M O TA T H U C T R A N G UfNG DUNG C O N G N G H | THONG TIN
TRONG BAO CAO CONG TAG KHAM - CHITA BENH VA XAC BjNH MfiT SO YEU TO LIEN QUAN DEN UTNG DUNG C O N G NGHE THONG TIN TRONG BAO CAO C O N G TAG KHAM - CHITA BENH
TAI MOT S6 BENH VIEN DA KHOA TUY^N T I N H NAM 2009
TOM T A T
Muc tidu: Md td thgc trgng irng dgng edng ngh$
thdng tin (CNTT) trong bdo cdo cdng tdc khdm - chQ-a benh vd xdc dinh mdt sd yiu td lidn quan din Ong dgng CNTT trong bdo cdo cdng tdc khdm - chd'a bdnh t^i mdt sd bdnh vidn da khoa tuyin tinh ndm 2009. Phirong phdp: nghidn ciru md td dirgtc thi/c hidn tgi todn bd 124 Bdnh vidn da khoa tuyin tinh thudc 63 tinh thdnh trdn todn qudc. Cdc yiu td mdi tnrdng phdp If, ca sd hg ting, phin mim, nhdn igc.
quy trinh, quy ehi chuydn mdn. cdc chuin trong h$
thdng dd dwge nghidn cuv. Kit qud: Sd luvng vdn ban lidn quan din hd thdng thdng tin bdo cdo b$nh vi$n tmng binh 01 vSn bdn/ bdnh vidn, Cd 83.06%
benh vidn da cd td chOo CNTT vd cd mgng t-AN.
trong dd 27,42% bdnh vidn mang LAN chira phd kin dan vi. Cd 7,69% dan vj cd rndy chu hogt ddng kdm vd 3,51% hdng, khdng ddp irng dijgc cdng vide. Cd 9.34% mdy tram hdng. khdng ddp Ong cdng vi$c hoac hogt ddng kdm. 83.06% dem vj dd sCr dgng phin mem tmng bdo cdo cdng tdc khdm chira bdnh, trong ddcd 20.16% bdnh vidn ti/xdy dung ridng Kit ludn:
hidn trgng S(> dung CNTT tmng cdc bdnh vidn cdn chira ddng bd vd cdn nhiiu diem yiu. Cin cd nhirng chinh sdch vd quan tdm hon nira din phdt thin CNTT tmng cdc bdnh vidn.
Tir khda: ung dung CNTT, bdo cdo cdng tdc khdm - chira bdnh
SUMMARY
Objective: Describe the situation and define the relation factors of application information technology to medical report at provincia! general hospitals.
Methods: a cross sectional study at 124 provincial general hospitals nationwide belong to Health Ministry. The factors as legal aspect, infrastructum, medisoft, human msoumes, pmses, special regulation, system standart were studied. Results: In average, each hospital had 1 document related to system of hospital information report. Of 124 hospital, 83.06% used information technology and LAN network. 7.69% host computer in poor condition and 3.51% out of order. 83.06 % of hospitals used medisoft in medical mport, 20.16% had their own system of information technology. Conclusion: The currence situation of using information technology in hospitals was incomplete and unperfected. It should have had more policies and attentions to improve information technology at hospitals nationwide
Keywords: application information technology, medical report
VO HOAl NAM • Vdn phdng Bd Y te DAT VAN o e
Khoa hpe vd edng nghd ngdy cdng dflng vai trd quan trpng trong mpi iinh vyc kinh t l , xa hdi trong dd cfl ngdnh Y t l cda nudc ta, dd vd dang gdp p h i n quan trpng ndng eao chit lupng, hi^u qud chdm sdc va bdo vd sUe khde nhSn dan trong thdi ky d i i mdi.
