T huc hien Nghi quyl^t Dang bd tinh Idn thii V m , nhiem ki 2006-i2010, mac du cdn gap nhieu khd khan nhung dupc sir quan tam, chi dao cua Ban Chdp hanh Dang bd tinh, su dilu hdnh v[r]
Trang 1KINH NGHIEM THUC TI^N
ThS T(f THANH CHUCJNG'
Thuc hien Nghi quyl^t Dang bd tinh
Idn thii V m , nhiem ki 2006-i2010,
mac du cdn gap nhieu khd khan
nhung dupc sir quan tam, chi dao cua Ban
Chdp hanh Dang bd tinh, su dilu hdnh va
ddu tu ciia HDND, UBND tinh cung nhu
sir hd trp cua cac ban, nganh, doan the,
nganh Y te' Ddng Nai da gianh dupc thanh
tich tren nhieu ITnh vuc nhu td chiic bd
may, dao tao, thu hiit ngudn nhan lire;
khdng ehe' cdc dich benh; cdng tdc an toan
thuc phdm; nang cao cdc dich vu khdm,
chira bdnh; dp dung nhieu kT thuat cao, kT
thuat mdi phuc vu cham sdc sure khoe nhan
dan; ddy manh xa hdi hod trong ITnh vuc y
te; ddi mdi co ehe quan ly; cdng tdc thanh
tra, kiem tra cdc boat ddng tren dia ban,
tao dupc budc ehuyln mdi trong sir nghiep
cham sdc vd bdo ve sure khoe nhan dan
I Ket qua
Bd mdy td chiie cua nganh timg budc
duoc hoan thidn Trien khai thue bien Nghi
dinh sd 13/2608/ND-CP vd Nghi dinh sd
14/2008/ND-CP ngay 04-02-2008 cua
Chinh phu vl viec quy dinh td chiic cdc co
quan chuyen mdn thude UBND tinh thdnh
phd true thude trung uong va quy dinh td
chire CO quan chuydn mdn thude UBND
huyen, quan, tbi xa, thanh phd thude tinh,
nganh Y t i Ddng Nai da tiep nhan nhiem
vu va thanh lap mdi Chi cue va 11 Trung
tam Dan sd va Ke hoach hod gia dinh
huyen Din nay, cde boat ddng da di vao
nl nip Dpi ngu cdn bd quan ly dupe dao
tao trong thai gian qua da trudng thanh bd
mdy ngay eang phdt buy hieu qua, nang
lire chuyen mdn, nang lire quan ly, y dii'e
ciia nghi thdy thude da ed nhimg budc
ehuyln quan trpng
Van phdng Sd vd nhilu dan vi true thude da dp dung quan ly chat luong theo tieu chudn ISO 9001:2000 va ISO 14000:
2004 vao cdng tdc qudn ly Cdc co sd khdm, chiia benh da dupc hoan thien va ddy manh iing dung khoa hpe - cdng nghe nhdm giam philn ha vd thdi gian ehd dpi cua ngudi benh
Vl ddi mdi co ehe quan ly, nhdt la viec thuc hien Nghi dinh sd 43/2006/ND-CP ngay 25-4-2006 cua Chinh phii vl quyln
tu chii ciia cdc don vi su nghiep da di vao
nl nip, CO sd dupc giao quyln tu chii trong xay dung bd may, cdng tdc td chiic edn bd, tiln luong, cdng tdc tai chinh, do dd, cdng tdc lanh dao trong cdc don vi nang ddng, sang tao hon, ndi lire dupe phdt huy gdp phdn nang cao hieu qua trong cdng tac Ngudn nhan lire tir kit qua dao tao sau
dai hpe, dai hpe, trung cdp, sP cdp dl tang
ca vl sd iupng va chdt lupng Din nay, toan nganh da cd can bd dat trinh dp tien
sT, nhilu thac sT, bde sT chuyen khoa II, gdn
300 bae sT chuyen khoa I va gdn 100 ngudi
ed trinh dp dai hpe HDND tinh da thdng qua Nghi quyet vl ebl dp thu hiit va trp cdp ddi vdi edn bd giai doan 2009 -2010 Day la CO sd va eung la co hdi de nganh ed the phdt trien ngudn nhan lire
