trdch nhi^m cOa cdc nhd trudng trong vide truyin thdng gido dye chfnh sdch, phdp lu^t BHYT cho HSSV vd cha m? hpe sinh.
r/iii'tu', phdi hpp vdi Bd Y t l , BHXH Vidt Nam, Oy ban nhdn ddn cdc tinh, thdnh phd t i l p tyc kidn todn, phdt triln vd ndng cao chdt lupng edng tdc y t l trudng hoc: Xdy dung, bd sung tidu chuin vd ndi dung cdng tdc y t l trudng hpe, sO dung dung muc dfch Quy khdm, chOa bdnh BHYT tai cdc nhd trudng.
Bdo ddm tgi phdng y t l cdc trudng hoc cd it nhdt 01 bidn chl trinh dp tU trung cdp y t l trd Idn. Xdy dytig chuong trinh vd ddo tgo, tdp huin ddi ngu nhdn vidn y t l trudng hoc, cung cdp ngudn nhdn luc cho ede trudng tuyin dO cdn bd chuydn trdch y t l trudng hpe. Tdng cudng ddu tU cO sd vdt chdt d l bdo ddm ede trudng hpe ed phdng y t l theo quy djnh, hogt ddng hi^u qud, ed chdt lUpng, ddp Ong ydu cdu chdm sde sOc khde ban ddu cho HSSV sOdyng cd hidu qud ngudn kinh phi trich Igi tO BHYT cho y t l trudng hoc.
7111? ndm, phdi hpp vdi Bd Y t l , BHXH Viet Nam tang cUdng cdng tdc kilm tra vide thUe hidn BHYT hpe sinh, sinh vidn vd cdng tde y t l trudng hoc tgi cdc dja phuong nhdm kjp thdi thdo gd nhOng khd khdn, vddng mde, chdn chinh nhOfng tdn tgi, khde phyc nhOfng bdt c^p trong qud trinh triln khai thyc hidn. Bilu dUdng, khen thudng, ddng vidn kip thdi ddi vdi cdc don vi, dia phuong dgt thdnh tfeh cao trong cdng tdc BHYT hoe sinh, sinh vidn ndi ridng vd y t l trudng hoc ndi chung.H
THUG HIEN muc TIEU CHIEN LUUG CH^M Sdc UA BAO UE SUTC K H 6 E HOC SINH, SINH UIEN
La nhufng chu nhan tifong lai cua dat nirdc, su'e khoe cua hoc sinh, sinh vien (HSSV) luon la moi quan tam cua Oang, Nha ntfdc va toan xa hpi. Cung vdi viec hinh thanh chinh sach BHYT cf nudc ta, chinh sach BHYT hoc sinh, sinh vien scfm dugc trien khai nham huy dpng nguon tai chfnh cham sdc va bao ve sdc khoe cho HSSV ngay tai nha trudng, gop phan thuc hien muc tieu giao due toan dien con ngudi cua Bang va Nlia nudc ta. Nhan djp budc vao nam hoc mdi 2 0 1 5 - 2 0 1 6 , PGSJS. Pham Le Tuan, Thuf trudng Bp Y te danh cho phdng vien Tap chi BHXH cupc trao doi phongvan.
Chinh sdch BHYT hgc sinh, sinh vien ra ddi vd chinh thdc ddac triin lihai td ndm hgc 1994-1995 din nay dd ddgc 20 ndm vd dd gdp phdn tich cdc vdo sd nghiip chdm sdc vd bdo ve sdc khde the he tri Viet Nam ngay td tthi cdc em cbn ngoi tren ghi nhd trddng. Xin dddc biet y tiien ddnh gid cua Thd trddng ve vai trd vd hieu qud cua BHYT vdi cdng tdc chdm sdc vd bdo ve sdc tthde hgc sinh, sinh viin?
