QSo 03 (164)-2017) NGHIEN CQU TRAO DOI
Van ag xa hoi hoa va phat trien thi trucmg djch vu y te Viet Nam
Doan Nggc Thiiy TiSn*
TOM TAT
Sau han 30 ndm ddt nu&c ta th^c hipn cong cugc ddi m&i todn di$n nen kinh te, nhieu linh vuc cua d&i song kinh te - xa hpi dd thuc su vuan len mpt tdm cao m&i vd co khd ndng thich ung va c^nh tranh ngdy cdng cao khong chi & thj tru&ng trong nu&c md cdn vuan tam ra thi tru&ng khu vuc vd the gi&i, trong do ITnh vuc y te cd du^c sit phdt trien vuat bac; dgc biet Id chuyen mdn dd tiep can cdc tien bp khoa hgc tien tien cda the gi&i irong viec irng dung ky thupt cao, dap ung yeu cau chdm sdc sue khde nhdn ddn. Bdo ve, cham soc vd nang cao sire khoi Id bdn phan cua moi ngu&i ddn, mdi gia dmh vd cd cdng ddng, trong do ngdnh y te giir vai tro nong cot vi chuyen mdn vd ky thuat.
Khuyen khich cdc thdnh phdn kinh te ddu tuphdt trien cdc djch vu chdm soc vd ndng cao sire khoi.
Bdi viet ndy xin dugc trao doi xung quanh chu de "Xa hpi hoa vd phdt triin thf tru&ng dich vu y ti Viet Nam".
• Tir khoa: djch vu y tc, xd hpi boa dich vu, dich vu chdm soc sue khde.
ABSTRACT
After more than 30 years carrying out a comprehensive reform economies, many areas of economic and social life has really stepped into a new level and have the ability to adapt and avoid more controversy high not only in domestic market but also in regional and world market. In which, health sector has achieved great development; especially expertise has approached the advanced scientific and technical progress of the world in the application of high technology, meeting the requirements of health care of the people. Protecting, caring and improving health is the responsibility of every citizen, family and community, in which the health sector plays the core role in terms of expertise and technology. Encourage all economic sectors to invest in developing care services and improve their health. This article would like to focus on "Socialization and development of the market for health services in Vietnam".
• Kcj'words: health services, socialization services, health care services.
Thuc trang xa hgi hda y tc
\d phat trien thi trudng djch vu y te
Nghi quyet 46-NQ/'l"W ngay 23/2/2005 ciia Bd Chinh trj da neu rd quan diem: "Xa hdi hoa cdc boat ddng cham sdc siic khoe gan vdi tang cudng ddu tu cua Nhd nude; thuc hien tdt
\ ICC tro giiip cho cdc ddi tugng chinh sdch vd ngirdi ngheo Uong chain sdc vd ndng eao sire
khoe. Phdt trien bdo hiem y te loan ddn, nham timg budc dat tdi cdng bang trong cham sdc sire khoe, thuc hien chia se giiia ngudi khoe vdi ngudi dm, nguai giau vdi ngudi ngheo, ngudi Irong do tudi lao ddng vdi Ire em, ngudi gia; cdng bang irong ddi ngd doi vdi can bg y tc.
Thuc chat qud trinh xa hdi hda y te Id qud trinh md cira thj Irudng cho cdc chii the cd dieu
kien tham gia thi trudng djch vu y le. Dd la viec xa hdi tham gia vao qud trinh y le thdng qua ea che thj trudng, ma cdt Idi la cdc quan he cung eau trong cung cap vd sir dung san phdm dich vu y te. Dc thuc hien xa hdi hoa cac hoat ddng y 16, ndi dung cdc chinh sach khuyen khich cdn phdi tap trung vdo khuy£n khich cdc ca sd y tc cd du dieu kien cung cap djch vu y li gdm cd CO sd cdng va ngodi cdng
•' Ths - Truong Did hgc YHd Npi
Tap chi nghien cufu Tai chinh ke toan <^7>
NGHIEN CUTU TRAO DOI (So 03 (164)-2017) lap phat trien canh tranh, binh
dang. Viec phat trien dich vu y te phai ludn dugc dat trong mdi quan he ho trg qua lai giira phat trien cac dcm vj y tS cdng lap va ngoai cdng lap ma cac chinh sach xa hdi hoa da de ra hay ndi each khac can cd su canh tranh, cd su kiem soat ciia Nha nude tren thj trudng djch vu y te.
