt t ttttt t t ttttt t ttt tttt t ttt tttt t ttt ttttt “ tttttttt tttt tttt ttt ttttt tttttt tt 1tttt tttt tiêu Nghị củ a Quốc hội Chính phủ giao Trong tháng đầu tttttt tt ttt tttt t 1tttttt tt “ ttttt ttt “ t ttttt t t ttttt t ttt ttttt ttt tttt t ttt tttt t “ tttt tttt tttttttt ttt ttttt ttttt ttt tttt tttt 1ttttt ttt năm 2016 có khoảng 78,3% dân số tham gia BHYT, vƣợt 0,3% so với tttt tttt 1tttttt tt ttttt ttt tttttttt tttt tttt ttt ttttt ttt ttttt ttttttt t tttt tttt tttttttt ttttt ttt “ tttt tttt ttttt ttt tttt tttt 1tttttttt tiêu Thủ tƣớng Chính phủ giao năm 2016 Quyết định số 15 84/QĐ1 tttttt tt t ttttt t ttt ttttt ttttt ttt tttt tttt 1ttttt ttt ttttttt t tttt tttt t ttttt t tttttt tt ttttt ttt t tttt tt t ttttt t “ TTg ngày 4/9/2015 Tính riêng đơn vị Hà Tĩnh, tính đến 30/6/2016 t ttttt t “ tttttttt 1ttttt ttt ttttt ttt tttttttt có 76% dân số tham gia BHYT ttttt ttt t ttttt t ttt ttttt ttt tttt t ttttt ttt ” ttttt ttt tttttttt ttttt ttt tttttttt ttt tttt t ttt tttt t 1tttttt tt tttt tttt ttt ttttt ttt ttttt Với bối cảnh số ngƣời tham gia thụ hƣởng sách ngày " ttttttt t tttttttt tttt tttt tttt tttt tttttttt ttt tttt t tttttttt ttttt ttt ttt tttt t t ttttt t t ttttt t 1tttttt tt tttttttt nhiều, Luật BHYT sửa đổi với nhiều nội dung nhiên với ttttt ttt t ttttt t t ttttt t ttttt ttt “ ttttt ttt t ttttt t 1ttttt ttt tttttt tt tttt tttt ttttt ttt ttttt ttt tttttt tt ttt ttttt tâm nâng cao chất lƣợng cung ứng dịch vụ phấn đấu đến năm 2020 tttttttt tttt tttt “ 1tttttt tt ttttttt t tttt tttt t ttttt t 1ttttt ttt 1ttttt ttt ”, tttttttt ttt tttt t 1tttttt tt ttt tttt t “ tttt tttt t tttt tt tồn tỉnh có 90% dân số tham gia bảo hiểm y tế, góp phần đẩy nhanh ttt ttttt 1tttttt tt 1tttttt tt tttt tttt t ttttt t tttt tttt ttttt ttt tttt tttt tttttttt t ttttt t 1tttttt tt ttttt ttt 1tttttt tt “ tttt tttt 1ttttt ttt “ ttttttt t lộ trình BHYT tồn dân , Ủy ban nhân dân tỉnh Hà Tĩnh đơn vị sở tttttttt 1tttttt tt t ttttt t ttttt ttt ” ttt ttttt “ tttttt tt 1tttt tttt t ttttt t 1ttttt ttt t ttttt t tttt tttt ttttt ttt ttt ttttt ttt ttttt “ tttttttt 1ttttt ttt tttttttt 1tt ttttt t 1tttt tttt 1ttttt ttt 1tttt tttt 1ttttt ttt 75 ngành xây dựng kế hoạch triển khai thực để đạt tiêu thực tttt tttt ttt ttttt tttttttt tttt tttt ttt tttt t 1tttttt tt ttttt ttt t ttttt t ttt ttttt t ttttt t tttt tttt ttt tttt t t ttttt t ttttt ttt 1tttttt tt 1ttttt ttt BHYT giai đoạn 2016 - 2020 theo Quyết định Thủ tƣớng Chính ” t ttttt t phủ ” ttttt ttt tttttttt ttttt ttt t ttttt t ttt ttttt tttt tttt “ ttt ttttt tttttt tt ttt tttt t t ttttt t ttt tttt t t ttttt t 1ttttt ttt tttt tttt 3.1.2 Quan điểm mục tiêu đẩy mạnh thực sách Bảo hiểm y ttttt ttt ttttt ttt ttttt ttt tttt tttt tttt tttt t ttttt t tttt tttt t tttt tt t ttttt t ttt ttttt t tttt tt 1tttttt tt tttt tttt t ttttt t 1tttttt tt tế toàn dân địa bàn tỉnh Hà Tĩnh đến năm 2020 ttt ttttt 1tttttt tt t ttttt t ttt ttttt tttt tttt 1ttttt ttt ttt tttt t ttt ttttt 1tttttt tt t ttttt t ttttt ttt 3.1.2.1 Quan điểm t ttttt t 1ttttt ttt * Nâng cao nhận thức vị trí, vai trị, ý nghĩa sách Bảo tttt tttt ttttt ttt " ttt ttttt ttt ttttt “ tttt tttt tttt tttt tttt tttt ttttttt t tttttttt tttttttt tttt tttt ttt tttt t tttttt tt t ttttt t ” 1tttttt tt ttt tttt t hiểm y tế toàn dân ” ttt tttt t ttttt ttt tttt tttt 1tttttt tt " - “ BHYT toàn dân hoạt động nhân đạo nhất, thể tttt t t " tttt tttt ttttttt t tttt tttt 1ttt t t t 1ttt t t t 1ttt t t t 1ttt t t t tttt tttt 1ttt t t t tttt tttt hỗ trợ tƣơng thân tƣơng chăm sóc sức khoẻ ngƣời giàu với tttt tttt 1ttt t t t tttt tttt 1ttt t t t tttt tttt tttt tttt tttt “ tttt 1ttt t t t tttt tttt 1ttt t t t 1ttt t t t ngƣời nghèo, ngƣời thuận lợi sức khoẻ với ngƣời ốm đau rủi ro 1ttt t t t tttt 1ttt t t t 1ttt t t t tttt ttt t t t 1ttt t t t 1ttt t t t tttt 1ttt t t t 1ttt t t t tttt tttt tttt 1ttt t t t 1ttt t t t sức khoẻ, ngƣời độ tuổi lao động với ngƣời già trẻ em Đồng 1ttt t t t tttt tttt 1ttt t t t tttt tttt 1ttt t t t tttt 1ttt t t t 1ttt t t t 1ttt t t t tttt tttt 1ttt t t t 1ttt t t t 1tt t t t 1ttt t t t thời, BHYT mang tính dự phịng rủi ro chi phí cao cho chăm sóc sức tttt tttt tttt 1ttt t t t 1ttt t t t 1ttt t t t tttt tttt tttt tttt 1ttt t t t 1ttt t t t tttt tttt 1ttt t t 1ttt t t t tttt khoẻ gây nên ốm đau, bệnh tật tttt tttt tttt 1ttt t t t tttt 1ttt t t t ”1 ttttt ttt " 1ttt t t t - Việc tham gia BHYT toàn dân nghĩa vụ ngƣời dân, kể ttttttt t " tttttttt ttt ttttt tttttttt ttt ttttt t ttttt t ttttt ttt tttttttt tttttt tt ttt ttttt 1tttttt tt tttttttt tttttttt ttttttt t ngƣời khoẻ mạnh Trách nhiệm lãnh đạo, đạo công tác ttttttt t tttttt tt tttttttt ttttt ttt tttttttt ttttt ttt tttttt tt ttttttt t tttttt tt “ tttttttt tttttttt tttttttt tttttttt 1tttt tttt 1tttttttt bảo hiểm y tế cấp uỷ đảng cấp quyền từ Tru ng ttttttt t t ttttt t ttttttt t t ttttt t ttttttt t ttttt ttt t ttttt t tttt tttt ttttt ttt ttttt ttt 1tttttt tt ttt ttttt ttttt ttt 1ttttt ttt ttt tttt t “ 1tttttt tt 1ttt ttttt ƣơng đến địa phƣơng t tttt tt ttt tttt t ttt tttt t " *“Tổ chức thực đồng bộ, có hiệu sách " t ttttt t 1tttttt tt “ ttt ttttt tttt tttt t ttttt t “ tttttttt ttttttt t ttt ttttt tttt tttt tttttttt ” 1tttttt tt t ttttt t tttt tttt 1tttt tttt sách bảo hiểm y tế toàn dân ” ttt tttt t tttt tttt t tttt tt ttt ttttt t tttt tt ttt ttttt " - “ Các cấp quyền đơn vị xây dựng kế hoạch phát tttttt tt " 1tttttt tt tttt tttt tttt tttt 1tttttt tt t ttttt t tttt tttt ttt ttttt “ ttttt ttt ttt tttt t ttttt ttt ttt ttttt tttt tttt ttt ttttt 1tt tttt tt triển kinh tế xã hội hàng năm thời kỳ, phải tính toán, xác định tttt tttt t ttttt t t ttttt t ttt ttttt ttttt ttt tttt tttt t ttttt t ttt ttttt tttt tttt ttt tttt t tttttttt ttt tttt t 1ttttt ttt ttttt ttt tttttttt t ttttt t tiêu dân số tham gia BHYT, bố trí cơng bố tiêu ngân sách, t ttttt t t tttt tt ttt ttttt ttt tttt t 1tttttt tt tttttt tt ttt ttttt ttt ttttt ttttttt t t ttttt t ttttt ttt ttttt ttt 1ttttt ttt t ttttt t tttt tttt t ttttt t 1tttt tttt 1ttttt ttt nguồn ngân sách nhà nƣớc kết hợp với việc huy động thêm t tttt tt ttttt ttt ttt ttttt t ttttt t 1tttttt tt tttt tttt t tttt tt ttttttt t t ttttt t tttt tttt ttt tttt t ttttt ttt tttttttt ttttttt t ttttt ttt tttt tttt nguồn ngân sách khác để mua thẻ BHYT cho ngƣời nghèo ngƣời đƣợc tttt tttt 1tttttt tt ttt ttttt ttttt ttt tttt tttt 1ttttt ttt 1ttttt ttt ttttt ttt 1tttttt tt ttttttt t 1tttttt tt tttttt tt ttttttt t hƣởng sách xã hội, hỗ trợ việc mua thẻ BHYT cho ngƣời thuộc tttt tttt “ tttttttt 1tttttt tt t ttttt t ttttt ttt tttttttt ttt tttt t t tttt tt tttttttt t ttttt t tttttt tt ttttt ttt tttttt tt tttttt tt 1ttt ttttt 1tttt tttt hộ cận nghèo ttttt ttt ” 1tttttt tt -“ Đẩy mạnh công tác kiểm tra, tra, giám sát việc thực “ " ttttt ttt ttttttt t tttttttt ttttttt t ttt ttttt ” tttttttt tttttttt tttttt tt “ tttttttt 1tttttt tt tttttttt 1tttt tttt sách BHYT tất cấp, ngành, đoàn thể đơn vị , 1tttttt tt ttttt ttt “ 1ttttt ttt tttt tttt tttt tttt t tttt tt ttt ttttt tttttt tt ttttt ttt tttt tttt 1tttttt tt tttt tttt ttttt ttt ttt tttt t ttttt ttt ttt ttttt t ttttt t ” doanh nghiệp; “nhanh chóng khắc phục xố bỏ tình trạng ttttt ttt t ttttt t 1tttttt tt ” tttt tttt ttttt ttt tttt tttt t ttttt t ttt tttt t tttt tttt t tttt tt 1tttttt tt “ tttt tttt tttt tttt khơng tham gia hay nợ đóng bảo hiểm xã hội - bảo hiểm y tế kéo dài t tttt tt 1tttttt tt tttttttt tttttt tt ttt tttt t t ttttt t ttttt ttt ttttt ttt 