Kinh 1 6 - x a iidi
( i | . lIXf'N
Ganh nang vi$n phi
Sau hai thang cdc benh vien dp dung muc vlen phi mdi (tCi 1/8) nhieu benh nhdn van hoang mang vd
"chua the quen" vdi mOc tdng gid cho moi djch vu khdm chua benh, nhdt id vdi nhung ngudi ngheo, benh nang, thdi gian tri benh Idu ngdy.
• Thanh Loan
M d c vien phi mdi lam khd ngudi ngheo Cd mil Id sing sdm tai Bdnh vien (BV) K, va BV Bach Mai Hi NOi, that khdng khd dl tilp xdc vdi nhiing ngudi benh, bdi diy li mdt trong nhihig BV ludn d tinh trang qui tai. Dilu dang ndi li, khi dupc hdi vd gii vien phi mdi sau 2 thing ip dung, nhilu benh nhin dang dilu tri tai diy vin td ra lo mo, thim ehi cd ngudi khdng bill gii vien phi da tang, chi thi'y tiln ddng djch vu gi eung nhilu. Bdi da sd hp diu la nhdng ngudi mic benh nang td vdng qud xa I6n Ha Npi chda tri, chi phi di lai da tdn kim, nay vien phi ting cao cing khidn hp khd khan tram bl.
Chi Trin Thi Thdy, que d Son Tay, Ha NOi dang dieu tri ung thu tuyln giap tai BV K tim sy "vien phi tang chi ed ngudi ngheo li linh du, bdi da ngheo thi lim gi cd tien ddng bao hilm, lai them chi
phi di lai, in, d eai gi eung tang thi chdng tdi chi edn nudc "cin rang chiu bdnh". Cdn chi Nguyin Thi Lan, que Thii Blnh, ngUdi da cd "tham nien" dilu Ui ung thu vd tai BV K bdc xuc khi benh vien da i p dung mdc vien phi mdi, nhung chit lupng khim chda benh cdn te hon ldc chua ting gii.
"Li benh nhin ehung ldi phai luy bae sT, nen dau dam phan anh thie mie"- ehi Lan thinh thit. Ddng cam nhin. ehi Pham Thj Miy. qud d Hung Yen, dang dilu tri tai Khoa tiiin, BV Bach Mai budn riu: "ndu tang vien phi ma thdi gian chda Ui benh dupc rut ngin, dich vu cho benh nhan dupc ning cao thi cdn cd V$, ding niy dilu
kien khim chda benh v5n chua ehuyin biln, nhu did li ddn thd khd cho bdnh nhin".
Khdng ndng nhihig ngudi blnh d ndng thdn. nhihig vdng qud nghlo, anh Phan Anh Tuih, d Hi NOi cung bdc xdc: "Luc vien phi ehua tang, khi ed blnh cdn ehua dim di khim. Nay BO Y t l lai cho tang gii thi ngudi nghIo vdn dl lim ngiy nio in ngiy dd, khdng cd tiln du, liy diu tiln mi chfla In".
Tang \ien phf, nhung cdn phai doi... ehdt luong tdng Mac dd Bd Y id ydu ciu cic CO sd y le phai cam kit ling chit lupng khim ehda benh sau khi ap dung mdc viln phi mdi, nhung nhilu benh vien vin rit chdng mue khi ndi vl trich nhiem niy.
6ng Le van Quan, Phd Giim di)c Bdnh vidn K Trung uong cho bidt: uen thyc td cic benh vien mudn hoat dOng tdt vi ning cao ky thuit, trang thidt bi bude phai cd cac khoan thu td bao hilm hoac do ngudi bdnh chi u i . Viec ting vien phi mdi li tinh ddng, Ihu dd thay thi cho khimg gii cu qui ldi didi. chd khdng tao didm khoan du eho bdnh vien. Dd la chua kl, hien tai BV mdn chi ip dung gii mdi cho khoang 180 dich vu. trong dd cd mdt sd dieh vu gii edn thip hon so vdi trudc kia. nhu sidu im miu, chup CT.