Trong lien kit dao tao, ngoai cde trudng truyin thdng, ngdnh md them nhieu mdi lien kit mdi nhu vdi Trudng Dai hpe Dupe
Ha Ndi, ngoai binh thiie dao tao cu, Idn ddu tien ngdnh Y te Ddng Nai da dao tao bde sT, dupe sT, bde sT y hpe ed truyin he chinh quy
Cdng tdc xa hdi hod ed mdt budc tien
Giam ddc Sd Y t6' tinh Ddng Noi
Trang 2KINH NGHIEM TH JC T I I N
mdi ca trdn ITnh vuc hdnh nghi y dupe
-y dupe hoc ed tru-yin tu nhan va trong ITnh
vuc xa hdi hod tai cdc ca sd y te' cdng lap
dua gid tri xa hdi hod vuot con so 100 ti
ddng 11 don vi san xuat dupe pham vdi
cde hinh thiie ddu tu nudc ngoai, lidn
doanh, lien ket, cd phdn hod vdi vdn ddu tu
gdn 100 trieu USD mdi nam, san xuat hang
hod vdi gid tri gdn 500 ti ddng 11 du dn
benh vien dupe dang ki vdi ban 300
giudng benh vd mdt so vdn dang ki gdn
4.000 ti ddng Xa hdi hod y td' d Ddng Nai
da gdp phdn rdt Idn trong viec nang cao
chat lupng khdm, chiia benh cho ngudi
dan
Nhilu cdng trinh, du dn da va dang
dupe ddy nhanh tien dp nhu Benh vien da
khoa khu vuc Thdng Nhdt, Benh vien da
khoa khu vuc Dinh Qudn Cac cdng trinh
Idn tilp tuc dupc khdi cdng nhu: Benh vien
da khoa Ddng Nai, Benh vien da khoa khu
vuc Long Thdnh, Du dn thiet bi y t l giai
doan 2006-2007 vdi gid tri 120 ti ddng da
dua vao phuc vu nhan dan Trong nam
2008, ed 56 tram y tedupe ddu tu nang cdp
va xay mdi Tinh vd cdc huyen dlu xdc
dinh, nam 2009-2010 la nhiing nam cdn
tap trung ddu tu cho y tl
Ben canh nhiing ket qua tren, ngdnh Y
te tinh Ddng Nai edn gap nhung khd khan:
- He thdng td chiic y td' tren dia ban tinh
trong qud trinh sdp xep theo cdc quy dinh
mdi chua dupe kien toan ddy dii nen cdn
khd khan trong viec chi dao, dilu hdnh
Chinh sdeh dai ngd mac dii da cd nhung
vdn edn cd nhirng bat cap, dae biet, la d
tuyen y te ea sd chua thu hiit dupe edn bd
y te vl cdng tae O eac don vi Idn, ea ehe
sir dung va thu hiit cdn bd chuydn mdn cd
dii tdi, dii'e vdn edn bat cap
- Ddng Nai la mdt tinh phdt trien nhanh
ndn cdc van dl vl dich benh, dilu kien ve
sinh mdi trudng, tai nan thuong tich,
edn nhieu phiic tap Mdt sd benh truyin
nhilm cd nguy ea quay trd lai cung vdi
nguy CO xay ra mdt sd dich benh truyen
nhilm nguy hilm mdi Dai bd phan ngudi
dan cdn cd nhieu thdi quen, phong tuc, tap quan lac hau trong viec giir gin siic khoe;
do dd, nguy ca mdc benh cdn cao Van de
ve sinh, an toan thuc pham tren dia ban vdn cdn la van de biie xiic nhung cdng tdc quan
ly, ddu tu vdn chua ddp iing kip
- Nhu edu ddu tu cho y te' tren dia ban tinh edn rdt Idn nhung ngudn luc ddu tu cho y te' cdn thdp va chua hop ly, nhdt la ddi vdi he thdng y te du phdng, chua bd tri kinh phi du phdng de chu ddng phdng chdng dich, kinh phi bd tri cho cdc benh khdng lay nhilm qud thdp,