PGS, TS. Pham Le Tuan: HSSV la the he tuong lai cua dat nudc. Vi vay, cham lo sUc khde, ddm bdo de cac em phat trien khde manh ve the chat, tinh than la mgt trong nhCfng uu tien hang dau trong chien lupc cham sdc, bdo ve va nang cao sUc khde nhan dan. Thuc tien 20 nam trien khai BHYT hgc sinh, sinh vien d nudc ta cho thay, BHYT hgc sinh, sinh vien la mpt giai phap CO bdn de cham sdc sUc khde
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cho HSSV. Day la sii k^t hop toan di$n c^c y§u clu cCia cdng tae bSo ve, cham soc sure kh6e cho HSSV, iii vi$c Cham lo silc kh6e ban dSu tai y te trudng hoc (YTTH) (J€n kham, chOa b$nh tai cdc CO sd y te khi rui ro, 6m dau phSi n&m vien. Vdi trSn 22 tri^u HSSV, tuong duong gSn 1/4 din s6, Ngdnh Gido di^c vd Dio tao dang ddng vai trd quan trong trong gido due, r6n luy^n, cham sdc sOfc khde (CSSK) tri em, thanh thieu nien thdng qua he thdng YTTH. Ldm tot cdng tdc CSSK cho HSSV Id gdp phdn xdy di^g c$ng dong ddn sd khde manh, cung cdp ngudn nhdn luc cd chdt lirpng cao phuc vu cho sir nghiep cdng nghiep hda, hien dai hda ddt nudc.
0^ cdc nhd trudng thuc hien nhi^m vu CSSK ban ddu clio HSSV, ngay tCr rdt sdm, dupc sir chl dao cua Chi'nh phCl, lien bd Gido due va Bdo tao vd Bp Y t^ da quan tdm chl dao cdc nhd trudng vd y t^ CO sd phdi hpp triln khai y t4 hpe dudng. Tuy nhien, d thdi gian ddu, do nguon kinh phi tCr ngdn sdch nhd nudc cap cho y te hpe dudng het sufc han hep nen
chua t h i hinh thdnh mgng ludi YTTH rieng md vSn phu thupc vdo y t l CO sd. Y t l ca sd cCing mdt lOc phdi thUe hi^n qud nhilu chUPng trinh y te nen eung khd cd su quan tdm ddy dO din y t l hpe dudng. Do vdy, YTTH van edn Id mdt khodng trdng. Phdi den nam hpe 1994-1995, khi chinh sdch BHYT hpe sinh, sinh vien chinh thiJc dupc triln khai, vdi quy dinh ddnh mdt t? 1^ trfch tai nhdt djnh tir ngudn thu BHYT phpc vu phdt triln YTTH, eung vdi ngudn ngdn sdch nhd nudc thi Quy BHYT Id ngudn tdi chinh chCi ylu vdi ty trpng tren 80%
kinh phi cCia hoat ddng YTTH hi&n nay. Sd kinh phi tCr Quy BHYT ddnh eho YTTH tang din qua cdc ndm hoc Nlu nhu d nam hoc 2006-2007, con s6 ndy mdi chi Id tr«n 75 t^ ddng thi din ndm hoc 2013-2014 ISn tdi khodng 441 ty ddng vd nam hoc 2014-2015, con sd ndy Id tren 500 ty' ddng, tang 6,6 lln so vdi nam hoc 2006-2007. Mang ludi YTTH tCr khodng trdng dd din dupc eCing cd va hodn thi#n. Ode biet sau khi ThCi tudng Chinh phd ban hdnh Chi thj sd 23/CT-TTg ngdy
12/7/2006 ve tang ci/dng edng tdc y t l trong cdc trudng hpe vd xdc dinh phdt triln BHYT hpe sinh, sinh vien Id mpt trong nhifng gidi phdp quan trpng Sl tao ngudn tdi chinh phdt triln YTTH thi edng tde BHYT hpe sinh, sinh vi&n vd YTTH da cd su tang trudng kha nhanh. Su phdt triln YTTH tdng t) 10 thu|n vdl dd bao phCi BHYT hpe sinh, sinh vien, cu thi, nlu nhu d ndm hpe 2006- 2007, ed nude ed chua dly 45%
HSSV tham gia BHYT thi den hit ndm hoc 2014-2015, cd nudc da cd tren 85% HSSV tham gia BHYT.
