sd y te ninh thuan cong hoa xa hoi chu nghia viet nam ... · ke hoach tang cubng thuc hien dieu...

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sd Y TE NINH THUAN CONG HOA XA HOI CHU NGHIA VIET NAM TRUNG TAM Y TE THANH PHO Hoc lap - Tiy do - Hanh phuc PHAN RANG-THAP CHAM So: oP/>h /KH-TTYT Phan Rang-Thdp Cham, ngay Odihdng 5 ndmlOlS KE HOACH •7 * Xay dyng va Phat trien mang liroi y te co* sff thanh pho Phan Rang - Thap Cham giai doan 2018 - 2020 I.CAN Cir XAY DlTNG KE HOACH - Quyet dinh s6 2348/QD-TTg ngay 05/12/2016 cua Thu tuang Chinh phu phe duyet De an Xay dung va phat trien mang luai y te ca so trong tinh hinh mai; - Chuong trinh hanh dong s6 1379/CTr-BYT ngay 19/12/2017 cua Bo Y te ve viec trien khai thuc hien De an Xay dung va phat trien mang luoi Y te co so theo Quyet dinh s6 2348/QD-TTg ngay 05/12/2016 cua Thu tuong Chinh phu (giai doan 2018-2020); - Thong tu s6 33/2015/TT-BYT ngay 27/10/2015 cua Bo Y te huong dan chuc nang, nhiem vu cua Tram Y te xa, phubng, thi tran; - Thong tu sb 37/2016/TT-BYT ngay 25/10/2016 cua Bo Y te huong dan chuc •\ F t F nang, nhiem vu, quyen han va co cau to chuc ciia Trung tam Y te huyen, quan, thi xa, thanh pho thuoc tinh, thanh pho true thuoc Trung uong; - Quyet dinh s6 4667/QD-BYT ngay 07/11/2014 ciia Bo Y te v l viec ban hanh Bo tieu chi Quoc gia ve y te xa giai doan den nam 2020; - Thong tu s6 39/TT-BYT ngay 18/10/2017 cua Bo Y te ve G6i djch vu Y te co F F ban cho tuyen Y te co sb; - Quyet dinh s6 2559/QD-BYT ngay 20/4/2018 cua Bo Y te ve viec Ban hanh F -y F Ke hoach tang cubng thuc hien dieu tri, quan ly tang huyet ap va dai thao dubng theo nguyen ly y hoc gia dinh tai cac tram y te xa, phubng, thi trin giai doan 2018-2020; - Quyet dinh s6 1998/QD-lJBND ngay 18/10/2017cua Uy ban nhan tinh Ninh Thuan ve Quyet dinh phe duyet De an xay dung va phat trien mang lubi y te co so trong tinh hinh mbi tren dia ban tinh Ninh Thuan giai doan 2017-2025; - De an s6 3537/DA-SYT ngay 12/10/2017 cua Sb Y te Ninh Thuan ve viec Xay dung va Phat trien mang lubi y te co sb trong tinh hinh mbi tren dia ban tinh Ninh Thuan giai doan 2017 - 2025; - Chi thi s6 17- CT/TU ngay 15/5/2017 cua Thanh uy Phan Rang-Thap Cham ve cong tac bao ve, cham soc sue khoe va nang cao sue khoe nhan dan trong tinh hinh mbi va cung c6, hoan thien mang lubi y te co so, 1

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sd Y TE NINH THUAN CONG HOA XA HOI CHU NGHIA VIET NAM TRUNG TAM Y TE THANH PHO Hoc lap - Tiy do - Hanh phuc

PHAN RANG-THAP CHAM So: oP/>h /KH-TTYT Phan Rang-Thdp Cham, ngay Odihdng 5 ndmlOlS

K E H O A C H •7 *

Xay dyng va Phat trien mang liroi y te co* sff thanh pho Phan Rang - Thap Cham giai doan 2018 - 2020

I.CAN Cir XAY DlTNG K E HOACH - Quyet dinh s6 2348/QD-TTg ngay 05/12/2016 cua Thu tuang Chinh phu phe

duyet De an Xay dung va phat trien mang luai y te ca so trong tinh hinh mai;

- Chuong trinh hanh dong s6 1379/CTr-BYT ngay 19/12/2017 cua Bo Y te ve viec trien khai thuc hien De an Xay dung va phat trien mang luoi Y te co so theo Quyet dinh s6 2348/QD-TTg ngay 05/12/2016 cua Thu tuong Chinh phu (giai doan 2018-2020);

- Thong tu s6 33/2015/TT-BYT ngay 27/10/2015 cua Bo Y te huong dan chuc nang, nhiem vu cua Tram Y te xa, phubng, thi tran;

- Thong tu sb 37/2016/TT-BYT ngay 25/10/2016 cua Bo Y te huong dan chuc •\ F t F

nang, nhiem vu, quyen han va co cau to chuc ciia Trung tam Y te huyen, quan, thi xa, thanh pho thuoc tinh, thanh pho true thuoc Trung uong;

- Quyet dinh s6 4667/QD-BYT ngay 07/11/2014 ciia Bo Y te v l viec ban hanh Bo tieu chi Quoc gia ve y te xa giai doan den nam 2020;

- Thong tu s6 39/TT-BYT ngay 18/10/2017 cua Bo Y te ve G6i djch vu Y te co F F

ban cho tuyen Y te co sb; - Quyet dinh s6 2559/QD-BYT ngay 20/4/2018 cua Bo Y te ve viec Ban hanh

F -y F

Ke hoach tang cubng thuc hien dieu tri, quan ly tang huyet ap va dai thao dubng theo nguyen ly y hoc gia dinh tai cac tram y te xa, phubng, thi trin giai doan 2018-2020;

- Quyet dinh s6 1998/QD-lJBND ngay 18/10/2017cua Uy ban nhan tinh Ninh Thuan ve Quyet dinh phe duyet De an xay dung va phat trien mang lubi y te co so trong tinh hinh mbi tren dia ban tinh Ninh Thuan giai doan 2017-2025;

- De an s6 3537/DA-SYT ngay 12/10/2017 cua Sb Y te Ninh Thuan ve viec Xay dung va Phat trien mang lubi y te co sb trong tinh hinh mbi tren dia ban tinh Ninh Thuan giai doan 2017 - 2025;

- Chi thi s6 17- CT/TU ngay 15/5/2017 cua Thanh uy Phan Rang-Thap Cham ve cong tac bao ve, cham soc sue khoe va nang cao sue khoe nhan dan trong tinh hinh mbi va cung c6, hoan thien mang lubi y te co so,

1

11. THlTC TRANG HOAT DONG CUA TRUNG TAM Y T E 1. Ve to chirc bo may

> F t F

Chiic nang, nhiem vu, quyen han va ca cau to chuc cua Trung tam Y te thanh ph6 Phan Rang - Thap Cham thuc hien theo Quylt dinh so 2559/QD-SYT ngay 20/9/2013 cua Sb Y te Ninh Thuan gbm co:

1.1. Lanh dao: Gbm 01 Giam doc va 02 Pho Giam dbc

- Giam dbc Trung tam Y te chiu trach nhiem trubc Giam dbc Sb Y te va trubc phap luat ve toan bb boat dbng cua don vi.

- Pho Giam dbc dugc Giam dbc phan cbng phu trach mot sb ITnh vuc va chiu trach nhiem trubc Giam dbc va phap luat nhiem vu dugc phan cbng.

1.2. Cac Phong chirc nang giup viec Giam doc Trung tam: 03 phong

- Phong Nghiep vu;

- Phong Ke hoach - Tai chinh;

- Phong Tb chuc - Hanh chinh.

1.3. Cac don vi chuyen mon ky thuat

- Cac Dbi phong benh:

+ Dbi Y te du phong;

+ Dbi Cham soc sue khbe sinh san.

- Kham benh, chua benh: 02 Phong kham da khoa khu vuc

+ Phong kham da khoa khu vuc Phan Rang: kham chua benh ngoai tru.

+ Phong kham da khoa khu vuc Thap Cham: kham chua benh ngoai trii va do de thubng.

1.4. Cac Tram Y te xa, phubng

Gbm 15 Tram Y te phubng va 01 Tram Y te xa theo dja gibi hanh chinh cua thanh phb Phan Rang- Thap Cham.

2. Cong tac phong henh

Dugc tb chuc xuyen subt tu tuyen thanh phb den tuyen xa, phubng:

- Cbng tac phong, chbng dich benh lubn dugc dat len hang dau, chu dbng tb chuc giam sat, xu ly b dich nho thubng xuyen. Ben canh db, chu dbng tham muu

F F F ' F F F

UBND thanh phb ke hoach phong, chbng dich benh theo mua, nhat la dich sbt xuat F >. t F

huyet, tay chan mieng... nham buy dbng cac Ban, nganh, doan the thanh phb, UBND / F t .

cac xa, phubng phoi hgp vol nganh Y te tuyen truyen cho nhan dan cungtham gia phbng, chbng dich benh nen trong nhung nam qua cac benh truyen nhiem (Sbt xuat huyet, tieu chay, tay chan mieng, thuy dau...) xay ra tan mac, khbng gay thanh dich;

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- Cac dir an thuoc chuong trinh muc tieu y te - dan s6 deu dat ke hoach dh ra: cac benh xa hoi (lao, phong, tam than) dugc phat hien, tu van, dieu tri va quan ly tai cac Tram Y tb xa, phubng.

- Cong tac tiem chung mo rgng cho tre em dubi 1 tuoi dugc tiem chung day du 8 benh truybn nhiem dat chi tieu so voi ke hoach hang nam. Thuc hien dung cac buoc theo quy trinh, quy dinh ve tiem chung cua Bg Y te va tiep tuc trien khai thuc hien tiem chung theo do tubi cho moi ban tiem nham ban che mgi nham Ian trong tiem chiing gay anh huong sue khbe cho cac doi tugng dugc tiem chung.

- So ngubi ap dung cac bien phap tranh thai hien dai dat so voi ke hoach de ra; cong tac cai thien tinh trang dinh dubng tre em thuc hien tot, ti le suy dinh dubng tre em giam deu 0,8% /nam.

