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UY BAN NHAN DAN TiNH QUANG NAM CONG HOA XA HO! CHU NGHIA VItT NAM DOc lap - Tv do - 11#nh phtic s6:00g/Trr-uBND Quang Nam, ngayR thang nam 2020 De nghi H01106NG NHAN DAN TiNH QUANG NAM DAN So. .,ZQ uDi ` Chuyfr TRiNH thong qua Nghi quyet Oat trien sty nghib y te - dan so tinh Quang Nam giai do4n 2021 - 2025 Kinh gfri: HOi ding nhan dan tinh Khoa IX Can cir Nghi guy& s6 47/2012/NQ-HDND ngay 19/9/2012 , dia. He)i cling nhan dan tinh Khoa VIII ve Quy hoach phattrien six nghiep y te tinh Quang Nam den nam 2020, tam nhin den nam 2025 (viet tat la Nghi quyet 47); Can cir Quy'et dinh s6 3548/QD-UBND ngay 05/11/2012 cna ty ban nhan dan tinh phe duyet Quy hoach phat trien six nghiep y te tinh Quang Nam den nam 2020, earn nhin den nam 2025; Can cir C6ng van s6 7314/UBND-KGVX ngay 14/12/2020 cUa ty ban nhan dan tinh ye viec trien khai cac nhi'em vu phat trien van hoa - xa hOi trong nam 2021; De tiep tvc trien khai thvc hien dat mve tieu Nghi guy& s6 20-NQ/TW, Nghi quyet so 21-NQ/TW ngay 25/10/2017 cilia Ban Chap hanh Trung uong Dang ye tang cuing cong tac bao ve, cham sic va nang cao sue Ichoe nhan dan, cong tac dan so trong tinh hinh mdi den nam 2025; Ke hoach so 138-KH/TU ngay 27/02/2018 cua Tinh fly ve thvc hien cac Nghi quyet H6i nghi lan thir sau dm Ban ChAp hanh Trung 'acing Dang Khoa XII ve tang cueing cong the bao ve, cham sic va nang cao sire khOe nhan dan trong tinh hinh mdi; ty ban nhan dan tinh xay dixng De an phat trien sir nghiep y te - dan s6 tinh Quang Nam giai down 2021 - 2025, trinh H6i Ong nhan dan tinh Khoa IX, KS , h9p thin 21 xem xet, quyet dinh voi cac not dung chii yeu nhu sau: I. TINH HiNH TITC.T . 0 HIVN NGHI QUYET 47 1. Cang co kien town he thong y te cong 14p: he th6ng b6 may y te cong lap duge sap xep tinh g9n theo clung chu truing ciaa Dang, Chinh phu, B6 Y te. Tuyen tinh, huyen tir 55 don vi six nghiep con 33 don vi (giam 22 don vi, giam 34 to chire ben trong); tuyen xa con 241 Tram Y te. 2. Phat trien y te tir nhan: tinh den nam 2020, tinh to c607 benh vien da khoa to nhan \Teri quy mo 1.140 giu6ng benh (tang gap 2,3 lan ve , ca s benh vien so vai nam 2012); 187 phong Icham chu , yen khoa, 18 ph6ng Icham da khoa (tang 2,3 tan so voi 2012); 1.097 co . s6 hanh nghe tan duge (tang gap 20 lan so vii 2012), 17 ca so' hanh nghe duge co truyen; 10 cong ty va chi nhanh cong ty duge - vat to y te ten dia ban tinh (tang hurl 3 lan so v6i 2012).

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Page 1: s6:00g/Trr-uBND So. .,ZQ Chuyfr

UY BAN NHAN DAN TiNH QUANG NAM

CONG HOA XA HO! CHU NGHIA VItT NAM DOc lap - Tv do - 11#nh phtic

s6:00g/Trr-uBND

Quang Nam, ngayR thang nam 2020

De nghi

H01106NG NHAN DAN TiNH QUANG NAM

DAN So. .,ZQ

uDi Chuyfr

TRiNH thong qua Nghi quyet Oat trien sty nghib y te - dan so

tinh Quang Nam giai do4n 2021 - 2025

Kinh gfri: HOi ding nhan dan tinh Khoa IX

Can cir Nghi guy& s6 47/2012/NQ-HDND ngay 19/9/2012, dia. He)i cling nhan dan tinh Khoa VIII ve Quy hoach phattrien six nghiep y te tinh Quang Nam den nam 2020, tam nhin den nam 2025 (viet tat la Nghi quyet 47);

