TAP CHl Y HQC VtgT NAM TAP 459 - THAHG 10 - SO 1 - 2017
THirC TRANG HOAT DONG KHAM CH&A BENH TAI BENH VIEN C TINH T H A I NGUYEN NAM 2 0 1 5 - 2 0 1 6
T6lVt TAT
Dat van ffe: viec xac dmh thu'c trang hoat dpng kham chu'a benh (KCB) ciia benh vien la cd sd quan trong de xac djnh cac yeu to lien quan va de xuat giai pliap nang eao chat lUdng hoat dong KCB ciia benh vien. Mue beu nghien ciru: Danh gia thUc trang hoat dong kham chu^ benh tai benh vien C tinh Thai Nguyen nam 2015 - 2016. Doi tu'dng va phu'dng pitap nghien cuTu: nghien cuU mo ta cat ngang tu' 04/2016 - 12/2017 tai Benh vien C tinh Thai Nguyen.
Ket qua: Ti le vudt clii tieu ve so lan kham benh nam 2015 la 109,1% va nam 2016 la 112,0%. Cong suSt sir dung giudng benh 2015 la 145,2% va nam 2016 Ial38,0%. So ngay dieu tn trung binh nam 2015 la 9,2 va nam 2016 la 8,9 ngay. Ti le tiT vong 2015 la Oj04% va nam 2016^la 0,03%. Oe thu'dng, phlu thuat lay thai va viem phoi la 3 benh hay gap nhat trong 2 nSm 2015 va 2016. Suy ho hap sd sinh la benh co ti le chuyen vien cao nhat trong 2 nam 2015 va 2016. Ti le thUc hien dUdc ky thuat theo phan tuyen chung ciia Bp Y te tai benh vien la 65,1%. Ket lu|in: Hoat dong KCB tai Benh vien C Thai Nguyen nam 2015, 2016 tUdng doi tot
Tdkhoa: kham chuS benh, benh vien C, 2015 - 2016 SUIVIMARY
CURRENT STATUS OF MEDICAL EXAMINATION AT C HOSPITAL I N THAI
NGUYEN PROVINCE, 2 0 1 5 - 2 0 1 6 Background: The determination of the current status of the medical examination in hospital is an important basis to idenbfy the associated factors and propose the solutions to improve the quality of medical examinabon in hospital. Study objectives: to evaluate the status of medical examination at Thai Nguyen C hospital in 2015 • 2016. Study subjects and methods: A cross-sectional descriptive study was conducted ft-om 04/2016 - 12/2017 at Thai Nguyen C Hospital. Results: The rate of exceed target about of medical examinabon frequency was 109.1% in 2015 and was 112.0% in 2016. The capacity of patient beds was 145.2% in 2015 and 2016 was 138,0% in 2016. Average number of hospital stay was 9.2 days in 2015 and was 8.9 days in 2016. The mortality rate was 0.04% in 2015 and 0.03% in 2016. Normal delivery, caesarean section and pneumonia were the three most common diseases in both 2015 and 2016. Infant respiratory failure was
^Benh vien C Thai Nguyen
^Trudng Dai hoc YDddc Thai Nguyen Chju trach nhiem chinh: Nguyen Tien Dung Email: [email protected] Ngay nhan bai: 9.8.2017 Ngay phan bien khoa hgc: 4.10.2017 Ngay duyet b^i: 13.10.2017
Nguyen Van Dung', Nguygn Ti£n Dung^
the disease with the highest rates of referral in both 2015 and 2016, The completed technique according to decentralization by Ministry of health was 65.1%.
Conclusion: Medical examination activities in Thai Nguyen C Hospital in 2015 and 2016 are relatively good.