- Tang cubng cong tac tuyen truyen, phoi hgp lien nganh kiem tra an toan ve sinh thuc pham nhat la trong dip Le, Tet; trien khai Thang hanh dong vi chat lugng ve sinh an toan thuc pham va kham sue khbe dinh ky cho cac doi tugng lien quan den an toan ve sinh thuc pham theo phan cap quan ly hang nam.

3. Cong tac kham benh, chua benh V r r

3.1. Ve CO" SO" vat chat, trang thiet bj Trong nhung nam qua, dugc su quan tam cua Sb Y te, Uy ban nhan dan thanh

phb nen co sb vat chat tung buoc dugc dau tu xay moi (Tram Y te: My Hai, Dbng Hai, Thanh Hai); sua chua, nang cap (Dao Long,...); trang thiet hi y te dugc Sb Y te dau tu tai 02 Phbng kham da khoa tuong dbi day du; cacTram Y te My Hai, Thanh Hai va Dbng Hai da dugc trang bi cac thiet bi co ban nhu may sieu am xach tay, may do dubng huyet, may do dien tim, may xet nghiem nuoc tieu phuc vu kham chua benh, gop phan nang cao chat lugng chan doan, thu hut dugc ngubi dan yen tam den kham va dieu tri.

3.2. Nhan lu"c true tiep tham gia kham kham, chua benh

- Tai Phbng kham da khoa khu vuc Phan Rang trien khai 05 phbng kham benh, C O 07 bac sT (trong do c6 02 bac sT chuyen khoa I va 01 bac sT Rang-Ham-Mat), 03 dugc sT (01 dugc sT dai hgc), 02 ky thuat vien xet nghiem (01 dai hgc) va 12 nhan vien y te khac dugc Sb Y te cap chung chi hanh nghe de tham gia cbng tac kham chua benh. Trong nam 2017 c6 91.171 lugt benh nhan den kham, chua benh; binh quan kham 350 lugt benh/ngay.

- Tai Phbng kham da khoa khu vuc Thap Cham triln khai 03 phbng kham benh va do de thubng, co 06 bac sT (trong db co 01 bac sT Rang-Ham-Mat), 02 dugc sT trung hgc, 06 nu hb sinh, 06 dieu dubng, 01 ky thuat vien xet nghiem dugc Sb Y te

F yy t * ' '

cap chung chi hanh nghe de tham gia cbng tac kham chua benh. Trong nam 2017 c6 13.946 lugt benh nhan den kham, chua benh; binh quan kham 52 lugt benh/ngay.

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- Tuyen xa, phuong c6 15/16 Tram Y te thuc hien cong tac kham, chua benh (Tram Y te Van Hai nam tren dia ban c6 Benh vien da khoa tinh nen khong trien khai cong tac kham chua benh). Nhan luc y te tham gia kham chua benh tai cac Tram Y te la y sT, Trung tam Y te lap ke hoach tang cubng bac sT tu Trung tam Y te ve kham, chua benh tai cac Tram Y tb 02 bubi khac nhau/tuan, riengTram Y te My Hai la 03 ngay/tuan. Trong nam 2017 c6 28.464 lugt benh nhan den kham, chua benh. Tai cac Tram Y te xa Benh vien da khoa tinh va cac Phbng kham da khoa khu vuc thi so lugt kham chua benh tuong doi cao, nhat la nhung ngay c6 bac sT, trung binh tu khoang 80-90 lugt den kham chua benh (Dbng Hai, My Dbng, My Hai, Phubc My, Dao Long), tai cac Tram Y te con lai ngubi dan den kham chua benh cbn thap.

3.3. Kha nang chuyen mon ky thuat

Can cu Thbng tu 43/2013/TT-BYT ngay 11/12/2013 cua Bb Y tb vb viec quy dinh chi tibt phan tuybn chuybn mbn ky thuat dbi vol he thbng co sb kham benh, chua benh; dbi chibu vol trinh db chuybn mbn va trang thibt bi hien c6, don vi da xay dung danh muc ky thuat dugc Sb Y tb phb duyet lam can cu thuc hien. Cu the nhu sau:

- Tai Phbng kham da khoa Thap Cham gbm cb 12 nhbm va 143 ky thuat trong kham, chua benh;

- Tai Phbng kham da khoa Phan Rang gbm cb 10 nhbm va 104 ky thuat trong kham, chua benh, thap hon Phbng kham Thap Cham la do khbng tribn khai cac ky thuat libn quan san khoa);

- Tram Y tb gbm cb 07 nhbm va 29 ky thuat trong kham, chua benh. r

3.4. Cung ung thuoc - Cbng tac cung ung thubc kip thbi, hgp ly, an toan, hibu qua va dung quy dinh,

chu trgng kbt hgp y dugc cb truybn trong kham chua benh.

- Hbi dbng Thubc va Dibu trj thuc hien dung chuc nang, nhiem vu theo quy dinh; thubng xuybn kibm tra, giam sat viec kb don hgp ly b cac co sb kham chua benh thubc Trung tam Y tb; thuc hien tbt thbng bao cua Sb Y tb vb dinh chi luu hanh thubc khbng dat tibu chuan chat lugng va thu hbi thubc kem chat lugng;

F F

- Ty lb mat hang thubc su dung tai cac tuybn: + Tram Y tb: Thubc tan dugc 153/374 mat hang (40,9%), thuoc Dbng y 40/220

mat hang (i 8,18%);

+ Phong kham da khoa: Thubc tan dugc 174/791 mat hang (21,99%), thubc Dbng y 40/220 mat hang (18,18%).

3.5. Mb hinh benh tat Qua thbng kb 10 benh c6 ty lb mac cao: Tang huybt ap, benh dai thao dubng,

F * F ' F ^ '

vibm mui hgng cap, vibm phb quan cap, vibm da day va ta trang, thoai hba da khbp.

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viem da khop, viem kbt giac mac, can thibu man nao thoang qua khong xac dinh va sau rang.

3.6. Ket qua hoat dong kham benh, chu-a benh nam 2017 - So the KCB BHYT ban dau la 43.823 the;

- Quy KCB BHYT dugc sii dung trong nam la 22.874.707.215 dbng;

- Chi phi KCB BHYT da tuybn di trong nam la 42.190.549.013 dbng;

- Quy KCB BHYT cbn dugc sii dung trong nam (am): - 19.315.841.798 dbng;

- Chi phi vugt quy chua thanh toan la 9.279.646.283 dong.

- So lugt KCB BHYT: 124.099 lugt, vol sb tibn la 12.646.966.363 dong.

- Cac benh dieu tri thanh cbng: Cac benh lay nhibm va khbng lay nhibm thbng thubng nam trong kha nang dibu tri.

- Ty lb chuybn tuybn cao: 25,46% (chii ybu la cac benh ngoai khoa, ung thu, f t y.

mat, y hgc cb truybn, san khoa). - Tinh hinh thu/chi trong kham chua benh.

+ NSNN cap he kham chua benh chii ybu la luong, phu cap theo luong va cac khoan dbng gop. Cac khoan chi thubng xuybn NSNN khbng cap nua, khoan nay don vi sii dung ngubn thu db chi tra. Hoat dbng cua he kham chua benh theo Thbng tu 37/2015/TTLT-BYT-BTC se gap nhibu khb khan trong chi thubng xuybn db phuc vu cbng tac chuybn mbn.

+ NSNN cap Tram Y tb cung chii ybu la luong, phu cap theo luong, cac khoan dbng gop va chi thubng xuybn.

4. Danh gia chung Trong nhung nam qua, dugc su quan tam dau tu ciia Sb Y tb, Uy ban nhan dan

thanh pho nbn co sb vat chit va trang thibt bi dap ling co ban nhu ciu kham chua benh cho nhan dan. Da tribn khai tbt "Dbi mbi phong each, thai db phuc vu cua can

' F F

bb y tb huong tbi su hai Ibng ciia ngubi benh" theo chi dao ciia tinh va Sb Y tb; thubng xuybn giao due, nhac nho vibn chiic thuc hien tbt quy tac ling xii trong nganh Y tb gin voi thuc hien viec hgc tap va lam theo tu tuong, dao diic, phong each Hb Chi Minh, nang cao y thiic cham soc ngubi benh; cai each thii tuc hanh chinh, tao mbi trubng than thien voi ngubi benh khi dbn kham va dibu tri. Tinh than, thai db phuc vu ciia dbi ngu can bb y tb chuybn bibn ngay cang tbt hon va di vao quy chuan, chua cb bieu hien gay phibn ha, sach nhibu dbi voi benh nhan va ngubi nha benh nhan.

Cbng tac chuybn mbn nghiep vu ciing da cb nhibu chuybn bibn dang kb, tao dibu kibn cho can bb, vibn chiic thubng xuybn hgc tap nang cao trinh db chuyen mbn; cac thibt bi can lam sang da phat buy dugc hibu qua, khai thac sii dung thubng xuybn va gop phan nang cao chat lugng kham chua benh; cac phac db dibu tri, quy trinh

chuyen mon ky thuat dugc cap nhat va ap dung kip thbi, dap ung yeu cau kham chua benh; chat lugng cham soc, dieu tri ngay cang dugc cai thien, tao niem tin doi voi ngubi benh.

Tuy nhien, ben canh nhimg ket qua da dat dugc van cbn nhieu kho khan, vubng mac nhu:

- Thieu nhan luc, dao biet la bac sT; trinh do can bg y te van cbn ban che mot so mat (quan ly, chuyen mon, ky nang tu van, ky nang truyen thong...).

' F r r

- Chat lugng kham chua benh cbn ban che, chu yeu do thieu bac sT; ty le su dung danh muc djch vu ky thuat theo phan tuybn rbt thdp (do khong co benh vibn); ty lb su dung danh muc thuoc cbn thap va ty lb chuyen tuybn rbt cao.

- Ngubn kinh phi dugc cap chu yeu la luong, phu cap theo luong va cac khoan dbng gbp; cac khoan chi thubng xuybn NSNN khbng cbp nua. Tinh hinh thu khbng du chi luong, chua tinh cac khoan chi thubng xuybn khac kb tu nam 2018. Do do, se gap nhibu kho khan trong viec bao tri thiet bi, nang cbp, bao dubng co sb vat chbt va boat dbng kham chua benh.