Sd li^u thdng k§ v l YTTH vd cdn bd ldm cdng tdc y t l nha trudng cung cd sU tdng trudng tUdng ijng, cu the: sd cdn bp chuySn trdch edng tdc YTTH tang tir 17,38% (nam 2006) ISn 75% (ndm 2014); tJ i? trudng cd phdng y t l da tang tit 44,79% (ndm 2006) ISn 82,54%, sd trudng ddo tao cd tram y t l tdng tir 55,9% ISn 70,3%; mdt sd tr?m y t l con phdt triin trd thdnh trung tdm y t l cham sde si(c khde. Cde trudng dai hpe y cdn cd cd bSnh viSn thirc hanh, khdng chi thiic hiSn tdt cdng tde chdm sde sufc khde
14 Tap chi BAO HI JM XA HOI kj 01 thing 8/2015
ban dau cho HSSV ma cdn tham gia Wi^m, chufa benh BHYT. Vdi ngudn kinh phi td Quy BHYT, hd thdng YTTH duoc eung ed vii ph^t trien do du'oc bo sung trang thiet bj, sd theo ddi sde khde, vat tu v i thudc thi^t y^u, xCrtri chan thuong, tai nan, tang cUdng cac hoat ddng giao due nang eao su'e khde, phdng ehdng c^e b&nh truyen nhilm, cdc benh khdng I3y nhiem, cic b@nh hpe dudng. Ngudn kinh ph( td cjuy BHYT cho edng tdc cham sdc sdc khde HSSV dang ngdy edng trd thdnh ngudn tdi chfnh quan trgng, chD yeu phdt tri^n YTTH, phdt huy duoc hi&u qud cOa hoat ddng cham sdc sdc khde ban dau, viia gidm x^ l^
mde b$nh, visa xCf \^ kip thdi ede trUdng hpp mde benh, vd ddc bi&t Id ed dilu kiln 6i ndng eao s(jfc khde HSSV.
Cd the thay, ngudn kinh phi tCrQuy BHYT hoc sinh, sinh viln da gdp phan gidm gdnh ndng ehi td ngdn sdeh nhd nude cho YTTH, b i n canh dd, do ed ngudn kinh phi dn djnh d l hoat ddng, YTTH da ddm trdch kha tdt nhiem vu chdm sde sUc khde ban dducho HSSV tai nhd trudng. HSSV dU(?c YTTH qudn ly sdc khde, sa cSp cdu, xCf tri cdc tai nan, thUOng tieh vdn hay xdy ra d Ida tudi hpe dudng. Ngodi ra, HSSV tham gia BHYT cdn cd dieu kiln tilp cdn vdi cdc dich vu y t l kip thdi, cd ehSt lupng tai tdt cd cdc cd sd khdm, chQa binh trong cd nUdc vdi pham vi quyln Ipi ngdy edng dupe md rdng do Quy BHYT chi trd ehi phi.
Cd Miu tdc td 01/01/2015, din nay Ludi Sda dii, bSsung mdt si miu cda Ludt BHYT dd cho thiy nhihig tdc ddng tich cue vdi cdng tdc tthdm, chda binh cho cdc nhdm dSl tddng tham gta. Xin Thd trddng cho biit ^ kiin vi tdc ddng cda Ludt mdi tdi viic tS elide cdng tdc chdm sdc sdc tthoi ban ddu tai
YTTH vd chSt tddng, hiiu qud khdm, cftuVi binh cho dil tddng HSSV?
PGS, TS. Pham Ll Tulin:
Ludt sCra ddi, bd sung mdt sd dieu cda Luat BHYT cd hieu luc tU 01/OI/2015 - d thdi dilrn giOfa nam hoc 2014-2015 vd thdi gian den nay chua phdi la ddi. Song, vdi nhCfng thanh qud dd dat duac khi then khai BHYT hoc sinh, sinh viln theo Ludt BHYT td ndm 2009 den nay, nhufng quy djnh mdi cua Ludt ehde chdn se dem lai hieu qud tdt hon trong cdng tdc YTTH, chdm sdc sdc khde HSSV cung nhu nhieu ddi tupng tham gia BHYT khde. Vdi quy dinh mdi, vi§e tham gia BHYT Id yeu eau bdt budc, ddy Id co sd phdp 1^ quan trpng de thuc day gia tdng X)/ II bao phO BHYT tien tdi BHYT todn ddn. Dde biet Id vile hoan thdnh t^ I1100% HSSV tham gia BHYT vdo nam hoc 2015-2016 theo Chl thj cua Thd tudng Chinh phCi.