Can cir Quy'et dinh s6 3548/QD-UBND ngay 05/11/2012 cna ty ban nhan dan tinh phe duyet Quy hoach phat trien six nghiep y te tinh Quang Nam den nam 2020, earn nhin den nam 2025;

Can cir C6ng van s6 7314/UBND-KGVX ngay 14/12/2020 cUa ty ban nhan dan tinh ye viec trien khai cac nhi'em vu phat trien van hoa - xa hOi trong nam 2021;

De tiep tvc trien khai thvc hien dat mve tieu Nghi guy& s6 20-NQ/TW, Nghi quyet so 21-NQ/TW ngay 25/10/2017 cilia Ban Chap hanh Trung uong Dang ye tang cuing cong tac bao ve, cham sic va nang cao sue Ichoe nhan dan, cong tac dan so trong tinh hinh mdi den nam 2025; Ke hoach so 138-KH/TU ngay 27/02/2018 cua Tinh fly ve thvc hien cac Nghi quyet H6i nghi lan thir sau dm Ban ChAp hanh Trung 'acing Dang Khoa XII ve tang cueing cong the bao ve, cham sic va nang cao sire khOe nhan dan trong tinh hinh mdi;

ty ban nhan dan tinh xay dixng De an phat trien sir nghiep y te - dan s6 tinh Quang Nam giai down 2021 - 2025, trinh H6i Ong nhan dan tinh Khoa IX, KS, h9p thin 21 xem xet, quyet dinh voi cac not dung chii yeu nhu sau:

I. TINH HiNH TITC.T.0 HIVN NGHI QUYET 47

1. Cang co kien town he thong y te cong 14p: he th6ng b6 may y te cong lap duge sap xep tinh g9n theo clung chu truing ciaa Dang, Chinh phu, B6 Y te. Tuyen tinh, huyen tir 55 don vi six nghiep con 33 don vi (giam 22 don vi, giam 34 to chire ben trong); tuyen xa con 241 Tram Y te.

2. Phat trien y te tir nhan: tinh den nam 2020, tinh to c607 benh vien da khoa to nhan \Teri quy mo 1.140 giu6ng benh (tang gap 2,3 lan ve , ca s benh vien so vai nam 2012); 187 phong Icham chu,yen khoa, 18 ph6ng Icham da khoa (tang 2,3 tan so voi 2012); 1.097 co. s6 hanh nghe tan duge (tang gap 20 lan so vii 2012), 17 ca so' hanh nghe duge co truyen; 10 cong ty va chi nhanh cong ty duge - vat to y te ten dia ban tinh (tang hurl 3 lan so v6i 2012).

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3. Phat trien nhan ltrc y te: nhan lvc y to y to toan tinh phat trien ca ve s6 luqng ran chdt *mg. Den nam 2020, nhan lvc y te toan tinh la 9.803 ngtrai, dat 53,6 nhan lvc y te/10.000 dan; 11,2 bac 010.000 dan; 1,68 dugc si dai h9c/van dan, vugt muc tieu Nghi guy& 47 de ra (52 nhan lirc y te/10.000 dan; 8 BS/van dan va 1,5 dugc si dai hgc/van dan). Nhan lvc y te dugc nang cao trinh do chuyen mon len dai h9c, sau dai h9c.

4.,Cai t#0, nang cap, xay dtrng co' so. 114 tang, mO• rOng quy mO giu'O.ng

benh: doi \fed tuyen tinh, c6 27 du an dau tu nang cap, sira chi-fa 09 benh vien tuyen tinh, 05 trung tam chuyen nganh tuyen tinh, 01 tram cap cuu 115. Tuyen huyen c6 15 du an dau tu nang cap, sira china cho 09 Trung tam Y te huyen va 01 benh vien. Tuyen xa,c6 06 Phong Icham da khoaIchu vvc dugc dau tu xay mai, nang cap; 111 Tram Y to xa dugc xay mai, 64 Tram Y te )(a dugc sira chira, nang cap.

5. Cal t4o, xay dtyng he thOng xir 117 chat thai long dam bao mei truirng y te: tinh den nam 2020, c6 10/11 don vi tuyen tinh da dugc xay dung ho4c da c6 chi truong dau tu he th6ng xir V/ chat thai long (dat 90,9%);18/18 don vi kham, china benh tuyen huyen c6 he thong xir ly chat thai long hoac da co chi truung dau tu (dat 100%); 02/07 Phang kharn da khoa khu vvc c6 he th6ng xi:r1T chat thai long.