I I I . M U C T I E U

1. Muc tieu chung •> f F F

Tibp tuc dbi mbi, hoan thien he thbng cham soc sue khbe tu thanh phb dbn xa, phubng. Xay dung dbi ngu can bb cb pham chat dao due, c6 nang luc trinh do chuybn mbn vung vang. Bao dam cung ung day du cac dich vu cham soc sue khbe ban dau, kham benh, chua benh cho ngubi dan trbn dia ban theo huong toan dien, libn tuc, phbi hgp va Ibng ghep chat che giua du phong va dibu tri, giua cac co sb y te trbn dia ban

' F F F '

vol tuybn trbn. Dam bao ngubi dan dugc tibp can cac dich vu y tb cb chat lugng tai co sb gbp phan giam qua tai cho cac benh vibn tuybn trbn, bao dam cbng blng, hibu qua trong cbng tac bao vb, cham s6c va nang cao sue khbe nhan dan.

2. Chi tieu dbn nam 2020 - 02 phong kham da khoa khu vuc thuc hien dugc 80% danh muc ky thuat theo

phan tuybn chuybn mbn; F \ F

- 100% xa, phubng dat va giu vung tibu chi qubc gia vb y tb; F

- 100% xa, phubng thuc hien goi dich vu y tb co ban {theo Thong tie 39/2017/TT-BYT ngay 18/10/2017 cua Bo Y te ve viec quy dinh goi dich vu y te ca ban cho tuyen y te co so)',

- 50% dan sb dugc lap hb so quan ly, theo dbi sue khbe;

- It nhat 70% xa, phubng, thi tran thuc hien du phbng, phat hien sbm, chan doan, dibu tri, quan ly tang huybt ap, dai thao dubng theo nguybn ly y hgc gia dinh {theo Quyit dinh s6 2559/QD-BYT ngay 20/4/2018 cua Bo Y te vi viec Ban hdnh Ki

6

hoach tang cudng thuc hien dieu tri, quan ly tang huyet dp vd dai thao dudng theo nguyen lyy hoc gia dinh tai cac tram y te xa, phudng, thi tran giai doan 2018-2020).

IV. NHIEM VU VA GIAI PHAP CHU Y E U 1. Cung CO, kien toan to chii-c bo may - Tren ca sa Thong tu s6 37/2016/TT-BYT ngay 25/10/2016 cua Bo Y te va

tinh hinh thuc te cua thanh ph6,trinh Sb Y te ban hanh Quyet dinh quy dinh chuc nang, nhiem vu va quyen ban ciia Trung tam Y te thanh phb Phan Rang - Thap Cham theo huong tinh gon, boat dbng cb hieu luc, hieu qua; hoan thien mb hinh Trung tam Y te da chuc nang. Bb tri hai hba nhan luc giua 02 ITnh vuc phbng benh va kham, chua benh, san sang hb trg, phbi hgp Ian nhau.

Trong nam 2018 tiep nhan, sap nhap Trung tam Dan sb- Kb hoach hba gia dinh vao Trung tam Y tb thanh phb.

- Can cu Thbng tu sb 33/2015/TT-BYT ngay 27/10/2015 ciia Bb Y tb va Quybt djnh 4467/QD-BYT ngay 07/11/2014 ciia Bb Y tb xay dung vi tri vice lam tai Tram Y tb, trbn co sb do bb tri sb lugng va cac chiic danh phu hgp vol nhibm vu ciia tung Tram, dan sb phuc vu, dien tich, dac dibm dia hinh ciia tung xa, phubng; uu tibn bb tri nhan vibn y tb, nhat la Trubng va Phb Tram Y te la ngubi sinh sbng tai dia phuong.

Trong nam 2018, Phong kham da khoa khu vuc Thap Cham dam nhibm thbm nhibm vu ciia Tram Y tb phubng Db Vinh va Phbng kham da khoa khu vuc Phan Rang dam nhibm thbm nhibm vu ciia Tram Y tb phubng Tbn Tai (thuc hien chii truong thi dibm khbng Tram Y te doi vbi 02 phubng Db Vinh va Tbn Ta i ) .

Khbng thuc hien chiic nang kham, chua benh tai cac Tram Y tb ghn Benh vibn tinh hoac gan Phbng kham da khoa khu vuc nhu: Van Hai, My Binh, Thanh Son, Dai Son, Kinh Dinh db tap trung dau tu nhan luc, trang thiet bi y tb thuc hien Idiam, chua benh cho cac Phbng kham va cac Tram Y tb cbn lai.

2. Tich cu-c, chu dong phong chong djch benh

2.1. Trnyen thbng giao due va nang cao sue khbe

- Tang cubng cbng tac truybn thbng, van dong, quan tribt phb bibn cac chii truong dubng 161 ciia Dang, chinh sach phap luat ciia Nha nubc vb cbng tac bao vb cham soc va nang cao siic khbe nhan dan trong tinh hinh mbi b tuybn co sb, gSn vbi muc tibu nhibm vu phat tribn kinh tb xa hbi ciia don vi.

- Dbi mbi phuong thiic tb chiic cac phuong thiic boat dbng truyen thbng giao due va nang cao siic khbe phu hgp vbi don vi.

F F y

- Cu di dao tao, tap huan ky nang cung cap thbng tin, truybn thbng giao due siic F t F \ *

khbe, ky nang tu van cho toan thb can bb, vibn chuc y tb thbng qua cac Db an, Du an, Chuong trinh, Kb hoach trien khai, hubng dan tang cubng ky nang truybn thbng giao due va nang cao sue khbe.

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- Trien khai thuc hien cac nhiem vu chuyen mon hoat dong truyen thong giao due va nang cao sue khoe theo nhom ITnh vuc va van de y te.

2.2. Tang cubng giam sat, phong benh lay nhiem va benh khong lay nhiem - Tiep tuc chu dong tang cubng cong tac to chiic giam sat vec to phong benh,

kjp thbi xii ly 6 dich nho, khong de dich xay ra.

- Trien khai thuc hien tot cong tac tiem chung cho tre em, phu nu c6 thai; tuyen truyen, van dong nhan dan thuc hien phong, chong mot so benh dich nguy hilm nhu phong chong HIV/AIDS, lao, sot ret, sot xuat buy It,..phong chbng cac benh do giun san, ky sinh trung, cbn trung, benh dai, tiem phbng ngay khi siic vat can,...quan tam phbng, chbng cac benh khbng lay nhiem; hubng dan chuyen mbn ve thuc hien cac boat dbng, du an ve du phong khac thubc Chuong trinh muc tieu Y te - Dan sb.

- Xay dung ke hoach boat dbng Ibng ghep cac Du an thubc Chuong trinh muc tieu Y te-Dan sb giai doan 2016-2020. Ket hgp giua phbng benh, cham s6c siic khbe ban dau vbi dieu tri cac benh khbng lay nhiem nhu timmach, dai thao dubng, benh phbi, hen phe quan, tam than...

^ - Tang cubng y thiic bao ve, nang cao siic khbe cua ngubi dan thbng qua chi db an ubng, ren luyen the chat, sinh boat. Cbng tac ve sinh lao dbng, phong chbng benh nghe nghiep, y t l hgc dubng.

- Xay dimg ke hoach va thuc hien, van dbng nhan dan triln khai cac boat dbng phbng, chbng dich benh tren dia ban theo chi dao ciia Sb Y t l va UBND thanh phb.

2.3. Lap va quan ly hb so' sue khbe ca nhan

- Cac Tram Y te xa, phubng cb trach nhiem lap hb so va to chiic theo doi quan ly siic khbe den tung ngubi dan, ling dung cbng nghe thbng tin trong quan ly, moi ngubi dan cb 01 hb so siic khbe quan ly dien tu tai Tram Y te xa, phubng theo hubng dan ciia Bg Y te.

F F n y,

- Tram Y te xa, phubng phai xay dung ke hoach de lap hb so siic khbe dien tu cho tung ngubi dan theo 16 trinh ciia Bb Y te; tung bubc kham, tu van dinh ky va nam dugc tinh trang siic khbe co ban ciia ngubi dan thugc pham vi quan ly ngubi benh khbng lay nhiem, benh man tinh tren dia ban; tu van cho cac dbi tugng c6 nguy co de phat hien sbm benh, tat cho ngubi dan, nhat la cac benh khbng lay nhiem (du phbng, phat hien sbm, chan doan, dieu tri, quan ly tang huyet ap, dai thao dubng).

- Tang cubng cbng tac quan ly thai, cham soc siic khbe va dinh dubng cho ba me, tre em; cung cap cac bien phap tranh thai cho cac doi tugng cb nhu cau;

- Tang cubng quan ly sue khbe ba me, tre em tai Tram Y t l xa, phubng thuc F F F t F F

hien viec Tram Y te xa, phubng ket nbi, chuyen tuyen ngubi benh len cac co sb y te tuyen tren.

3. Cong tac Dan so - Ke hoach hoa gia dinh

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- Tich cue tham muu cho Thanh uy, UBND thanh pho tang cubng lanh dao, chi dao, phbi hgp lien nganh doi vbi cbng tac dan sb; quy mb, co cau, phan bb, chat lugng dan sb va trien khai cbng tac kilm tra, giam sat, danh gia ket qua boat dbng ciia cong tac dan sb tren dia ban.

- Xay dung ke hoach va thuc hien nhiem vu chuyen mbn, ky thuat ve cong tac dan sb. Tap huan, boi dubng nang cao nang luc chuyen mbn nghiep vu cho mang lubi can bg lam cbng tac dan sb co sb.

- Tuyen truyen, van dong nhan dan: thuc hien kham siic khoe tien hon nhan; day manh viec kham, sang Igc trubc sinh, so sinh; duy tri khoang each giu cac Ian sinh, giam tinh trang cb thai ngoai y muon va lam tbt cbng tac KHHGD, giam mat can bang gibi tinh khi sinh.

- Tu v4n va cung cip dich vu thilt y lu CSSKSS cho vi thanh nien, thanh nien; tu van va giao due ky nang song cho phu nu trong thbi ky mang thai va cham soc tre so sinh.