Vide dng dgng cflng nghd thdng tin trong quan ly b$nh vi$n n h i m cdc mgc dieh: Mflt la, tdng cufl'ng edng tae qudn \'j hogt ddng bdnh vi§n dya trdn eo sd qudn 1;^ khoa hpc, hidu qud b i n g vi§c dp dyng ky thuat eao. Hai la, gidp eho ngudi qudn ly" n i m duac cdc thflng tin nhanh, chfnh xdc. b i t cd' khflng gian ndo, thd'i d i l m nao hd try ra quylt ffinh nhanh chdng, chfnh xac vd kjp thdi, Ba Id, gidp don gidn hod cdc thd tyc hdnh ehinh, logi bd bdi cdc hogt ddng trung gian, gdp p h i n gidm tdi bdnh vidn vd tgo ffilu kidn cho cdc djch vy khdm chd'a bdnh dupc thyc hien nhanh chflng vd thudn ti$n. Bdn Id, tdng cufl'ng chit lupng thflng tin quan ly b$nh vidn eae tuyin va thdng nhit du- li$u cho hogt ddng qudn I;^ ngdnh [2],
Trong thdi gian qua Dang, Nhd nyde, Bd Y t l vd cac ffia phuong dd ban hdnh nhieu chinh sdch y t l va CNTT a l nang eao c h i t lupng hg thdng thflng tin bdo cao cdng tdc khdm - chd'a bdnh nhyng viec t i chUe, trien khai hogt dflng h§ thdng ndy v i n chu'a dgt duoc k i t qud mong mudn d i n d i n vigc hfl trp dua ra quylt ffinh eda cac cap khflng kip tind'i hodc khdng chinh xdc [4],
TdNG QUAN TAi LIEU
Cflng nghd thflng tin y t l dang cd bude phat trien r i t nhanh trdn t h i gidi. Tgi phien hop l l n thd' 58 cda Dgi hdi d i n g Y t l thd gidi (WHO) thdng 5-2005 tgi Geneva, ede nudc thdnh vidn dd thdng nhit nhu e l u d p bdeh Id phai ed k l hogeh tuong Ung cho mfli nudc de phdt triln y t l didn tu- [5],
Vide xdy dyng va phat trien hd thing thdng tin Kham - ChO'a bdnh ndi chung vd thdng lin bdo cdo khdm - chd'a b$nh eda nhilu nudc trdn thd gidi vd khu vyc dd cd nhO'ng budc t i l n ddi r i t kha quan vd dang hpc tap, Hoa Ky cfl mgng Metropolitan Area Network Id mgng y t l thing nhat toan qudc. cd s y tham gia cda cdc bdnh vidn. phdng mach tu' vd phflng khdm. labo, eo s d nghidn cd'u va dao tao (R&D), bao h i l m y t l . , , [6].
- Uy ban chdu Au (EC) cd chuong trinh E-Health vdi yeu c i u 33 nudc thdnh vidn sir dung cflng nghe thflng tin vd truyen thflng d l tang cudng djch vu cham sdc sUc khde ehIt lypng cao trdn todn chau Au. Telemedicine se trd thdnh true xuong s i n g cho sy phat triln vd tai td chuc hd thing chdm sde sue
Y Hpc THyC HANH (824) - SO 6/2012
khde trong t h i ky XXI. Cho d i n 2010, EC d y k i l n ddnh khoang 5% ngan sdch y t l d l d i u t y phat t r i l n cae hd thing vd djch vy "Y t l trdn mgng".
- Nh$t Bdn dd ed 155 h$ telemedicine. trong dd cd 68 hd teleradiology, 26 hd telepathology, 23 hd ehin dodn hinh dnh, 20 hd cham sde tU xa (Home health), 6 hd telemedicine trong nhSn khoa. 3 hd trong nha khoa vd 9 h$ khde, Trung Qude da nghidn eUu triln khai hdng logt gidi phdp n h i m t l chUc eae mgng cyc bd qudn ly bdnh vi$n (HIS), hd thdng luu trO' vd truyin dnh dflng (PACS), djch vy y t l gia dinh qua mgng (Telehome Health Care),,..
