UY BAN NHAN DAN TiNH SON L A

CONG HOA XA HOI CHU NGHIA V I E T NAM Doc lap - Tu- do - Hanh phuc

S6: 77/KH-UBND San La, ngay 05 thdng 5 nam 2017

K E H O A C H Thurc hien De an "Cham soc sue khoe ngirm cao tuoi giai doan

2017 - 2025" tren dja ban tinh San L a

Thuc hien Quyl t dinh s6 1781/QD-TTg ngay 22/11/2012 cua Thu tuang Chinh phu phe duyet Chuang trinh hanh dong quoc gia ve nguai cao tuoi Viet Nam giai doan 2012-2020; Quyet dinh so 7618/QD-BYT ngay 30/12/2016 cua Bo trudng Bo Y ti phe duyet De an Cham soc sue khoe ngudi cao tuoi giai doan 2017-2025. Uy ban nhan dan tinh ban hanh Ke hoach thuc hien Bk an "Cham soc sue khde ngudi cao tudi giai doan 2017 - 2025" tren dia ban tinh San La vdi cac noi dung nhu sau:

1. CAN Ctr X A Y DUNG K E HOACH

1. C a sd phap ly

- Phap lenh Dan sd ngay 09/11/2003 cua Uy ban Thudng vu Quoc hoi khoa X L

- Lijat Ngudi cao tudi nam 2009.

- Luat Kham benh, chua benh nam 2009.

- Nghi dinh sd 06/ND-CP ngay 14/01/2011 cua Chinh phu quy dinh chi tiet va hudng dan thi hanh mot sd dieu cua Luat ngudi cao tudi.

- Quydt dinh so 122/QD-TTg ngay 10/01/2013 cua Thu tudng Chinh phu phe duyet Chien luac qudc gia bao ve, cham soc va nang cao sue khde nhan dan giai doan 2011 - 2020, tam nhin den nam 2030.

- Quydt dinh so 2013/QD-TTg ngay 14/11/2011 cua Thu tudng Chinh phu phe duyet Chien luac Dan so va Sue khde sinh san Viet Nam giai doan 2011 - 2020.

- Quyet dinh sd 1781/QD-TTg ngay 22/11/2012 cua Thu tudng Chinh phu phe duyet Chuang trinh hanh dong quoc gia ve ngudi cao tudi Viet Nam giai doan 2012 -2020.

- Quydt dinh sd 7618/QD-BYT ngay 30/12/2016 cua Bd Y td vd phd duyet Dd an Cham soc ngudi cao tudi giai doan 2017 - 2025.

- Thdng tu sd 21/2011/TT-BTC ngay 18/02/2011 cua Bd Tai chinh quy dinh quan ly va su dung kinh phi cham soc sue khde ban ddu cho ngudi cao tuoi tai noi cu tru; chuc tho, mung tho va bidu duang, khen thudng ngudi cao tuoi.

- Thdng tu sd 35/2011/TT-BYT ngay 15/10/2011 cua Bd Y td hudng d in thuc hien cham soc sue khde ngudi cao tudi.

- Cong van s6 1439/BYT-TCDS ngay 24/3/2017 cua Bo Y td hudng dan xay dung va tridn Idiai Dd an Cham soc ngudi cao tuoi.

2. Co" sd thuc tien

Ddn nam 2016, toan tinh c6 81.504 ngudi cao tuoi, chidm 6,6% dan sd. Trong dd: 10.620 ngudi cao tudi thudc gia dinh hd ngheo, chidm 13%; 64.688 ngudi cao tudi cd the bao hidm y td (BHYT), chidm 79,4%; con lai 20,6% ngudi cao tuoi tir 60 - 79 tuoi chua cd the BHYT; 22.279 ngudi cao tuoi duoc lap hd sa theo doi sue khde, chidm 27,3%; toan tinh cd 1.031 loai hinh cau lac bd cua Hoi ngudi cao tudi dang duy tri boat dong vdi 26.418 hoi vidn tham gia cau lac bd, chiem 32.4%.