1tttttt tt tttttttt ttttttt t ttttt ttt tttt tttt tttt tttt tttt tttt t ttttt t tttttttt 1ttttt ttt 1tt tttt tt 76 doanh nghiệp Thƣờng xuyên kiểrn tra, tra, giám sát việc sử dụng tttttttt ttttt ttt ” 1ttttt ttt “ tttttttt ttttt ttt t ttttt t ttt ttttt ttttttt t ” tttt tttt “ tttttttt ttttt ttt tttt tttt tttttttt 1tttttt tt bảo hiểm y tế sở khám bệnh , chữa bệnh bảo hiểm y tế để xử “ tttttttt tttt tttt tttttttt ttttt ttt tttttttt tttt tttt 1ttttt ttt t ttttt t ” ttt tttt t “ tttt tttt ttt ttttt ttt tttt t ttttt ttt tttt tttt tttttttt ttttt ttt 1tttttt tt lý nghiêm minh hạn chế, ngăn chặn tƣợng lạm dụng trục lợi tttttttt ttttttt t ttttt ttt tttt tttt ttttt ttt tttttt tt tttt tttt 1tttttt tt tttttttt ttttt ttt tttttttt tttt tttt tttttttt ttttt ttt 1ttttt ttt 1tttttttt từ BHYT t ttttt t "” *“Đổi công tác thông tin, truyền thông tuyên truyền " tttttttt ttttttt t ttt tttt t tttttt tt ttt ttttt ttttttt t ttttt ttt t ttttt t ttttt ttt tttttt tt ttttt ttt 1ttt ttttt sách bảo hiểm y tế tồn dân ” tttt tttt 1tttttt tt t ttttt t ttttt ttt ttt ttttt t tttt tt ttt ttttt “ " - Các quan thông tấn, báo chí quan truyền thơng đại tttttttt "“ 1tttttt tt “ ttttt ttt 1tttttt tt ttttt ttt 1tttttt tt t ttttt t t ttttt t “ t tttt tt ttt ttttt ttt ttttt 1ttttt ttt ttttt ttt t ttttt t 1tt ttttt t chúng cần tập trung việc thông tin , truyền thông tuyên tru yền theo ttttt ttt ttt tttt t ttttt ttt tttttt tt tttttttt ” 1tttttt tt “ tttt tttt tttttt tt t ttttt t tttt tttt “ 1ttttttt t tttttt tt 1ttttt ttt hƣớng nhấn mạnh vị trí, vai trị, ý nghĩa sách BHYT , BHYT ttttt ttt ttt ttttt t ttttt t tttttttt tttttttt tttttttt tttttttt ttttttt t tttttttt ttt ttttt t ttttt t ” tttt tttt tttttt tt 1tt ttttt t toàn dân “ ttt tttt t "” - Phổ biến, tuyên truyền BHYT toàn dân , cần tập trung vào đối tttttttt " tttttttt tttt tttt ” tttt tttt 1tttttt tt 1ttttt ttt tttt tttt 1tttttt tt tttttt tt tttttttt tƣợng chƣa đóng BHYT hiểu biết BHYT: nơng dân, ngƣời cận “ ttttt ttt “ ttttttt t ttttttt t tttt tttt ttttttt t tttttttt tttttttt tttttttt ttttttt t tttttttt “ tttt tttt ttttttt t tttttttt nghèo, học sinh, sinh viên , chủ sử dụng lao động, chủ 1ttttt ttt t tttt tt tttt tttt ” 1ttttt ttt “ tttt tttt 1tttttt tt t tttt tt ttt ttttt 1tttttt tt ” tttttt tt 1tttttt tt ttt tttt t tttttt tt 1tttttt tt 1ttttttt t 1tttttt tt 1tt ttttt t doanh nghiệp tƣ nhân ttttt ttt ttttt ttt ”" t tttt tt * Tổ chức tốt việc khám bệnh, chữa bệnh bảo hiểm y tế " t ttttt t “ 1ttttt ttt “ ttttt ttt tttttttt “ t tttt tt 1tttttt tt 1tttttt tt tttt tttt ttttt ttt ttt tttt t ” ttttt ttt Tham mƣu sử dụng có hiệu nguồn ngân sách có để củng “ “" tttt 1ttt t t t tttt tttt 1ttt t t t 1ttt t t t tttt 1ttt t t t 1ttt t t t tttt 1ttt t t t tttt tttt 1ttt t t t 1ttt t t t cố phát triển mạng lƣới khám bệnh , ch ữa bệnh, đặc biệt mạng lƣới y tế tttt tttt tttt tttt tttt 1ttt t t t ” tttt tttt “ “ ” 1ttt t t t “ 1ttt t t t 1ttt t t t ttt t t t tttt 1ttt t t t tttt tttt 1tt t t t 1tt t t t sở , đáp ứng nhu cầu khám bệnh, chữa bệnh địa phƣơng ” tttt “ 1ttt t t t 1ttt t t t tttt tttt tttt tttt tttt 1ttt t t t 1ttt t t t 1ttt t t t tttt ” tttt * “Phát động vận động toàn dân tham gia bảo hiểm y tể ttt tttt t " t tttt tt ttt ttttt ttttt ttt tttt tttt 1tttttt tt t ttttt t t ttttt t tttt tttt tttttttt ttt tttt t tttt tttt 1tttttt tt tttt tttt 1tt ttttt t chuẩn bị lộ trình tiến đến bảo hiểm y tế toàn dân ” tttt tttt ttt ttttt ttttttt t ttttt ttt 1tttttt tt t ttttt t ttt ttttt 1tttttt tt tttt tttt t ttttt t tttt tttt " “ Phát động vận động toàn dân tham gia BHYT theo lộ trình quy định " " 1tttttt tt “ tttt tttt ttt ttttt 1tttttt tt 1tttttt tt tttt tttt t ttttt t t ttttt t tttttttt 1tttttt tt ttttt ttt ttttt ttt ttt ttttt tttttt tt Luật Bảo hiểm y tế để thực mục tiêu BHYT bắt buộc tttttt tt ttttt ttt tttt tttt ttttt ttt tttttttt tttttt tt t ttttt t tttt tttt ttt ttttt ttt tttt t tttttt tt tttt tttt tttttt tt tttttttt tttttttt toàn dân với tham gia đơn vị nhƣ Mặt trận Tổ quốc tỉnh , phối ” ttttt ttt ttttt ttt ttt tttt t “ t ttttt t tttt tttt tttttttt tttt tttt tttt tttt ttttt ttt tttttttt t ttttt t ttt tttt t ttt ttttt hợp với Liên đồn Lao động tỉnh, Hội Nơng dân tỉnh , 1tttttt tt ttttttt t tttt tttt ttt tttt t tttt tttt ttt tttt t ttttt ttt ttttttt t 1tttttt tt ” t ttttt t 1tttttt tt ttt ttttt ttt tttt t ” tttttttt tttttt tt “” cần đề tiêu chí, “ ttttt ttt ttttttt t 1tttttt tt ttttttt t xây dựng kế hoạch vận động, tổ chức phát động định kỳ sơ kết, ttttt ttt tttt tttt 1tttttt tt ttt ttttt ttt ttttt t ttttt t tttt tttt 1ttttt ttt tttt tttt ttt ttttt tttt tttt t tttt tt t ttttt t ttttt ttt t ttttt t ” tổng kết để vận động thật thiết thực hiệu quả, góp phần làm “ tttttt tt ttt ttttt 1ttttt ttt ttttt ttt tttt tttt tttt tttt ttt tttt t t ttttt t ttttttt t tttt tttt tttttt tt ttttt ttt tttt tttt ttttttt t t ttttt t cho BHYT V iệt Nam phát triển Song song với vận động toàn dân tttttt tt “ t ttttt t tttttttt 1tttttt tt ” tttt tttt tttttttt “ ttttt ttt tttt tttt tttttt tt ttttt ttt t ttttt t tttttt tt tttt tttt tham gia BHYT , Chính phủ cần xây dựng lộ trình thích hợp để tiến đến ttttt ttt ” tttttttt ttt ttttt “ t tttt tt 1ttttt ttt tttt tttt ttttttt t 1tttttt tt ttttttt t ttt tttt t BHYT bắt buộc toàn dân năm 1tttttt tt 1tttttt tt tttt tttt 1ttttt ttt 3.1.2.2 Mục tiêu t ttttt t tttt tttt t tttt tt ttttt ttt t ttttt t tttt tttt ttttt ttt ” ttt ttttt " ttt ttttt tttt tttt 1tttttt tt ttttt ttt 1ttttt ttt 1tttttttt 1tttttttt 1tttttttt 1ttt tttt t 1ttttt ttt 1tt tttt tt 1tttt tttt 77 Giai đoạn 2016-2020, để thực thành cơng sách BHYT tồn " ttttt ttt ttttt ttt tttttttt 1ttttt ttt “ tttt tttt ttt tttt t “ ttttt ttt tttttt tt t ttttt t ttt tttt t ” tttt tttt ttt tttt t t tttt tt dân địa bàn tỉnh Hà Tĩnh, tồn hệ thống trị xác định số ttt ttttt t tttt tt tttt tttt t ttttt t 1tttttt tt ttt ttttt “ tttt tttt tttt tttt 1tttttt tt t ttttt t ttt ttttt tttttttt 1tttttt tt ttttt ttt tttt tttt ttt ttttt tiêu, nhiệm vụ để hoàn th iện sách BHYT tồn dân , cụ ttttt ttt 1tttttt tt 1ttttt ttt ttttt ttt tttt tttt tttt tttt ttt ttttt “ 1tttttt tt tttt tttt ttt tttt t tttt tttt tttt tttt ttt ttttt " ttttt ttt 1tttt tttt thể: “ Bảo đảm đến năm 2016 đạt nh ất 77,5%, năm 2017: 80,6%, năm - " t ttttt t “ ttt tttt t 1tttttt tt ttttt ttt ttttt ttt ttt tttt t “ ttt ttttt “ tttt tttt t ttttt t t tttt tt t ttttt t tttt tttt 1ttt tttt t 2018: 83,8%, năm 2019: 87%, năm 2020: 90% dân số tham gia BHYT tttt tttt ttttt ttt t ttttt t “ ttttt ttt 1tttttt tt t ttttt t 1tttttt tt ttt ttttt tttt tttt ttt ttttt 1tttttt tt ttt ttttt "” 3.2 Giải pháp nhằm đẩy mạnh thực Bảo hiểm y tế toàn dân tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt tttttttt ttttttt 1tttttttt 1tttttttt tỉnh Hà Tĩnh đến năm 2020 tttttttt tttttttt tttttttt tttttttt tttttttt 3.2.1 “Tăng cường công tá c lãnh đạo, đạo, phối hợp tổ chức thực tttt tttt 1tttttt tt 1tttttt tt “ tttt tttt t ttttt t 1tttttt tt ttttt ttt t ttttt t 1tttttt tt tttt tttt t ttttt t ttt ttttt 1ttttt ttt 1tt ttttt t ” “ Có thể nói cơng tác đạo, phối hợp cấp, ngành có t ttttt t " ttt ttttt tttt tttt ttttt ttt tttt tttt ttttt ttt ttttt ttt ttt ttttt tttttt tt ttt ttttt ttttt ttt 1tttttt tt ttt ttttt tttt tttt t ttttt t 1tt ttttt t vai trò định, vì, chủ trƣơng thực sách BHYT mang ttttttt t tttt tttt tttttttt tttt tttt “ t tttt tt tttttttt t ttttt t ttt tttt t tttt tttt “ ttt tttt t “ tttt tttt tttt tttt tttt tttt 1tttt tttt