- Dap ling day dii nhu cau ve phuong tien tranh thai va dich vu KHHGD an toan, hieu qua, da dang, thuan tien vbi chat lugng ngay cang cao.

- Trien khai De an cham soc sue khbe ngubi cao tubi, nghien cuu va thuc hien cac mb hinh quan ly, cham soc sue khbe ngubi cao tubi ngay tai nha, tai cong dbng va tai Tram Y te.

- Thu thap sb lieu va thuc hien che do ghi chep co sb du lieu ban dhu v l dan sb, ke hoach hoa gia dinh.

4. Bao dam An toan thuc pham

- Trien khai nhieu boat dbng tuyen truyen ve cac bien phap bao dam an toan thuc pham tren cac phuong tien thbng tin dai chung.

' t

- Phoi hgp lien nganh tang cubng cong tac kiem tra, giam sat; xu ly kip thbi cac CO sb kinh doanh, bubn ban khbng dam bao an toan ve sinh thuc phlm.

- Phbi hgp vbi Phbng Y t l xac nhan ki ln thiic VSATTP va tham dinh clp giay dii dilu kien VSATTP.

- To chiic trien khai kham siic khbe dinh ky cho cac co sb kinh doanh chi biln thuc pham.

5. Nang cao chat lirgng kham benh, chua benh

5.1. Dao tao, boi du&ng

- Tren co sb ke hoach dao tao boi duong can bg, vien chiic giai doan 2013-2020 da dugc Sb Y te phe duyet tiep tuc uu tien dao tao sau dai hgc va bac sT da khoa; dao tao nang cao nang luc quan ly, nang luc chuyen mbn thbng qua gui dao tao, tap huln ngan ban b tuyen tren hoac to chiic dao tao, tap huln tai chb.

9

- Tai Trung tam Y te: Nang cao trinh do chuyen mon, phat trien cac dich vu ky thuat y t l trong ca 2 ITnh vuc phong benh va kham, chua benh dam bao thuc hien day dii cac ky thuat dilu tri da khoa va cham soc co ban theo phan tuyen va phu hgp voi nhu cau ciia ngubi dan.

- Tai cac Tram Y te: Bao dam cac vien chuc lam viec tai Tram Y te xa dugc y ' r

dao tao ve nguyen ly y hgc gia dinh theo 16 trinh ciia Bg Y te; cham soc siic khoe ban dau; kham benh, chua benh thubng gap (doi vbi cac Tram Y te c6 tham gia kham

A r t r

chua benh); cb nang luc tuyen truyen, van dong, thuyet phuc nhan dan; hieu, biet va thuc hien tbt cbng tac quan ly siic khoe ca nhan.

- Thubng xuyen chi dao, hb trg chuyen mon cho Tram Y te, gan ket chat che boat dbng ciia Trung tam Y te va Tram Y te; tang cubng luan phien bac sT tu Trung tam Y te ve lam viec dinh ky 2-3 ngay/tuan tai cac Tram Y te de nang cao nang luc kham, chua benh va cham soc sue khoe ban dau cho cac Tram Y t l .

F •> F

- Tap huan, nang cao nang luc chuyen mbn de dbi ngu can bg y te xa, phubng C O dii nang luc chuyen mon thuc hien cac dich vu kham benh, chua benh thubng gap theo phan tuyen chuyen mbn ky thuat cho Tram Y te xa, phubng, dac biet la cac dich vu thugc goi dich vu y te co ban cho tuyen y te co sb ban hanh theo Thbng tu sb 39/2017/TT-BYT ngky 18/10/2017 cua Bg Y te.

F t F fs^

- Tiep tuc phb bien rgng rai "Tai lieu chuyen mon hubng dan kham, chua benh tai Tram Y t l xa, phubng" ban hanh kem theo Quyit dinh 2919/QD-BYT ngay 06/8/2014 cua Bg Y te ve viec ban hanh tai lieu chuyen mbn huong dan kham, chua

* F ' it/ F

benh tai Tram Y te xa, phubng va cac hubng dan chuyen mbn cho cac Tram Y te. - Trien khai dbng bg cac boat dbng phong, chbng cac benh khbng lay nhiem:

chii trgng du phbng, sang Igc, phat hien sbm, quan ly, dieu tri, cham soc tai tuyen y te cosb.

F t y •»

- Tiep tuc thuc hien trien khai day dii cac ngi dung "Dbi mbi phong each, thai do phuc vu cua can bg Y te hubng tbi su hai long ciia ngubi benh" giai doan 2016-

* F y y t

2020 theo ke hoach de ra nham thay doi, nang cao nhan thiic, thai do, phong each phuc vu ngubi benh; ren luyen ky nang giao tiep, ling xu; nang cao tinh than trach nhiem, thai do phuc vu; dbng thbi xay dung hinh anh dep ciia ngubi can bg y te, ciing c6 nilm tin va su hai long ciia ngubi benh khi tiep can cac dich vu y te; gop phan nang cao chat lugng cham soc bao ve siic khoe nhan dan.

- Cap nhat quy trinh ky thuat va hubng dan chan doan, dieu tri ciia Bg Y te. y F F y F y F

- Dieu tri tiep theo ke hoach dieu tri ciia benh vien tuyen tren va phac do mot so benh man tinh thubng gap da dugc chan doan va dieu tri on dinh b cac benh vien tuyen tren.

- Tranh thii su ho trg ciia cac co sb y te tuyen tren trong mgi ITnh vuc: dao tao, nghien ciiu, chuyin giao ky thuat... dong thbi ciing cb y te b tuyen co sb. Day manh cbng tac nghien ciiu khoa hgc, ling dung ky thuat mbi, thubng xuyen to chuc sinh

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hoat khoa hoc, nit kinh nghiem dieu tri. Tang cubng phbi hgp dieu tri vbi phuc hoi chiic nang de nang cao chat lugng sbng cho ngubi benh. Tang cubng cong tac chi dao tuyin, luan phien cu bac sT v l kham chua benh tai Tram Y te. Van dung theo Bg tieu chi danh gia cua Bg Y t l d l day manh cai t i ln chit lugng kham chua benh.

^ r F y y

- Giam dau moi kham chua benh tai cac Tram Y te gan benh vien tinh hoac gan Phong kham da khoa khu vuc: Van Hai, My Binh, Thanh Son, Dai Son, Kinh Dinh de tap trung dau tu nhan luc, trang thilt hi y t l cho cac Phong kham va cac Tram Y te con lai.

F

- Nang cao nang luc chuyen mon, ky thuat, su dung thubc an toan, hgp ly; nang cao chit lugng kham, chua benh bao hiem y te va trien khai theo doi, quan ly, dieu tri benh khbng lay nhiem, benh man tinh tai Tram Y te, tang cubng cbng tac phuc hoi chuc nang dua vao cbng dbng...

5.2. Day manh ung dung cong nghe thong tin F

- Thuc hien 16 trinh ung dung cong nghe thbng tin trong quan ly, gan vbi quan ly cac boat dbng chuyen mbn vbi quan ly hb so siic khbe ca nhan theo 16 trinh ciia Bg Y t l . " '

- Dau tu trang thiet bi c6ng nghe th6ng tin, thubng xuyen dao tao lai, tap huan sii dung cac phan mem quan ly kham chua benh, phan mem quan ly siic kh6e...

- Trien khai thbng nhat phan mem quan ly boat dbng ciia Tram Y te, ket n6i vbi Trung tam Y te; quan ly tiem chiing; quan ly h6 so siic kh6e ngubi dan gan vbi he th6ng quan ly the va thanh toan bao hiem y te ciia Bao hiem xa hgi Viet Nam.

5.3. Danh muc djch vu ky thuat

Tren co sb can cu Thbng tu 43/2013/TT-BYT ngay 11/12/2013 cua Bg Y t l ve viec quy dinh chi tiet phan tuyen chuyen m6n ky thuat dbi vbi he thbng co sb kham benh, chua benh; Thong tu 39/2017/TT-BYT ngay 18/10/2017 cua Bg Y t l v l viec quy dinh goi dich vu y te co ban cho tuyen y te co sb. Don vi xay dung danh muc ky thuat bo sung trinh Sb Y te phe duyet lam can cu thuc hien, cu thi nhu sau:

- Bb sung danh muc Tram Y te vao Phong kham da khoa Thap Cham va Phbng kham da khoa Phan Rang;

- Bb sung danh muc cho cac Tram Y te, g6m cb 16 nhbm va 415 ky thuat trong kham, chua benh.

6. Cong tac tai chinh - Ngan sach su nghiep y te ciia dia phuong dugc phan bb theo dinh muc quy

dinh tai Quyit djnh sb 46/2016/QD-TTg ngay 19/10/2016 ciia Thii tubng Chinh phu ban hanh dinh miic phan bb du toan chi thubng xuyen ngan sach nha nubc nam 2017.

- Ngubn thu kham, chua benh va cac ngu6n thu hgp phap khac ciia don vi.

- Dang ky tu chii tai chinh mot phin khi tinh diing, tinh du phi diu vao.

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- Xay dirng quy che chi tieu noi bo, xet thu nhap tang them cho can bg, vien chuc theo nguyen tac: tap the, ca nhan nao hoan thanh nhiem vu dugc giao, c6 hieu suat lam viec cao, dong gop nhieu cho tang thu va tiet kiem chi thi dugc xet thu nhap tang them cao hon.

7. Dau tu" phat trien 7.1. Co-so vat chit

«

- Tranh thu su chi dao, quan tam dau tu cua Sb Y t l , Uy ban nhan dan thanh r y r f

pho tung bubc dau tu, nang cap, bao dubng dinh ky co sb vat chat trenco sb xac dinh uu tien, tranh dan trai, nhung noi that su cb nhu clu, theo hubng uu tien xay mbi, nang cap co sb vat chat tai cac Tram Y te da xuong cip d l hoan thien mang lubi y t l CO sb, dam bao cho mgi ngubi dan deu dugc hubng cac goi dich vu y te co ban.