Tgi Vidt Nam, v l mdt qudn ly nhd nudc BO Y t l da ban hdnh QD s i 2824/2004/QD - BYT ngay 19/8/2004 v l ban hanh p h i n m i m Medidsoft 2003 trong quan ly cdc bdo cdo thdng kd vd h i so b$nh dn eho h0 thdng b$nh vi§n trdn todn qudc. Sau 2 ndm t n i n khai hidn nay da cd khodng 300 bflnh vi$n ung dyng p h i n mdm ndy trong qudn ly' ede bdo cdo thing kd vd kdt xult s i li$u bdo eao v l Bd Y t l ; ddy Id mdt trong nhu'ng thdnh cdng eua ngdnh y t l Vi$t Nam trong ITnh vyc tin hpc hod qudn ly hdnh chfnh nhd nu6'c[1],
Bdn cgnh dd, m i t sd b$nh vidn da phdt huy nfli lyc vuon Idn triln khai Ung dyng CNTT qudn ly ddng b i ede hogt ddng kham ehUa bdnh, bude d i u da ehUng minh duyc tfnh hidu qua trong vide gidm thdi gian chd dpi cua ngu'di bdnh, gdp p h i n ddm bdo cflng bing, cdng khai tdi chinh cua ngydi bdnh, chdng t h i t thu tdi chinh b$nh vidn, ddm bao cflng tdc xult nhdp thudc d u y e chinh xdc, thudn tidn, nhanh chdng vd an toan...
Mdt sd ffiln hinh eua vide Ung dyng CNTT trong quan ly todn didn bdnh vidn la: b#nh vidn Gang Thdp Thai Nguydn, BV Rang Hdm Mdt Hd Nfli; BV Phy San Hd Nfli, benh vidn Nhi TW, BVDK Khanh Hda,,,,
Tgi Vidt Nam cho d i n nay, chua ed nghiSn eUu trong nu'dc ndo ddnh gid thye trgng vide Ung dyng CNTT trong hd thing thdng tin bdo cdo khdm - chd'a bdnh tai cdc bdnh vi§n da khoa tuyIn tinh v l S d Y t l vd Bfl Y t l nfli ndng vd nghidn cUu v l h§ thing ndy.
D ' 6 I TUg^NG, PHU-ONG PHAP NGHIEN CCfU.
1. Dja d i l m nghidn cd'u
Nghidn cdu dypc triln khai tgi cdc b$nh vidn da khoa tuyin tinh tgi todn bd cdc tinh/thdnh phd tryc thudc trung u'ong d Vidt Nam
2. Dfll tu'p'ng nghidn cd'u 2.1. Mflitafdng phdp ly
2.2. Co sd hg t i n g , p h i n m i m : Hd thing may chd, mdy trgm, hd thdng dudng truyin, mgng l_AN, hd thing p h i n m i m .
2 3 Nhdn lyc: ngydi d i l u hdnh (Gidm ddc vd Phfl GD phu trdch CNTT), ngydi su' dyng (nhap lidu), ngudl vdn hdnh (Can bd qudn tq hd thing)
2.4. Quy trinh, quy e h l chuydn mdn: phuang thUe thu thdp, phu-ong thuc truyin sd li§u, luing thflng tin bdo cao, b i l u mau bdo cdo, thfl'i gian bao cdo
2.5. Cdc ehuIn hd t h i n g : chuin trao d i i du- li§u, chuan giao t i l p thidt bj
3. T h i l t k l nghidn c i r u Nghidn cd'u md td c i t ngang, 4. Cfl' m l u vd cdch chpn m l u
Cd miu: Todn bfl 124 Bdnh vidn da khoa tuyin tinh thudc 63 tinh thdnh trdn toan qude d i u dypc chpn vdo nghidn cd'u
6. K9 thu$t vd cflng CM thu th$p s d li$u S i li$u sS d u y c thu thdp thdng qua phuang phap bdng hdi t h i l t k l s i n vd phdng v i n sdu dya trdn bO cdu hdi,
7. Quy trlnh thu th$p sfl ii^u
S i lidu d u y c thu thdp bdi cdc cdn bd CNTT co quan BO Y t l vd cdc chuy6n gia CNTT, xd hOi hpc cd kinh nghiOm khde, Cdc nghidn eUu vidn dupc tap h u i n vd Idm thd* bfl cdu hdi tryde khi triln khai dilu tra.