tính tồn dân, phụ thuộc vào nhiều ngành, nhiều cấp khác Nếu không ttt ttttt t ttttt t 1ttttt ttt ttt ttttt tttt tttt tttttt tt t ttttt t tttt tttt tttt tttt t tttt tt ” 1ttttt ttt t ttttt t ttttt ttt có đạo cụ thể phối hợp chặt chẽ, thƣờng xuyên, liên tục tttt tttt ttttt ttt tttt tttt tttt tttt t ttttt t 1tttttt tt tttt tttt ttttt ttt 1tttttt tt 1tttttt tt t tttt tt đạt đƣợc kết nhƣ mong muốn” ttttt ttt t ttttt t ttt ttttt ttttt ttt 1tttttt tt 1ttttt ttt 1ttttt ttt 1tttttt tt t tttt tt t ttttt t t tttt tt ttttt ttt tttt tttt ttt tttt 1tttttt tt “ ttttt ttt " tttttttt tttt tttt “ ttttt ttt tttttttt tttt tttt t ttttt t ttttt ttt 1ttttt ttt 1tttttt tt Với chức quan tham mƣu, tổ chức thực sách ttt tttt t tttttt tt ttttt ttt ttttt ttt ttttt ttt ttttt ttt tttt tttt ” 1ttttt ttt BHYT địa phƣơng BHXH tỉnh Hà T ĩnh cần phải xác định rõ vai trò t tttt tt ttttttt t ttt ttttt tttt tttt ttttt ttt t tttt tt tttt tttt “ ttttt ttt ttttt ttt t tttt tt ttttt ttt t tttt tt 1tttttt tt 1tttttt tt ttttttt t tổng quan mối quan hệ phối hợp với Bảo hiểm xã hội ttttt ttt ttttt ttt tttt tttt ttt ttttt t ttttt t tttt tttt tttttt tt 1ttttt ttt 1tt tttt tt 1tttttt tt tttttttt t ttttt t “ ttttttt t ttttt tt ttttttt t ttt ttttt 1ttt ttttt 1tttttttt Việt Nam , quan ban ngành địa bàn đơn vị trực thuộc để ” ttttttt t ttttt ttt ttttt ttt t ttttt t t ttttt t ttt tttt t ttt tttt t 1tttttt tt t ttttt t t ttttt t tttt tttt ttttt ttt 1tttttt tt 1tttttt tt t tttt tt tttt tttt tttttttt “ tttttt tt 1tttttt tt từ tăng cƣờng cơng tác phối hợp, đạo thực nhiệm vụ cách t ttttt t ttt tttt t 1ttttt ttt tốt ” ttttt ttt tttt tttt t ttttt t ttt ttttt tttttt tt tttt tttt ttttt ttt “ t ttttt t tttt tttt t ttttt t ttt tttt t ttt ttttt 1ttttt ttt tttt tttt 3.2.2 “Đẩy mạnh cơng tác tun truyền, vận động tồn nhân dân t ttttt t t ttttt t ttt ttttt t tttt tt tttt tttt ttttt ttt ttt ttttt t tttt tt t tttt tt t tttt tt tttt tttt t ttttt t 1ttt ttttt việc thực sách Bảo h iểm y tế tồn dân ttttttt t t ttttt t “ ttttt ttt tttt tttt t ttttt t “ tttt tttt ttt ttttt 1ttttt ttt tttt tttt ” t tttt tt Thực BHYT tồn dân nói riêng ln nhiệm vụ có tính ttttt ttt tttttttt ttttt ttt tttt tttt tttttt tt tttttttt tttttttt ttttttt t ttttttt t tttttttt ttttt ttt tttttttt thƣờng xuyên, lâu dài; phải kiên trì với nhiều hình thức tuyên truyền khác tttt tttt tttttt tt ” tttt tttt tttttttt “ tttttttt tttttttt tttttttt tttttttt tttt tttt tttt tttt nhau, đa dạng nội dung, có minh chứng thực tế để ngƣời dân t ttttt t 1tttttt tt ttt ttttt ttttttt t ” ttttttt t t ttttt t “ “ tttttttt 1ttttt ttt ttt ttttt ttttt ttt tttt tttt t ttttt t 1tttttt tt ttttt ttt 1tttttt tt từ chƣa biết đến biết, từ biết đến biết nhiều hiểu, tự giác tham gia 1ttttt ttt ttt tttt t tttttt tt ” ttttt ttt ttttt ttt “ 1ttttt ttt tttt tttt tttt tttt ttt ttttt tttttt tt t ttttt t Trong đó, cần ý số nội dung cụ thể : ttttt ttt t ttttt t ttt ttttt tttt tttt 1tttttt tt t ttttt t t ttttt t ttt ttttt tttt tttt 1tttttt tt t ttttt t “ 1ttttt ttt t ttttt t ttt ttttt tttttt tt ttt tttt t “ ttt ttttt tttt tttt t tttt tt ” 1tttttt tt ttttt ttt ”” tttt tttt tttt tttt ttt ttttt tttt tttt ” tttt tttt " t ttttt t ttttt ttt t tttt tt “ t ttttt t t ttttt t tttt tttt 1tttttt tt t tttt tt ttttt ttt tttt tttt ttt ttttt t ttttt t BHYT toàn dân , hàng tháng đƣa tin nhữn điển hình việc tổ tttttttt tttt tttt ” t ttttt t 1ttttt ttt ttt ttttt ttt tttt t t tttt tt t ttttt t t ttttt t “ tttt tttt tttttt tt tttt tttt tttttt tt “ tttttttt chức triển khai vận động ngƣời tham gia BHYT , “phản ánh chất lƣợng 1tttttt tt tttt tttt tttttt tt ttt ttttt t ttttt t tttt tttt ttt ttttt tttttttt 1tttttt tt 1ttttt ttt 1tttt tttt ttttt ttt - Báo Hà Tĩnh, Đài phát truyền hình xây dựng chuyên mục tttttt tt 1tttt tttt ” 1tttttt tt 1ttttt ttt tttt tttt 1tttttt tt 1tt ttttt t 1tt tttt tt 1tttt tttt 78 KCB nhƣ giải đáp thắc mắc, kiến nghị ngƣời dân tham gia tttt tttt ttttt ttt t ttttt t 1tttttt tt ttttttt t ttt ttttt tttt tttt ” 1tttttt tt “ ttttt ttt ttt ttttt 1ttttt ttt t tttt tt ttt ttttt tttt tttt ttt ttttt 1tttttt tt thụ hƣởng sách BHYT 1ttttt ttt ttt ttttt t tttt tt ” ttt ttttt - Chủ động đào tạo, xây dựng phát triển mở rộng đại lý thu BHYT tttttttt " t tttt tt ttt ttttt ttt tttt t “ ttttttt t “ tttttttt ttt ttttt tttttt tt t tttt tt ttttttt t t tttt tt ttt tttt t tttttt tt tttttttt ttt tttt t 1tt tttt tt đến tận thơn, xóm , tổ dân phố thơng qua hệ thống Bƣu điện, qua tttt tttt t ttttt t tttttt tt ” t ttttt t “ ttttt ttt ttt ttttt ttt tttt t t ttttt t tttt tttt tttt tttt t tttt tt tttt tttt ttttt ttt tttttt tt 1ttttt ttt UBND xã để giới thiệu nhân viên đại lý Tạo điều kiện thuận lợi cho tttt tttt ttt ttttt t ttttt t tttttttt ttttt ttt t ttttt t tttttttt ” tttttttt tttttttt " tttt tttt “ tttt tttt ttttt ttt 1ttttttt t tttttttt 1tttttt tt 1tt tttt tt ngƣời dân tham gia BHYT hộ gia đình t ttttt t ttt ttttt tttt tttt t tttt tt ttttttt t t ttttt t t ttttt t ” ttttttt t Tỉnh nhà cần xác định công tác tuyên truyền phận " 1ttttt ttt tttt tttt t ttttt t ttttt ttt tttt tttt tttt tttt t tttt tt ttt tttt t tttt tttt ttttt ttt tttt tttt 1tttttt tt 1tttttt tt t ttttt t 1ttt ttttt quan trọng chiến lƣợc phát triển lĩnh vực tỉnh, t ttttt t tttt tttt tttt tttt 1tttttt tt tttt tttt “ ttttt ttt t ttttt t t ttttt t t ttttt t “ ttt tttt t 1tttttt tt 1ttttt ttt 1tttttt tt ttt ttttt 1tt tttt tt có phát triển, mở rộng sách BHYT tồn dân, thơng qua cơng tác tttt tttt 1ttttt ttt ttt tttt t ttt ttttt tttt tttt t ttttt t ttt ttttt ttt ttttt tttt tttt ttttt ttt ttt ttttt ttttt ttt “ 1ttttt ttt 1tttt tttt tuyên truyền , giúp cán bộ, đảng viên tầng lớp nhân dân nhận thức ” ttt tttt t “ t tttt tt ttt tttt t 1tttttt tt tttt tttt tttt tttt ttt ttttt 1ttttt ttt ttt ttttt ttt tttt t 1tttttt tt 1tttttt tt ttt ttttt ttt ttttt 1ttttt ttt đầy đủ mục đích , ý nghĩa, tầm quan trọng sách để góp phần vào ttttttt t tttt tttt ” t ttttt t ttt tttt t ttttttt t “ tttttttt t ttttt t 1tttttt tt 1tttttt tt ttt ttttt ttt ttttt t tttt tt ttt tttt t tttttttt t ttttt t 1tttt tttt thành cơng sách Là mũi nhọn tạo hiệu nhanh tttttttt tttt tttt ttttttt t tttt tttt ” ttt ttttt tttttttt " tttttttt tttttttt ttttt ttt tttttt tt tttttttt ttttt ttt t ttttt t ttttttt t 1tttttttt sách cần đƣợc triển khai Công tác thực vào đời sống “ tttt tttt tttt tttt t ttttt t ttttt ttt ” ttttt ttt ttttttt t ttt ttttt 1ttttt ttt tttt tttt 1tttttt tt ttt ttttt ttt ttttt tttt tttt ttttt ttt tttt tttt 1tttt tttt xã hội có phƣơng thức tuyên truyền phù hợp.Công tác tuyên truyền tttttt tt ttttttt t ttttt ttt 1tttttt tt ttt tttt t ttt ttttt tttt tttt “ tttt tttt 1tttttt tt tttt tttt ttttt ttt 1tttt tttt 1tttttt tt 1tt ttttt t cổ động trực quan tạo đƣợc chuyển biến mạnh mẽ nhận thức tttttttt tttttt tt tttttt tt ttttt ttt ttttt ttt tttttt tt tttttttt tttttt tt tttttttt tttttttt ttttt ttt ttttttt t ttttttt t ttttt ttt tttttt tt 1tttttt tt hành động toàn xã hội việc thực sách BHYT tồn dân tttt tttt ttttt ttt ttt ttttt tttt tttt “ ttttt ttt ttttt ttt tttttt tt 1tttttt tt tttttttt tttt tttt t ttttt t t tttt tt ttttt ttt tttt tttt ” t ttttt t Với tham gia cấp, ngành, đoàn thể, tổ chức quan tâm " tttttttt 1ttttt ttt t ttttt t tttttttt t tttt tt ttttt ttt tttttttt tttttttt t ttttt t ttt ttttt ttt tttt t tttttt tt ttt ttttt ttttt ttt 1tttttt tt 1ttttt ttt phối hợp chặt chẽ, có kế hoạch hƣớng dẫn cụ thể cho tập thể, tttttttt tttttttt t ttttt t tttttt tt tttt tttt “ tttttt tt