Keywords: medical examination, hospital C, 2015 -2016
I. BAT VAN £>E
Benh vien la ed sd y te trong khu vu'c dan cu' bao gdm: glu'dng benh, ddi ngu can bd cd trinh do ky thuat va nang lu'c quan ly, cd trang thiet bj ed sd ha 1ang de phuc vu ngu'di benh [6]. Trong he thdng y te cae qudc gia, benh vien chiem mdt vj tri quan trong trong edng tac cham sdc va bao ve sii'e khde nhan dan. Benh vien la ndi kham, clian doan va dieu tri benh, ndi dao tao va tien hanh eac nghien ciTu y hoc..., trong dd chiTc nang kham chiJa benh (KCB) du'dc xem la chiTc nang quan trpng nhat. Trong nhuTig nam gan day, cimg vdl SLT phat trien ciia kinh te dat nu'de, mang Iddi benh vien cdng lap du'dc bao phii rdng khap, du'dc nang cap dang ke thdng qua dau tu"
ed sd vat chat, trang thiet bj may mdc va dao tao can bp, giup nang eao kha nang kha nang KCB. Cae benh vien tu' nhan dang ed su" phat trien ca ve sd lu'dng va chat lu'dng da phan nao ddng gdp vao viec cung cap dieh vu eho ngu'di dan, gliip giam ganh nang cho he thdng benh vien edng. Cd che quan ly tai chinh tai benh vien cdng cung du'dc trien khai tai mdt sd benh vien va bu'dc dau ed tac ddng tich cut den hieu qua hoat dpng ciia eac benh vien cdng lap... Benh vien C tinh Thai Nguyen la benh vien hang I, trirc thupc Sd Y te Thai Nguyen vdl quy md 540 glu'dng benh ke hoach. Day la benh vien da khoa tuyen tinh, tiep nhan kham va dieu trj eho benh nhan phia nam cua tinh Thai Nguyen va eae huyen giap ranh thude eae tinh lan can (huyen Hiep Hda, Bac Giang, huyen Sdc Sdn, Ha Npi).
Hang nam benh vien deu da hoan thanh dat va vu'dt ehi tieu ke hoach chuyen mdn dddc giao.
Tuy nhien, vdl viee trien khai ddi mdi cd che tu"
chii, SLT xuat hien canh tranh ciia cae benh vien tu" nhan va eting nhu' ap li/e thdng tuyen ciia bao hiem y te ma hoat ddng KCB ciia benh vien diTng tru'dc thach thiTc khdng nhd. Viec xac dinh thiTc trang hoat dpng KCB ciia benh vien la ed sd quan trpng de xac djnh cac yeu t d lien quan va de xuat giai phap nang eao chat lu'dng hoat ddng
267
VIETNAM MEDICAL JOURNAL N''1 - OCTOBER - 2017 KCB cua benh vien. Cau hdi dat ra cho chiing tdi
la thiTc trang hoat ddng kham chu'a benh d benh vien C trong nhffng nam gan day nhu" the nao?
Od la ly do chung tdi tien hanh nghien cu'u nay nham muc tieu: Danh gia thu'c trang hoat ddng kham chu'a benh tai benh vien C tinh Thai Nguyen nam 2015 - 2016.
II. 061 TU'ONG VA PHU'ONG PHAP NGHIEN CUU 2 . 1 . 061 tu'dng nghien cu'u: Ho sdj bao eao, SO sach lull trd" tai phdng Ke hoach tong hdp - Benh vien C ve ket qua KCB cua nam 2015 - 2016.
2.2. Thdi gian va dja diem nghien cihi: tir 07/2016-07/2017 tel Benh vien C tinh Thai Nguyen.
2.3. Phu'dng phap nghien cuTu: Phu'dng phap nghien ciTu md ta, thiet ke cat ngang tien
hanh phan tich so lieu thir cap ve cdng tac kham chii^ benh ciia benh vien C tinh Thai Nguyen.
2.4. Cac chi so nghien citu: Ket qua KCB eua benh vien (Tong sd lan kham benh, tdng so ngu'di dieu trj ndi tru, tdng sd ngay dieu tri noi trii, sd ngay dieu tri trung binh, cdng suat sii"
dung glu'dng benh, tdng so lan sieu am, tong so lan chup X quang, tong sd lan phau thuat, tdng sd lan thii thuat, ti le khdi xuat vien, ti le chuyen vien, ti le tir vong). Ket qua hoat ddng KCB cho ngu'di cd the BHYT. Danh muc i o benh chlem t' le eao nhat. Danh myc 10 benh cd ti le chuyen vien cao nhat. Ket qua thdc hien ky thuat theo phan tuyen.