6. DAu tir trang thiet bi y te: trang thiet bi y to co ban dugc thay the, 136 sung hang nam dam bao phic vv ding tac chuyen mon; tap trung cho cac xa yang 3 (vimg kilo khan); ngoai ra, cac benh vien tuyen tinh, huyen, nhat la 03 Benh vien da khoa tuyen tinh da dugc dau tu trang thiet bi ky thu4t cao nhu: may chip cat lop dien toan 64 lat cat, may chip cong huang tix (MRI), may chip mach so hoa xoa nen (DSA), he theing luu tar va truyen tai hinh anh y khoa (HT PAS), may hoi sire tim phoi, may ECMO, he th6ng mo not soi, he thong nOi soi chan doan, sieu am chan doan, may X quang Icy thuat so...nen tirng buac nang cao ky thu4t dich v1,1 kham, china benh tai tuyen tinh, huyen.

, 7. Cal thin cac chi so sfrc khoe co' ban ciia nhan dan tren dia ban tinh: th9 trung binh tir 72,4 (nam 2012) tang len 73,1 (nam 2020); tS1 so giai tinh khi

sinh a mix On dinh (107 be trai/100 be gai); tS, suat tfx vong tre em dual 1 tuoi giam tir 17,4%o (nam 2012) xu6ng con 15,5%o (nam 2020); tS, suat tir,vong me giu a mire duoi 20/100.000 ca de song (toan qu6c la 53/100.000 ca de song); giam tS1 le suy dinh &fang tre em duai 5 tu6i tir 16% (nam 2012) xu6ng con 10% (nam 2020); suy dinh duerng the thAp coi tir 30,1% (nam 2012) xu6ng con 22% (nam 2020).

8. Tinh hinh kinh phi thvc hien giai down 2012 - 2020

Trong giai doan 2012 - 2020, nguon von dau tu cho y te (bao g6m von ngan sach Trung ming, von Nan sack dia phuang, von ODA...) la 1.902,7 tS, dong, dat

91,8% so to

Nghi quyet 47 de ra (2.073,5 t'T d6ng). Nguon von ngan sach sv nghiep y te dia phuong la 6.544 tST, binh quan khoang 843 tSi dong/nam.

9. Dinh gia chung: Nghi guy& 47 da dugc trier' khai thvc hien kha hieu qua, hau het cac ket qua deu dat va vugt chi tieu de ra. pg dugc ket qua do la nil& co sir quan tam ung hO cua }RN &Ong nhan dan tinh vai nhieu chinh sach ho trq dugc ban

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hanh, dac biet la chinh sach dau to cong, thu hut nhan lvc y to trinh d6 cao, ho trq dao to nhan lvc y to chuyen sau cua tinh...; sv tang cuOng chi do, dieu,hanh cua

Uy ban nhan dan tinh, nhat la huy d6ng dirge cac ngu6n Jvc tap trung dau to y te ding nhu tao dieu kien thuan lqi cho cong tac xa h6i hoa ye y te...

10. Ton tai, h4n che, nguyen nhan

- thOn; to chtic: chua kien toan th6ng t6 chirc theo dung tin d6 de

ra tai Quytt dinh so 3427/QD-UBND ngay 13/11/2018 dm Uy ban nhan dan tinh, cu the la Khoa san, Benh vien Phil san - Nhi chua thanh lap dirge; Benh vien da khoa thanh pho H6i An chua phat trien len benh vien hang II, nguyen nhan chinh la

do thieu bac si.

- Ve nhan y te: so voi chi tieu Ng.hi quytt 47 thi dat invc tieu ra;

Tuy nhien, so voi cac quy dinh ciia BO Y ve,chuyen mon hien hanh, nhan lvc y te town nganh con bat cap ve ca cau, nhat la thieu bac si, dan den khO khan khi trier' khai thus hien Nghi quytt so 11/2017/NQ-HDND ngay 19/4/2017 cUa H6i dong nhan dan tinh ve dao to chuyen sau, e kip; dao to cac chuyen nganh co. ban (n6i, ngoai, san, nhi, truyen nhiem, gay me hoi, chan doan hinh anh...) va. mot so

linh vvc dac (nhu chuyen khoa tam than, giam dinh phap y, chuyen nganh lao va benh phoi...) con thieu bac si & ca 3 tuyen tinh, huyen, xa.