ttt ttttt tttt tttt ttttt ttt ttttt ttt ttt ttttt tttt tttt t tttt tt ttttt ttt ttt ttttt ttttt ttt đơn vị chí cán trở thành tuyên truyền viên tttt tttt tttttttt tttt tttt tttttttt tttt tttt tttt tttt tttttttt ttttt ttt tttt tttt tttt tttt tttt tttt t ttttt t tttttttt ttttt ttt tttttttt có chức tổ chức, tun truyền cổ động sách.Cơng tác tun tttttttt tttttttt tttttt tt tttttt tt ttttttt t ttttttt t ttttttt t ttttttt t tttttt tt tttttt tt ttttt ttt " tttttttt tttttttt 1tttt tttt 1tttttttt 1tttttttt truyền tuyến huyện phải bám sát u cầu có trọng tâm, trọng điểm để ttttt ttt tttt tttt ttt ttttt ttt tttt t ttt tttt t ttttt ttt t ttttt t ttt tttt t tttt tttt ttttt ttt tttt tttt ttt ttttt 1ttttt ttt ttt ttttt 1tttttt tt 1tttttt tt truyên truyền sâu rộng đến tầng lớp nhân dân đạt hiệu cao Đặc ttttt ttt ttttt ttt 1ttttt ttt 1tttttt tt tttt tttt ttttt ttt ttttttt t tttt tttt 1ttttt ttt ttt ttttt ttttt ttt tttt tttt ttttt ttt t ttttt t ttt tttt t tttt tttt " biệt, xã, phƣờng, huyện, thị tỉnh hình thành đƣờn g tttttttt ttttt ttt tttttt tt ttt tttt t tttt tttt ttttt ttt ttttt ttt ttt tttt t ttttt ttt ttt ttttt ttt ttttt “ t ttttt t phố tuyên truyền cổ động, có hệ thống tuyên truyền đồng gồm ttt ttttt tttt tttt 1tttttt tt ttt tttt t tttt tttt tttt tttt ttttttt t tttt tttt “ 1ttttt ttt ttt tttt t tttt tttt ttttt ttt ttttt ttt t ttttt t pa-nô, hiệu, cờ, hệ thốn g loa đài tuyên truyền Đây hình thức tuyên ttttt ttt ttt tttt t 1ttttt ttt 1tttttt tt “ 1ttttt ttt 1ttttt ttt tttttt tt tttttt tt ” tttt tttt 1tttttt tt ttt ttttt tttttt tt ttttt ttt ttttt ttt truyền gần dân tạo hiệu tổng hợp gồm triển lãm nhỏ, văn ttttttt t tttt tttt tttttt tt tttt tttt tttttttt tttttttt ttttt ttt tttttttt ttttt ttt tttt tttt ttttttt t tttttttt tttttttt ttttttt t nghệ cổ động, tranh ảnh trực quan Thông qua tuyên truyền cổ động trực tttt tttt 1ttttt ttt 1tttttt tt 1ttttt ttt ttt ttttt tttt tttt tttt tttt " t tttt tt tttt tttt tttt tttt 1ttttt ttt tttttt tt 1ttttt ttt quan tăng cƣờng, cụ thể hoá tiêu giải pháp thực ttt tttt t ttt ttttt t ttttt t t tttt tt t ttttt t tttt tttt tttttt tt ttt ttttt ttttt ttt tttttttt tttt tttt ttttt ttt tttttttt tttttttt 1ttttt ttt chƣơng trình dễ hiểu đến nhân dân cách nhanh chóng ttttt ttt t ttttt t ttttt ttt tttttt tt 1tttttt tt ttt ttttt ttt ttttt ttt ttttt tttt tttt ttt tttt t tttttt tt tttt tttt xác.Công tác tuyên truyền kịp thời truyền tải thông tin chế độ, ttttt ttt t ttttt t t ttttt t tttt tttt tttt tttt tttttt tt ttttt ttt 1tttttt tt ttttttt t tttt tttt ttttt ttt ttttt ttt 1ttttt ttt ttt ttttt sách, BHYT tạo điều kiện để ngƣời dân tiếp cận thông tin, góp phần t tttt tt ttt ttttt t ttttt t tttttt tt t tttt tt ttttttt t ttttt ttt ttttt ttt ttttt ttt tttttttt tttt tttt t tttt tt tttttttt tttttttt 1tt ttttt t 1tttttt tt 1ttt ttttt 1tttt tttt 1tt tttt tt 1tttt tttt 1tt ttttt t 1ttttt ttt 1ttttt ttt 79 vào việc nâng cao nhận thức quyền trách nhiệm việc tham gia tttttttt tttttttt tttt tttt ttttttt t t ttttt t “ ttt tttt t t ttttt t tttttttt ttttt ttt tttt tttt tttttt tt 1tttttt tt tttttttt t tttt tt 1tttttttt BHYT toàn dân 1tttttt tt ” ttt tttt t 3.2.3 “ Nâng cao lực quản lý quỹ chất lượng hệ thống cung 1ttttt ttt " tttt tttt 1tttttt tt “ t tttt tt ttt tttt t ttt ttttt ttt ttttt 1tttttt tt t ttttt t 1tttttt tt t tttt tt ttttt ttt tttt tttt 1ttttt ttt 1ttttt ttt cấp dịch vụ y tế, bảo đảm quyền lợi cho người tham gia Bảo hiểm y tế t tttt tt t ttttt t ttttt ttt tttt tttt ttt ttttt 1tttttt tt 1ttttt ttt t tttt tt tttt tttt ttt ttttt ttttt ttt 1tttttt tt ttttt ttt tttt tttt tttt tttt tttt tttt t tttt tt ” tttt tttt “Trƣớc hết, ngành Bảo hiểm xã hội nói chung Bảo hiểm xã hội " t ttttt t tttt tttt tttttt tt t tttt tt “ 1ttttt ttt ttt ttttt “ t ttttt t ttt ttttt ttttt ttt tttttt tt t ttttt t t ttttt t tttt tttt ttt ttttt ttt tttt t tỉnh Hà Tĩnh nói; tăng cƣờng cơng tác giám định BHYT ; phân loại đối t tttt tt t tttt tt tttt tttt tttttttt ttt ttttt 1ttttt ttt ttt ttttt ttt ttttt tttttt tt ” ttt ttttt “ 1tttttt tt t tttt tt tttttttt tƣợng đăng ký KCB ban đầu theo hƣớng giảm tỷ lệ đăng ký sở 1ttttt ttt t ttttt t tttttttt tttt tttt tttt tttt tttt tttt ttttt ttt t ttttt t tttttttt ttttttt t tttttttt t ttttt t tttttttt tttttttt ttttttt t t tttt tt KCB tuyến ; nâng cao chất lƣợng ứng dụng công nghệ thông c ông tttt tttt ” tttttt tt “ ttt ttttt ttttt ttt tttttttt tttt tttt tttt tttt ttttt ttt tttttttt tác quản lý tác nghiệp chuyên môn nghiệp vụ ttt tttt t t ttttt t ttt ttttt ttt tttt t tttt tttt 1ttttt ttt 1ttttt ttt 1ttttt ttt 1ttttt ttt tttt tttt 1ttttt ttt ” ttt ttttt ” 1ttttt ttt tttttt tt ttttt ttt tttttttt “ tttttt tt ttttttt t " ttttttt t ttttttt t tttttttt ttt tttt t t ttttt t 1tttttt tt ” 1tttttt tt 1ttttt ttt 1tttttt tt tttt tttt - “”Đối với sở khám, chữa bệnh : nâng cao trình độ 1ttttt ttt 1tttttttt tttt tttt t ttttt t ttt tttt t ttttt ttt 1tttt tttt chuyên môn cho cán bộ, viên chức, đặc biệt viên chức trực tiếp làm việc tttttt tt 1ttttt ttt tttt tttt sở KCB ; nâng cao chất lƣợng dịch vụ y tế bệnh viện ” “ t ttttt t 1tttttt tt ttt tttt t ttttt ttt t ttttt t ttt ttttt tttttt tt 1tttttt tt tttttttt tttt tttt tttttttt t ttttt t tttt tttt tttt tttt ttttt ttt sở KCB; hoàn thiện sở hạ tầng, trang thiết bị phục vụ sở tttt tttt ; ttt ttttt ttttttt t ttt tttt t ttt ttttt ttt ttttt t ttttt t 1tttttt tt “ tttttttt tttttttt tttt tttt tttt tttt tttttttt tttt tttt ttttt ttt 1ttttt ttt 1ttttt ttt KCB ; đầu tƣ trang thiết bị y tế, tăng cƣờng phát triển kỹ thuật để ” t ttttt t tttt tttt t ttttt t 1tttttt tt tttt tttt ttttt ttt “ tttt tttt ” “ ttttttt t t tttt tt ttttt ttt ttt ttttt tttttt tt ttt ttttt tttttttt 1ttttt ttt tttt tttt 1tttt tttt nâng cao chất lƣợng điều trị lĩnh vực lâm sàng cận lâm sàng ttt ttttt tttt tttt 1ttttt ttt t ttttt t tttt tttt ttt ttttt ttttt ttt tttt tttt t tttt tt ttt ttttt t tttt tt ttt ttttt ttttt ttt tttt tttt ttttt ttt ”” 1tttttt tt Tích cự đầu tƣ sở vật chất cho y tế tuyến sở nhằm thúc đẩy ngƣời dân t ttttt t 1tttttt tt tttttttt tttt tttt tttt tttt 1tttttt tt , thăm khám tuyến xã, phƣờng t ttttt t ttt ttttt tttt tttt tttttt tt - “Tăng cƣờng phân cấp quản lý quỹ BHYT theo hƣớng giao quyền t ttttt t tttttttt " tttt tttt “ tttt tttt t ttttt t tttttttt ttttt ttt tttttttt tttttttt 1tttttt tt tttttttt tttttttt tttttttt 1tttttt tt chủ động cho địa phƣơng thu, chi quỹ BHYT t tttt tt tttt tttt 1ttttt ttt 1tttttt tt “ t tttt tt tttttt tt ttttt ttt 1tttttt tt 1tttttt tt ” ttt tttt t 3.2.4 Nâng cao lực chuyên môn đội ngũ cán bộ, viên chức tttt tttt ttt ttttt tttt tttt tttt tttt t ttttt t ttt ttttt ttttt ttt tttt tttt ttttt ttt t tttt tt ttt ttttt ttt ttttt ttt tttt t ttt ttttt Nghị số 21-NQ/TW ngày 22/11/2012 Bộ Chính trị " ttt ttttt “ ttttt ttt tttt tttt ttttt ttt ” ttttttt t tttt tttt ttttt ttt ttttt ttt khẳng định, BHXH, BHYT sách xã hội quan trọng t tttt tt t ttttt t 1tttttt tt tttt tttt tttttttt tttt tttt “ “ tttt tttt tttt tttt ttttt ttt tttttttt ” tttt tttt tttt tttt ttttt tt t ttttt t tttt tttt Nghị "“ tttt tttt yêu cầu: “Kiện toàn tổ chức máy BHXH cấp để thực tttt tttt ttt tttt t tttttt tt t ttttt t 1tttttt tt t ttttt t tttt tttt 1tttttt tt ttttt ttt ttt tttt t ttttt ttt ttt tttt t tttt tttt t tttt tt 1ttttt ttt chế độ, sách BHXH, BHYT đáp ứng yêu cầu nhiệm vụ ngày tttt tttt ttttt ttt ttt ttttt ttttt ttt t ttttt t t ttttt t ttt ttttt t tttt tt ttttttt t ttt ttttt ttt tttt t ttt ttttt tttttttt tăng Nâng cao lực