Mat dugrc
Mpt Id, huy dong, khai thong cdc nguon luc cua xa hgi cho phdt triin y ti
Viec dau tu cho y te khdng nhCrng ciia Nha nude ma cdn ciia ca nhan, gia dinh, cdng ddng va xa hgi. Xa hdi hda djch vu y te, khdng phai la gidm dau lu iCr ngudn ngan sach Nhd nude (chi cho y te chiem 7,02%
long chi ngdn sach giai doan 2010- 2015) ma huy ddng dugc mgi ngudn lire cho phdt trien y te. Qua do, gdp phan quan trgng cho phat trien, img dung cdc lien bg, khoa hgc ky thuat tien tien ve y hgc cua the gidi vdo phdt trien y hgc Viet Nam.
Hai Id, ndng cao y thirc va trdch nhiem ciia mgi ngudi trong viee bdo ve va cham sdc sire khde khdng chi la eua ngdnh Y te md Id trdch nhiem ciia mdi ngudi ddn. Tao su chuyen bien lich cue ve nhdn thiic eua cae cdp uy dang, chinh quyen trong
\ ICC quan lam ddu tu cho y te.
Ba Id, gan vdi viec tang cudng dau tu tir ngdn sdch vd thuc hien tdt viec trg giiip cho cdc doi tugng chinh sdch, ngudi ngheo va vice nay trong thdi gian vira qua Vict Nam Id mgi
trong nhCmg nud^ dugc cac to chirc qu6c xk d^nh gid rat cao vl chinh sach an sinh x3 hgi (nhu hd trg cho ngudi ngheo, nguai gia, tre em tir 6 tuoi trd xudng 100% BHYT va ho trg d^n 70%
menh gia cho doi tugng can ngheo...).
Bdn Id, thdng qua chinh sach xa hgi hda djch vu y te, ngoai viec huy dgng mgi ngudn lire cho phat trien y te, cdn ddng gdp quan trgng cho qua trinh cai each he thdng y li nha nude.
Viec thuc hien tu chii la giao quyen nhieu hon va tao dilu kien cho cac ca sd y te tu hach todn, chii dgng huy ddng cac ngudn lire eho hoat ddng, xda bd bao cap, tao ngudn lai chinh de bii dap chi phi va thii lao cho cdn bg, nhan vien y te.
Ndm Id, tao di6u kien di cdc loai hinh co sd y te ngoai cdng lap (y te tu nhan, ddu tu nude ngoai, lien doanh...) tham gia thj trudng y te. Tinh den nam 2016, cd nude hien mdi cd 169 benh vien ngoai edng lap vdi 11.762 giudng benh (dat 1,2 giudng/i van ddn). Viec tham gia cua y te ngodi cdng lap trong qua trinh xa hdi hda djch vu y te la nhdm gdp phan giam tai, giam ganh ndng cho he thong ca sd y 16 cdng lap, huy ddng nguon luc trong xa hgi cho phat tridn y te.
Mat tdn tgi, hgn chi Mpt Id, chinh sach phdt triSn dich vu y li irong nen kinh te dmh hudng XHCN cdn nhieu lung lung, ddc biet la ve ehinh saeh gid (ca cau gia mdi linh 3/7 yeu to chi phi true ti£p chua
bao gom tien luong, khau hao tai san va chi phi qudn ly). Chua CO su minh bach, r5 rang trong quan diem kinh te ve phi va gia djch vy. Da cd thdi gian kha dai va den nay van cdn sii dung phf kham chira benh trong khi da co su tham gia ciia cac thanh phdn kinh te trong qua trinh dich dy y te thi cac chi phi dd phai tra theo CO che thi trudng la gia djch vu y te. Mat khac, mirc phi djch vu y te (thdi gian thay doi danh muc dich vu ky thuat rat cham, can trung blnh mat 5 nam, tham chi 10 nam) chua theo kjp thay ddi theo mat bang gia dau vao cac yeu td ciia thi trudng dich vu y te.
Hai Id, tinh trang dau tu trang, thiet bj ngoai danh muc, thieu minh bach, liing tiing trong tinh gia djch vu, chia ty le phdn tram, khdu hao thiet bj... giu-a benh vien va chii dau tu, khien cho gia djch vu khdm, ch&a benh lang cao, ngudi benh chju nhieu thiet thdi.
Ba Id, khi thuc hien chinh sdch xa hgi hda y te, nhieu co sd y te ngoai cdng lap ra ddi da gdp phdn cung cap da dang san phdm djch vu y te song vdn de binh dang giiia benh vien cdng vd benh vien tu; chua cd su kiem soat chat che chat lugng dich vu y te.