Mdt sd ket qud ban ddu cho thay tdc ddng cda Ludt ddi vdi cdng tde YTTH Id ed sd d^ khdng djnh xu t h i phdt then, dd Id: H^
ttidng YTTH d nhilu ^a phUOng da dupc ki$n toan vd phdt triln vdi cdch thde, quy trinh phdi hgp hoat ddng ehdt ehi, nang luc cdn bd YTTH dUdc ndng eao;
Dieu kiln hoc tap vd v l sinh duoc cdi thiln ddng k l vdi 78%
sd trudng hoc cd du nude sinh hoat, 83% sd trudng cd du nudc udng, 82% cd nhd tilu hpp ve sinh, 62% sd trUdng cd bep an dat tieu chuan an todn thuc pham, ede loai djeh binh gidm nhilu vd khdng ed dich Idn xdy ra; Cdng tde qudn ly sdc khde hoc sinh bdng ho so sde khde cd xu hudng tdng; Cdc tdi lieu ehuyin mdn ed ehdt lUcmg, cdp nhdt kien thd'c dUOc phd biin kjp thdi; Kiln thUe phdng chdng binh tdt cita hoe sinh dUpe ndng eao, gdn 80% hoc sinh (thdng k l ndm 2014) da dupe
QUAN D l i M - DjNH HiSCfHG truyin thdng ve biln phdp phdng benh, tang 67% so vdi nam 2010; Nhilu dja phuong da ndng cao nang lUc CSSK ban dau eho HSSV thdng qua ede cO sd y te tren dja bdn nhU tram y t l xd, trung tdm y te huyin.
Khdng chl cd chat lUpng hoat ddng YTTH, cham sdc sufc khde ban dau dupc ndng eao ma quyln loi BHYT ddi vdi HSSV cung nhu ede ddi tupng khde dupe md rdng ve pham vi the hiln tren cde phUPng diln nhU:
sU thudn Ipi trong tiep can cP sd y t l ; ngUdi nghlo, bao gdm ed HSSV thudc hd nghlo khdng phdi ci^ng chi trd chi phi KCB, ngUdi thude hd cdn ngheo chl phdi ciling chi trd 5% chi phi; cdc djeh vu ky thudt trong khdm, chda benh thudng xuyin dupe bd sung theo sU phdt trien cCia khoa hpe vd cdng nghe cung nhu su thay ddi v l md Wnh binh tdt.
Ve edng tae qudn ly, hiln nay, Bd Y t l dang phdi hpp vdi BHXH Viet Nam vd cdc don vj cd liln quan trien khai cdng tdc tin hpe hda qudn 1)^ BHYT, thuc hiln qudn ty t h i BHYT diln td cd dnh.
Hodn thanh dupc mue tieu ndy se mang lai Ipi ich d|c bilt rd rit trong vile khdm, chda benh BHYT cOa HSSV, vl ddy Id ddi Xiipng cd sd lupng Idn chUd dupc edp gidy td tCiy thdn cd dnh.
Xit tren phUPng diln xd hdi, khi HSSV tham gia BHYT se tao sd yen tdm eho chfnh bdn thdn cdc em, cha me vd gia dinh nlu khdng may xdy ra tai nan, ehan thuong, binh tdt. Cac nhd trudng cung yIn tdm trong qudn 1;? sUc khde HSSV cd thim CP hdii thim dieu kiln de ndng cao chdt luong day vd hoc Thuc hiln BHYT ddi vdi HSSV khdng chi Id quyen lpi ve sufc khde ddi vdi cdc em, md edn Id mdt cdch thdc gido due cdc em ve trdch nhilm xa hdl trong edng tdc bdo v l , cham sdc sdc khde cdng ddng, xdy dUng tinh dodn kit, tuong thdn, tUPng di.
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QUAN S | £ M - £>!NH Hl/ONG Trong cing tic chim sic vi Mo vi sOfc khoi cho HSSV, YTTH Mng vai tri quan trong. Xin TTiii' truing cho biit iinh huing, chl ifo cia Nginh YtivtUngtic niy trong thUglantH?
PGS, TS. Pham LS TuJn: SOfc khde cQa trS em, HSSV Id ylu td quylt dinh din chdt lupng ngudn nhdn IUc cOa ddt nudc nSn viSc ddu tii hpp \j cho cdng tdc YTTH Id ySu cdu cdp thilt.
Chdm sdc sijfc khde ban ddu cho HSSV tai trudng hoc phdi ddm bdo tilp cdn todn di^n, cd dCi co sd vdt ehdt, mdi trudng xd hdi Idnh manh, du dilu kISn v l nhdn lue vd vdt li/c, truyin thdng gidm thilu cde nguy co si^c khde giup hpe sinh phdt triln todn diSn v l t h i chdt vd tinh thdn. VI vdy, viec tilp tue cCing cd, phdt triln h$
thing YTTH vd ehdt lupng hoat ddng YTTH cdn dupc quan tdm vd ddu tu dung miJrc tir kinh phi nhd nudc, tir Quy BHYT vd tir su tham gia cOa epng ddng xa hpi.