- Chinh sach vien phi cham ddi mdi, trong khi tinh trang suy thodi kinh te, gia thude, hod chdt, vat tu tidu hao va thiet bi
y te' tang cao anh hudng true tilp den boat ddng cua cdc ca sd y te, nhdt Id he thdng benh vien Do dd, chua khuyen khich cdc benh vien tang cudng ddu tu de phat trien
va chua khuyen khich ngudi benh khdm chira benh d tuyen dudi gay Idn su qud tai cho tuyen tren Cudng dp lam viec cao, thu nhap thdp gay ra tinh trang chay mau chdt xdm trong ngdnh Y te' Ddng Nai
- Chua hinh thdnh dupe dpi ngu quan ly
y te cd trinh dp chuyen nghiep, ti le cdn bp lanh dao, quan ly dupc dao tao ve quan ly
y te, dae biet, quan ly kinh te y te cdn it ddn din nhilu khd khan, bat cap Vdn de ddi mdi co ehe' quan ly d cdc ca sd kham, chiia benh chua theo kip vdi dilu kien phat trien ehung cua kinh te' thi trudng, anh hudng den hieu qua quan ly, dilu hanh ehung cua nganh
2 Cac giai phap thirc hien nhiem vu trong thdi gian tdi
Trudc hit, vl cdng tac td chiic va phat
trien ngudn nhan luc, cdn dn dinh td chiic, chiic nang, nhidm vu cua Sd theo Nghi dinh sd 13/2008/ND-CP Thuc hien nhap Phdng Ke' hoach va Tai chinh, hinh thanh mdi phdng quan ly hanh nghi y dupc ngoai cdng lap, kien toan vd nang cao chdt lupng dpi ngu can bd ciia van phdng Sd va cdc dan vi true thupc Thanh lap Chi cue
an toan ve sinh thuc phdm ca v l t d chiic
Trang 3KINH NGHIEM THUC T I I N
thanh tra va kiem nghiem.Thanh lap mdi
Trung tam kiem dich y te dl ddp iing cho
he thdng eang dang phdt trien va chudn bi
phuc vu cho Gang bang khdng dan dung
qudc te Long Thanh Tiep tue dn dinh, bd
sung nhan luc phdt trien he thdng
DS-KHHGD Tang eudng cdng tdc dao tao
gdn vdi ddu tu ca sd vat chat vd trang bi dl
phat trien kT thuat Nang cao hieu qua viec
luan ehuyln can hd hd trp tuyen dudi
Nghien ciiu trien khai cdc benh vien ve
tinh ciia Benh vien da khoa tinh, Benh vien
da khoa khu vuc Thdng Nhdt
Thii hai, ddi mdi ea ehe boat ddng va co
ehi tdi chinh nhdm tao dilu kien de cdc
don vi true thude boat ddng va phdt trien
phii hpp vdi cde quy dinh cua Nha nudc,
vdi nin kinh'te thi trudng Nang cao hieu
qua sir dung ngudn luc cho phdng, chiia
benh Nang cao chdt lupng dich vu y tl,
Idy ngudi dan, ngudi benh Id trung tam,
dua dich vu y te' cd chdt lupng tilp can vdi
ngudi dan
Tang eudng quyln tu ehii, tu chiu trdch
nhiem vl thuc hien nhiem vu, td chiic bd
may, bien cheva tdi chinh de nang cao ehdt
lupng, hieu qua boat ddng theo Nghi dinh
sd 43/ND-CP vd cdc van ban hudng ddn
Ba Id, tang cudng ddu tu vl kinh te
trong y te Trien khai ddng bd, hieu qua
cde ngudn lire ddu tu va cdc bidn phdp dao
tao cdn bd ddi ban, ngdn ban, tai ehd, trong
nude, ngoai nude Nang cap he thdng y tl,
dao tao can bd, sir dung hieu qua cdc trang
thilt bi dupe ddu tu, nang cao chat lupng
dich vu y te tuyln xa, huyen dl gidm tai
cho cde benh vien tuyen tinh va khu vuc