8. Qudn 1^, xd* ly vd phSn tich s 6 ll$u Sd li$u sau khi dup'c thu thap sd dupc fdm sgch va nhdp vdo mdy tinh b i n g p h i n m i m Epidata 2.1.
P h i n m i m t h i n g kd Stata 10 sd dup'c sd' dyng trong phdn tich s i liSu.
K £ T QUA NGHIEN C(>U
1. T h y c trgng d'ng d y n g CNTT trong bao cio cdng tdc Ithdm - chfra bdnh tgi cdc b$nh vi^n da khoa t u y i n tinh ndm 2009.
Bdng 1, S i lup'ng cdc vdn ban chi dgo, ffilu hdnh cda cap e l p v l CNTT
Tfin 6an vi ban hSnh BflYtd S d Y t d B^nh vi^n da khoa
S6 liTQ'nqvan ban 02 van ban
68 103 Nhdn xdt: Trong nSm 2009, Bfl Y te dd ra 02 vSn b i n chi dao v l day mgnh ung dyng va phdt triSn CNTT trong nganh Y t l , edn d i i tuyin Sd Y te la 68 vdn bdn (mdi Sd* It n h i t 01 vdn b i n va nhilu nhit la 02 van bdn); t u y i n b$nh vidn da khoa la 103 vdn bSn (mfli bdnh vidn 01 vdn b i n )
Bdng 2 Tdn gpi cac t i chUc CNTT tgi BV T6n aon vj CNTT
Phdnq/tnjnq tam Td tryc thuflc Ban gidm ddc
T6 tryc thudc Phdnq/ Ban Chua cd
Cflng
S6 iuynq 2 0 101 21 124
Tvl§%
1.61 0 81.45 16.94 100 Nhdn xdt. Qua bdng 2. ta nhan thiy: Hd thdng t6 chuc v l CNTT cdn chu'a n h i t qudn v l tdn gpi, cd flln 81,45% bO ph$n CNTT ddt dudi sy ffilu hdnh cCia Phdng/ Ban vd tham ehl ed 16,94% dan vi khdng c6 bO phdn nay.
Bdng 3.Tlnh trgng xdy dyng mgng LAN tgi BV Tinh tr^nq x3y d^nq mgng LAN
Manq LAN phu kin dan vj Mang LAN chira phu kin don vi
Chu'a cd:
C*nq
S6 lirvnq 69 34 21 124
Tv»%
55.64 27 42 16 94 100 t^^t$n x6l .Mdi chi c6 83,06 BVDK tinh c6 m?ng LAN v i c6 16,94% BVSK tinh chu-a xSy dimg mjng LAN , trong s6 cSc dan vi c6 mgng LAN thi chi c6 55,64% IS mgng t_AN hodn chinh. phu kin dan vi.
IflS Y HQC THV'C HANH (824) - SO 6/2012
Bang 4, Tinh trgng may ehd phye vy hd thing
thong tin bdo eao Bang 8, Trinh dfl nhan lyc q u i n tn h$ thing thflng tin bao cao tgi BV
Tinh trang mSy Hoat ddng tdt Hoat ddng trung
binh Hoat ddng kem Hdng, khdng ddp i>nq cdnq vi$c
Cdnq
It/ldy chu S i luffnq
76 52 11 5 143
Ty 1^ % 52.44 36.36 7 69 351 100
luldv tram S i iu-iynq
452 627 39 72 1235
Ty Id % 37 98 52 68 3.27 6 07 100 Nh§n x6t: 88,80% s i lypng may chd ed t h i flap Ung cong viec, cfln Igi 7,69% may chd hogt dflng kdm va dae bidt 3,51% khflng dap ung du'ac cflng vide.
Co 9,34% may trgm hogt dflng kflm, khflng ddp irng dugc cflng vi^c.