đội ngũ CBCCVC lĩnh vực BHXH, BHYT tttttttt tttttt tt tttttttt ttttttt t tttttttt tttttttt tttttt tt ttt ttttt tttttttt tttttt tt tttttt tt ttttttt t Đẩy mạnh cải cách TTHC, nâng cao chất lƣợng phục vụ, giảm phiền hà " tttttttt t ttttt t tttttttt t ttttt t tttt tttt ttt ttttt ttttt ttt ttt ttttt 1tttttt tt 1ttttt ttt t ttttt t ttttt ttt ttttt ttt cho ngƣời tham gia BHXH, BHYT Do đó, ngành BHXH nói ch ung 1tttttt tt t tttt tt ttt ttttt ttttttt t ” t ttttt t tttt tttt " ttt ttttt ttt tttt t 1tttttt tt ttttt ttt “ ttttt ttt ttttt ttt BHXH tỉnh Hà Tĩnh nói riêng xác định phải quán triệt nghiêm túc quan ttt ttttt t ttttt t ttttt ttt ttttt ttt tttttttt tttttttt 1ttttt ttt tttt tttt tttt tttt tttttttt tttt tttt ttttttt t tttttttt 1ttttt ttt “ điểm Đảng Nh nƣớc xây dựng đội ngũ nhân lực đáp ứng yêu tttttttt tttt tttt tttttt tt “ ttttt ttt ttttttt t ” tttttt tt tttt tttt tttttttt tttt tttt tttttttt tttt tttt 1ttttt ttt ttttttt t “ ttttttt t tttttt tt cầu Cơng ngh iệp hóa - Hiện đại hóa đất nƣớc hội nhập quốc tế Phát 1tttttt tt “ tttt tttt ttttt ttt 1tttttt tt ttt ttttt 1ttttt ttt ttttt ttt 1tttttt tt 1tttttt tt 1tttttt tt ttttt ttt ttttt ttt ttt tttt t ttt ttttt ” ttt ttttt triển nhân lực ngành BHXH trọng tâm Chiến lƣợc phát triển ttttt ttt t ttttt t tttttttt t tttt tt 1tttttt tt tttttttt tttttt tt 1tttttt tt ttt tttt t tttt tttt 1tttttt tt ttt ttttt tttt tttt 1tt tttt tt 1ttttt ttt 1ttt ttttt 1ttt ttttt 1ttttt ttt 1tttttt tt 1ttt tttt t 1tttt tttt 1tttttt tt 1ttttt ttt 1tttt tttt 80 ngành BHXH đến năm 2020 Chính vậy, BHXH Việt Nam cần phải phát ttttt ttt t tttt tt ttt ttttt ” ttttt ttt 1tttttt tt " t tttt tt “ tttttt tt tttttttt 1ttttt ttt ttt ttttt 1tttttt tt t tttt tt tttt tttt huy đƣợc mạnh đơn vị, địa phƣơng; “đảm bảo tính khoa học, tttttt tt ttt tttt t tttt tttt ttt ttttt ttttt ttt 1tttttt tt tttt tttt tttttttt tttttttt t tttt tt 1tttttt tt tttttttt tttt tttt ttt ttttt 1tttttt tt 1ttttt ttt đồng bộ, toàn diện, khả thi, kế thừa phát huy tối đa nguồn lực CCVC tttttt tt ttttttt t tttttt tt tttttttt ttttttt t tttttttt tttttttt ttttt ttt ttttt ttt “ ttttttt t tttttttt tttttttt “ tttt tttt tttttt tt tttttttt 1tt ttttt t có ” ttt tttt t Trên sở đó, triển khai đào tạo, bồi dƣỡng nâng cao trình độ cho đội ngũ " ttttt ttt tttt tttt ttt ttttt ttt ttttt tttt tttt tttttt tt ttt ttttt tttt tttt ttttt ttt tttttt tt tttt tttt 1tttttt tt t ttttt t ttttt ttt tttt tttt ttttt ttt ttttt ttt CCVC để họ tiếp cận đƣợc trình độ quản lý cơng nghệ tiên tiến tttttt tt ttttttt t tttttttt tttttttt ttt tttt t tttt tttt ttt ttttt tttt tttt “ ttt ttttt tttttttt “ ttttt ttt ttttt ttt tttt tttt tttttttt tttttttt 1tttt tttt giới; phát triển mạng lƣới sở đào tạo nguồn nhân lực; tăng cƣờng t ttttt t tttttt tt tttt tttt ttt tttt t ttt tttt t tttttttt ttttt ttt 1ttttt ttt ttt ttttt ttttt ttt 1ttttt ttt ttttt ttt tttt tttt t ttttt t 1tttttt tt khả liên thông, liên kết bậc học, chƣơng trình đào tạo, sở t tttt tt ttttt ttt tttttt tt 1tttttt tt ttt tttt t ttt ttttt tttttttt ttt ttttt tttt tttt t tttt tt 1ttttt ttt “ ttt ttttt tttttt tt ttt tttt t ttt tttt t đào tạo; tăng cƣờng hợp tác quốc tế đào tạo nhân lực Đặc biệt, cần “ tttt tttt tttttt tt t tttt tt ttt ttttt ttt ttttt ttttttt t tttt tttt t tttt tt ttttt ttt ttttt ttt tttt tttt ” 1tttttt tt tttttttt " ttttt ttt tttttttt 1ttttt ttt trọng giữ thu hút nhân tài, chun gia có trình độ chuyên môn cao; ttt ttttt tttt tttt “ tttttt tt t ttttt t 1ttttt ttt ttt ttttt ttt ttttt tttttt tt tttt tttt tttttt tt ttt ttttt ttt ttttt 1ttttt ttt ttt ttttt 1tt ttttt t ttt tttt t 1tttttt tt kiến nghị Nhà nƣớc sửa đổi chế đãi ngộ cho phù hợp với đặc thù tttttttt “ tttttttt tttttt tt ttttt ttt ttt tttt t tttttttt 1ttttt ttt ttttt ttt tttttttt tttt tttt tttt tttt tttt tttt tttt tttt ttttt ttt tttt tttt tttt tttt 1ttt ttttt Ngành ; trọng nâng cao đạo đức công vụ, chuẩn mực đạo đức nghề ” 1tttttt tt tttt tttt tttt tttt tttt tttt t ttttt t 1ttttt ttt 1tttttt tt “ 1tttttt tt ttttt ttt 1tttttt tt ttt ttttt ttt ttttt tttt tttt 1tttt tttt nghiệp, bƣớc cụ thể hóa việc Học tập làm theo gƣơng đạo đức ttttttt t ttttt ttt tttt tttt 1tttttt tt t ttttt t “ tttt tttt ttt tttt t tttttt tt tttt tttt 1tttttt tt “ t tttt tt ttttt ttt tttt tttt t tttt tt ttt tttt t ttttt ttt Hồ Chí Minh vào nhiệm vụ hàng ngày cá nhân Cụ thể nhƣ: 1tttttt tt ttt tttt t t ttttt t tttt tttt ttttt ttt ttttt ttt ttttt ttt ttt ttttt tttttt tt ttt ttttt tttt tttt ” ttt ttttt t tttttt " 1ttttt ttt t tttt tt 1tt ttttt t Cán làm công tác thu, phát triển đối tƣợng phải nắm vững địa bàn, nâng ttt tttt t ttttt ttt ttt ttttt ttttt ttt ttt ttttt tttt tttt 1ttttt ttt ttt ttttt tttttt tt ttttttt t ttttt ttt t ttttt t ttttt ttt 1tttttt tt ttttttt t ttttt ttt cao khả thuyết phục đơn vị vận động phát triển đối 1ttttt ttt t tttt tt tttt tttt tttt tttt 1tttttt tt tttttt tt ttt tttt t tttt tttt ttt ttttt ttt ttttt tttt tttt t ttttt t 1tttttt tt ttt ttttt 1tttt tttt tƣợng, sâu sát sở, DN đƣợc giao chuyên quản, phải cầu nối t ttttt t 1tttttt tt tttt tttt t ttttt t 1ttttt ttt ttttt ttt tttt tttt tttt tttt ttt tttt t tttt tttt ttttt ttt t tttt tt ttttt ttt tttt tttt 1tttttt tt sách Đảng, Nhà nƣớc với NLĐ; cán làm công tác tiếp nhận ttt ttttt tttt tttt tttt tttt t ttttt t ttt tttt t t ttttt t t tttt tt tttt tttt tttt tttt ttt tttt t ttt tttt t tttt tttt ttttt ttt tttt tttt 1tttt tttt hồ sơ trả kết phải đ ổi phong cách phục vụ, nêu cao ý thức “ tttt tttt t ttttt t ttttt ttt ttt ttttt “ ttttttt t ttt ttttt “ tttttttt tttttttt tttt tttt t ttttt t ttt ttttt tttt tttt ttt ttttt 1tttttt tt ttttt ttt ttttttt t 1ttttt ttt trách nhiệm phục vụ nhân dân; coi việc tổ chức, cá nhân việc t ttttt t ttttt ttt 1tttttt tt tttt tttt tttt tttt ttttt ttt ttt ttttt tttttttt t ttttt t tttt tttt ttt ttttt 1ttttt ttt t ttttt t tttt tttt tttt tttt 1ttt ttttt để tận tâm giải quyết; biết lắng nghe tiếp thu ý kiến đắn ttttt ttt ttttt ttt 1ttttt ttt ttt tttt t ttttt ttt tttttttt tttttttt tttttt tt ttttt ttt tttt tttt “ t tttt tt tttttttt 1tttttt tt tttttt tt tttt tttt 1tttttt tt ttt ttttt khách đến giao dịch để cải tiến quy trình, trả kết hạn; với cán tttt tttt tttttt tt tttttttt tttttttt tttttt tt tttttttt tttttttt “ tttttttt ttttt ttt tttttt tt tttttt tt ttt ttttt tttttt tt tttt tttt tttttttt 1tt tttt tt làm công tác nghiệp vụ giải chế độ sách BHXH giám tttttt tt ttttt ttt tttt tttt t tttt tt tttttttt 1ttttt ttt tttttttt tttttttt t ttttt t ttt ttttt tttt tttt ttt ttttt 1ttttt ttt t tttt tt 1tttttt tt định chi phí KCB BHYT, phải tích cực nghiên cứu, nắm vữn g quy định ttt tttt t ttttt ttt ttt ttttt tttt tttt t ttttt t ttt ttttt ttttt ttt t tttt tt ttttt ttt ttttt ttt tttt tttt “ t tttt tt ttt tttt t ttttt ttt tttttt tt sách để cải cách TTHC, rút ngắn thời gian giải quyết, xử lý t ttttt t ttt tttt t 1tttttt tt t ttttt t tttttttt ttt tttt t ttttt ttt t ttttt t 1tttttt tt tttttttt tttttttt tttttttt ttttttt t t tttt tt 1tttttttt ngƣời, phạm vi mức độ quyền lợi ttt ttttt 1tttttt tt tttt tttt ttt tttt t tttttt tt 1tttttt tt 1tttttt tt ttttt ttt Cũng cần khẳng định rằng, việc phát triển nguồn nhân lực ngành BHXH " ttt tttt t ttt tttt t 1tttttt tt ttt tttt t tttt tttt tttttttt t tttt tt tttttttt t tttt tt tttt tttt tttttttt tttt tttt tttt tttt 1ttttttt t nhiệm vụ cấp, ngành toàn xã hội, phải có tính chiến t ttttt t ttttt ttt tttt tttt t ttttt t ttttt ttt tttt tttt ttt tttt t tttt tttt t tttt tt 1tttttt tt ttt ttttt ttttttt