Day nhanh tien dp thue hien va gidi ngan
vdn ddu tu phdt triln nang cao hieu qua,
ehdng that thoat, lang phi Dao tao cdn bd,
ciing CO va nang cao nang lire cdc tuyen
benh vien tinh, khu \'irc, huyen, he thong y
tc du phdng, an toan ve sinh thue phdm
Day manh triln khai kT thuat mdi Thue
hien nghiem quy ehe benh vien vd cde quy
dinh, quy trinh kT thuat, dinh miie kinh te
kT thuat cua nganh giao cho cdc don vi
quy dinh eu the dinh miie kinh te kT thuat ciia don vi minh, tu ddnh gid miic dp hoan thanh nhidm vu chuyen mdn, kiem sodt chat lupng dich vu y te
Tich cue trien khai iing dung cde kT thuat cao, kT thuat mdi de trdnh tut hau so vdi vung, khu vuc Tang cudng hpp tdc kT thuat vdi bdn ngoai; ddnp thdi, xay dung ke' hoach hpp tdc phdt trien kT thuat eu the giiia cde tuyln trong tinh
Bdng cdc ngudn hpp phdp, day manh ddu tu CO sd vat ehdt, trang thiet bi Quan tam ddu tu va day manh iing dung cdng nghe thdng tin trong hoat ddng chuyen mdn, nghien ciru khoa hpe va quan ly
Bdn Id, ddy manh xa bdi hod theo Nghi
quylt sd 99 ciia HDND tinh Tang eudng truyin thdng, nang cao nhan thiic va trdch nhiem ciia ea he thdng ehinh tri vl xa hdi hod y t l de phdi hpp trien khai thue hien Tich cue van ddng mpi ngudi dan tham gia cham sdc va bdo ve siic khoe cho ban than, gia dinh va cdng ddng Md rdng bdo hilm
y t l bdt budc vd tu nguyen, nang cao ehdt lupng bao hilm y tl, da dang hoa cdc loai hinh de ddp iing nhu edu eiia nhan dan
Ndm Id, cai edeh thu tuc hanh ehinh,
tao dilu kien thuan lpi dl khuyln khich cde ed nhan, doanh nghiep thanh lap ep sd hanh nghi y dupe; dae biet Id, cdc loai binh: phdng khdm da khoa, benh vien da khoa, benh vien chuyen khoa, benh vien kit hop vdi CO sd dao tao de ddp iing nhu edu eiia nhan dan
Sd Y t l thdng nhdt quan ly vl chuyen mdn, nhan lire va tai ehinh y tl Thue hien theo Nghi quylt 46-NQ/TW eiia Bp Chinh trivd cdc don vi chuyen mdn vl y t i d dia phuang dupe qudn ly theo ngdnh de dilu hanh ed hieu qua cde ngudn tai ehinh, nhan lire ddu tu trdn dia ban Can ddi eac ngudn tdi ehinh, nhan lire cho cdc hoat ddng trpng tam, cac mue tieu uu tien vdi nhiem vu giao cho cde don vi Gdn viec ddu tu vdi viec dua bac sT, can bd y t l luan phien vl CO sd, huy ddng lire lupng trong trudng hpp phdng ehdng dich benh, tham
Trang 4KINH NGHIEM THl/C TI§N
hoa, thien tai Ke't hop chat ehe giiia su
quan ly cua Sd vdi trach nhiem ciia UBND
cac cdp trong cdng tdc cham sdc va bao ve
siic khoe nhan dan
Sau Id, thanh lap va cung cd he thdng
quan ly, thanh tra, kiem nghiem an toan ve
sinh thuc pham (ATVSTP), dupc pham va
my phdm Tham muu cho UBND tinh kien
toan ban chi dao ATVSTP tinh va cdc
huyen Thanh lap chi cue ATVSTP tinh va
he thdng quan "ly, thanh tra ATVSTP cdc
cdp Tang cudng cdc boat ddng lidn nganh,
xay dung cdc md hinh diem vl ATVSTP