Can cu vao Quyit dinh sb 4667/QD-BYT ngay 07/11/2014 phan chia cac Tram Y te thanh 02 nhbm vbi chuc nang sau:

+ Nhom Tram Y te thuc hien day du chuc nang, tru do de, gim 09 Tram Y t l : Bao An, Phubc My, Phu Ha, Dao Long, My Dong, My Hai, My Huong, Dong Hai va Thanh Hai.

+ Nhom Tram Y te chi lam nhiem vu y te du phbng va cham soc sue khoe gom 5 Tram Y t l : Thanh Son, Dai Son, My Binh, Kinh Dinh, Van Hai.

7.2. Trang thiet bi r F f

- Ra soat, trinh Sb Y te ban hanh danh muc trang thiet hi phu hgp vbi thuc te > 7 9 F r '

cua don vi, tao dieu kien de trien khai dugc cac ky thuat theo phan tuyen, nhat la cac goi dich vu y te co ban tai tuyen xa, phubng.

- Cu ky thuat vien xet nghiem tham gia cung bac sT v l kham, chua benh tai cac Tram Y te da dugc xay mbi va dugc Sb Y t l dIu tu trang thilt bi may sieu am, may xet nghiem...

- Ra soat trang thiet bi cua cac don vi thugc Trung tam Y te de dieu chuyen tu noi thua, cac noi khong cb nhu cau hoac khong cb kha nang su dung dugc sang noi thieu, noi cb kha nang su dung de dam bao hieu qua.

V. TO CHlTC THlTC HIEN

1. Phong To chu-c - Hanh chinh

Chu tri, phbi hgp vbi cac Phong chuc nang tham muucung co va hoan thien to chuc bg may theo hubng tinh ggn, boat dbng cb hieu luc, hieu qua; xay dung De an vi tri viec lam; ke hoach dao tao, boi dubng can bg vien chuc; Ke hoach Doi mbi phong

F F

each, thai do phuc vu cua can bg Y te, xay dimg co sb y te "Xanh - Sach - Dep" hubng tbi su hai long cua ngubi benh; thua lenh dieu hanh cbng tac luan phien bac sT kham chua benh tai Tram Y te; thuc Men ky luat, ky cuong hanh chinh va phan loai danh gia can bg, vien chuc hang thang theo dung quy dinh.

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2. Phong Nghiepvu Chu tri, phoi hgp voicac phong chuc nang tham muu quy trinh kham chija

benh; phac d6 dilu tri; xay dung tang ty le su dung danh muc ky thuat kham chua benh va danh muc thuoc; cong tac cai tien chat lugng kham chua benh; kiem tra, giam sat boat dong chuyen mon nghiep vu.

3. Phong Ke hoach - Taichmh - Chu tri, phoi hgp vbi cac phbng chuc nang tham muu du toan trinh Sb Y te

dau tu, nang cap co sb vat chat, trang thiet hi y te;

- Tham muu ke hoach thu chi, can doi ngubn thu de dau tu trang thiet bj va thu nhap tang them nham nang cao chat lugng kham chua benh.

4. Cac Phong kham da khoa, Tram Yte Can cu chuc nang, nhiem vu cua don vi chiu trach nhiem trien khai thuc hien

Ke hoach nay nham nang cao chat lugng kham chua benh, dap ung nhu cau bao ve, cham soc va nang cao sue khoe cho nhan dan trong tinh hinh mbi./.

(Kem theo phu luc 1 vd phu luc 2)

Nffi nhatdSp - Sa Y te; - Thuang tryc Thanh uy; - Thuang true HDND Thanh pho; - UBND Thanh pho; - Ban Giam doc; - Cac don vi thuoc TTYT; - Luu: VT, NV.

GIAM DOC

Nguyen Mubi

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Phu luc 2

D A N H M U C K Y T H U A T T R O N G K H A M B E N H , C H U ' A B E N H

T A I T R A M Y T E T H U O C T R U N G T A M Y T E T P . P H A N R A N G - T H A P C H A M

(Kem theo Ki hoach so M.../KH-TTYTngay ^-/5/2018 cua TTYT TP. PRTC)

S I X X T 43 XX 21 D A N H M U C K Y X H U A X X H U C H I E N

1 2 3 4 5 I 1. H O I S U C C A P C U U VA C H O N G D Q C

B. H O H A P

1 61 Tha oxy qua 6ng chu T (T-tube) (< 8 gia) X

2 64 Thu thuat Heimlich (liy di vat duang tha) cho nguai Ian va tre em X

3 65 Bop bong Ambu qua mat na X

4 86 Khi dung thuoc cap cuu (mot Ian) X

5 157 Co dinh long nguc do chan th-uong gay xuong subn X

6 158 Cap cuu ngung tuan hoan ho hap co ban X

D. T H A N K I N H

7 211 Van dong tri lieu cho ngubi benh bat dong tai giubng < 8 gib x 8 215 Gay nbn cho ngubi henh ngo doc qua dubng tieu hba x

D. X I E U H O A

9 216 Dat bug thbng da day X

10 218 Rua da day cap cuu x 11 221 Thut thao X

12 222 Thut giu X

13 223 Dat bug thbng ban mbn x 14 224 Cho an qua bug thbng da day (mot Ian) x 15 225 Nubi dubng ngubi benh qua bug thbng da day bang bom tay (mot Ian) x 16 229 Nubi dubng ngubi benh bang dubng truyen tinh mach ngoai bien < 8 gib X

E . XOAN T H A N

17 246 Do luong nubc tieu 24 gib X

18 251 Lay mau tinh mach, tiem thubc tinh mach (mot l ln choc kim qua da) X

19 252 Truyen thubc, dich tinh mach < 8 gib X

20 254 Truyen man va cac che pham man X

21 261 Ve sinh rang mieng dac biet (mot Ian) X

22 262 Goi dau cho ngubi benh tai giubng X

23 263 Goi dau tay doc cho ngubi henh X

24 264 Tam cho ngubi benh tai giubng X

25 265 Tam tay dbc cho ngubi benh X

26 266 Xoa bbp phbng chbng loet X

27 269 Bang ep bat dbng so cuu ran can X

28 270 Ga rb hoac bang ep cam man X

29 275 Bang bb vet thuong X

30 276 Cb dinh tam thbi ngubi benh gay xuong X

31 277 Cb dinh cot sbng cb hang nep ciing X

32 278 Van chuyen ngubi benh cap ciiu X

11 I I . N O I K H O A A . H O H A P

33 1 Bbp bong Ambu qua mat na X

34 14 Danh gia miic do nang ciia con hen phb quan blng peak flow meter X

35 29 Ky thuat tap thb co hoanh X

36 32 Khi dung thubc gian phe quan X

37 68 Van dbng tri lieu hb hap X

C . T H A N K I N H 38 128 Cham soc mit b ngubi benh liet Vll ngoai bien (mot ikn) X