t t tttt tt ttttttt t ttttttt t tttttttt ttt tttt t lƣợc lâu dài Do đó, ngành BHXH phải đặc biệt trọng đến việc nâng tttttt tt tttt tttt ” tttttttt ttttt ttt ttt tttt t tttt tttt 1tttttt tt tttttttt ttt tttt t “ tttttttt ttttt ttt ttttt ttt “ tttttt tt tttttttt cao nhận thức cho lãnh đạo đơn vị toàn hệ thống vai trò tttttttt t ttttt t t tttt tt ttt tttt t tttt tttt ttttt ttt tttttt tt t ttttt t tttttttt tttt tttt 1tttttt tt “ 1ttttt ttt 1ttttt ttt tttttt tt tttttttt tttttt tt “ cơng tác đào tạo, bồi dƣỡng CCVC; có chế đánh giá, quy hoạch, bổ tttttttt tttttt tt ttttt ttt ttttt ttt tttttttt tttt tttt ttt ttttt tttttt tt tttt tttt t ttttt t ttt ttttt tttttttt tttttttt ttt ttttt 1tttt tttt 1tttt tttt 1tttttt tt 81 nhiệm cán quản lý cấp cách khoa học, hợp lý, phù hợp Dùng tttt tttt 1tttttt tt t ttttt t 1tttttt tt tttttttt “ ttttt ttt tttttt tt tttt tttt ttt tttt t tttttt tt tttt tttt t ttttt t tttttttt ”” ttt tttt t tttt tttt " tiền lƣơng, tiền thƣởng khoản thu nhập đáng làm đòn bẩy, ttttttt t “ tttt tttt tttttttt tttt tttt ttttttt t tttttt tt ttttt ttt tttt tttt tttttt tt tttt tttt ttttt ttt ttttttt t t ttttt t 1tttt tttt 1tttttttt kích thích tăng suất, chất lƣợng, hiệu lao động Có chế khuyến tttt tttt ttttt ttt ttttt ttt tttt tttt ttttt ttt ttttt ttt tttt tttt tttt tttt tttt tttt ttt tttt t tttttttt t ttttt t ttttt ttt 1ttttt ttt tttt tttt khích quản lý, sử dụng nguồn nhân lực chất lƣợng cao Đặc biệt, ttttt ttt ttttt ttt tttt tttt tttttttt ttttt ttt tttt tttt 1tttttt tt ttttt ttt tttttttt ttt ttttt t ttttt t tttttttt ttt ttttt 1tttttttt phải gắn kết với mục tiêu chung đất nƣớc, mục tiêu phát tttttttt ttttt ttt t ttttt t tttt tttt t ttttt t 1tttttt tt ttttt ttt ttt ttttt ttttt ttt t ttttt t ttttt ttt ttt ttttt t ttttt t ttttttt t tttt tttt ttttttt t triển ngƣời mục tiêu phát triển thiên niên kỷ t ttttt t ttt ttttt ttttt ttt tttt tttt 1tttttt tt t ttttt t tttt tttt 1tttttt tt “ tttt tttt ” t ttttt t Mỗi cán công chức, viên chức nói chung đội ngũ cán " tttttttt t ttttt t ttttttt t tttttt tt tttttttt tttttttt ttttttt t tttttttt tttt tttt tttttttt tttttttt ttt ttttt tttt tttt tttttttt BHXH tỉnh Hà Tĩnh nói riêng, khơng ngừng phấn đấu nâng cao phấm chất 1ttttt ttt ttt ttttt tttt tttt ttt ttttt tttttttt tttttttt 1ttttt ttt tttt tttt “ 1tttttt tt ttt ttttt ttttt ttt tttttttt ttt ttttt đạo đức cách mạng, lực thực tiễn, trình độ chun mơn đáp ứng yêu tttttttt ttttttt t tttt tttt tttttttt “ ttttttt t tttttttt ttttt ttt ttttttt t tttt tttt tttt tttt ” ttt tttt t tttttttt tttttttt ttttttt t cầu ngành BHXH xu hội nhập quốc tế nghiệp tttttttt tttttttt ttt ttttt tttt tttt ttttt ttt ttttt ttt ttttt ttt cơng nghiệp hố, đại hoá đất nƣớc ttt ttttt ttt ttttt ttttt ttt t ttttt t t ttttt t ttt ttttt “ ttttttt t ” tttt tttt tttttttt tttttttt ttttttt t ttttttt t tttttttt ttttt ttt 1tttt tttt 1tttt tttt 1tttttttt 1tttttttt 1tttttt tt 3.2.5.“Thực tốt công tác thi đua khen thưởng, tra, kiểm tra’ 1tttttt tt tttt tttt ttt ttttt 1tttttt tt t tttt tt t tttt tt ttt ttttt t ttttt t tttt tttt ttttt ttt tttt tttt t ttttt t Để thực tốt công tác thi đua khen thƣởng, tra, kiểm tra, ttttt ttt tttt tttt ttttt ttt ngành BHXH cần: ttttt ttt 1ttttt ttt “ tttt tttt t tttt tt 1ttttt ttt tttt tttt tttt tttt 1tttttt tt tttt tttt t ttttt t t tttt tt ” ttttt ttt t ttttt t - “ Phân định rõ trách nhiệm tăng cƣờng công tác tra, kiểm ttttttt t " 1tttttt tt ttttt ttt tttt tttt ttttt ttt “ ttttt ttt tttttttt ttttt ttt tttt tttt tttt tttt tttt tttt tttttt tt t tttt tt tttttttt 1tttttttt tra thực sách quan QLNN cấp; Tham mƣu cho tttttttt t ttttt t tttttt tt ttt tttt t t ttttt t ttttt ttt “ ttt tttt t tttt tttt t ttttt t ttttt ttt tttttttt " tttttt tt ttt ttttt 1tt tttt tt UBND tỉnh đạo Sở, ngành liên quan tổ chức tra, kiểm tra 1ttttt ttt ttt tttt t tttttttt tttttt tt ttttttt t tttt tttt ttttt ttt ttttttt t 1ttttt ttt ttttt ttt t tttt tt 1tttttt tt tttttttt tttttttt 1tttt tttt địa bàn ” t ttttt t t ttttt t ttt ttttt ” t ttttt t - “Chọn lọc, bố trí c án kiểm tra, tra có đủ phẩm chất, đạo ttttttt t ttt tttt t “ " ttttt ttt “ 1tttttt tt 1tttttt tt ttttt ttt đức lẫn chuyên môn nghiệp vụ; cử tham gia lớp đào tạo, bồi dƣỡng, tập tttt tttt tttttttt ttt ttttt ttttt ttt ttt ttttt ttttt ttt ” tttttttt “ ttt ttttt huấn nghiệp vụ Thanh tra Chính phủ , Thanh tra tỉnh tổ chức địa tttt tttt tttttttt ttt ttttt ttttttt t 1tttttt tt ttttt ttt “ ttt ttttt “ tttttt tt 1tttttt tt ttttt ttt 1tttttt tt tttt tttt tttttt tt tttttttt 1tttttt tt 1tttttttt phƣơng đơn vị nghiệp vụ BHXH Việt Nam tổ chức Thực tttttt tt tttttttt tttttttt tttttttt t ttttt t tttttttt tttttttt t tttt tt ttt tttt t tttttttt ttt tttt t ” ttttttt t tttttttt " 1tttttt tt tốt chế độ hỗ trợ cán kiểm tra, giải khiếu nại, tố cáo ttt ttttt ttttt ttt tttt tttt 1tttttt tt t tttt tt t ttttt t tttt tttt ttttt ttt t ttttt t tttt tttt ttttt ttt tttt tttt ttttt ttt ttttttt t ttttttt t ” 1ttttt ttt tttttttt “ 1ttttt ttt tiếp công dân theo quy định để kịp thời động viên cán kiểm tra, t tttt tt tttttttt 1tttttt tt tttt tttt tttt tttt ttttttt t t ttttt t tttt tttt ttttttt t ttttttt t t ttttt t ttttttt t ttttt ttt tttttttt ” tttt tttt 1ttt ttttt cán tiếp công dân hoàn thành tốt nhiệm vụ đƣợc giao “ ttt tttt t t ttttt t tttttttt 1tttttt tt t ttttt t tttt tttt ttt ttttt ttt tttt t t ttttt t t ttttt t ”” ttt tttt t - “ Thủ trƣởng đơn vị trực thuộc quan BHXH Việt Nam cần t ttttt t tttttttt " 1ttttt ttt “ 1tttttt tt ttttt ttt 1tttttt tt “ tttttttt tttt tttt 1tttttt tt ttttt ttt t ttttt t t ttttt t ” ttt ttttt tttttttt chủ động thực đầy đủ kế hoạch kiểm tra thƣờng xuyên ; đồng thời cử t tttt tt t tttt tt ttt ttttt ttttttt t tttttttt t ttttt t tttt tttt ttttt ttt tttttttt ttttttt t ” ttt tttt t tttttt tt ““ ttt ttttt ttttttt t cán có đủ lực, trình độ để phối hợp tổ chức đoàn kiểm tra 1tttttt tt ttttt ttt ttt ttttt t ttttt t ” tttt tttt ttt ttttt “ t tttt tt ttttt ttt tttt tttt ttttt ttt 1tttttt tt chuyên sâu, chuyên đề, để kịp thời phát 1tttttt tt ttt tttt t ttt ttttt ” ttttt ttt “ 1ttttt ttt tttttt tt ttt tttt t tttt tttt ”” ttttt ttt tttt tttt tttt tttt ttt ttttt 1tttttt tt ttt ttttt 1ttt ttttt 1tt tttt tt 1ttt ttttt 82 t ttttt t ttttt ttt ttt ttttt 1tttttt tt tttt tttt - BHXH tỉnh đơn vị trực thuộc quan BHXH Việt t ttttt t “ tttttt tt tttt tttt 1tttttt tt tttt tttt 1ttttt ttt ttt tttt t 1tttttt tt tttttt tt ttt tttt t tttt tttt ttttt ttt ttt ttttt “ tttt tttt 1ttttttt t Nam cần thực nghiêm túc chế độ báo cáo công tác kiểm tra theo quy 1tttttt tt 1tttttt tt ttttt ttt tttttt tt tttttt tt 1tttttt tt “ 1tttttt tt t tttt tt tttttt tt “ ttttt ttt tttttt tt tttt tttt tttttt t tttttttt tttt tttt 1ttttt ttt định ”” 3.3 Kiến nghị tttttttt tttttttt 3.3.1 Đối với Chính phủ: tttt tttt 1ttttt ttt ttt tttt t ttt ttttt 1tttttt tt -Hiện theo quy định Luật BHYT , đối tƣợng học sinh, sinh ttttt ttt tttttttt “ t tttt tt ttt ttttt t ttttt t ttttt ttt ” tttt tttt “ ttt ttttt ttttttt t 1tttttt tt tttt tttt 1ttttt ttt 1tttt tttt viên đóng BHYT theo mức 4,5% mức lƣơng sở chƣa phù hợp với ttttt ttt 1tttttt tt tttt tttt tttt tttt t ttttt t “ ttt ttttt ” t ttttt t t ttttt t “ 1tttttt tt tttt tttt tttttttt tttt tttt 1tttttt tt 1ttttt ttt 1tttt tttt điều kiện sống tình hình thực tế địa phƣơng, nhóm đối tƣợng tttt tttt ttttt ttt ttt tttt t t ttttt t tttt tttt t ttttt t 1tttttt tt ttt ttttt ttt ttttt 1tttttt tt ” ttt ttttt t tttt tt “ tttttt tt tttttt tt ttt tttt t ttttt ttt