- Ve co. so' 114 tan*, trang thiet bi: so vo.i Nghi quytt 47 thi chua dal chi

tieu ye dau tu co so. ha tang, con mot so tram cap cfru 115 chua dirge dau tu; Benh vien Y h9c co truyen, Benh vien Pham Ng9c Thach chua dat benh vien hang II; dau to

trang thitt bi theo danh mvc quy dinh dm B6' Y to chua dat 80% danh nivc timg tuyen dieu tri; con 40% Khoa Dirge tai cac co s& y te cong lap tuyen tinh, tuyen huyen chua dat tieu chuan "Thvc hanh tot bao quan thuoc". Nguyen nhan: ngu6n von han che, 1)6 tri nhieu giai doan, khong tap trung, clan den the cong trinh khi hoan thanh khOp noi khOng d6ng b6; hien m6t so hang mix cong trinh dirge dau tu tix nam 1997 den nay da han 20 nam, xuong cap tram trung, cong nang khong con phu hgp voi vi'ec khan' chita benh hien nay, dac biet la cac khu ky thuat, khu lcham cap ciru, phong xet nghiem va ha tangky thuat; ,cac kho bao quan,thu6c tan doge; kho bao quan thu6c, nguyen lieu thu6c co truyen; kho bao quan vac xin; kho bao quan vat toy te, kho bao quan hoa chat... dm mot so ca s& y te tinh, huyen chua dat cac dieu kien ve thvc hanh tot bao quan thu6c, nguyen lieu lam thuoc theo quy dinh tai ThOng tu so 36/2018/TT-BYT ngay 22/11/2018 ciia B6 Y te.

II. QUA TRINH XAY DING DE AN VA DV THAO NGHT QUYET

1:1y ban nhan dan tinh da giao SO Y to chu tri, phi hgp cac nganh, dia phucmgdanh gia, ra soat thvc hien Nghi quyet 47; teen ca so d6, xay dung De an phat tren sir nghiep y te - dan so giai doan 2021 - 2025 cho phi hgp \Ted cac quy dinh ve chuyen mon y te va tinh hinh kinh te - xa h6i cua tinh.

Tren co so tip thu cac y kitn, cila SO hoach va tu, SO Tai

chinh, cac SO, nganh lien quan va kien lc& luan cilayhO Chu tich UBND tinh Tran Van Tan tai cu6c hop ngay 18/11/2020; tip thu y kien g6p dm Ban Van hoa - Xa

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h8i Hoi dong nhan dan tinh tai bu8i lam viec voi Soy Y t6 ngay 25/11/2020; tip thu 2 ki8n Op 2 cfra cac thanh vien Uy ban nhan dan tinh; Sel Y da tong hop, hoan chinh DO an, du thao Nghi,quy8t, tham muu Uy ban nhan dan tinh trinh ding nhan dan tinh xem xet, guy& dinh theo tham quyen.

III. NOI DUNG NGHI QUYET

I. Mlle tieu chung Xay chmg va phat tri'en six nghiep y t6 - dan so tinh Quang Nam dam bao

nang lirc, dap ting &roc nhiem vu bao ye, cham soc va nang cao sirc khoe nhan dan; cong tac dan s8 trong tinh hinh med, bao darn moi ngtred dan, deu di.r9c van VT,

cham soc sirc khoe, g6p phan nang cao sirc khoe ca ve the chat va tinh than, tam \Toe, tuoi th9, chat 'wing cu8c song cilia ngueli dan.

2. Mne tieu, chi tieu en the den nam 2025

Mitc tieu 1: Tiep' tuc thyv hien, hoan thanh viec ken town, sap xep' he thong to chuc bd may nganh Y to tinh Quang Nam theo clang quy dinh

Chi tieu dLi nam 2025:

- Dg.t tai thiL 43,6 gitrong benh teen 10.000 dan, trong do, t2 le gitraing b8nh ngoai cong 14p dat 20%;

- Phat trien it nhat 02 benh vien dat bOnh vien hang I; xay dirng it nhat 01 Trung tam chuyen khoa tuy'L tinh dat dan vi hang I; phan dau xay dung ca soy dieu tri benh y hoc nhie't doi;

- 100% benh vien c6 be) phan &roc lam sang, cong tac xa h8i va dinh duang, ti6t ch6;

- 100% benh vien da khoa, benh,viOn chuyen khoa, trung tam chuyen khoa tuyen tinh la ca so. dao tap thvc hanh khoi nganh suc khoe;

- 100% ca so khan', chfia bOnh c6 b8 phan y &roc co truy&'n, phvc h6i chirc nang; phan Tau c6 01 b8nh vien phvc hoi chirc nang tuy8n tinh;

- 100% huyen, thi xa", thanh phi c6 mot trung tam y to da chirc nang;

- 100% xa, phuOng, thi tran c6 tram y t6, gan vai nhiOm vv quan 12 y to truing hoc;

- 100% than ban c6 Nhan vien y t6 than ban - COng tac vien Dan so - Gia dinh va Tre em hoat dOng.