Cu thi. xa tri gia tdc theo bang gii cu thi ngudi bdnh phai ddng 70.000 d/uudng chidu. Tdy Uieo mdc dd blnh, mOt ngiy ngudi bdnh cd thi phai chiip xa tri 5-7 trudng chidu, tuong dng phai ddng td 300.000 din 500.000 ddng/ngiy. Tdy nhiln, theo bang gii mdi xa tri gia tdc dupc tihh theo ngiy vdi gii 250.000 ddng/ngiy, giim ding kl so vdi trudc kia. Do dd, yeu ciu tang
M
dc vien [rfii mdi dupc &p dung td 1/8 vl co bin la ting cao so vdi khung gii cu, ip cho 447 dich vu y ^ , chi6n khoang 15% trong tdng sd 3.000 dich vu y td. Cd 181 didi vu ting gii dudi 5 lin so vdi gii h i ^ hinh, 94 dk^ vv tang gii td 5 lin trd 1 ^ tiong dd mpt sd ting gii 10 ISn (cdr^lchim, giudng bdnh dilu tri), c i biet cd khoan tai^ tdi 14 l&i.. •28 I Thu£ Nhi Nif^c s d 4 ] n 9 9 i T H A N G to/?_oi2
Kinhte-XahOi
chit lupng khim, chua, dilu Ui khdng thi dip dng ngay dupc. Tdy nhiln, trudc mit dl khic phue tinh trang bdnh nhin phai nam ghip giucmg, ngay trong thing 9, vien K da md rOng khoang 300 giudng benh tai CO sd 3 d Tan Trilu.
Thanh Xuin, Ha Ndi.
Tai BV Bach Mai, dng Nguyin Ngoc Hiln, Phd Giim dd'c BV cho bill: "Hien BV dang md rdng Id 30 phdng khim Idn 60 phdng, tang cudng gid khim, eda ddn tiep dl khim hdt benh nhin Uong ngay Thi nhimg. sy thay ddi niy cung ehi giup bdnh nhin thay vi phai chd dpi 7-8 gid mdi duoc kham, xet nghidm xong. thi nay chi cdn chd khoang 4-6 gid. Kc cii CO tang budng khim. tang cda ddn tilp thi khd dat con sd ehuin 35 benh nhin/bin kham/ngay- dng Hiln nhin dinh.
Nhu vSy, eae bdnh nhan da phai Ua tiln cho cac dich vu y t l theo gia mdi td 1/8, mpi sd BV td 16/8, nhung cho de'n thdi dilm nay, sau 2 thing - hp vin dang phai chd de cam nhan xem chit lupng khim chda bdnh cd tang tuong dng so vdi sd tiln phai ddng gop them. Dang budn la, kl ci phai chd thi han cudi cho nhirng cam kit ciia cic BV vin chua dupc xac dinh, tdc li "tiln mit mi tat vin dang mang" •
Nhd thu nhdp th^p c6 tHi dtfoc bin ""^
sau 5 ndm $ur dung
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hanh tra BO Xiy dung vda cdng bd kit luin thanh Ua cdng tic quan 1^ diu tu xiy dung nhi d thu nhip thip lai 6 du in trin dia bin thinh phd Hi Ndi. "Theo ke't luin ciia Thanh Ua Bd Xiy dung, gii bin nhi d thu nhip thi'p hien nay cdn cao so vdi khi ning cda ngudi mua. Nguyen nhin dupc cho ti do eie du in mdi chi dupc midn tiln sd dung dit, cdn lai cic chfnh sich vl thul, ngudn vdn vay uu dai ciia Nhi nudc hiu nhu chua dirpc thyc hien. Do dd, theo co quan thanh tra, nlu cac chi phi lai vay dupc hd tro, cic loai thul dua vl 0% Ihl gia nhi thu nhip thi'p se giim dupc khoang 15%.