phụ thuộc cha mẹ học sinh, sinh viên đóng góp, tạo thêm áp lực t tttt tt 1ttttt ttt 1ttttt ttt t tttt tt t ttttt t tttt tttt t ttttt t tttt tttt t tttt tt ” ttttt ttt tttt tttt “ tttttt tt ttttt ttt tttt tttt ttt ttttt 1ttt tttt t gánh nặng tài vào đầu năm học cho phụ huynh học sinh, sinh ttttt ttt ttttttt t ttttttt t tttttttt ttttt ttt tttttt tt t ttttt t tttt tttt ttttt ttt ttttt ttt t ttttt t t tttt tt tttttttt tttt tttt 1tttttt tt viên Vì đề nghị quan có thẩm quyền xem xét điều chỉnh giảm mức ” ttttt ttt “ tttttt tt ttt ttttt tttttt tt t tttt tt ttttt ttt “ t ttttt t t ttttt t ttt ttttt ttt tttt t tttt tttt t ttttt t tttt tttt ttt tttt t t ttttt t tttttt tt đóng đóng mức 4,5% lƣơng sở mức cao theo tttt tttt tttttttt tttttt tt tttt tttt tttt tttt ttttt ttt ttttt ttt tttt tttt ttttt ttt ttttttt t tttttttt ttttttt t tttttttt ttt tttt t quy định Luật BHYT đề nghị NSNN tăng mức hỗ trợ từ 30% lên tttttttt tttttt tt tttttt tt tttt tttt tttt tttt tttttttt ttt ttttt tttttttt 1tttttt tt ttt ttttt ttt tttt t ttttttt t ttttt ttt t ttttt t tttt tttt 1tttttt tt 1tttttttt 50% ” - Luật BHYT sửa đổi, bổ sun g số điều Luật BHYT bổ tttttt tt t ttttt t tttt tttt “ tttt tttt ttt ttttt “ 1tttttt tt ttt ttttt ttt tttt t ttttt ttt ttttt ttt ttt ttttt tttt tttt t ttt ttt tttt tttt sung đối tƣợng ngƣời từ đủ 80 tuổi trở lên hƣởng trợ cấp tuất hàng tttttt tt tttttttt tttttt tt tttttttt ttt ttttt tttt tttt ttttt ttt tttttttt ttttt ttt ttttttt t tttttt tt tttttt tt ttt tttt t tttttttt ttttttt t tháng đƣợc cấp thẻ BHYT , nhiên mức hƣởng BHYT đối tƣợng ttttt ttt ttttt ttt tttttttt ” tttt tttt “ ttttt ttt tttttttt tttttttt ttttttt t tttttt tt t ttttt t t tttt tt tttttt tt tttttttt đƣợc 80 % chi phí khám bệnh, chữa bệnh nên gặp khó khăn ttttttt t tttt tttt 1ttttt ttt 1ttttt ttt t ttttt t tttt tttt tttt tttt tttt tttt ttttt ttt tttt tttt 1tttttt tt tttt tttt tttttt tt 1tttttt tt ttttt ttt 1tt ttttt t 1tttttt tt 1tttttt tt 1tttt tttt việc thực chi trả ttttttt t t ttttt t tttt tttt 1tttttt tt ” t tttt tt - Chủ động việc điều chỉnh chế sách phù tttttttt ttt ttttt tttt tttt tttt tttt ttttt ttt tttttt tt tttttttt tttttt tt ttt tttt t ttttt ttt tttt tttt 1ttttt ttt tttt tttt “ 1tt ttttt t hợp với điều kiện kinh tế - xã hội đất nƣớc t ttttt t ttt ttttt ttttt ttt t tttt tt tttt tttt ttt tttt t ttttt ttt tttt tttt ttttt ttt 3.3.2 Đối với BHXH Việt Nam: tttt tttt 1ttttt ttt ttt tttt t tttt tttt ttttt ttt t tttt tt “ tttt tttt ttt tttt t ” ttttt ttt tttt tttt - Sớm hoàn phần mềm ứng dụng nhƣ Phần mềm tổng thể nghiệp tttttttt ttt tttt t t tttt tt ttt ttttt “ t ttttt t ttt tttt t ttt ttttt t ttttt t t ttttt t t tttt tt 1ttttt ttt tttt tttt 1ttttt ttt 1tttttttt vụ ngành, Hệ thống thơng tin q trình giám định tập trung theo tỷ lệ 1tttttt tt ttttt ttt t ttttt t ttt ttttt ttt ttttt ttt tttt t tttt tttt ttt tttt t ttttt ttt ttt ttttt ttttttt t ttttt ttt t tttt tt ttt tttt t 1ttttt ttt ttttt ttt đáp ứng yêu cầu nhiệm vụ đƣợc giao.Đảm bảo hệ thống đƣợc thực t tttt tt t tttt tt ttt ttttt ttttt ttt ttttt ttt 1tttttt tt t ttttt t ttttttt t tttt tttt ttttt ttt 1ttttt ttt tttt tttt 1ttttt ttt 1tttttt tt đồng bộ, không bị chia cắt, nhiều doanh nghiệp tham gia trực tttttt tt 1tttttt tt ttttttt t tttt tttt tttttttt tttttt tt tttt tttt tttt tttt tttt tttt tttttttt tttttt tt t tttt tt tttttttt 1ttt ttttt tuyến Với hệ thống thông tin giám định BHYT, 14.000 sở tttttttt ttttt ttt tttt tttt ttt ttttt t ttttt t tttttt tt ttttt ttt ttttttt t ttttt ttt 1tttttt tt ttt tttt t tttt tttt tttt tttt 1ttt ttttt khám chữa bệnh đƣợc liên thông hệ thống đƣợc thiết lập thống ttttt ttt 1tttttt tt ttttt ttt ttttt ttt t ttttt t tttt tttt tttt tttt tttttt tt t tttt tt t tttt tt ttt ttttt tttttt tt tttt tttt tttt tttt 1ttt ttttt Dự kiến sở y tế cần 10 triệu năm, hồ sơ bệnh án 1tttttt tt tttttt tt ttttttt t ttttt ttt tttt tttt tttttttt ttt tttt t tttttt tt 1tttttt tt tttt tttt ttttt ttt 1ttttt ttt t ttttt t ttttttt t 1ttttt ttt tttt tttt 1tttttt tt tttt tttt 1.500 đồng để giám định, vận hành tiết kiệm hàng nghìn tỷ tttttttt ttttt ttt ttttt ttt đồng năm ttt ttttt ttttt ttt tttt tttt tttt tttt “ ttttt ttt tttt tttt tttttt tt ttt ttttt t ttttt t t ttttt t tttttttt ttt ttttt tttt tttt tttt tttt 1ttt ttttt 1tttt tttt 83 - Theo dõi, đạo sát công tác nghiệp vụ địa phƣơng, ttttttt t tttt tttt tttt tttt tttt tttt tttt tttt ttt tttt t t ttttt t tttt tttt ttt ttttt ttttttt t 1tttttt tt tttt tttt tttt tttt ttt ttttt 1ttttt ttt kịp thời chấn chỉnh trƣờng hợp lạm dụng, trục lợi quỹ BHYT tttttt tt ttt ttttt ttttt ttt tttt tttt tttt tttt t ttttt t tttt tttt ttttt ttt ttt ttttt ttttt ttt ttttt ttt 1tttttt tt 3.3.3 Đối với tỉnh Hà Tĩnh: tttt tttt 1ttttt ttt ttt tttt t tttt tttt ttttt ttt -Nghiên cứu giải pháp, có sách hỗ trợ cho ngƣời tham gia tttttttt ttttt ttt tttttttt tttttttt tttttttt ttttt ttt ttt ttttt tttt tttt tttttt tt tttt tttt ttttttt t ttttttt t tttttttt BHYT mức ngân sách hỗ trợ cho ngƣời dân để tăng tỷ lệ dân số tttt tttt tttttttt tttt tttt 1tttttt tt 1ttttt ttt t tttt tt ttttt ttt tttt tttt tttt tttt ttttt ttt ttttt ttt ttt ttttt “ tttt tttt “ tttttttt tttttttt t tttt tt 1ttttt ttt 1ttttt ttt tham gia , đảm bảo hoàn thành tiêu BHYT tồn dân Chính phủ giao cho ” ttttt ttt ttttt ttt tttttttt t ttttt t ttttt ttt ttttt ttt 1tttttt tt ttt ttttt ttttttt t tttt tttt ttt ttttt t tttt tt ttt ttttt ttttt ttt tttttttt tỉnh Hà Tĩnh giai đoạn 2016 - 2020 1tttttt tt 1tttttt tt tttt tttt tttttttt ttt tttt t 1ttttt ttt ttt tttt t - Có bƣớc tiến cải cách th ủ tục hành chính, cắt giảm tttttttt ttttt ttt 1tttttt tt ttt ttttt tttttt tt t ttttt t tttttttt “ ttt tttt t t tttt tt ttt ttttt ttt tttt t tttt tttt ttttt ttt ttttt ttt ttt ttttt 1ttttt ttt thủ tục hành khơng cần thiết, đảm bảo thơng thống giải 1tttttt tt t tttt tt ttttt ttt tttt tttt tttt tttt ttttt ttt tttttttt 1tttttt tt t ttttt t t tttt tt ttt tttt t 1ttttt ttt ttttttt t chế độ nhƣng quy trình cần thiết, để ngƣời dân có thẻ ttttt ttt 1tttttt tt ttttt ttt t ttttt t 1tttttt tt tttttttt ttt tttt t ttttt ttt tttttttt tttt tttt ttttttt t t tttttt ttttt ttt “ tttt tttt BHYT đƣợc hƣởng dịch vụ có biến cố xảy ra, để thủ tục 1ttttt ttt ttt ttttt ” ttttt ttt tttt tttt tttttttt ttttttt t tttt tttt tttttt tt tttttt tt ttttt ttt tttttt tt tttttttt ttttt ttt ttttttt t ttttt ttt t ttttt t 1tttttt tt 1ttttt ttt 1tttt tttt tốn chi phí KCB BHYT khơng cịn nỗi lo, phiền phức tttt tttt 1tttttt tt 1tttttt tt t ttttt t ttttt ttt 1ttttt ttt ttttt ttt 1tttttt tt tttt tttt ttttt ttt ttttt ttt t tttt tt ttttt ttt - Chủ động mở rộng mạng lƣới thu BHYT, huy động ttttttt t tttt tttt 1tttttt tt 1tttttt tt ttt tttt t 1tttttt tt tttt tttt ttt ttttt 1tttttt tt “ ttttt ttt tttt tttt ttttt ttt ttttt ttt doanh nghiệp, sở y tế, trạm bƣu điện … để ngƣời dân mua tttt tttt ttttttt t 1ttttt ttt ttt ttttt BHYT đâu 1tttttt tt ttttt ttt 1ttttt ttt ttt tttt t tttt tttt 1tttttt tt ttttt ttt ttttt ttt t ttttt t ” ttttt ttt ttt tttt t t ttttt t 1ttttt ttt ttt ttttt 1tttttt tt 1tttt tttt 1tttttt tt 84 KẾT LUẬN tttttttt Thực sách Bảo hiểm y tế toàn dân xu hƣớng tất yếu " “ 1ttt t t t tttt 1tttt t t 1ttt t t t tttt tttt ttt t t t tttt ” 1ttt t t t tttt 1ttt t t t tttt 1ttt t t t tttt tttt tttt 1ttt t t t các nƣớc giới nói chung nƣớc ta nói riêng Trong “năm ttt t t t 1ttt t t t 1ttt t t t 1ttt t t t tttt tttt ttt t t t tttt 1ttt t t t 1ttt t t t 1ttt t t t tttt t t tttt ttt t t t tttt 1tt t t t qua, tỉnh