TIN TOC f
Dir AN PHONG CHONG BENH PHOI TAC NGHEN VA MAN TINH Hl/QNG TIEP CAN TOAN DIEN
• •
(The project of chronic and obstructive pulmonary diseases - a comprehensive approach)
Nguyin Thanh Hoi"
Theo To chuc Y te The gidi (WHO) nam 1990 benh phoi tac nghen man tinh (COPD) la nguyen nhan gay tu vong xep hang thi'r 5 vai 2,2 trieu nguai chet. Tinh den nam 1997, c6 khoang 300 trieu ngudi mac benh phoi tac nghen man tinh (BPTNMT) va la nguyen nhan tir vong xep hang thir4.
The gidi hien c6 khoang 300 trieu ngudi mac hen phe quan (HPQ) va khoang 250.000 trudng hop tu vong vi HPQ moi nam. Ti le mac HPQ udc tinh khoang 6 8% d ngudi Idn va khoang 10
12% d tre em dudi 15 tuoi.
Ci Viet Nam, ti le mSc COPD vao khoang 4,2%
va ti le mac hen phi quan khoang 3,9%. Nhu vay, tinh chung ca hai benh, ti le mic la 8,1%), vdi so benh nhan udc tinh khoang gin 8 trieu trudng hop.
Theo ket qua nghien cuu tir Trung tam Ho hap va Trung tam Di ling mien dich lam sang Benh vien Bach Mai, mdi lugt benh nhan COPD va benh nhan HPQ nhap vien tieu tdn khoang 8 trieu dong.
Nhu vay, neu udc tinh mdi benh nhan nhap vien 1 lin mdi nam, s6 tien chi phi cho dieu tri noi tni tai benh vien trong ca nude vao khoang 6.400 ti dong. Ben canh do, cac benli nhan nay van tiep tuc can dugc d i k tri tai cong dong (moi thang 500.000
*Khoa Ho Hap - Benh vien Bach Mai
dong X 12 thang x khoang 8 trieu benh nhan = 4.800 ti dong). Nhu vay, neu cong ca hai khoan chi phi nay thi COPD va HPQ tieu tdn khoang 11.200 ti dong moi nam (chua bao gdm chi phi gian tiep do nghi viec, nghi hoc, ngudi nha di cham soc...).
Ben canh do, nhieu nghien cuu da cho thay, ti le benh tigp tuc gia tang trong thdi gian tdi.
Trudc thuc trang dang lo ngai ciia benh phoi tic nghen va man tinh ngay 20 thang 12 nam 2010, Thii Tudng chinh phii da ky quyet dinh so 2331/
QD-TTg ve viec Ban hanh Danh muc cac Chuang trinh muc tieu Quoc gia nam 2011. Sau do. Bo Y ti da ban hanh 02 quylt dinh: Quyet dinh so 595/
QD-BYT ngay 02 thang 03 nam 2011 vl viec phe duyet kg hoach boat dong cua du an phdng chong benh ph6i tic nghen vaman tinh.
Cac muc tieu chung ciia du an dugc phe duyet bao gom:
Xay dimg he thdng chi'nh sach, mang ludi quan ly benh phdi tic nghen va man tinh (COPD, HPQ) trong toan quoc.
Nang cao nhan thuc dung ciia nhan dan ve COPD va HPQ va cac y6u to nguy ca.
Nang cao chit lugng chan doan, dieu trj, du phdng, quan COPD va HPQ d cac tuyen y t6.
Du an dugc thiet ke vdi hudng tiep can toan dien, trong do chii trong cac boat dong nham:
S6 64 (Thang 1/2012) Y HOC LAM SANG I 5
TIN TIJC
7"/7/r Tnransi Bo Y te Nguyen Thi Xuyen eiing lanh dao B() Y te, Ban Gidm doc Benh vien Bach Mai trong le mil tinh chao mirng ngay copd toan cau 2011
Nang cao hieu biet cua ngudi dan ve cac yeu to nguy CO gay benh, giiip ngudi dan chii dong tranh cac yeu to nguy ca (nhu hiit thudc la, thuoc lao, tiep xiic khdi, bui...), tu do cd the giiip giam ti le mac benh, giam so Ian benh nhan nhap vien.
- Cap nhat hieu biet cua can bg y te ve COPD va HPQ, tir do giiip cai thien chat lugng chan doan va dieu tri benh nhan ngoai tni va ngi tni.
Day manh quan ly cac benh nhan COPD va HPQ thong qua viec thanh lap cac phdng quan ly benh phdi tac nghen va man tinh. Trien khai dong loat cong tac kham sang Igc nham phat hien sdm nhung benh nhan COPD va HPQ, dua nhung benh nhan nay ve quan ly.
Tang cudng truyen thong tren mang internet.
Xay dung cac cong cu h6 trg bac sT, benh nhan trong quan ly COPD va HPQ.
Vdi hudng tidp can toan dien nhu vay, trong nam 2011, Ban di6u hanh du an phdng chong benh phdi tic nghen va man tinh Benh vien Bach Mai
phdi hgp ciing Ban dieu hanh du an ciia cac tinh trien khai ciing liic nhieu ngi dung cong viec. Ket thuc nam 2011, du an da hoan tat cac bieu mlu ho trg boat dong, soan thao toan bg cac hudng dan chan doan, dieu tri, hudng dan boat dong cua du an. Trien khai dong loat cac ngi dung truyen thong tren cac dai truyen hinh, dai truyen thanh a ca Trung uang va dia phuang. Thanh lap dugc cac phdng quan ly benh phdi tac nghen \ a man tinh tai tat ca cac tinh cd du an trien khai. Kham sang Igc dugc hang chuc nghin ngudi, tir do phat hien mdi dugc ban 1000 benh nhan COPD va HPQ.
Xay dung thanh cong trang web cua du an (http://
www.benhphoitacnghen.com.vn).
Nam 2012, du an tidp tuc dugc Thii Tudng chinh phii phe duyet thuc hien tigp trong giai doan 2012-2015, trong do mdi nam se md rgng them 6 tinh mdi va tiep tuc thiic diy boat dong tai cac tinh cii. Du kien ddn nam 2020, du an se dugc trien khai d tat ca cac tinh, thanh phd tren ca nude.
6 I Y HOC LAM S A N G S6 64 (Th^ng 1/2012)