Bang 5. cac logi p h i n m i m lifln quan d i n cOng tac KCB tgi BV
Logi phdn m^m Medisoft 2003 Don vi ty xdy dynq, mua sSm ngnq
COng
Sfi lirpng 99 25 124
Ty 1$ % 79.84 20.16 100 Nhan x6t :Tgi 124 BVDK tinh ed 100% dan vj sd' dyng cae logi p h i n mdm lifln quan d i n cflng tae kham chd'a benh, trong dfl cfl 79.84% dan vj dang sd' dyng p h i n mem Medisoft 2003 cfln 20,16% do dan vi t u xay dyng, mua s I m .
Bang 6. Cac phuang thue ting hpp thdng tin bao eao KCB tgi BV
Phucnq ttiuc tdnq tig'p Ty aOng tip phan mem don vj ty
xSy dynq NhSp li$u vao Medisoft 2003 Chi ghi tnjc tiep vao bi^u mau bSo
cao qily.
Ceng
So lu'ynq 17 104 3
Ty le % 13-71 83-87 2.42 124 1 100 Nhan xflt: cd 13.71% BVDK tinh t y dflng t i n g hap thflng tin bao eao; cfln Igi 83.87% phai nhSp ligu vao Medisoft 2003 va 2.42 % chi ghi tryc t i l p vao eac b i l u m l u bao cao g i l y
2. NhSn lire
Bang 7. Trinh dO nhan lu'c dieu hanh vd su dyng HTTT bao eao tgi BV
stt 1 2 3
Nhdm Clidu hdnh SLP dunq
Cdng Tdng
246 3151 3397
CNTT (vdn phdng) Thdnh thao SL 74 3151 3225
Tyld%
23 97.7 too
Khdng thdnh thao SL 172 0 172
Tyld%
100 0 100 Nhan xdt: Vd trinh dp nhSn lyc, d i i vdi lanh dgo dan vi dam nhiem phye vy hd thing ddu cd trinh dO trdn hoae sau dai hpe ve chuydn mdn Y Dup'c nhung ehi ed 74 ngudi chilm 2,3% la thanh thgo edn 172 ngudi chilm 100 % la khdng thfinh thgo,
STT 1 2 3
ChuyS nmdn CNTT Y/
Du'(?c Khde C<Jn(7
T r i n h d d Sau
O H 0 0 0
BH SL 78 15 7 (00
Tyld
%
78 15 7 100
CD/TH SL 145 3 0 ua
T y l #
%
97 97 2 03 0 100
Tdng 223 16 7 247 Ghi chO: 01 nhdn Igc vira Id CD Dugtc vira Id DH CNTT
3. Mdt s6 y i u t d li^n quan d i n d'ng dyng CNTT trong bdo cao cdng tac kham - ChO'a b f n h tgi mdt sd b f n h v i f n da khoa tuydn tinh nSm 2009.
Mdi trwdng phdp 1^, ca chi, chinh sdch.
- Tgi Bfl Y t l : ban hanh Chi thj s i 02/CT-BYT, ngay 25/02/2009 eda Bd trudng BO Y t l v l vifc D i y mgnh Ung dyng vd phat triln CNTT trong nganh Y t l . Chi thj da dua ra mflt s i v i n d l trpng tam d l phat triln CNTT trong thfl'i gian tdi. trong dfl d l cap d i n vifc xSy dyng h$ thing t i chue nganh CNTT trong y t l , djnh mUc ehi tdi thilu eho CNTT tgi dan vj la 1 % ngan sach [3];
- D i i vdi S d Y t l va BVDK tinh: H l u hit, ehi la cac van ban thflng bao, nhIc Igi va ehuyin t i l p thflng tin van ban t u tuyin trSn xudng la chinh, chua mang tinh dac thd eda dan vj minh
- Dac bigt mfl'i chi cfl 103 dan vi cfl cflng vdn chuyen tilp thflng tin, cfln 21 dan vj chua cfl van ban ffilu hanh ehinh la nhu'ng bdnh vi^n chua cfl mgng LAN
BAN LUAN
1. Hodn t h i f n mdi tryfl'ng phap 1;^ h i trp* phat t r i l n va d'ng dyng cflng nghe thflng tin
Bdng 1 cho thiy ede van ban eda Bfl cung nhu- cua eac s d Y t l v l phat triln CNTT cfln rat it, vi vay c i n ban hanh cac van ban quy phgm phap lu^t cda nganh de hfl try cho vifc phat trien CNTT tgi cae dan vi; k h i c phye cdc khfl khan do thilu ca sd phap ly dan d i n tinh trgng mfli dja phuxrng, dan vj t y ttm tdi phat triln theo each ridng nhu hien nay.