Myc lieu 2: Tap trung nang cao chdt lup'ng dich vu y te, phat trdn dich vu lry thudt chuyen sew; tang cu-deng kham, benh china benh y hoc hien dgi ket hap y hpc co truyen va phyc hoi chirc nang

Chi lieu d6n nam 2025:

- 100% benh vien (bao gam trung tam y to c6 benh vien) d4t mix chat hryng kha tro len. Trong do, co It nhat 02 benh vien da khoa tuyen tinh, 02 berth vien ngoai cong lap dat mire chat ltrong benh vien tot;

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- 100% benh vien da khoa tuy6n tinh, khu virc, benh vien chuyen khoa tuyen tinh thgc hien dugc toi thieu 80% danh mic ky thuat theo phan tuyen; 100°/o trung

tam, y to co benh vien thgc hien duck toi thieu 90% danh Icy thuat theo phan

tuyen; 100% tramy to thvc hien dugc toi thieu 90% danh mvc goi dich vu y to ca

ban, 50% tram y to xa trien khai hoat dOng theo nguyen ly y h9c gia dinh;

- Tip tic phat trien y to chuyen sau Icy thuat cao v'e,can thiep Tim mach, pilau thuat Ung thu, Chan thuong chinh hinh, Ngoai fiat nieu - long nggc - mach mau, NOi than kinh, DOt quy, Hoi sic tich cgc - Chong d'Oc a cac berth vien da khoa tuyen tinh, khu vgc; thanh lap Trung tam Ung buau, Trung tam Chan thuang chinh hinh Bong - Vi phau tao hinh - Phtic hoi chirc nang thuOc Benh vien Da khoa tinh; phat trien linh vine y h9c co truyen, phvc hoi oh& nang & cac benh vien tuyen tinh, huyen;

- 100% ca sa Icham, china berth lien thong kk qua xet nghiem vai cac phong

xet nghiem,tren pham vi toan quoc; chat luang phong xet nghiem y hgc dg tomirc 4 tr& len d•3i vai benh vien hang II tr& len; dat to mire 3 tra len doi vai benh vien hang III; 100% ph6ng xet nghiem y hgc bao dam an toan sinh hgc cap II tr& len.

- TS, le % Icham china benh bang y hoc co truy&ily h9c hien dai dat 20% d6i vai tuye'n tinh, 25% tuye'n huyen, 30% tuy6n Id; 100% tram y to xa dat Tien tien y dugc co truyen;

- 100% ca s& ,kinh doanh ban buon thuOc, co. y t" tren dia. ban dat tieu chuan "Thgc hanh tot phan phoi thuOc - GDP"; 100% nha thuoc, quay thuoc dat tieu chuan "Thgc hanh tot nha thuoc GPP", Trung tam Kiem nghiem Thu& - My

pham - Thgc pharn tinh dat tieu chuan "Thgc hanh tot phong thi nghiem - GLP"; 100% ca s& phan phOi, bao quan thuoc dat tieu chuan "Thirc hanh tot bao quan

thuOc" (GSP);

- It nhat 60% so xa/phu&ng/thi tran,trien khai va duy chuang trinh phic hoi chirc nang diva vao Ong clang; 70% so tre em to sa sinh den 6 tuoi dugc sang 19c phat hien sam khuyet tat barn sinh, roi loan phat trien va dtrac can thiep sam cac Bang lchuyet fat; 80% ngueli khuyet tat có nhu cau dugc tiep can vai cac dich vu

phtic hoi chile nang phi hgp de hoa nhap &Ong &Ong;

- 100% tram y to xa trien khai cham soc sire '<hoe ngu&i cao tuOi tai Ong dong va gia dinh;

100% xa, huyen narn trong Ke hoach ve dich N6ng thon mai dg cac tieu chi y to ye Nong thon mai.

Muc tieu 3: 100% cac ca so y to clot chi tieu nhan lyre theo cle an vi tri vide

lam &lac phe duyet va theo dung quy clinh

Chi tieu an nam 2025: - Dat 60 can bO y t6/10.000 dan. Trong do, dg 12 Bac s1710.000 dan, 02 Dive

si Dai hgc/10.000 dan, 20 Dieu citfang/10.000 dan;

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- Tren,50% tong so bac si c6 trinh dO chuyen khoa cap I ho-ac Wang duang

tree len, it nhat 20% tong so bac si c6 trinh dO chuyen khoa cap II hoc tuang throng tai cac benh vien da khoa tuyen tinh, khu virc;