39 150 Hut dbm hau hong X

D. T I E U H O A 40 244 Dat ong thong da day X

41 247 Dat ong thong hau mbn X

42 313 Rua da day cap cuu X

43 339 Thut thao phan X

I I I I I I . NHl K H O A

I . H O I strc C A P ctru C H O N G D O C A . T U A N H O A N

44 51 Ep tim ngoai Ibng nguc X

B. H O H A P 45 105 Thbi ngat X

46 106 Bbp bong Ambu qua mat na X

47 107 Thu thuat Heimlich (lay di vat dubng thb) X

48 111 Thb oxy qua bng chu T (T-tuhc) X

49 112 Cb dinh Ibng nguc do chan thuong gay xuong subn X

50 113 Cap cuu ngung tuan hoan hb hap X

C . T H A N - L O C M A U

51 133 Thbng tieu X

D. T H A N K I N H 52 150 Van dbng tri lieu cho ngubi benh bat dbng tai giubng X

D. T I E U H O A 53 178 Dat sonde hau mon X

54 179 Thut thao phan X

55 180 Nubi dubng ngubi benh bang dubng truyen tinh mach ngoai bien X

E . T O A N T H A N

56 194 Tam cho ngubi benh tai giubng X

57 195 Tam tay dbc cho ngubi benh X

58 196 Goi dau cho ngubi benh tai giubng X

59 197 Goi dau tay dbc cho ngubi benh X

60 198 Ve sinh rang mieng dac biet X

61 199 Xoa bbp phbng chbng loet X

62 200 Cb dinh cot sbng cb bang nep cung X

63 201 Cb dinh tam thbi ngubi benh gay xuong X

64 202 Bang bb vet thuong X

65 203 Cam man (vet thuong chay man) X

66 204 Van chuyen ngubi benh an toan X

67 210 Tiem truyen thubc X

T A M T H A N

68 267 Lieu phap lao dbng X

69 268 Cap cuu ngubi benh tu sat X

70 269 Xu tri di ling thubc hubng than X

71 270 Test nhanh phat hien chat opiats trong nubc tieu X

H I . Y H O C C O T R U Y E N

A. K Y T H U A T C H U N G

72 288 Chubm ngai X

73 289 Hao cham X

74 290 Nhi cham X

75 291 On cham X

• 76 293 Luyen tap duong sinh X

D. D I E N C H A M

77 461 Dien cham dieu tri di chung bai liet X

78 462 Dien cham dieu tri liet chi tren X

79 463 Dien cham dieu tri liet chi duoi X

80 464 Dien cham dieu tri liet nira nguoi X

81 465 Dien cham dieu tri liet do benh cua co X

82 466 Dien cham dieu tri teo co X

83 467 Dien cham dieu tri dau than kinli tea X

84 477 Dien cham dieu tri dong kinh cue bo X

85 478 Dien cham dieu tri dau dau, dau nua dau X

86 479 Dien cham dieu tri mat ngu X

87 480 Dien cham dieu tri stress X

88 483 Dien cham dieu tri ton thuong day than kinh V X

89 484 Dien cham dieu tri liet day than kinh Vll ngoai bien X

90 492 Dien cham dieu tri hoi chung tien dinh X

91 497 Dien cham dieu tri non nac X

92 508 Dien cham dieu tri cam cum X

93 513 Dien cham dieu tri liet tu chi do chan thuong cot song X

94 522 Dien cham dieu tri dau day than kinh lien subn X

95 523 Dien cham dieu tri dau nguc subn X

96 524 Dien cham dieu tri viem da day than kinh X

97 525 Dien cham dieu tri viem khbp dang thap X

98 526 Dien cham dieu tri thoai hoa khbp X

99 527 Dien cham dieu trj dau lung X

100 528 Dien cham dieu tri dau mbi co X

101 529 Dien cham dieu trj viem quanh khbp vai X

102 530 Dien cham dieu trj hoi chung vai gay X

G . X O A B O P B A M H U Y E T

103 603 Xoa bbp bam huyet dieu tri liet X

104 604 Xoa bbp bam huyet dieu tri liet chi tren X

105 605 Xoa bbp bam huyet dilu tri liet chi dubi X

106 606 Xoa hop bam huyet dieu tri liet nua ngubi X

107 607 Xoa bbp bam huyet dieu tri dau than kinh toa X

108 608 Xoa bbp bam huyet dieu tri liet do viem nao X

109 610 Xoa bbp bam huyet dieu tri cung khbp chi tren X

110 611 Xoa bbp bam huyet dieu tri cung khbp chi dubi X

111 612 Xoa bbp bam huyet dieu tri choang ngat X

112 614 Xoa bop bam huyet dieu tri chung u tai X

113 615 Xoa bop bam huyet dieu tri giam khuu giac X

114 616 Xoa bop bam huyet dieu tri liet do benh cua co X

115 617 Xoa bop bim huyet dieu tri liet cac day than kinh X

116 618 Xoa bbp bam huyet dieu tri teo co X

117 621 Xoa bbp bam huyet dieu tri tam can suy nhugc X

118 624 Xoa bbp bam huyet dieu tri dau dau, dau nua dau X

119 625 Xoa bbp bam huyet dieu tri mat ngu X

120 626 Xoa bop bam huyet dieu tri stress X

121 630 Xoa bop bam huyet dieu tri liet day than kinh so VII ngoai bien X

122 631 Xoa bbp bam huyet dieu tri sup mi X

123 635 Xoa bbp bam huyet dieu tri hoi chung tien dinh X

124 641 Xoa bbp bam huyet dieu tri dau vung nguc X

125 642 Xoa bop bam huyet dieu tri dau than kinh lien subn X

126 643 Xoa b6p bam huyet dieu tri dau nguc, subn x 127 646 Xoa bop bam huyet dieu tri viem khbp dang thap X

128 647 Xoa bbp bam huyet dieu tri thoai hoa khbp X

129 648 Xoa bop bam huyet dieu tri dau lung X

130 649 Xoa bop bam huyet dieu tri dau moi co X

131 650 Xoa bbp bam huyet dieu tri viem quanh khbp vai X

132 651 Xoa bbp bam huyet dieu tri hoi chung vai gay X

133 653 Xoa bop bam huyet dieu tri nbn, nac X

134 654 Xoa bbp bam huyet dieu tri roi loan cam giac dau chi X

135 655 Xoa bbp bam huyet dieu tri viem co ciing co delta X

136 660 Xoa bop bam huyet dieu tri hi dai X

137 663 Xoa bop bam huyet dieu tri roi loan chiic nang do chan thuong so nao X

138 664 Xoa bbp bam huyet dieu tri liet tii chi do chan thuong cot sbng X

H . Ctru 139 671 Ciiu dieu tri dau lung the ban X

140 672 Clin dieu tri dau than kinh toa the ban X

141 673 Ciiu dieu tri dau bung ia chay the ban X

142 674 Ciiu dieu tri liet than kinh VII ngoai bien the ban X

143 675 Ciiu dieu tri dau vai gay cap the ban X

144 676 Ciiu dieu tri ngoai cam phong ban X

145 677 Ciiu dieu tri liet the ban X

146 678 Ciiu dieu trj liet chi tren the ban X

147 679 Ciiu dieu tri liet chi dubi the ban X

148 680 Ciiu dieu tri liet niia ngubi the ban X

149 681 Ciiu dieu tri liet do benh ciia co the ban X

150 688 Cuu dieu tri dau dau, dau nua dau the ban X

151 689 Ciiu dieu tri rbi loan cam giac dau chi the ban X

152 690 Ciiu dieu tri nbn nac the ban X

153 692 Ciiu dieu tri rbi loan tieu hoa the ban X

154 696 Ciiu dieu tri cam ciim the ban X

I V . P H U C H O I CHirC N A N G A . V A T L Y T R I L I E U - P H U C H O I C H L T C N A N G

155 806 Tap dubng sinh X

156 807 Xoa bbp cue bb bang tay (60 phiit) X

157 808 Xoa bbp toan than hang tay (60 phiit) X

158 809 Chubm lanh X

159 810 Chubm ngai ciiu X

160 811 Tap van dbng cb tro giiip X

161 812 Vo rung Ibng nguc X

162 813 Xoa bbp X

163 814 Tap ho X

164 815 Tap thb X

165 816 Hubng dan ngubi benh ra vao xe Ian tay X

166 817 Su dung khung, nang, gay trong tap di X

167 818 Sii dung xe Ian X

168 819 Ky thuat thay dbi tu the Ian trb khi nlm X

169 820 Tap van dbng chu dbng X

170 821 Tap van dbng cb khang trb X

171 822 Tap van dbng thu dbng X

172 823 Do tam van dbng khbp X

173 824 Dap nbng X

174 825 Thir C O bang tay X

' 175 830 Vat ly tri lieu - PHCN cho ngubi henh bai liet x 176 831 Vat ly tri lieu - PHCN cho ngubi benh tbn th-uong thin kinh quay x 177 832 Vat ly tri lieu - PHCN cho ngubi benh ton thuong thin kinh giua X

178 833 Vat ly tri lieu - PHCN cho ngubi benh tbn thuong thin kinh tru X

179 834 Phuc hbi chuc nang cho ngubi benli mang tay gia X

180 835 Vat ly trj lieu - PHCN cho ngubi benh tbn th-uong day chSng cheo trubc khbp goi X

181 836 Vat ly tri lieu - PHCN ngubi benh tbn thuong sun chem khbp gbi X

182 837 Vat ly tri lieu - PHCN cho ngubi benh sau chan thuong khbp gbi X

183 838 Vat ly tri ligu - PHCN viem quanli khbp vai X

184 839 Vat ly tri lieu - PHCN trat khbp vai X

185 840 Vat ly tri lieu - PHCN gay xuong dbn X

186 841 Vat ly tri lieu trong viem cot sbng dinh khbp X

187 842 Vat ly tri lieu - PHCN sau phlu thuat chi dubi X

188 843 Vat ly tri lieu - PHCN sau phau thuat chi tren X

189 846 Phuc hbi chuc nang van dbng ngubi benh tai hien mach man nao X

190 848 Vat ly tri lieu - PHCN cho ngubi benh gay than xuong dui X

191 849 Vat ly tri lieu - PHCN gay co xuong dui X

192 850 Vat ly tri lieu - PHCN gay tren Ibi can xuong canh tay X

193 851 Vat ly tri lieu - PHCN gly hai xuong cang tay X

194 852 Vat ly tri lieu - PHCN gay dau dual xuong quay X

195 853 Vat ly tri lieu - PHCN gay hai xuong clng chan X

196 861 Phbng ngira va xu tri loet do de ep X

197 862 Phuc hbi chuc nang cho ngubi benh dbng kinh X

198 863 Vat ly tri lieu - PHCN cho ngubi benh chin thuong so nao X

199 865 Vat ly tri lieu - PHCN trong veo cb cap X

200 876 Phuc hbi chuc nang thoai hoa khbp (cot sbng cb - lung) X

201 877 Phuc hbi chiic nang cho ngubi benh viem khbp dang thap X

202 878 Phuc hbi chiic nang cho ngubi henh dau lu-ng X

203 880 Vat ly tri lieu - PHCN cho ngubi henh dau than kinh toa X

204 881 Vat ly tri lieu - PHCN cho ngubi benh liet day VII ngoai hien X

205 882 Vat ly tri lieu - PHCN cho ngubi cao tubi X

206 885 Xoa bbp dau mat cb, vai gay, tay X

207 886 Xoa bbp lung, chan X

208 887 Xoa bbp X

209 888 Xoa bbp tai giubng benh cho ngubi benh nbi trii cac khoa X

210 889 Tap do Cling khbp X

211 890 Tap do li6t ngoai bien ngubi benh liet nua ngubi, liet cac chi, tbn thuong he van dbng X

212 891 Tap do liet than kinh trung uong X

213 892 Tap van dbng doan chi 30 phiit X

214 893 Tap van dbng doan chi 15 phiit X

215 894 Tap van dbng toan than 30 phiit X

216 895 Tap van dbng toan than 15 phiit X

217 896 Tap van dbng cot sbng X

218 897 Tap KT tao thuan VD cho tre (lay, ngbi, bb, diing, di ) X

219 898 Tap cho tre hi Xo hba co X

220 899 Tap cho tre di tat tay/ chan X

221 902 Tap vbi he thbng rbng roc X

222 903 Tap vbi xe dap tap X

223 904 Tap vbi xe Ian X

B . L A M V A Sir D U N G C A C D U N G C U T R O G I U P 224 983 Nang nach X

225 984 Nang khuyu X

226 985 Gay tap X

227 986 Nep khap goi X

228 987 Mang do ban tay X

229 988 Cac dung cu tap su kheo leo cua ban tay X

V I I I . B O N G

A. C A C K Y T H U A T T R O N G C A P C U U , D I E U T R I B E N H N H A N B O N G

230 1515 Ngam rua vet bong bang nuoc mat sach, bang ep, trong so cuu, cap cuu ton thuong bong ky dau. X