Trong bang sd 2 cfl d i n 81,45% bd phSn CNTT dgt dudi sy d i l u hdnh cda Phflng/ Ban va th^m chi cfl 16.94% dan vj khflng cfl bfl phan nay. Vi vay cdn ban hanh quy t^nh d l eae dja phu-ang, dan vj cd ffilu kifn xay dyng dupc hg t i n g CNTT thieh hop vdi t i e dfl gia tang trong 5 nam hay 10 nSm tdi: tgi Bfl Y te, d n thanh lap Cyc Cflng nghf thflng tin chju trdch nhifm chuySn trdch quan ly nha nude v l CNTT cho loan nganh.. Tgi dja phuang, cfl cac dan vj ehuyen trach va cfl can bd chuyfln trach CNTT tgi Sd Y t l va cdc dan vj tryc thuflc Sd. Cac Bfnh vifn tn^c thuflc S d e i n thdnh l^p don vj d f c Ifp v i CNTT
Bang 7 vd 8 eho thiy v l trinh dd nhan luc, d i i vdi Idnh dgo don vj d i m nhifm phye vy hf thong d i u ed trinh dd tr6n hoae sau dgi hpc v l chuydn mdn Y Du'p'c nhung chi cd 74 ngudi chilm 2,3% la thanh thgo cfln 172 ngudi chilm 100 % Id khong thanh thgo. Do dd c i n xay dyng chuc danh edn bd Idm
Y HQC THyC HANH (824) - S6 6/2012
cdng tdc v l CNTT trong cdc b f n h v i f n d l ed cdn bd ehuyfin mdn ky thuft XSy dyng vd t h i n g n h i t cdc tidu chuin quan IS* vd tidu chuin k j thuft v l cflng nghf thflng tin vd truyin thOng. Nghifen eUu, xdy dyng quy 6\nh b i t buflc cdn b f sd dyng phuang tifn cdng nghf thflng tin vd truyin thdng trong cdng vifc, quy che v l khai thde, c f p nhft vd chia sd thdng tin.
Ngodi ra e i n hodn thifn v i n . phdt huy cdc nguin v i n n f i vd ngogi lye d l phat triln h f thing CNTT, Cd chinh sach khuyin khieh va ddi ngO thda ddng eho cdn bd ehuyen ngdnh CNTT vdo cdng tde tgi ede bfnh vifn nhu cho hudng cdc tiflu c h u i n phy e l p nhu- cdn b f y t l , khuyin khich cho di hpc ndng eao trinh d d -
KET LUAN
1. ThM% trgng i>ng dgng CNTT trong bdo cdo cdng tac khdm - chfra b f n h tgi cdc b f n h v i f n da khoa tuydn tinh ndm 2009.
- S i lupng van bdn Hfln quan d i n h f thdng thdng tin bdo cdo bfnh vifn trung binh 01 van bdn/ b f n h vifn
- Cfl 83,06% bfnh v i f n dd cfl t i chdc CNTT vd cfl mgng LAN, trong dfl:
+ 27,42% bfnh v i f n mgng LAN ehua phu kin dan
V l
+ 16,94% bfnh v i f n cfln Igi cfl 14,52% b f n h v i f n dd cfl k l hogeh xdy dyng mgng LAN trong nam 2010
+ 88,80% may chu hoat dflng td' trung binh trd len; 7,69% hogt d f n g kdm vd 3,51% hdng, khdng ddp ung dupc cflng vifc
+ 90,66% mdy trgm hoat dflng td' trung binh trd len; 9.34% mdy trgm hdng, khflng ddp ung cflng v i f c hodc hoat d f n g kfem
+ 83,06% dan vj da s u dyng p h i n m i m trong bdo cdo cflng tdc khdm chd'a b f n h , trong dfl cd 20,16%
b f n h v i f n t y xdy dyng ridng
2. lUldt s d ydu t d lidn quan d i n u^ng d v n g CNTT trong bdo cdo cdng tdc khdm - chG>a b f n h tgi m$t s 6 b f n h v i f n da khoa t u y i n tinh ndm 2009.