- 100% Trung tam Y to huyen c6 benh vien, co it nhit 01 Bac si chuyen khoa I hoc tuong throng tree len, cho cac chuyen khoa: NOi, Ngoai, San, Nhi, Truyen

nhigrn, Y h9c co,truyen, Chan doan hinh anh, Gay me hoi sirc; 100% Trung tam Y to huyen co it nhat 02 13ac si Y h9c du phong hoc Y t6 cong cong tree len;

- 100% cac benh vien da khoa co bac si chuyen nganh phvc h6i chirc nang, dugc si lam sang, can bO chuyen nganh dinh duorng c6 trinh dO dai hgc tree len, can bO lam cong tic xa hoi c6 Chung chi ve Cong tic xa hOi, can bO lam cong tic kiem soat nhiem khuan c6 Chung chi ye Kiem sok nhiem khuan;

- 100% cac don vi y to c6 it nhit 01 can bO chuyen nganh phv trach cong nghe thong tin;

- 100% tram y to thirc hien cong tic kham, chita benh c6 bac si lam viec;

- 100% tram y to c6 Nir hO sinh hoc Y si san nhi; c6 can bO phi trach cong tic dugc va y dugc h9c co truyen;

- Tren 95% Nhan vien y to thon ban - COng tic vien Dan so - Gia dinh va Tre em dat chuan theo quy dinh.

to Myc tieu 4: Tiep' tic cfau tu• xay mai, Wang cap' , phat trien ha tang co. y

theo quy mo giuOng benh, clap irng yeu cdu ve chuyen mon k-9 thuat va clam bao moi truang y te; trang bi may mac thiet bi y to ca ban va nang cao clap in phat trien dich vu 197 thuat chuyen mon kham china benh, y to dtrphong;,clau tu' ha tang k-9 thuat

va phan mem ting dung cong nghe thong tin clap ting phat trien y to so.

Chi tieu den nam 2025:

- Xay meei, nang cap, sira chita ha tang co see y to dap irng quy mo giuong benh dat t6i thieu 6.730 giuong (trong do giu6ng benh ding lap thuOc See Y to queen ly dat toi thieu 4.780 giuong); dam bao 100% ca son y,te kham, chila benh quy m6

tir phong kham da khoa tree len c6 thOng xir V/ chat thai long, he thong phong

chay china chay theo quy dinh;

- Dau to may mac, thik bi y to dam bac thrc hien danh mvc dich vv ky thu4t chuyen mon theo phan tuyen ky thu4t Ya dich vu ky thu4t chuyen sau dugc phe duyet;

- 100% co se( y t6 cong 14p tuye'n tinh, huyen dat BO tieu chi irng dung cong nghe thong tin trong kham, chila benh tir mix 5 tree len (tuang irng benh an dien tir), trong do c6 it nhat 03 don vi dat mire 6 (tuang ung Benh vien thong minh);

- 100% tram y to xa dugc xay dirng va trien khai he thOng thong tin pan ly theo quy dinh;

- 100% benh vien da khoa tuy6n tinh, khu ykrc trien khai dugc he thiong chin

down, tri xa (Telemedicine), gan voi dao tao, chuyen giao ky thuat ten dia. ban tinh.

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Muc tieu 5: Tang cw&ng thirc hien tw chit tai chinh trong cac don vi sit nghiep y to cong lap, giam dan kink phi chi thwemg xuyen tic ngan sach nha nuov va

tien nga'n sach nha nu& cat tu. cho y to du phong, cong tac dan so, y to ca so'

Chi tieu den nam 2025: - 100% benh vien da khoa tuyen tinh, khu vgc to dam bao chi thix6ng xuyen,

ti'en den to chi hoan toan; - 100% dan vi six nghiep y to cong lap tir dam bao chi thtrarng xuyen cho he

dieu tri (kham benh, china benh).

MtIC lieu 6: Bao dam moi nguy31 dan cfeu cluvc quan 1)% cham soc sic khoe,

Op ph )an neing cao stir khoe ca ye the chat va tinh than, tam yoc, tuoi thQ, cai thien chat luTmg dan sO, mang cao chat lwong cuOc song cua nodyi dan

Chi tieu den nam 2025:

- TOc c18 gia tang dan so binh quan 0,5%/nam trong suOt giai down 2021 -2025, du lcien den nam 2025 dat khoang 1.542.992 dan so;

- TuOi th9 trung binh dat 73,6 tuOi;

- Ti le tham gia bao him y to dat tren 96% dan s6;

- Ti so giei tinh khi sinh duy tri e mire dixai 107 be trai/100 be gai;