Trong nhung nam qua, cdng tac cham soc sue khoe ngudi cao tudi trdn toan tinh da duac quan tam tridn khai thuc hien, song vide cham soc, kham benh, chua benh cho ngudi cao tudi mdi duoc Idng ghep vdi kham benh va didu tri chung tai cac benh vidn, chua Khoa Lao khoa tai cac benh vidn, bac sy, didu dudng chua dugc dao tao chuydn sau vd cham soc sue khde ngudi cao tudi. Hang nam cd 36.040 lugt ngudi cao tuoi den kham benh va didu tr i , cham s6c sue khde ban dau tai tram y td; 60.423 lugt ngudi cao tudi ddn kham benh tai cac benh vidn da khoa, chuydn khoa, trong dd cd 31.086 lugt ngudi cao tudi dugc didu tri tai cac benh vidn. Nhan luc, ca sd vat chat, trang thidt hi tai cac benh vien chua dap ung cdng tac cham soc sue khde ngudi cao tudi (thieu may tho, may theo doi chuc ndng song. Monitoring, dien tim, do dp lodng xuong, may tao oxy...). Tai tram y td nhan luc, thidt bi phuc vu cdng tac cham soc sue khde ban dau va didu tri cho ngudi cao tudi con thidu (so theo doi vd quan ly ngudi cao tuoi, may khl dung, may do dudng huyet, bo kham tai mui hong, may sieu dm xdch tay . . . ) .

11. MUC T I E U , C H i T I E U

1. Muc tieu tong quat: Nang cao chat lugng cham soc sue khde ngudi cao tudi, dap ung nhu cau cham soc sue Idide ngudi cao tudi, nham nang cao chat lugng dan sd, gdp phan thuc hien Chuang trinh hanh ddng qudc gia vd ngudi cao tudi, Chidn luge Dan sd va Sue khde sinh san, Chidn luge qudc gia bao vd, cham soc va nang cao sue khde nhan dan trdn dia ban tinh San La giai doan 2017 -2025.

2. Muc tieu, chi tieu

2.1, Muc tieu 1: Nang cao nhan thuc cua cac cap uy dang, chinh quydn, ban nganh doan thd ve cham soc sue khde ngudi cao tudi, tao mdi trudng xa hdi dong thuan va phong trao toan xa hdi tham gia cham soc sue khde cho ngudi cao tudi.

Chi tieu: - 100% lanh dao cac d p uy dang, chinh quydn, ban nganh doan thd dugc cung d p thdng tin vd gia hda dan sd, thuc trang, nhu cau cham soc sue khde ngudi cao tudi; ban hanh van ban chi dao, kd hoach vd cham soc sue khde ngudi cao tudi.

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- 100% ngudi cao tudi, ngudi than true tiep cham soc ngudi cao tudi hiet thdng tin vd gia hda dan sd, quyen dugc cham soc sue khde va cac kidn thuc cham soc sue khde ngudi cao tudi.

2.2. Muc tieu 2: Nang cao sue Idide va Idia nang tidp can dich vu cham soc sue khde ban dau cua ngudi cao tudi.

Chi tieu: - 80% ngudi cao tuoi dugc cung cap kidn thuc, l<y nang tu cham soc sue khde.

- 80% ngudi cao tudi dugc kham sue khde dinh ky it nhat mot lan/nam va dugc lap hd so theo doi, quan ly sue khde.

2.3. Muc tieu 3: Dap ung nhu cau kham, chua benh cua ngudi cao tudi vdi chat lugng ngay cang cao, chi phi va hinh thuc phu hgp tai ca sd y td, tai gia dinh,...

Chi tieu: - 90% ngudi cao tuoi khi bi benh dugc tidp can dich vu cham soc sue Idide.

- 100% cac benh vidn tu tuyen huydn trd Idn d cac khoa cd giudng benh didu tri cho ngudi cao tudi.

- 100% ngudi cao tudi cd the bao hidm y td.

2.4. Muc tieu 4: Dap ung ngay cang day du nhu cau cham soc sue khde cua ngudi cao tudi tai gia dinh, cdng ddng va trong ca sd cham soc sue khde tap trung.