D6 giam gia ban. Thanh Ua Bp dl nghi Bd Xiy dung kiln nghi Chfnh phd xem xet dl xui't ehinh sich hd Up tin dung cho vide xiy dung nhi d thu nhip thip mdt eieh hpp 1^, ngudi mua nhi dupc vay
\dn uu dai vi the chip ehi'nh can hd, ddng thdi de xui't miln eie ioai thul cho ngudi mua nhi. Ben canh dd, ein sCra ddi bd .sung Luit Nhi d theo hudng. nhi ehung eu diu nhip thip khdng qua 6 ting, didn tich eho mdi ein hd khdng qui 60m^ sin vi khdng thi'p hon 30m' sin.
Dae biet. Thanh tra Bp Xiy dyng kiln nghi Chinh phu giam thdi han eho ngudi thu nhip thip da mua nhi dupc phep bin nhi xudng edn 5 nam sau khi da ndp du tiln mua can hd, thay vi quy dinh 10 nim nhu hidn nay. Ngoii ra, UBND thanh phd Hi Ndi ein xem xet sda ddi mdt sd van ban hdn quan den viec ban chi vl dilu kien dupe phep mua eua cac ddi tupng ed hd khiu tai eie huydn, din din linh trang cd du in rit it ngUdi dang ky, cd du in rit nhilu ngudi tham gia bdc thim mua nhi.
Cimg vdi do, eo quan niy cho rang, nhi thu nhap thi'p ndn xay dung d quy dit 20% uong cic khu dd thi mcd dl ngudi din ed dilu kien hudng cic cdng trinh phdc Ipi cdng cdng tai cic dd thi dd. Thinh phd H i NOi cung cin ri soit lai, trong dd quan tim vide thu hdi dien tich dit dl tao nhilu quy dit phit ttien nhi d tfiu nhap tfiip, ea uudc mit eung nhu liu dii.
Thanh Ua BO Xiy dyng cung yeu eiu cic chu diu tu cin diy nhanh tidn dd xiy dung cic dy in, cac hd so dull kd vi du edng xiy dyng phai dim bao dd bin vdng. Khdng ut dua ra cic tidu ehi khie, trii vdi quy dinh vl nha d cho ngucri thu nhip thip.
Theo thdng ke, udn dia bin Ha Ndi ed 11 du in diu tu xiy dung nhi cho ngudi thu nhip thip vdi quy md 11.714 can hp, dap dng chd d cho khoang 39.645 ngudi. Hidn da cd 6 dy in hoin Uiinh vi td chdc bdc thim, k^ hpp ddng mua bin va dua vao sd dung vdi 3.750 ein hO, bao gdm cic du in: Kidn Hung, Sai Ddng, Dang Xa, Dai Md va CTI Ngd Thi Nhim.
Sau gin 3 nim triln khai, chuong tiinh nhi d cho ngudi thu nhip diip da vi dang phii ddi mat vdi nhilu vih dl bit cip do co chi, chinh sich vi nhdng quy dinh ed phin chat che ddi vdi loai hinh nha d niy.
Die biet, cd khdng it Uudng hpp mua ban nha khdng ddng, ddi tupng da bi CO quan chdc ning phat hidn, xd ly.
Tdy nhien, cho dd mdt sd co chi, quy dinh da dupc TP Hi Ndi sda UKO hudng cdi md, thdng thoing hon Uong viee xet duyet ddi tupng dupe mua loai nha nay, song hien khdng it dy in nha diu nhip thip tiidn dia Iran Hi Ndi lai dang lim canh e im, khdng cd ngudi dang ky mua, do hai nguydn nhin chuih li gii bin khi cao, uong khi dy an lai nim tai eie khu vuc khdng thuan IOT cho muu sinh cda ngudi din. PV
5041 (399)-THANG 10/2012 * TllUi'Kil^ NtltiC I 29