- 40% phis nu mang thai dugc tam soat it nhdt 4 loai benh tat barn sinh phO bier' (HC Down, HC Edward, HC Patau, di tat ong than kinh); 60% tre soy sinh dugctam sok it nhat 5 loai benh barn sinh ph8 bien nhat (thieu men G6PD, thieu nang giap barn sinh, Thalassemie, benh roi loan chuyen Ma acid amin, acid bao va acid hitu co);

- Ti le tiem Chung me r8ng cigt t6i thiL 95% v&i 12 loai vac xin;

- Giam ti sudt tfr vong tre em: clued 5 tuOi con 18,5%0; dired 1 tu6i con 12,5%o; giam ti so tin vong me xuong con duoi 20/100.000 tre de song;

- Ti le suy Binh dOng the thdp coi cua tre em duai 5 tutii chresi 20% nam 2025;

- Chi'eu cao trung binh thanh nien 18 tuOi dat 167 cm dOi \Teri nam va dat 156 cm doi voi

- PhAn ddu tren 98% dan so dugc quan ly sirc khoe; 95% tram y to xa, phueng, thi trap thgc hien du phong, quan dieu tri mot so benh kh6ng lay nhiem, 100% h9c sinh &Jac theo doi, quan ly sirc khoe h9c dOng;

- Duy tri giam mac sot ret dui 0,05/1.000 dan s6; mac sot xudt huyet dat &rod 4,7/100.000 dan; duy tri thanh tan benh bai liet, loai trir Iron van sassinh, phan dau thanh tan benh sat; Ichong the t5/ le nhi6'm HIV/AIDS trong cong dung dan cu clued 0,2%; tang t.ST le phat hien lao ten 5%/nam, tang tS, le phat hien lao tre em teen

4%/nam, duy tri tS, 1e diet' tri khoi lao phoi AFB (+) m&i teen 85%;

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8

- Cac benh khong lay nhigm nguy hiem dugc kiem soat, 50% nguai 4nh dai thao duOng trong cong d6ng dugc phat hien va quan 13% dieu tri; 70% nguOi benh tang huyet ap dugc phat hien sam va quail ly, dieutri theo huang dan chuyen mon; giam tS le tre em 8-10 tu6i bi benh buoru co < 6 %; 30% ngu6i mac ung thix vu, c6 tir sung, khoang mieng, dai true trang dugc phat hien s6m va huang dan (lieu tri, charn s6c;

- 95% so xa quan ly benh nhan tarn thAn phan liet, benh nhan dOng kinh va 30% so xa quan 1y benh nhan roi loan tram cam. Quan ly, dieu tri va phuc h6i chirc nang tai cong clang cho 85% so benh nhan tai cac xa da dugc trier' khai;

- 95% se) xa quan,lf dieu tri, thuc hien du phong benh hen va benh phi tac nghen man tinh; 35% so benh nhan berth hen va benh phOi tac nghen man tinh dugc phat hien, quan ly va dieu tri sam;

- Giam 4% so vu ngO dOc thuc pham tap the tir 30 ngu6i mac/vu trung binh giai dogn 2021 - 2025 so vai trung binh giai doan 2016 - 2020; tSr le; mac ngO dOc thuc pham cap tinh trong vu ngO dOc dugc ghi nhan duOi 7 nguai/100.000 dan.

3. Giai phap

- Ra soat, dieu chinh Quyet dinh se') 3427/QD-UBND ngay 13/11/2018 ciia Uy ban nhan dan tinh ve sap, xep kin toan he thong to chirc y to tinh Quang Nam theo mo hinh thong nhat Or, cap huyen, xa; hoan chinh cac benh vien da khoa tuyen tinh, khu virc; phat trien the manh

, benh vien chuyen khoa; chirc co soy dieu tri

benh nhiet dai rieng biet.

- Xay dung va trien khai thuc hien Ice hoach phat trien nhan lvc y to - dan so cong lap trip thuc Sor Y to giai doan 2021 — 2025, cu the ve phat trien so lugng, chat lugng, timg chuyen nganh, chuyen sau, es kip, rinh vuc phat trien mili nhgn cua toan tinh va tirng don vi;