2.5. Phu'dng phap xii ly va phan tJch so lieu: Theo phu'dng phap thdng ke md ta.
III. KET QUA NGHIEN CU'U
Bang 1. Ket qui boat ddng kham chda benh eua benh vien nam 2015 - 2016 TT
1 2 3 4 5 6 9 10 11 12 13 14
Nam Cac chi so hoat dong KCB
Tonq so lan kham benh Tonq so nqi/di dieu tri noi tru Tonq so nqay dieu tn noi tru So nqay dieu tri trung binh Conq suat sir dunq qiiTdng benh
Tonq so i t n sieu am Tonq so ian chup X quanq
Tonq so ian phau thuat Tonq so lan thu thuat Ti le khoi xuat vien
Ti ie chuyen vien Ti le tu" vong
2015 Chi tieu
129000 21500 10 31500 39000 5700 12000
TH 140729
29465 270349 9,2 40561 45799 6812 19236 28213 646
13 109,1
%
137,0
145,2 128,8 117,4 119,5 160,3 95,8 2,2 0,04
2016 Chi tieu
130000 21900
10 32000 40000 5800 12500
TH 145644
30338 271993 8,9 37861 48203 6247 64458 29172 740
9
•/o 112,0 138,5
138,0 118,3 120,5 107,7 515,7 96,2 2,4 0,03 Ti le vu'dt chi tieu ve so lan kham benh nam 2015 la 109,1% va nam 2016 ia 112,0%; Tl le vUdt chi tieu ve so lUdt ngu'di benh dieu trj noi tru nam 2015 va 2016 lan lUcft la 137,0% va 138,5%. Cong suat sir dung gii/dng benh 2015 ia 145,2% va nam 2016 Ial38,0%. So ngay dieu tri trung binh nim 2015 la 9,2 va nam 2016 la 8,9 ngay. Ti ie tiJ vong 2015 ia 0,04% va nam 2016 ia 0,03%.
Bang 2. Kei qua hoat dgng kham beiih cho ngu'di CO the BHYT tai benh vien nam 2015-2016
So lu'cit KCB Nam 2 0 1 5
TH
%
Nam 2016
TH »/o
Benh nhan dang ky KCB ban dau tai BVC
Da tuyen den, tronq do 51,6
Dunq tuyen 36,7
Trai tuyen 11,7
Oa tuyen di ,_Mt 2680 5,4 4,5
Tong 100,0 100,0
So lu'dng BHYT dang ky KCB ban dau tai benh vien C nam 2015 la 23.076 benh nhan (46,2%) va nam 2016 la 26073 benh nhan (43,9%). Ti le benh nhan chuyen kham BHYT den nam 2015 la 48,5%
va 2016 la 51,6%. Ti ie benh nhan chuyen khani BHYT di ia 5,4% nam 2015 va 4,5% nam 2016.