I X . M A T

231 1703 Cat chi khau da X

232 1704 Cap cuu bong mat ban dau X

233 1707 Kham mat X

X . R A N G H A M M A T A. R A N G

234 1957 Dieu tri viem loet niem mac mieng tre em X

235 1959 Dieu tri viem Igi tre em X

236 1961 Dieu tri viem Igi do mgc rang X

B. H A M M A T

237 2077 So cuu vet thuong phan mem vung ham mat X

X I . T A I M U I H O N G A. T A I

238 2125 Lay day tai (nut bieu bi) X

C . H O N G - T H A N H Q U A N

239 2190 Lay di vat hgng mieng X

240 2191 Khi dung mui hgng X

X I I I . N O I K H O A C . T I E U H O A

241 2357 Thut thao phan X

242 2358 Dat sonde hau mon X

E . D I U N G - M I E N D I C H L A M S A N G

243 2382 Test lay da (Prick test) voi cac loai thuoc X

244 2383 Test ngi bi X

H . CAC K Y THUAT KHAC 245 2387 Tiem trong da X

246 2388 Tiem dubi da X

247 2389 Tiem bap thit X

248 2390 Tiem tinh mach X

249 2391 Truyen tmh mach X

X V I I I . DA L I E U B. DIEU TRI NGOAI KHOA DA LIEU X I X . N G O A I K H O A B . TIM MACH - L O N G N G U C 4. Nguc - phoi

250 3265 C6 dinh gay xuong subn bang bang dinh to ban X

D. TIET NIEU - SINH DUC 3. Bang quang

251 3535 Dat ong thbng bang quang X

E . CHAN THUONG - CHiNH HINH 6. Khop goi 9. Phan mem (da, co, gan, than kinh)

252 3826 Thay bang, cat chi vet mb X

'253 3827 Khau vet thucmg phIn mim dai duai 10cm X

10. Nln - Bo hot 11. Cac ky thuat khac

254 3909 Chich raeh ap xe nho X

255 3910 Chich hach viem mu X

256 3911 Thay bang, catchi X

X X I V N O I K H O A I . T I M M A C H - H O H A P

257 4191 Theo doi tim thai X

K . D I U N G - M I E N D I C H L A M S A N G

258 4198 Test duoi da vbi thubc X

259 4214 Hubng din su dung binh xit dinh lieu X

X X V I I I . N G O A I K H O A

260 4246 Thao hot cac loai X

I V V L T A I VI T H A N D. L I E U P H A P T A M L Y

261 45 Lieu phap tam ly nhbm X

262 46 Lieu phap tam ly gia dinh X

263 48 Tu van tam 11 cho ngubi benh va gia dinh X

D. P H U C H O I C H U C N A N G T R O N G T A M T H A N 264 58 Lieu phap the due, the thao X

265 59 Lieu phap tai thich ung xa hoi X

266 60 Lieu phap lao dong X

E . X U T R I DiEU T R I T I C H C U C

267 62 Xu tri trang thai kich dong X

268 68 Cap cuu tu sat X

269 69 Xu tri ha huyet ap tu the X

270 71 Xu tri di ung thubc hubng than X

G . C H A N D O A N V A DiEU T R I N G H I E N M A T U Y

V V I I . N ( ) I T I E T 8. Cac ky thuat tren ngubi benh dai thao dubng

271 225 Thay bang tren ngubi benh dai thao dubng X

272 234 Cat mong chan, cham soc mong tren ngubi benh dai thao dubng X

273 239 Hubng dan ky thuat tiem Insulin X

274 240 Hubng dan tu cham soc ban chan X

275 241 Tu van che do dinh dubng va tap luyen X

V I V I I I . Y H O C C O T R U Y E N A. K Y T H U A T C H U N G

276 5 Dien cham X

277 9 Cuu X

278 20 Xbng hoi thubc X

279 21 Xbng khbi thubc X

280 22 Sac thubc thang X

281 27 Chubm ngai X

282 28 Luyen tap dubng sinh X

E . D I E N C H A M

283 278 Dien cham dieu tri hbi chung tien dinh X

284 285 Dien cham dieu tri phuc hbi chiic nang cho tre bai liet X

285 287 Dien cham dieu tri liet tay do tbn thuong dam rbi canh tay b tre em X

286 289 Dien cham dibu tri phuc hbi chiic nang van dbng b tre bai nao X

287 296 Dien cham dieu tri liet tii chi do chan thuong cot sbng X

288 297 Dien cham dieu tri rbi loan than kinh chiic nang sau chan thuong so nao X

289 300 Dien cham dieu tri roi loan cam giac dau chi X

290 301 Dien cham dieu tri liet chi tren X

291 313 Dien cham dieu tri dau do thoai hoa khop X

292 316 Dien cham dieu tri liet do ton thuang dam roi day than kinh X

293 317 Dien cham dieu tri roi loan than kinh thuc vat X

294 320 Dien cham dieu tri liet do viem da re, da day than kinh X

H. XOA BOP BAM HUYET 295 389 Xoa bop bam huyet dieu tri liet chi tren X

296 390 Xoa b6p bam huyet dieu tri liet chi dual X

297 391 Xoa bop bam huygt dieu tri liet nua nguoi do tai bien mach mau nao X

298 392 Xoa bop bam huygt dieu tri hoi chung that lung- hong X

299 396 Xoa bop bam huyet dieu tri cung khop chi tren X

300 397 Xoa bop bam huyet dieu tri cung khap chi dual X

301 398 Xoa bop bam huyet dieu tri choang, ngat X

302 402 Xoa b6p bam huyet dieu tri liet do benh cua ca X

303 406 Xoa b6p bam huyet dieu tri tam can suy nhugc X

304 408 Xoa bop bam huyet dieu tri dau dau, dau nua dau X

305 409 Xoa bop bam huyet dieu tri mat ngu X

306 410 Xoa bop bam huyet dieu tri hoi chung stress X

307 414 Xoa bop bam huyet dieu tri liet day than kinh so VII ngoai bien X

308 419 Xoa hop bam huyet dieu tri hgi chung tien dinh X

309 427 Xoa blip bam huyet dieu tri nac X

310 428 Xoa bop ham huyet dieu tri viem khop dang thip X

311 429 Xoa bop bam huyet dieu tri dau do thoai hoa khdp X

312 430 Xoa bop bam huyet dieu tri dau lung X

313 431 Xoa bop bam huyet dieu tri viem quanh khdp vai X

314 432 Xoa bdp ham huyet dieu tri hgi chung vai gay X

315 434 Xoa bdp bam huyet dieu tri roi loan cam giac dau chi X

316 446 Xoa bdp bam huyet dieu tri liet tu chi do chan thuang cot song X

L. KY THUAT CHUNG 317 483 Xoa bdp bam huyet bang tay X

VII X. NGOAI KHOA B. TIM MACH - LONG NGl/C 1. Cap cuu chan thuong- vet thuoiig^nguc

318 164 Co dinh gay xuong sudn bang hang dinh to ban X

VIII XI. BONG A. DIEU TRI BONG 1. Thay bang bong

319 5 Thay bang dieu tri vet bong dudi 10% dien tich ca the d ngudi Idn X

320 13 Su dung thuoc tao mang dieu tri vet thuang bong nong X

3. Cac ky thuat khac 321 77 Kham benh nhan bong, chan doan dien tich va do sau bong bang lam sang X

322 79 So cuu, cap cuu ton thuang bong nhiet X

323 80 Xir l i tai cho ki dau ton thuang hong X

324 81 So cap cuu bong do vol tdi ndng X

325 82 So cap cuu bong acid X

326 83 So cap cuu bong do dong dien X

327 89 Dat day truyen dich ngoai vi dieu tri benh nhan bong X

D. DIEU TRI BONG 328 138 So cap cuu benh nhan bong do cong lanh X

329 139 So cap cuu benh nhan bong do kiem va cac hoa chat X

IX XIII. PHU SAN

• A. SAN KHOA 330 33 Da de thudng ngoi chdm X

331 34 cat va khau ting sinh mon X

332 35 Xir tri tich cue giai doan 3 cuoc chuyen da de X

333 36 Nghiem phap bong rau, do rau, kiem tra banh rau X

334 37 Kiem scat tir cung X

335 38 Bdc rau nhan tao X

336 39 Ky thuat bam di X

337 40 Lam thuoc vet khau tang sinh mon nhiem khuan X

338 41 Kham thai X

B. PHU KHOA 339 165 Kham phu khoa X

340 166 Soi CO tir cung X

341 167 Lam thuoc am dao X

C. SO SINH 342 196 Kham so sinh X

343 197 Cham sdc rdn so sinh X

344 198 Tam so sinh X

345 199 Dat sonde hau mon so sinh X

346 200 Bdp bdng Ambu, thdi ngat so sinh X

347 201 Hdi sue so sinh ngat sau sinh X

348 202 Cd dinh tam thdi gay xuong so sinh X

D. K E HOACH HOA GIA DINH 349 228 Dat va thao dung cu tir cung X

X XIV. MAT 350 208 Thay bang vd khuan X

351 209 Tra thudc nhd mat X

352 212 Cap cuu bdng mat ban dau X

353 223 Kham lam sang mat X

Tham do chuc nang va xet nghiem 354 260 Do thi luc X

1. Noi khoa 355 288 Test lay bi X

356 290 Tiem trong da; tiem dudi da; tiem bap thit X

357 291 Tiem tinh mach, truyen tinh mach X

XI XV. TAI MUI HONG A. TAI - TAI THAN KINH

358 58 Lam thudc tai X

C. HONG - THANH QUAN 359 212 Lay di vat hong mieng X

360 221 So cuu bdng dudng hd hap X

361 222 Khi dung mui hong X

D. DAU CO 362 301 Khau vet thuong don gian viing dau, mat, cd X

363 302 Cat chi sau phlu thuat X

364 303 Thay bang vet md X

365 304 Chich ap xe nhd vung dau cd X

XII XVI. RANG HAM MAT A. RANG

366 241 Dieu tri viem Igi tre em (do mang bam) X

B. HAM MAT 367 301 So cuu vet thuong phan mem vimg ham mat X

XIII XVll. PHUC HOI CHUC NANG •

A.VAT L Y TIH LIEU (nhan vien y te true tiep dieu tri eho nguoi benh) 368 11 Dieu tri bang tia hong ngoai X