Ciing cd he thdng kiem nghem, cdc trung
tam y te' du phdng Ddy manh viec thdng tin truyin thdng vl ATVSTP Theo doi chat ehe chat lupng, gia ca thi trudng thude va
my phdm, thuc hien ddng bd bien phap kiem soat
Bay Id, nang,cao chdt luang cdng tac
DS - KHHGD On dinh he thdng td chire, con ngudi va ca sd vat chdt Tuyen truyin, gido due chuyen ddi hanh vi, nang cao chdt lupng dich vu DS - KHHGD Naiig cao nang luc quan ly, dilu hanh va td chiirc thuc hien de dam bao mue tieu cdng tac dan so trdn ca 3 mat: quy md, ca cau va chdt lupng dan sd'Q
^ 7
HA NOI DAY MANH CONG TAC
(Tii'p theo trang 56) Tha ba, ddi mdi, nang cao nang lire cac
ca sd DT,BD, ddu tu thich dang ve co sd
vat chdt, trudng Idp, phuang tien giang
day, hpe tap; xay dung dpi ngu giang vien,
cdn bd quan ly DT,BD dat chudn quy dinh;
chii trpng phdt trien dpi ngu giang vidn
kiem chiic; da dang hod loai hinh DT,BD
nhdm nang cao chdt luang, hieu qua
DTBD CB,CC
Tha tu, ddi mdi manh me ndi dung,
chuong trinh, phuong phdp DT,BD theo
hudng hieu qua, thiet thuc, bdm sat thuc
tiln, chii trpng kT nan^ thuc hanh, phii hpp
vdi he thdng tidu chuan chiic danh, nhiem
vu ngach, bac CB,CC, vien chire
Thif ndm, ddi mdi phuong thiic, ca ehe,
chinh sach quan ly DT,BD theo hudng
khuyen khich tu DT,BD trong thuc tiln;
gdn ke't DT,BD vdi bd tri, sir dirng, giao
viec phii hop de phat huy, thir thach, kich
thich tai nang, sang tao; lua ehpn, thu hiit
va DT,BD nang cao ddi vdi nhung can bd
khoa hoc, cdng nghe, van hod, quy hoach
dd thi, ehuyln gia ddu nganh, can bp quan
ly kinh doanh gidi d cac thanh phdn kinh
te, cdc nghe nhan va cdng nhan lanh nghi,
nhung tai nang tre, sinh vien gidi Coi trpng xa hdi hod trong DT,BD CB,CC, phdi kit hop chat ehe vdi cdc ca sd dao tao trong va ngoai nudc trong viec thuc hien nhiem vu DT,BD
ThA sau, tang cudng cdng tac kilm tra,
ddnh gid chdt lupng DT,BD, khen thudng,
ki luat cdng minh, ddng bd, kip thdiQ
Tai lieu tham khao
1 Bao cao s6' 120 /BC-SNV ngay 10-02-2009 cua Scr Noi vu thanh ph6' Ha N6i ve ket qua thuc hi6n c6ng tac noi vu nam 2008 va phuong hudng nhiem vu trong tdm nam 2009
2 Nghi quyet so 20/NQ-TU ngay 28-5-2005 cua Ban Thudng vu Thanh uy Ha N6i ve doi mdi, nang cao chat luong, hieu qua cong tac DT,BD CB,CC giai doan 2005-2010
3 Quyet dinh so 5533/QD-UB ngay 04-8-2005 cua UBNTD thanh phd' Ha Noi ve viec giao chi ti6u dao tao sau dai hoc tai Cong hoa Phap giai doan 2005-2010
4 Quyet dinh sd 8112/QD-UB ngay
13-12-2005 ciia UBND thanh ph6' Ha N6i ve viec giao chi tieu dao tao sau dai hoc 6 trong nudc giai doan 2006-201(); Chi t h i s 6 35/CT-TU ngay 04-8-2005 cua Ban TTiudng vu Thanh uy va Ke' hoach s6' 79/KH-UBND ngay 27-12-2005 ciia U B N D ' thanh ph6' Ha N6i v6 xSy dung, ning cao chai luong ddi ngu nha giao va can bd quan ly giao due thanh ph6' giai doan 2006-2010