Bang 3. Danh muc 10 benh chiem tile cao thu'dng gip tai binh vien nam 201S -2016 TT
1 2
2015 Benh theo I C D
Be thu'dnq Phau thuat iay
SL 2630 / 29465 1833 / 29465
»/o 8,9 6,2
2 0 1 6 Benh theo I C D
De thu'dnq Phau thuat iay thai
SL 2078 / 30338 1587 / 30338
•A 6,8 5,2
TAP CHI Y HOC VI^T NAM TAP 459 - THANG 1 0 - s o 1 -2017
3 4 5 6 7 8 9 10
thai Viem phoi Chan donq nao Thieu mau nao
cue bo Viem phe quan
Sot virus Nhiem khuan ho
hap tren Ban tac ruot Roi loan tieu hoa
Tdng
1610 / 29465 975 / 29465 960 / 29465 678 / 29465 470 / 29465 430 / 29465 420 / 29465 380 / 29465 1 0 3 9 6
5,5 3,3 3,3 2,3 1,5 1,6 1,4 1,3 35,3
Viem phoi Thieu mau nao cue be
Chan dpng nao Nhiem khuan ho
hap tren Rdi ioan tieu hoa
Sot virus Xdgan Nhoi mau nao
Tong
1 5 5 ^ 30338 1530 / 30338 1080 / 30338 780 / 30338 570 / 30338 450 / 30338 360 / 30338 375 / 30338 1 0 3 6 6
5,1 5,0 3,6 2,6 1,9 1,5 1,2 1,2 3 3 , 1 De thu'dng, phau thuat iay thai va viem phoi la 3 benh hay gap nhat trong ca 2 nam 2015 va 2016. Tong 10 benh hay gap nhat nam 2015 chiem 35,3% tong so benh nhan dieu tn tai vien va nam 2016 chiem 3 3 , 1 % tong so benh nhan dieu tri tai vien.
Bang 4. Danh muc 10 benh co d le chuyen vien cao tai benh vien nam 2015 - 2016 TT
1 2 3 4 5 6 7 8 9 10
2 0 1 5 Benh theo I C D Suy ho hap sd sinh Chay mau dudi nhen Thong iien that phan mang
Viem phoi rat nanq U t u y ^ De non Nhoi mau cd tim Chay mau nao do vd phinh mach
Tran dich manq phoi Sijy than man do V TSng chuyen 2 0 1 5
SL 111 106 93 92 77 34 25 23 10 9 6 4 6
o/o 17,2 16,4 14,4 14,2 11,9 5,3 3,9 3,6 1,5 1,4 100,0
2 0 1 6 Benh theo I C D Suy ho hap sd sinh
Nhoi mau cd tim Chay mau du'di nhen
Viem phoi rat nang Utuy Thong iien that phan mang_
De non Tran dich mang pho'i
Suy than man dd V Chay mau nao do vd phinh
mach Tons chuyen 2 0 1 6
SL 118 113 99 90 75 50 36 20 15 12 7 4 0
" / o 15,9 15,3 13,4 12,2 10,1 6,8 4,9 2,7 2,0 1,6 100,0 Danh muc 10 benh chuyen vien cao nhat trong 2 nam la tu'dng du'dng nhau. Benh cd ti le chuyen vien cao nhat nam 2015 va 2016 deu la suy hd hap sd sinh vdl 17,2% va 15,9% (theo thiT ty). Ti le chuyen thii' 2 nam 2015 la do chay mau du'di nhen chlem 16,4%. Ti le chuyen thir 2 nam 2016 la do nhoi mau cd tim chlem 15,3%.
Bang 5. Kit qua thdc hien ky thuit theo phin tuyen eda b$nh vien nam 2016 TT
1 2 3 4 5 6 7 8 9 10 11 17 13 14
Chi so ky thuat theo khoa Hoi SLic cap cu'u va Chdnq doc
Noi khoa Nhi khoa Da lieu Tam than
Noi tiet Y hoc CO truyen Gay me hoi sire Ngoai khoa
Bong Unq bu'du
Phu san Mat Tai mui honq
SL quy dinh 386 652 4254 121 87 247 486 4777 1113 180 445 241 292 394
SL thu'c hien 305 469 2556 70 25 125 420 3567 701 102 201 192 208 200
79,0
%
71,9 60,1 57,9 28,7 50,6 86,4 74,7 63,0 56,7 45,2 79,7 71,2 50,8
VIETNAM r^EDICAL JOURNAL N"1 - OCTOBER -2017 15
16 17 18 19 20 21 22 23 24 25 26 27
Rang ham mat Phuc hoi chu'c nang
Dien quang Noi soi chan doan, can thiep
Tham do chii'c nang Huyet hoc - truyen mau
Hoa sinh Vi sinh, ky sinh triinq
Vi phau Phau thuat noi soi Tao hinh tham my Giai phau benh Y hoc hat nhan
Td'ng
348 248 703 107 127 564 223 336 58 498 494 90 390 1 7 8 1 6
234 224 370 70 56 420 203 286 3 108 451 70 0 1 1 6 3 6
67,2 90,3 52,6 65,4 44,1 74,5 91,0 85,1 5,2 21,7 91,3 77,8 0,0 6 5 , 1 Ket qua thiTc hien ky thuat theo phan tuyen ciia khoa Tao hinh tham my la 91,3%; Hda sinh la 91,0%; Hdi siTc cap culi va ehdng ddc 79,0%. Ti le thu'c hien ky thuat theo phan tuyen tai khoa Y hgc hat nhan la 0,0%. Ti le thiTc hien ky thuat theo phan tuyen chung tai benh vien la 65,1%.