Bi triln khai tdt edng tdc YTTH, edn ddnh gid eg t h i thUe trying h$ thdng YTTH, rd sodt, sOfa ddi, ban hdnh ede vdn bdn quy
pham phdp ludt, vdn bdn hudng ddn hoat ddng YTTH. Trong thdi gian tdi, d l tiep tuc ndng cao ehdt lupng, hieu qud hoat dpng cCia YTTH trong cdng tdc chdm sdc vd bdo v? sure khde eho HSSV, Bd Y t l se tilp tuc phdi hpp vdi Bd Gido due vd Oao tao va cdc ngdnh chi^c ndng triln khai mdt sd nhiSm VM trpng tdm:
- Khan truong ban hdnh Thdng tu hudng dan v l cdng tdc YTTH vd viSc sCr dung ngudn kinh phi trich lai tir Quy BHYT eung nhu ngudn ddu tU til ngdn sdch vd ede ngudn xd hdi hda khde cho cdng tae YTTH.
- Chuan bj tong kit, ddnh gid 10 ndm thuc hiSn Chl thj sd 23/a-TTg ngay 12/7/2006 cCia ThCi tudng Chinh phO v l tdng cudng cdng tae y t l trong ede trudng hpe. Sdc biSt Id tdng kit, ddnh gid nhCrng tde ddng cCia BHYT hoc sinh, sinh viSn ddi vdi su phdt triln y t l nhd trudng.
- Chl dao cdc nhd trudng phdi hpp vdi ca quan qudn \^ nhd nirdc v l y t l d co sd cung cd vl$c qudn ly, chdm sde sCre khde ban ddu ddi vdi HSSV thdng qua md hinh phii hpp d l ddm bdo hiSu
qud, trong dilu kiSn nhilu co sd chua td chore dupc bd phdn YTTH theo cdc dilu kISn chuan da dupc quy djnh. VI dy nhu viSe td chiJc h^ thdng YTTH theo cum trudng, ho$c sg tham gia phdi hpp cOa y t l tuyin ca sd vdi cdc nlid trudng. Trong cdng tdc chuySn mdn, cdn bdm sdt nhu cdu gido dgc thay ddi hdnh vi si}c khde, gidp dgc gidi tinh vd sdc khde sinh sdn, phdng chdng tai nan thuang tich. IVIdi nha trudng phdi ed k l hoaeh eg the hdng ndm, xdc djnh co chl phdi hpp d l thgc hiSn.
- Duy tri vd phdt triln dpi ngu cdn bp y t l d moi trudng hode cum trudng vd ed k l hoaeh ddo tao chuySn mdn cho ddi ngu ndy eung nhu ddm bdo chl dd thu hot, ddng viSn cdn bd y t l cdng tdc t^i cde nhd trudng. Cdn bp y t l trong trudng hpe Id ddu mdi kit ndi vdi y t l cd sd d l triln khai cdc hoat ddng bdo vS, chdm sdc sOrc khde hpe sinh trong cdc nhd trudng, trong khi dd hiSn nay mdi cd 30.311/ 40. 493 (75%) CO sd mdm non vd phd thdng cd cdn bd y t l vd trtnh dp chuySn mdn khdng ddng diu. Su thilu hgt v l sd lupng vd h^n chl ve cliSt lupng cdn bp y t l (nhilu trudng hpp Id viSn chile kiSm nhi$m) dnh hudng den ehdt lupng YTTH vd khdng tdn dgng dupe ngudn Quy BHYT cho edng tde ndy theo quy djnh. VI v$y phdt triln, ddo tao, bdi dudng cung nhu ed ehi dp thu hut dpi ngO edn bd YTTH Id van d l cdn quan tdm.
- Kinh phi ddnh cho CSSK ban ddu, phdng chdng djeh bSnh Id rdt Idn, do v|y viSe thUc hiSn 100% HSSV tham gia BHYT cd y nghla hit sijrc quan trpng. BSn canh dd, d l ndng cao chdt lupng cdng tdc eham sde sdc khde HSSV, cdn tdng cudng ddu tU tir ngdn sdch nhd nudc, eiing vdi huy dpng cdc ngudn Ige khdcl
Ngpe Anh-Minh Ddc (Thlic hien) 16 Top chf BAO HlilM XA Hdl ky 01 tMng 8/2015