Xay dung ke hoach clAu tu co s'a ha tang, trang thiet bi theo nguyen tac,tru tien, dau tu trong diem va hang muc birc thiet nhat (cac hang muc cong trinh xuong cap nang, khong dam bao Ong nang sir dung, anh huang nhieu den nguai benh); uu tier' cho cac tram y to xa yang 3; cac trung tam ,y to huyen mien mai; benh vien

tuyen cuo'i tinh giam tinh tang chuyen tuyen ngoai tinh (Benh vien Da khoa tinh phat trien hoan chinh benh vien han4 I; cac Benh vien Da khoa khu vvc phat trien len benh vien hang I); Trung tam Kiem soat benh tat tinh du nangsluc dap ung

nhiem vu du phong, kiem, soat benh tat cap tinh; tien dau ha,tang va trang thiet bi cho Trung tam Kievi nghiem Thu& — My pham,— Thvc pham tinh de dat Thkrc hanh tot phong thi.fighiem (2021) mai dugc phep kiem nghiem theo quy dinh;

- Dalt tu dam pao. &Ong bO co sa ha tang, trang thiet bi vai nhan lvc dugc dao tao de phat huy hieu qua dau tu; trgng dau tu nang cap, sira china hoan thin nha thu gom rac thai, cac he thong xir 151 chat thai long, phong chay, china chay cho tat ca cac don vi;

- Xay dung De an ung dung va phat trien cong nghe thong minh, y to thong minh giai doan 2021 - 2025.

Page 9: s6:00g/Trr-uBND So. .,ZQ Chuyfr

TM. 1DY BAN NHAN DAN KT. CHU 'ITCH PHO CHU TICH

9

- Tang cuOng quan ly nha nu& 1/. ' lTnh vgc y t6, dan so; tang cueing giam sat, kiem tra, danh gia hieu qua ,cac chucmg trinh, dg ke hoach cong tac y to dg phong, dan dat muc tieu den nam 2025; tang cuOng quan 1$, cong tac lcharn benh,

china benh; quan 1ST hanh nghe y, &roc tu nhan, y cluqc co truyen, phuc hoi chirc Wang; kiem soat va day manh viec thgc hien BO tieu chi chat luong benh vin; chat hxong phong xet nghiem y h9c, phong xet nghiem dam bao an town sinh h9c;

- Day manh Ung dung cong nghe thong tin trong link vgc y te, dan s6 dam bao thgc hien theo 10 trinh;

- Tang cuOng truy'L thong, van Ong, quan triet,phiz) bin muc tieu, nOi dung, giai phap ciia De an phat trien six nghiep y to - dan so tinh Quang Nam giai doan 2021 - 2025 trong town tinh nham nang cao nhan thirc, tap sir &mg thu'an, img hO, huy d0ng toi da m9i nguon lgc de dau tu cho lTnh vgc y,te, dan va phoi hop trien khai thgc hien; tich cgc keu g9i nguon lgc xa hed hoa; day manh hgp tac quoc te;

- IJu tien can dOi ngan sach, dam bao tai chinh thus hien Da an; khai that, sir dung co hieu qua cac nguon von sir nghiep, nguon von dau tu; phat huy thgc hien ca the to chd tai chinh doi vai cac don vi su nghiep y to cong lap nham huy dOng nguon thu dam bao can doi chi thuong xuyen doi ,vai he dieu tri, danh ngan sach nha nu& cho cong tac y to dg phong, dan so va dau tu phat trien; xay dgng va sir dung hi'u qua nguon guy phat trien sg nghiep.

4. Kinh phi thip

TOng kinh phi thgc hien Nghi quye't phat trien sir nghiep y ter', dan so giai

doan 2021 - 2025 la 5.112, 569 tS, d6ng. Trong do:

Ngan sach tinh: 3.476, 076 tS,

Ngu'on thu tin kham, china benh va cac dich vu y to khac cua cac ca so y 564, 493 tS, d6ng.

Ngul5n khac (ADB, chuong trinh muc tieu qu6c gia, chucmg trinh phat trien kinh to - xa 110i vimg dong bao dan tOc thieu so va mien 1.072 VS/ Ong.

'by ban nhan clan tinh kinh trinh HOi Ong nhan dan tinh xem xet, quyk

(Giii kern: 13r an, cac phy lyc chi tiet, cac ha sa, thi tyc lien quan theo quy clinh)

Nai nhem: - Nhtr ten; - TT TU, HDND tinh; - CT, cac PCT UBND tinh; - Cac Ban HDND tinh; - Cac vi dai biOu HDND tinh khoa IX; - Cac So; Ban, nganh lien quan; - UBND cac huyen, thi xa, thanh ph6; - CPVP; - Ltru: VT, NC, TH, KGVX, KTN, KITH. DAQUANG VX \Nam 20201H$ so trinh QH y to 2021 - 2025\ To trinh UBND tinh trinh HDND tinh a/ an 31.12.doc Tran Van Tan

Page 10: s6:00g/Trr-uBND So. .,ZQ Chuyfr

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