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Thgc hien tdt cong tac quan ly can bg y te luan phien; tang cadng kiem tra, giam sat, dgng vien mdi can bg y te tinh nguyen trd thanh mdt chien sy ao trang di luan phien ve cdng ta[r]
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Muin/f jbdiAUf, - mung, Xu^dn
T H W C n t N > KINH NGHIlM
BO Y TE THUt; HIEN DIEU DONG CAN BO LUAN PHIEN XUONG CONG TAC TAI TUYEN DUDI
PHAM VAN TAC (*)
Xuat phat tu thuc tien ddi hdi cua ngudi dan ve cdng tac kham chua benh, Bd Y te da cd chu truang cur can bg chuyen mdn luan phien tu benh vien tuyen tren ve hd trg cac benh vien tuyen dudi nham nang cao chat lugng kham, chua benh Day la mgt chu truong Idn ciia nganh Y te da dugc Bg trudng Bd Y te phe duyet tai Quyet djnh sd 1816/QD-BYT 26/5/2008 (ggi t i t la De an 1816) va b i t dau thgc hien tQ thang 8/2008
Theo ndi dung de an Ban chi dao De an 1816 cua Bd Y te ddng chi Bd tradng lam trudng ban va hgp giao ban thudng xuyen vao sang tha sau hang tuan Ban chi dao eua eac tinh, phd trgc thugc Trung uang ddng chi lanh dao Uy ban nhan dan tinh, phd lam tradng ban va Giam ddc Sd Y te lam
thudng true, chi dao tnen khai thuc hien Qua trinh trien khai thuc hien, giai doan dau tap trung chu yeu luan phien can bd y te tu cac benh vien tuyen Trung uang ve cac benh vien tuyen tinh va khu vuc theo cac van ban hudng dan chi dao eg the Giai doan tiep theo, nhieu dja phuang da phe duyet de an chi tie't, cu can bg y te luan phien tu tinh xudng huyen, tu huyen xudng xa Viec thuc hien da toa rdng khap nhieu tinh, phd ca nudc Bd Y te quyet djnh cir can bd d cac benh vien true thugc di luan phien vdi thdi gian la thang/ngudi/dgt, tren ca sd ke hoach de xua't cua dan vj, khang djnh su phu hgp giua "cung" va "cau", thd'ng nha't hai ben ve cac dieu kien thgc hien va cd hgp ddng phan cdng trach nhiem eg the Uy ban nhan dan cac tinh, phd trgc thudc trung aang quy dinh
n P^o Vif tn/dng Vg To chdc can bg, Bg Y te
cu the trach nhiem, nghTa vu va quyen lgi ddi vdi cac can bo y te thuc hien luan phien
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Mu*Uf %catq - Mu*iCf, Xi uan ^ ,
cap chimg chi hanh nghe y te Cac ca sd y te tuyen dudi cd trach nhiem dam bao cac dieu kien thuan Igi tdi thieu cd the dagc de can bd luan phien den yen tam cdng tac va hoan tdt nhiem vu
Sau hon mgt nam trien khai thgc hien, De an da di vao cugc sdng, dagc nhan dan va ngadi benh ca nadc vui mung don nhan, dugc cac dong chi lanh dao Dang va Nha nudc khen nggi Ddng chi Tong Bi thu Ndng DQc Manh da khang djnh cudc gap vdi 455 can bg y te xuat sac tieu bleu thang 2/2009: "Day la mgt chii truong diing dan, phii hgp vdi quan diem chi dao cua Dang va Nha nadc " Theo bao cao CLia Sd Y te tinh Quang Nam, nhd thgc hien td't De an 1816 cua Bg Y te, cac benh vien trgc thugc tinh da giam tai dagc 25% Theo tinh Lai Chau, tQ thgc hien de an 1816, benh vien da khoa tinh Lai Chau da tang ca sd lagng va chat lugng kham, chQa benh; giam mgt phan ba sd benh nhan phai chuyen len cac benh vien Trung aang; sd ca md loai I va md dac biet tang 527 ca, gap doi Cling ky nam ngoai Cac ky thuat y te cao da dugc cac y, bae sy tinh Lai Chau tie'p nhan va trien khai thuc hien thao nhu: phau thuat than kinh, so nao cap cuu, phau thuat ndi soi, phau thuat ve mat, tai mui hong v.v
Trong thdi gian tdi, mgt mat, can tiep tuc tri cac ket
qua da dat dagc, mat khac, can tang cadng chat lagng cao han, md rdng han, dac biet tang cadng cdng tac luan phien can bg y te cho vung sau, viing xa, vimg cdn nhieu khd khan Dong thdi can xac djnh rd dd cung la trach nhiem va nghTa vu ciia mdi can bg y te; thgc hien luan phien can dagc daa vao tieu chi danh gia thi dua hang nam ciia cac benh vien
Mgt sd giai phap can dagc tiep tuc quan tam thgc hien luan phien can bg y te ve tuyen dadi, dd la:
1 Trien khai thgc hien td't sg chi dao cua lanh dao Bg Y te ve viec tiep tuc tuyen truyen, trao ddi nham nang cao nhan thQc ciia mdi can bg y te ve muc dich, y nghTa va tam quan trgng cua viec luan phien can bg tQ tuyen tren ve tuyen dadi, gan lien vdi viec thgc hien Quy tac img xa ciia can bg y te va cugc van dgng "hgc tap va lam theo tam guang dao dac Ho Chi Minh" Tang cudng sg phdi hgp chat che va cgng ddng trach nhiem cua cac cap uy dang, chinh quyen, cac cO sd y te, sg hadng img tich cgc ciia cac td chQc doan the nha cdng doan, doan nien, hgi phu nQ.v.v ve viec luan phien can bg y te ve tuyen dudi nham nang cao chat lagng kham, ChQa benh Mdi tinh, mdi benh vien va mdi ca sd y te can tiep tuc hoan thien Ban chi dao thgc hien De an 1816 de cd the thudng xuyen hoat dgng td't
b ? f ^ l , Cac benh vien
trgc thugc Bg Y te c^n trien '^> khai thgc hien td't de an cua minh ve viec lap trung tam/phdng chi dao tuyen nham tang cadng cdng tac dao tao, chi dao tuyen va thuc hien tdt luan phien can bg y te ve tuyen dadi hd trg cdng tac kham, chQa benh
3 Can xay dgng quy hoach, ke hoach luan phien can bg y te d timg chuyen nganh, chuyen mdn cu the, d timg benh vien tren ca sd cd khao sat, danh gia toan dien nhu cau d tuyen dadi, kha nang dap Qng ciia tuyen tren, dpi ngu can bd, trang thiet bj va cac dieu kien can thiet khac
4 Thgc hien tdt cong tac quan ly can bg y te luan phien; tang cadng kiem tra, giam sat, dgng vien mdi can bg y te tinh nguyen trd mdt chien sy ao trang di luan phien ve cdng tac d tuyen y te cdn nhieu khd khan han tren mat tran cham sdc sac khoe nhan dan, gdp phan tich cgc giam thieu benh tat, nham giam ddi, ngheo va tao sg cdng bang xa hgi
5 Xay dgng, de xuat ca che, chinh sach hd trg can bg y te di luan phien tren nguyen tac tao dieu kien thuan Igi nhat cd the dagc; dong thdi phai xac djnh day vQa la ca hgi, vua la trach nhiem, nghTa vu ciia mdi can bg y te, mdi td chQc lien quan ddi vdi cdng tac cham sdc sQc khoe nhan dan, gdp phan thgc hien cdng bang xa hdi a