Hà Tĩnh có nhiều nỗ lực việc tăng cƣờng mở rộng diện bao 1ttt t t t 1ttt t t t 1ttt t t t tttt tttt tttt tttt ” 1ttt t t t tttt “ tttt tttt tttt tttt 1ttt t t t 1ttt t t t 1ttt t t t 1tt t t t phủ ngƣời dân có thẻ BHYT, đảm bảo chăm sóc sức khỏe, hỗ trợ phần chi tttt tttt 1ttt t t t 1ttt t t t tttt 1ttt t t t tttt 1ttt t t t tttt 1ttt t t t tttt 1ttt t t t tttt 1tttt t t tttt 1ttt t t t 1ttt t t t phí khám chữa bệnh phát sinh ngƣời dân 1ttt t t t tttt 1ttt t t t 1ttt t t t 1ttt t t t tttt tttt ” 1ttt t t t 1ttt t t t Mỗi sách đƣợc ban hành có mục đích hƣớng tới nhằm " tttt 1ttt t t t 1ttt t t t tttt tttt tttt 1ttt t t t 1ttt t t t tttt 1ttt t t t 1ttt t t t 1ttt t t t ttt t t t 1tt t t t xây dựng sống tốt đẹp Và sách BHYT tồn dân không tttt t t tttt tttt tttt tttt tttt 1ttt t t t ““ ttt t t t 1ttt t t t ttt t t t tttt tttt tttt tttt 1ttt t t t ngoại lệ, với mục đích tăng cƣờng hỗ trợ chi phí khám chữa bệnh phát 1ttt t t t tttt tttt tttt 1ttt t t t 1ttt t t t tttt 1ttt t t t 1ttt t t t tttt tttt 1ttt t t t 1ttt t t t 1ttt t t t 1ttt t t t tttt 1tt t t t sinh ngƣời dân không may gặp rủi ro phát sinh chăm sóc 1ttt t t t tttt ttt t t t ttt t t t tttt tttt tttt ttt t t t tttt tttt ttt t t t tttt tttt 1tt ttt t t 1ttt t t t 1ttt t t t sức khỏe Chính sách đƣợc thơng qua Lu ật BHYT văn quy 1ttt t t t tttt tttt tttt tttt tttt tttt “ t t t tt “ tttt 1ttt t t t 1ttt t t t 1ttt t t t tttt tttt 1ttt t t t 1ttt t t t 1ttt t t t phạm pháp luật nhằm điều chỉnh hành vi ngƣời dân toàn xã hội, “ 1ttt t t t ” tttt tttt tttt tttt 1ttt t t t 1ttt t t t 1ttt t t t 1ttt t t t tttt 1ttt t t t 1ttt t t t 1ttt t t t t t ttt t tttt bắt buộc họ phải tham gia BHYT, hƣớng tới bao phủ BHYT toàn dân nói tttt tttt 1ttt t t t 1ttt t t t tttt tttt tttt tttt tttt tttt 1ttt t t t 1ttt t t t tttt tttt 1ttt t t t chung tỉnh Hà Tĩnh nói riêng Để đạt đƣợc điều đó, quyền nhân tttt 1ttt t t t 1ttt t t t tttt 1ttt t t t tttt tttt 1ttt t t t 1ttt t t t 1ttt t t t tttt tttt 1ttt t t t tttt “ 1ttt t t t 1tt t t t 1tt t t t dân Hà Tĩnh cần phải đồng lòng, hoàn thành tốt nhiệm vụ vị tttt 1ttt t t t tttt 1ttt t t t 1ttt t t t “ 1ttt t t t tttt tttt 1ttt t t t tttt tttt 1ttt t t t 1ttt t t t tttt tttt tttt 1ttt t t t trí để sớ m đạt tiêu Cụ thể, Chính quyền quan quản lý cần hồn tttt “ tttt tttt 1ttt t t t ” 1ttt t t t tttt 1ttt t t t 1ttt t t t tttt 1ttt t t t tttt tttt 1ttt t t t tttt 1ttt t t t tttt ttt t t t 1ttt t t t 1tt t t t thiện chế sách, hỗ trợ tối đa nhóm ngƣời yếu thế; hệ thống tổ tttt 1ttt t t t tttt “ 1ttt t t t tttt 1ttt t t t tttt tttt 1ttt t t t tttt 1ttt t t t tttt 1ttt t t t tttt tttt 1ttt t t t tttt 1ttt t t t chức thực ngày nâng cao chất lƣợng dịch vụ sử dụng thẻ 1ttt t t t 1ttt t t t tttt tttt 1ttt t t t tttt tttt 1ttt t t t tttt tttt 1ttt t t t 1ttt t t t 1ttt t t t tttt tttt 1ttt t t t 1tt t t t BHYT, đáp ứng đƣợc nhu cầu thăm khám, chữa trị ngƣời dân , ngƣời dân tttt “ 1ttt t t t tttt 1ttt t t t 1ttt t t t tttt 1ttt t t t tttt tttt tttt 1ttt t t t ” t t t tt tttt tttt nâng cao hiểu hiết từ tƣ vấn, vận động ngƣời xung tttt 1ttt t t t tttt 1ttt t t t “ tttt tttt tttt 1ttt t t t 1ttt t t t tttt tttt 1ttt t t t 1ttt t t t t ttt t t tttt ttt t t t 1ttt t t t 1tt t t t quanh tham gia sách tttt tttt tttt ” 1ttt t t t Với mong muốn góp phần nâng cao tỷ lệ ngƣời dân có thẻ BHYT " ttttt ttt ttt ttttt 1tttttt tt tttttt tt ttt ttttt tttt tttt tttt tttt ttttt ttt “ ttttttt t ttttttt t ttt tttt t tttttt tt ttttt ttt địa bàn tỉnh Hà Tĩnh , tác giả nghiên cứu cách nghiêm túc để tttttttt tttttttt tttt tttt ttttt ttt ” ttttt ttt ttttt ttt ttttt ttt tttttttt tttt tttt hoàn thành luận văn với nội dung sau : ttt ttttt t ttttt t tttt tttt ttttt ttt 1ttttt ttt tttttt tt ” 1tttttt tt tttt tttt “ tttttttt tttt tttt ttttt ttt t ttttt t tttttttt tttttt tt 1ttttt ttt 1tttttt tt ttt ttttt Thứ nhất, hệ thống khung lý thuyết sách BHYT tồn dân " ttttt ttt t ttttt t 1tttttt tt t ttttt t ttt ttttt tttt tttt tttttttt tttttt tt t ttttt t ttt tttt t t tttt tt ttt ttttt t ttttt t tttt tttt nội dung thực sách BHYT toàn dân nhƣ yếu tố ttt ttttt t tttt tt ttt tttt t ttttt ttt ttttt ttt t tttt tt t tttt tt ttttt ttt ttttt ttt “ ttttt ttt 1tttttt tt ttttt ttt ttt ttttt t ttttt t 1tttt tttt tác động lên sách ttttt ttt ttt ttttt tttt tttt ” t ttttt t Thứ hai, phân tích thực trạng thực sách BHYT tồn dân " 1ttttt ttt tttttt tt ttt ttttt tttt tttt tttt tttt 1tttttt tt 1ttttt ttt t ttttt t 1ttttt ttt t ttttt t t ttttt t ttttt ttt địa bàn tỉnh Hà Tĩnh giai đoạn 2013-2015 theo tiêu chí đánh ttttt ttt tttttt tt t ttttt t tttt tttt tttt tttt t tttt tt tttttttt 1tttttt tt t tttt tt “ ttttt ttt t ttttt t tttttttt ttttt ttt 1ttttt ttt 1ttt tttt t 85 giá Từ đƣa đánh giá thành tựu, hạn chế nguyên tttttttt ttt ttttt ttt ttttt t ttttt t 1tttttt tt ttt ttttt 1tttttt tt tttttttt ttttt ttt “ 1tttttt tt ttttt ttt tttt tttt 1ttttt ttt ttt ttttt ttt ttttt 1tttt tttt nhân việc thực sách địa bàn ” t ttttt t 1tttttt tt tttttttt ttt tttt t tttt tttt ttt ttttt ttttt ttt 1tttttt tt ” tttttt tt Thứ ba, dựavào m ục tiêu phát triển sở thực trạng, " t ttttt t tttttt tt tttttttt “ ttttt ttt ttt tttt t tttttttt tttt tttt tttttttt tttt tttt ttttt ttt tttt tttt ttt tttt t tttttttt đề xuất giải pháp số kiến nghị góp phần hồn thiện đẩy ttttt ttt ttttt ttt ttttttt t tttttttt ttttttt t tttt tttt ttt ttttt ttttt ttt tttttttt “ tttttttt tttttttt 1ttttt ttt 1tttttt tt tttttttt ttttt ttt 1tttttttt mạnh thực sách BHYT tồn dân địa bàn tỉnh định hƣớng t ttttt t 1ttttt ttt 1tttttt tt tttt tttt ttttt ttt tttt tttt ttttt ttt ttt tttt t ttttt ttt tttttttt tttt tttt 1tttttt tt 1tttttt tt t ttttt t 1tttt tttt đến năm 2020 t tttt tt ” ttt ttttt Trong trình nghiên cứu, tác giả nhận định đƣợc vấn đề: " ttttttt t t ttttt t tttt tttt tttttttt t ttttt t tttttt tt tttttttt tttt tttt 1tttttt tt ttt tttt t t ttttt t tttt tttt tttttt tt 1tttttttt Tuyên truyền giải pháp cốt lõi để đẩy nhanh lộ trình thực thành ttttt ttt ttttttt t tttttttt tttttttt ttt ttttt tttttt tt tttttttt 1tttttt tt tttttttt t ttttt t tttttttt tttt tttt tttttttt tttttttt cơng sách BHYT tồn dân Chất lƣợng khám chữa bệnh tttt tttt tttt tttt ttt ttttt ttttt ttt ttt ttttt 1tttttt tt 1tttttt tt “ ttt ttttt t ttttt t t ttttt t tttt tttt 1tttttt tt ttttttt t tttt tttt sở y tế vừa tiêu chí đánh giá vừa yếu tổ ảnh hƣởng đến việc triển khai ” 1tttttt tt tttttt tt t ttttt t ttt tttt t tttttttt ttttttt t tttt tttt tttt tttt ttttttt t ttt tttt t tttttt tt t ttttt t ttttt ttt “ tttt tttt ttttt ttt ttttttt t tttttt tt sách BHYT tồn dân diện rộng Do đó, để thực thành cơng t ttttt t ttt ttttt t ttttt t ttt ttttt ttt ttttt ttt ttttt tttt tttt t tttt tt 1tttttt tt 1ttttt ttt tttt tttt t ttttt t 1tttttt tt t tttt tt sách BHYT tồn dân địa bàn tỉnh Hà Tĩnh cần trọng đến tttt tttt t ttttt t ttt tttt t ttt tttt t 1tttttt tt ttt tttt t 1tttttt tt tttt tttt 1tttttt tt t tttt tt tttt tttt 1ttttt ttt t ttttt t ttttt ttt t tttt tt nhiều nội dung song cần tập trung đến nội dung đƣợc nêu để tttt tttt tttttttt ttttt ttt tttt tttt t ttttt t tttt tttt tttt tttt 1tttttt tt 1ttttt ttt ttttttt t t ttttt t ttt ttttt 1tttt tttt tttt tttt hƣớng tới năm 2020 có 90% dân số tỉnh nhà có thẻ BHYT ttt ttttt ttt ttttt ttttt ttt ttt ttttt t ttttt t tttt tttt 1tttttt tt t ttttt t 1tttttt tt ttt tttt t tttt tttt ttt ttttt ttt ttttt ” t tttt tt 1tttt tttt 1ttttt ttt 1ttttt ttt 1ttttt ttt 1tt tttt tt 1ttt tttt t 86