Chi tieu: - 90% ngudi cao tudi khdng cd kha nang tu cham soc, dugc cham soc sue khde bdi gia dinh va cdng ddng.

- 5% sd ngudi cao tudi cd dan khdng nai nuang tua, khdng cd kha nang tu cham soc, khdng cd ngudi trg giup tai nha, khdng cd dieu kien chi tra dugc cham s6c trong cac ca sd cham soc sue khde tap trung hang nam.

III . GIAI PHAP, NHIEM VU VA HOAT DONG CHU Y E U

1. Tang cirdng truyen thdng giao due thay doi hanh vi nang cao nhan thuc, tao mdi trudng xa hdi ddng thuan tham gia cham soc sue khde ngudi cao tudi

- Thudng xuyen to chuc truyen thdng giao due tren cac phuang tien thdng tin dai chung; dinh ky td chuc hdi thao, hdi nghi; chidn dich truydn thdng; long ghep cac hoat ddng truydn thdng giao due vd cham soc sue khde ngudi cao tuoi vdi cac hoat ddng truydn thdng khac thdng qua doi ngu cdng tac vidn dan so.

- Bidn soan, bidn tap, nhan ban, phat hanh cac san phim truyen thdng, tu van; hudng dan cham soc ngudi cao tuoi.

- Td chuc tap huan nang cao nang luc tuydn truyen, van ddng cho ddi ngu cdng tac vidn dan sd.

2. Xay dung, phat trien phong trao cham soc sue khde ngudi cao tuoi: - Quan tam xay dung phong trao cham soc sue khde ngudi cao tuoi tai cac td dan phd, ban, tidu khu.

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- Dua noi dung cham soc sue Idioe ngudi cao tudi Idng ghep vao hoat ddng cua cac cau lac bd cua ngudi cao tudi, cau lac bd phung dudng ngudi cao tudi.

3. Cung cd he thdng y te cung cap djch vu cham soc sue khde, kham benh chua benh cho ngudi cao tudi

3.1. Nang cao ndng lire cho y te ca sa

- Tap huan nang cao nang luc cho can bd nhan vien y te.

- Tiep tuc bd sung trang thiet bi thiet yen cho tram y te, nhat la tram y td xa de thuc hien tdt hon nhiem vu cham soc sue khde ngudi cao tudi.

- Thudng xuyen td chuc thuc hien cham soc sue Idide ban dau cho ngudi cao tudi tai y te ca sd theo quy dinh.

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- Hang nam td chuc chien dich Idram sue khde va lap hd sa theo ddi sue khde cho ngudi cao tudi.

3.2. Ndng cao ndng lire cho cac benh vien thuc hien kham vd chita benh cho nguai cao tuoi

- Trien khai quy dinh ve tieu chi phong kham benh, chua benh vdi ngudi benh cao tudi.

- Thudng xuyen td chuc thuc hien cham soc sue khde, kham benh va dieu tri benh cho ngudi cao tudi tai cac benh vien theo quy dinh.

- Tap huan, chuyen giao ky thuat cho can bd y te thuc hien kham benh, dieu tri cham soc ngudi benh cao tudi.

- Bd sung trang thiet bi phii hgp cho dieu tr i , phuc hdi chuc nang cho ngudi benh cao tudi.

4. Xay dung va phd bien md hinh cham soc sue khde cho ngudi cao tudi

- Xay dimg, duy tri hoat ddng cua cau lac bd cham soc sue khde ngudi cao tudi; tap huan ve cham soc sue khde ngudi cao tudi cho ngudi nha ngudi cao tudi, chu nhiem cau lac bd de hudng dan ngudi cao tudi tu cham soc sue khde; Idng ghep ndi dung cham soc sue Idide vao cac loai hinh cau lac bd cua ngudi cao tudi khac nhu cau lac bd phung dudng ngudi cao tudi, cau lac bd dudng sinh,...

- Td chuc cac hoat ddng sinh hoat cau lac bd tap trung cd ndi dung cham soc sue khde ngudi cao tudi.