M f t s i y i u t i lidn quan tuy dung ridng rg tuong ddi nhung n i m trong m i i quan h f b i f n chd-ng nhau, cdng nhau p h i i hyp hoac ngdn edn s y thdnh cflng hay t h i t bgi vifc phdt t r i l n CNTT tgi bfnh vifn, tao gim:
- Mfli trydng phap ly: ede van bdn chi dgo, van b i n quy djnh h f thdng t i chd-c, nhdn lyc, tdi chinh
- Trinh dd. q u y l t tdm cda d f i ngO q u i n ly. dilu hdnh, v$n hdnh vd sd- dyng h f thdng. trong dfl vai tf6 cda ngudi Idnh dgo dan vj Id r i t idn
- Cdc quy trinh, quy e h l ehuydn mfln; cflng ngh$
vd cdc c h u i n kj^ thuft T A I L I $ U THAM K H A O
1. Bfl Y t l (2003), Quyit dinh sd 432/QD-BYT ngdy 27/01/2003 vi vide Phd duydt Bi dn Tin hgc hda Quin If Hdnh chinh nhA nudc ngdnh Y ti giai do$n 2003- 2005.
2. van phflng chinh phd (2006), Quyit dlnfi s6 153/2006 QD -TTg ngdy 30/06/2006 Cua Thu tuong Chinh phu phd duydt quy hoach tdng thi phdt triin h}
thdng Y ti Vidt Nam giai doan 2010 vd tim nhin t^n nSm 2020.
3. Chi thj sd 02/CT-BYT. ngay 25/02/2009 cua BO tru'dng Bfl Y t l v l vifc D i y mgnh ung dyng vd phat triin CNTT trong nganh Y t l
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MOT SO NHAN XET KET QUA SANG LOG KHIEM THJNH 91 TRE Cd NGUY CO CAO TAI KHOA SU SINH BENH VIEN PHU SAN HAI PHONG
NGUYEN NGOC HA, DAO TH! H A I vdCS
TOM T A T
ChOng tdi sdng Igc 91 trd cd nguy ca cao gidm thinh Igv tgi BV Phg Sdn Hdi Phdng tu- thdng 4/2011- Thdng 12/2011. Mge dich nghidn cOv: Xdc djnh ti 1$
gidm thinh lire cua nhdm trd so sinh cd nguy ea eao vd mdt sd yiu td lidn quan.
Kit qui: Tiid gidm thinh /yc d trd sasinh cd nguy ca cao Id 4,4%. Hy vgng thdi gian tdi ddy vide sdng Igc giim thinh Igv sa sinh vd can thidp sdm cho trd khiim thinh sd ditqc triin khai rdng rdi trdn dja bdn Hdi Phdng.
TCr khda: gidm thinh li/e, trd sa sinh V. SOME REWIEWS OF HEARING SCREENING RESULTS OF 91 NEWBORNS WITH HIGH - RISK IN THE NEONATAL DEPARTtVlENT OF HAI PHONG MATERNITY HOSPITAL,
SUMMARY
From 04/2011 to 12/2011, we screened among 91 newborns with high - risk of hearing loss in Hai Phong Maternity hospital The results showed that: Tfte pmportion of hearing impairment of newborn witl\
high - risk is 4.4%. This is also the aim of our study.
We hope that: The newborn hearing screening and eariy intervention will be applied widely in Ha/
Phong city.
Keywords: newborns, hearing loss DAT V A N o e
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Y H Q C THV'C HANH (824) - SO 6/20U