IV.
BAN LU^NKet qua nghien ciTu thay: Ti le vu'dt chi tieu ve so lan kham benh nam 2015 la 109,1% va nam 2016 la 112,6%; Ti le vu'dt ehi tieu ve sd lu'dt ngu'di benh dieu trj npi tru nam 2015 va 2016 lan Iddt' la 137,0% va 138,5%. Cdng suat sir dung glu'dng benh 2015 la 145,2% va nam 2016 Ial38,0%. Ket qua nghien ciTu ciia chiing tdi cao hdn nghien ciru cua Vi Hdng OiTc (2016) vdi t i le so lan kham benh vu'dt so vdi chi tieu trong 3 nam tir 2013 - 2015 la 107,79% va cdng suat su" dung giUdng benh trung binh trong 3 nam la 114,54% [1]. Mpt trong nhiiYig ket qua danh gia chat iddng dieu trj tai benh vien C Thai Nguyen chi'nh la sd ngay dieu t n trung binh giam: sd ngay dieu trj trung binh nam 2015 la 9,2 va nam 2016 la 8,9 ngay. Ti le tiT vong 2015 la 0,04% va nam 2016 la 0,03%. Mac dii giam khdng nhieu nhu'ng Benh vien C la benh vien hang I ciia tinh, ndi tap trung nhieu benh nhan nang vdi phan Idn benh nhan chuyen td tuyen difdi len (Bang 3), vdi nhu'ng benh nhan nang thi rd rang viec giam so ngay dieu trj da chii'ng td viec nang cao chat lu'dng dieu tri cua benh vien nam 2016 so vdi nam 2015. Ket qua giam cdng suat sd dung glu'dng benh td 145,2% nam 2015 xuong cdn 138,0% nam 2016 hoan toan phu hdp vcfi viec giam thdi gian dieu trj trung binh do chat lu'dng dieu trj tai benh vien C Thai Nguyen da tiTng bu'dc nang cao.
Ti le BHYT dang ky KCB ban dau tai benh vien C nam 2015 la 46,2% va nam 2016 la 43,9%. Ket qua nay hoan toan phii hdp vdi thdc
te ti le dang ky KCB BHYT ban dau tai benh vien C giam do benh vien C cd quyet djnh len hang I vao ngay 01/02/2015, do do ti le dang ky KCB BHYT ban dau tai benh vien C se giam (tap trung dieu trj cac benh nhan nang do tuyen du'di chuyen len). Ket qua nay eho thay hoat dpng KCB Hen quan den BHYT tai benh vien C cd su"
thay ddi ro ret lien quan den chat lu'dng dieu tri va phan tuyen dieu tri. Sd benh nhan kham trai tuyen BHYT nam 2015 la 5882 tang len 6973 nam 2016. Ket qua nay cd lien quan den chat lu'dng dieu tn ciia benh vien, mdt sd benh nhan trai tuyen s i n sang den benh vien dieu tn de nhan djch vu chat lu'dng cao mac dii miTc hu'dng bao hiem bi giam di 50%. Danh gia su" thay doi ket qua chuyen benh nhan BHYT dl gida 2 nam theo ehiing tdi la hdp ly vdi thu'c te chieu hu'dng
"that chat" BHYT trong nhDTng nam gan day. Ti le chuyen tuyen giam ti^ 5,4% xuong cdn 4,5%.