5. Phat trien nguon nhan luc cham soc siic khde ngudi cao tudi

- Xay dung ke hoach dao tao bac sy chuyen Idioa lao khoa; dao tao, bdi dudng kien thuc vd lao khoa cho ngudi cham soc sue Idide ngudi cao tudi.

- Xay dung va phat trien md hinh bac sy gia dinh tham gia cham soc sue khde ngudi cao tudi.

6. Tang cudng hop tac trong va ngoai nude

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6.1. Hop tac trong nude: Tang cudng hgp tac vdi cac trudng dai hoc Y, benh vien Lao khoa Trung uong dd tranh thu su ho trg chuydn giao ky thuat, ho trg dao tao, nghidn cuu Ichoa hgc nham nang cao nang luc cham soc sue Idide ngudi cao tudi.

6.2. Hap tac quoc te: Tranh thu su hd trg ky thuat, kinh nghidm va ngudn luc cua cac to chuc phi chinh phu, cac ngudn vay uu dai dd thuc hien kd hoach.

IV. K I N H PHI T H U C HIEN

1. Tong kinh phi du kien: 10,5 ty ddng.

2. Ngudn kinh phi: Tu ngudn ngan sach cua tinh.

V. TO C H U C T H U C HIEN

l . S d Y t e

- Chu tr i , phdi hgp vdi cac sd, ban, nganh va UBND cac huydn, thanh phd tridn Idiai thuc hien kd hoach dam bao hidu qua; hang nam xay dung kd hoach tridn Ichai thuc hien.

- Chi dao cac dcm vi true thudc phdi hgp tridn khai, thuc hien cd hidu qua cac muc tidu, chi tidu cua kd hoach.

- Chi dao, hudng dan, ddn ddc, kidm tra danh gia kdt qua thuc hien cac hoat ddng cua kd hoach; dinh ky hang nam tdng hgp bao cao Bd Y td va UBND tinh (truac ngay 10/12); sa kdt, tdng kdt danh gia kdt qua trien Idiai thuc hien.

2. Sd Tai chinh

- Phdi hgp vdi Sd Y td tham muu vdi UBND tinh bd tri ngudn kinh phi tir ngan sach dia phuang hang nam cho cac hoat ddng cham soc sue khde ngudi cao tudi.

- Hudng dan, kidm tra, giam sat vide sir dung kinh phi chi cho cac hoat ddng cham soc sue Idide ngudi cao tudi.

3. Sd Lao dong - Thirong hinh va Xa hoi

- Phdi hgp vdi Sd Y td, cac sd, ban, nganh lien quan tridn khai thuc hien cac hoat ddng cua kd hoach.

- Chu tr i , phdi hgp vdi cac sd, nganh, UBND huydn, thanh phd tham muu vdi UBND tinh xay dung kd hoach hoat ddng va kinh phi trg d p bao trg, nudi dudrng, chuc thg, mirng thg cho ngudi cao tudi; thong kd, tdng hgp so ngudi cao tudi hang nam cua tinh.

4. Ban dai dien Ngudi cao tuoi tinh

- Hudng dan Hdi Ngudi cao tuoi cac huydn, thanh phd phdi hgp trien Idiai thuc hien cac hoat ddng cham soc sue Idide cho ngudi cao tudi thudc dia ban quan ly; thdng kd, cung d p thdng tin vd ngudi cao tuoi.

- Phdi hgp vdi nganh y td va cac sd, nganh lidn quan trien Idiai thuc hien cac hoat ddng cua kd hoach.

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5. Cac SO", ban, nganh lien quan: Can cu chuc nang, nhiem vu dugc giao CO trach nhiem phoi hgp vai nganh y te. Ban dai dien Hgi Ngudi cao tudi ciia tinh trien Ichai Ke hoach thuc hien de an cham soc ngudi cao tudi cua tinh.

6. UBND cac huyen, thanh phd

- Chu tri xay dung va td chuc thuc hien ke hoach tren dia ban quan ly; hd trg, bd sung ngudn luc, kinh phi cho cac hoat ddng cham soc sue Ichde ngudi cao tudi tren dia ban;

- Chi dao cac ca quan chuyen mdn, Uy ban nhan dan cac xa, phudng, thi tran tang cudng phdi hgp va day manh thuc hien cac hoat ddng cua ke hoach.