369 16 Dieu tri bang nhiet nong (chudm nong) X

370 17 Dieu tri bang nhiet lanh (chudm lanh) X

B. VAN DQNG TR} LIEU (nhan vien y te true tiep tap hoac hudng dan ngudi benh)

371 31 Tap nSm dung tu the cho ngudi henh liet nua ngudi X

372 33 Ky thuat tap tay va ban tay cho ngudi henh ligt nira ngudi X

373 34 Ky thuat tap dung va di cho ngudi benh liet nira ngudi X

374 35 Tap Ian trd khi nam X

375 36 Tap thay doi tu the tu nam sang ngoi X

376 37 Tap ngoi thang bang tinh va dong X

377 38 Tap thay doi tu the tir ngoi sang dung X

378 39 Tap dung thang bang tinh va dong X

379 40 Tap dang di X

380 41 Tap di vdi thanh song song X

381 42 Tap di vdi khung tap di X

382 43 Tap di vdi nang (nang nach, nang khuyu) X

383 44 Tap di vdi gay X

384 47 Tap len, xuong can thang X

385 52 Tap van dong thu dong X

386 53 Tap van dong cd trg giiip X

387 54 Tap van dong chu dong X

388 55 Tap van dong tu do tu chi X

389 56 Tap van dong cd khang trd X

390 57 Tap keo dan X

391 65 Tap vdi rong roc X

392 66 Tap vdi dung cu quay khdp vai X

393 67 Tap vdi dung cu cheo thuyen X

394 71 Tap vdi xe dap tap X

395 75 Tap ho cd trg giup X

396 76 Ky thuat v6 rung long nguc X

397 85 Ky thuat xoa bdp vung X

398 90 Tap dieu hgp van dong X

CHO AT DONG TRI LIEU (nhan vien y te true tiep tap hoac hirdng dan ngu'O'i benh)

399 92 Ky thuat tap su dung va dieu khien xe Ian X

400 93 Ky thuat hudng dan ngudi liet hai chan ra vao xe Ian X

401 94 Ky thuat hudng dan ngudi liet nua ngudi ra vao xe Ian X

402 95 Tap cac van dong tho cua ban tay X

403 96 Tap cac van dong kheo leo cua ban tay X

404 97 Tap phoi hgp hai tay X

405 98 Tap phoi hgp tay mat X

406 99 Tap phoi hgp tay mieng X

H. VAN DONG TRI LIEU (nhan vien y te true tiep tap hoac huong dan nguoi benh)

407 172 Tap duong sinh X

408 177 Ky thuat tap van dong cho tre hi bien dang cot song (cong veo, gu, uon) X

409 184 Ky thuat thu dan X

N. CAC KY THUAT KHAC (TTLT 37) 410 250 Tap do cung khdp

'411 ' 251 Tap van dong vod cac dung cu trg giiip X

X I V X V I I I . D I E N Q U A N G

X V X X I . T H A M D O C H U C N A N G A. T I M , M A C H

412 13 Nghiem phap day that X

E . M A T 413 93 Do thi luc X

G . COXirONG K H O P X V I X X I L H U Y E T H O C T R U Y E N M A U

A . X E T N G H I E M D O N G M A U

414 22 Nghiem phap day that X

C . T E B A O H O C

415 138 Tim ky sinh trung sot ret trong mau (bang phucmg phap thii cong) X

T I N H HINH THU, C H I TRONG K H A M CHtTA B E N H NAM 2017,2018 Phu luc I (Kem theo Ke hoach SO ...o^L/KH-TTYT ngay d'/5'/2018 cua TTYT TP. PRTC^

Bon v j : ngan dong. XT Chi tieu Nam 2017 Nam 2018 XT Chi tieu

PhIn thu Phan chi Phan thu Phan chi XT Chi tieu

PhIn thu Luong, PC, BH

Chuyen mon

Thu nhap tang them

Cong Phan thu

Luang, PC, BH

Chuyen mon

Thu nhap tang them

Cong

Tong so 24.784.936 11.901.756 12.537.821 345.359 24.784.936 25.463.030 12.159.030 13.032.000 272.000 25.463.030 9.463.030 A Kinh phi NSNN cap 10.291.256 9.987.256 304.000 0 10.291.256 9.463.030 9.159.030 304.000 0

25.463.030 9.463.030

I Kham ch&a benh 1.561.256 1.561.256 1.561.256 0 II Tram Y te 8.730.000 8.426.000 304.000 8.730.000 9.463.030 9.159.030 304.000 9.463.030 B Nguon thu sur nghif p 14.493.680 1.914.500 12.233.821 345.359 14.493.680 16.000.000 3.000.000 12.728.000 272.000 16.000.000

I Kham chira benh 12.237.317 1.598.800 10.360.643 277.874 12.237.317 13.800.000 2.600.000 11.010.000 190.000 13.800.000 1 Phong kham Phan Rang 10.491.387 1.406.000 8.876.423 208.964 10.491.387 11.800.000 2.000.000 9.700.000 100.000 11.800.000 2 Phong kham Thap Cham 1.745.930 192.800 1.484.220 68.910 1.745.930 2.000.000 600.000 1.310.000 90.000 2.000.000

II Tram Y te 2.256.363 315.700 1.873.178 67.485 2.256.363 2.200.000 400.000 1.718.000 82.000 2.200.000 1 Bao An 45.985 6.800 37.521 1.664 45.985 55.000 10.000 42.000 3.000 55.000 2 Do Vinh 12.950 2.800 9.482 668 12.950 15.000 5.000 8.900 1.100 15.000 3 My Huong 11.102 1.300 9.482 320 11.102 15.000 3.000 11.500 500 15.000 4 Phudc My 377.810 40.800 327.325 9.685 377.810 355.000 50.000 295.000 10.000 355.000 5 My Dong 320.915 40.200 271.077 9.638 320.915 355.000 50.000 292.000 13.000 355.000 6 Kinh Dinh 10.652 2.100 8.071 481 10.652 12.000 4.000 7.400 600 12.000 7 Dao Long 255.200 45.310 199.494 10.396 255.200 240.000 60.000 167.000 13.000 240.000 8 My Binh 70.850 6.500 62.521 1.829 70.850 55.000 10.000 43.000 2.000 55.000 9 My Hai 902.915 145.750 732.019 25.146 902.915 780.000 150.000 607.000 23.000 780.000

10 Tan Tai 12.071 3.600 7.680 791 12.071 12.000 6.000 4.500 1.500 12.000 11 Dong Hai 128.720 6.240 118.980 3.500 128.720 200.000 30.000 161.000 9.000 200.000 12 Phii Ha 37.882 5.200 31.407 1.275 37.882 40.000 10.000 28.000 2.000 40.000 13 Thanh Son 744 70 654 20 744 2.000 1.000 900 100 2.000 14 Dai Son 3.107 250 2.800 57 3.107 4.000 1.000 2.800 200 4.000 15 Thanh Hai 65.460 8.780 54.665 2.015 65.460 60.000 10.000 47.000 3.000 60.000 16 Van Hai

T I N H H I N H T H U , C H I T R O N G K H A M C H U T A B E N H N A M 2019, 2020

Bffn v j ; ngan dong.

11 Chi tieu Nam 2019 Nam 2020 PhIn thu Phan chi PhIn thu Phan chi

Luong, PC, BH

Chuyen mon

Thu nhap tang them

Cong Luong, PC,BH

Chuyen mon

Thu nhap tang them

Cong

Tong so 27.664.000 13.560.000 13.814.000 290.000 27.664.000 29.700.000 14.696.000 14.704.000 300.000 29.700.000

A Kinh phi NSNN cap 10.664.000 10.360.000 304.000 0 10.664.000 11.700.000 11.396.000 304.000 0 11.700.000

I Kham chua benh 0 0

II Tram Y te 10.664.000 10.360.000 304.000 10.664.000 11.700.000 11.396.000 304.000 11.700.000

B Nguon thu su nghiep 17.000.000 3.200.000 13.510.000 290.000 17.000.000 18.000.000 3.300.000 14.400.000 300.000 18.000.000

I Kham chira benh 14.700.000 2.750.000 11.750.000 200.000 14.700.000 15.500.000 2.850.000 12.450.000 200.000 15.500.000

1 Phong kham Phan Rang 12.500.000 2.100.000 10.290.000 110.000 12.500.000 13.000.000 2.150.000 10.740.000 110.000 13.000.000

2 Phong kham Thap Cham 2.200.000 650.000 1.460.000 90.000 2.200.000 2.500.000 700.000 1.710.000 90.000 2.500.000

II Tram Y te 2.300.000 450.000 1.760.000 90.000 2.300.000 2.500.000 450.000 1.950.000 100.000 2.500.000

1 Bao An 60.000 12.000 44.800 3.200 60.000 70.000 12.000 54.500 3.500 70.000

2 Do Vinh 16.000 6.000 8.800 1.200 16.000 20.000 6.000 12.500 1.500 20.000

3 My Huong 16.000 3.500 11.900 600 16.000 20.000 3.500 15.800 700 20.000

4 Phudc My 365.000 55.000 299.000 11.000 365.000 380.000 55.000 313.000 12.000 380.000

5 My Dong 365.000 55.000 296.000 14.000 365.000 380.000 55.000 310.000 15.000 380.000

6 Kinh Dinh 15.000 4.500 9.800 700 15.000 20.000 4.500 14.500 1.000 20.000

7 Dao Long 250.000 70.000 166.000 14.000 250.000 270.000 70.000 185.000 15.000 270.000

8 My Binh 60.000 12.000 45.500 2.500 60.000 70.000 12.000 55.000 3.000 70.000

9 My Hai 800.000 165.000 610.500 24.500 800.000 890.000 165.000 699.000 26.000 890.000

10 Tan Tai 15.000 7.000 6.000 2.000 15.000 20.000 7.000 10.000 3.000 20.000

11 Dong Hai 220.000 34.000 176.000 10.000 220.000 230.000 34.000 184.000 12.000 230.000

12 Phu Ha 45.000 12.000 30.500 2.500 45.000 50.000 12.000 35.000 3.000 50.000

13 Thanh Son 3.000 1.000 1.800 200 3.000 4.000 1.000 2.700 300 4.000

14 Dai Son 5.000 1.000 3.700 300 5.000 6.000 1.000 4.500 500 6.000

15 Thanh Hai 65.000 12.000 49.700 3.300 65.000 70.000 12.000 54.500 3.500 70.000

16 Van Hai