Ben canh dd, viec giam ti Id benh nhan BHYT chuyen vien do benh vien da ti^ng bu'dc lam chu, trien khai them nhieu ky thuat phan tuyen mdi (bang 6) va nhieu ky thuat vu'dt tuyen sau khi thanh lap benh vien hang I.
De thu'dng, phau thuat lay thai va viem phoi la 3 benh hay gap nhat trong ca 2 nam 2015 va 2016. Tdng 10 benh hay gap nhat nam 2015 chiem 35,3% tong so benh nhan dieu tn tai vien va nam 2016 chiem 3 3 , 1 % tong sd benh nhan dieu tri tai vien. Day cung la nhdm benh phd bien tai cac benh vien khac [ 3 ] , [4]. Benli cd ti le chuyen vien cao nhat nam 2015 va 2016 deu la suy hd hap sd sinh vdi 17,2% va 15,9% (theo thii' tuO. Ti le chuyen thir 2 nam 2015 la do chay
TAP CHi Y HOC VigT HAM TAP 459 - THANG 10 - SO 1 • 2017 mau dudii nhen chiem 16,4%. Ti le chuyen thir 2
nam 2016 ia do nhoi mau cd tim chiem 15,3%.
Ooi vdi suy hd hap sd sinh la nhii'ng tru'dng hdp tre sau de du'dc dieu tn tai benh vien nhu'ng do nhieu ly do nhu' gia dinh khi thay chau co dien bien nang hdn la tam ly mudn chuyen xuong cac benh vien Trung u'dng du'di Ha Npl (bdi khoang each tir benh vien C xudng Ha Ndi). Thy'c te, sd lu'dng may thd va Idng ap tai khoa Nhi benh vien C chi ed 03 may hoat ddng tot, do dd khdng dap utig du'dc nhu cau dieu trj vdi so lu'dng idn hdn.
Doi vdi van de chuyen vien do chay mau du'di nhen va nhdi mau cd tim la do thieu phu'dng tien/trang thiet bj ho trd mac du nhan lu'c ed the dap dng ddde yeu cau. Ngoai ra nhuYig tru'dng hdp chuyen khac nhu" do u tuy, do suy than man do V, thdng lien that phan mang la nhiitig trircfiig hpp ma hien benh vien van cdn thieu mdt sd ky thuat theo phan tuyen chu'a du'dc trien khai hoac chu^ trien khai du'dc do thieu trang thiet bj, thieu nhan li/c, ket qua eu the ve phan tuyen ky thuat du'dc trinh bay trong bang 5.
T\ le thdc hien ky thuat theo phan tuyen chung tai benh vien C Thai Nguyen nam 2016 la 65,3%. So sanh vdi ket qua nghien ciTu ciia Hoang Dinh Khieu (2015) tai Benh vien da khoa tinh Hda Binh cho ti le thu'c hien dat danh muc ky ttiuat theo phan tuy§n la 57,5% [ 2 ] . Nghien cufu ciia Bill Thi Thiiy (2015) tai Benh vien da khoa tinh Bac Ninh vdi ti le thu'c hien dat danh muc ky thuat theo phan tuyen la 70,46% [5].