7. De nghi Uy ban Mat tran Td qudc Viet Nam tinh, cac td chiic chinh tri- xa hdi, cac td chuc hdi, doan the

- Phdi hgp chat che vdi nganh Y te va cac ca quan cd lien quan trong viec thuc hien cac nhiem vu.

- Phdi hgp vdi nganh y te va dia phuang tich cue tham gia cac hoat tuyen truyen, van ddng hudng ung trien khai cham soc sue khde ngudi cao tudi, giai doan 2017 - 2025 tren dia ban t i n h . / . ; /

Nai nhan-. - Bo Y \k (b/c); - Chu tjch U B N D tinh; - TT U B M T T Q V N tinh; - Pho Chu tjch U B N D tinh; - Ban dai dien Nguoi cao tuoi tinh; - Cac so, ban, nganh cua tinh; - U B N D cac huyen, thanh pho; - CVP; PCVPUBND tinh (d/c Bdc); - Chi Cue D S - K H H G D ; - Luu: V T , VX.NQ, 47 ban.

TM. UY BAN NHAN DAN K T . CHU T I C H

PHO CHU T I C H

Pham Van Thuy

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Phu luc T O N G H O P V E C O N G T A C C H A M S Q C sUC K H O E N G I / Q l C A O T U O l (kern theo Ki hoach sd: 77/KH-UBND ngay 05/5/2017 cua UBND tinh San La)

Stt Noi dung Do'n vi tinh ' So luong Ty le

* Nam 2016 Tnno" sin n<TirnH nun f i in i t n n n t i n h X w i i^ avi i i ^ u v i i X - M U t t iui l U M i i i i i i i i 81 504 6 6 Tvnvicx rfn • 1 r L/rIc lALf.

1 i

nrnno" nfim x Cllg, o\J l lci l l l 33 712 41 4 2 Xv

± VDI 1CL, O V D ilLi 47 792 48 6

3 Nhom tu 60-69 tu6i 42.458 52 4 Nhom tu 70-79 tuoi 20.705 25,4

5 Nhom tu 80 tuoi tro len 1 0 1 / 1 1

18.341 22,6

6 long so nguoi cao tuoi co the BHYT y A y o O

64.688 79,4

Trong do: 6.1 Tong so nguoi cao tuoi thuoc gia dinh ho ngheo 10.620 13

6.2 T6ng s6 ngudi cao tuoi hudng luong huu va trg cap BHXH

12.621 -

6.3 Tong so ngudi cao tuoi hudng trg cap xa hgi hang thang 15.904 -

6.4 Tong so ngudi cao tudi hudng trg cap ngudi c6 cdng 2.771

6.5 Tdng sd ngudi cao tudi dugc nhan nudi dudng cham soc tai cdng ddng

4.106 -

6.6 Tdng sd ngudi cao tudi khdng noi nuong tua 3.186 -

6.7 Tdng sd ngudi cao bi khuyet tat 1.861

7 Tdng sd ngudi cao tudi (nhom tudi tu 60 - 79) khdng cd the BHYT va khdng dugc hudng cac che dd chinh sach ciia nha nude

16.816 20,6

I I Co' SO' vat chat, trang thiet bi C S S K ngudi cao tuoi tinh agn ngay 31/12/2016

1 Khoa Lao khoa Khoa 0 Trang thiet bi (hien dang dung chung vdi kham va dieu tri chung chua cd rieng cho CSSK ngudi cao tudi)

I I I Tinh hinh C S S K ban dau, kham va dieu tri cho ngudi cao tuoi nam 2016

I Sd kham sue khde ban dau cho ngudi cao tudi tai Tram y td

Lugt ngudi

36.040

2 Sd lugt ngudi cao tudi den kham tai cac benh vien cua tinh

Lugt ngudi

60.423

3 Sd lugt ngudi cao tudi dugc didu tri benh long ghep tai cac benh vidn cua tinh p - ^ 1

Lugt ngudi

31.086