Mae dil ket qua eua chimg tdi cd the xac djnh la tu'dng doi phii hdp so vdi 2 nghien ciTu tren nhutig cung la thach thiTc trong qua trinh phat trien benh vien vdi 34,9% ky thuat chda dddc trien kliai theo phan tuyen. Viec nang cao chat lu'dng va so lu'dng ky thuat thy'c hien theo phan tuyen cua Bd y te se giup nang cao chat lu'dng KCB tai benli vien, qua dd nang cao sire khde nhan dan tren dja ban. Nghien cii'u cung cho Uiay ket qua thu'c hien ky thuat theo phan tuyen ciia khoa Tao hinh tham my la 91,3%; khoa Phuc hoi cliu'c nang la 90,3%, Hda sinh la 91,0%; Hoi sife cap ciTu va ehdng ddc 79,0%; VI phau la 5,2% va Y hpc hat nhan la 0%. Ket qua nay cho thay Benh vien C dang di diing hu'dng khi tren dja ban tinh Thai Nguyen chu^ cd sy' phat trien sau ve Tao hinh tham my tai bat ki*
benh vien nao, viec n§ng cao chat lu'dng Phuc hdi chd'c nang chfnh la viec dap utig vdi su* phat trien ram rd ciia cae benh khdng lay nhiem trong
giai doan hien nay va viec phat trien ky thuat can iam sang nhu' Hda slnli se giiip nang cao kha nang ho trd chan doan dieu tri cho bac sy. Mdt diem lull y la nghien cu'u ciia chiing tdi khdng so sanh phan tuyen ky thuat nam 2015 so vdi nam 2016 bdi le; nam 2015 benh vien C Thai Nguyen trien khai phan tuyen ky thuat theo Quyet dinh 23/2005/QD-BYT; trong khi do nam 2016 benh vien trien khai phan tuyen ky thuat theo Thdng tu- 43/2013/TT-BYT va Thdng tu^ 50/2014/rr- BYT ciia Bp Y te.
V. KET LU^N
Ti le vu'dt chi tieu ve so lan kham benh nam 2015 la 109,1% va nam 2016 la 112,0%. Cdng suat sir dung glu'dng benh 2015 la 145,2% va nam 2016 Ial38,0%. Sd ngay dieu tri trung binh nam 2015 la 9,2 va nam 2016 la 8,9 ngay. Ti le tir vong 2015 la 0,04% va nam 2016 la 0,03%.
So lu'dng BHYT dang ky KCB ban dau tai benh vien C nam 2015 la 23.076 benh nhan (46,2%) va nam 2016 la 26073 benh nhan (43,9%). Ti le benh nhan chuyen kham BHYT di la 5,4% nam 2015 va 4,5% nam 2016. De thu'dng, phau thuat lay thai va viem phdi la 3 benh hay gap nhat trong ca 2 nam 2015 va 2016. Ti le thy'c hien ky thuat theo phan tuyen chung tai benh vien la 65,1%.
TAI Ll|U T H A M KHAO
1. Vi Hong Du'c (2016), Thut trang thut hien cac ky thuat y te tai Benh vien da khoa trung tam tinh lang Sc^ glal doan 2013-2015 va giai phap giai doan 2016-2020, Luan van chuyen khoa cap I I , Tru'dng Dai hgc Y DUdc, Dai hoc Thai Nguyen.
2. Hoang Oinh Khieu (2015), ThUc trang nguon nhan lut Benh vien da khoa tinh Hda Binh va nhu (Su phat trien nguon nhan lut den nSm 2020, Luan van chuyen khoa cap I I , Tn/dng Dai hpc Y DUOc, Dai hoc Thai Nguyen.
3. €>§ Van Minh (2011), Nghien cOd thut trang hoat dgng kham chuci benh tai benh vien da khoa huyen Sdn DUdng bnh Tuyen Quang va de xuat mgt so giai phap, Luan an chuyen khoa I I , Tru'dng Dai hoe Y DUdc, Dai iioc Thai Nguyen.
4. D^ng Dmh Thang (2012), Nghien ahi thut trang cung cap va su" dung dfch vu kham chda benh tai Benh vien da khoa huyen Van Yen b'nh Yen Bai va de xuat giai phap, Luan van bac sy chuyen khoa cap I I , TrUdng Dai hoc Y Dude, Dai hoc Thai Nguyen.
5. Bui Thj Thuy (2015}, Thut trang mo hinh benh tat cua'binh nhan dieu tri noi tru tai Benh vien da khoa b'nh Bac Ninh, Luan van chuyen khoa cap I I , TrUdng Dai hoc Y Du'Oc, Oai hgc Thai Nguyen.
6. Tru'dng can b? quan ly y te (2001), Quan ly benti vien, Nha xuat ban Y hoc. Ha Ngi.