Bdn Id, khi thuc hien chinh sdch xa hdi hda dich vu y li ngay trong timg co sd y te edng lap cd su chua tach bach ro rang
"edng - lu" nen ty le chia Igi nhuan giiia benh vien va nha ddu tu tai cae don vj dang cd sir
^ Tap chi nghien ciifu Tai chinh ke toan
Qsd'03 (164) - 2017) NGHIEN CUTU TRAO DOI
chenh lech kha Idn'. Trong do, cac CO sd y te cua nha nude ludn dugc chia phan Igi nhuan nhd han. Dieu dang ndi, viec chua tinh gia tri ca sd ha ting, gia tri thuang hieu, nhan cdng vao ca cau gia thanh thu phi su dung cac thi6t bi y te dugc xa hgi hda dang dien ra tai hau het cdc md hinh tir benh vien cap I, II, benh vien chuyen khoa hay tu chii tai chinh toan phan. Trong khi dd, viec thu phi sir dung cdc thiet bj y te xa hgi hda nay deu dugc linh theo gia dich vu, cao hon rdt nhieu so vdi mire vien phi Nha nude quy djnh, tdt ea mirc gia ndy do don len vai ngudi benh, Idng gdnh nang cho ngudi benh.
Ndm Id, ngoai viec lien doanh, lien ket trang thiet bj y te, nhieu benh vien cdng ciing trien khai cdng tac xa hdi hda trong hoat ddng kham, chiia benh theo yeu cdu. Chinh dieu ndy da Idm tdng qud lai lai cac benh vien, dnh hudng true tiep den quyen igi ciia ngudi benh ngheo, cae ddi lugng chinh sdch vd cd ngudi benh khdm, chCra benh djch vu khi hg phdi ndm xen ke trong phdng dieu trj cong Idp nhung phai tra them mgt khodn tien phi dich vu.
Suu Id, tai cdc benh vien cdng. do day manh xa hdi hda djch vu y te, td chii'c Idn !gn khu dich vu khdm chua benh theo
r ddng Shan
••a; doauh.
•V,du Q . , / ^ ^ , . . , dihi 'IP H.I v..
lu-n kcl ly ,.• . . . ,, . . -hac nhau.
iilul Bcuh ik-'n l,„i ,i,nn. Sy Ic >niy !a Mr,, - 50",' Benh <, len Tun Ha \'di Id 40%
- 60",., H^nh vien 11a khoa Ha Dong 30% - 70% Ik-uh vicn i'ug bUou Ha , \ o ! la 30%
ih.'O h 5<i% - 50%
yeu cdu ngay trong ciing mdt b^nh vien cong, nen hinh anh rat tuong phan trong viec bd tri phdng benh ciing nhu quan he giiia bac sT va ngudi benh giii'a 2 loai dich vu y te thdng thudng vdi djch vu y te theo yeu cdu.
Nhieu tieu cue trong viec lien ket, lien doanh trang thiet bj y te, dau thau thudc dien ra cho thay sir yeu kem va thieu minh bach trong quan ly, thanh tra kiem tra gay hau qud lam tang chi phi cho ngudi benh va quy BHYT.
Bdy Id, qua trinh xa hdi hda djch vu y te trong eae co sd y te cdng chua ed sir minh bach tai chinh, tdi san cdng va tu trong cac hoat dgng xa hgi hda nen de sai pham trong quan ly, sir dung tdi chinh, de xay ra tieu cue trong lien doanh, lien ket, trong ddu thdu thude...
Tdm Id, md hinh td chirc, boat dgng va qudn tri dan vj su nghiep cdng lap trong ITnh vuc y te khi thuc hien xd hdi hda vdn nhu khi chua thuc hien xa hdi hda, md ban chdt khi cd su tham gia ciia xd hdi vdo qud trinh ddu tu y te Id qua trinh tham gia vdo qud trinh phdn phdi Igi Ich, thue chat hoat dgng nhu doanh nghiep.
Chin Id, chua tao dieu kicn phdt trien y te ngodi cdng lap, chua xdy dung dugc mdi trudng canh tranh binh dang giiia khu vuc tu nhdn vd khu vuc cdng trong ITnh vuc cung irng djch vu y te; ihieu sir qudn ly va gidm sdt cd hieu qud ciia cdc ca quan nhd nude ddi \di ITnh vuc cung Ling dich vu y te: thieu hdnh lang phdp ly vc lien doanh, lien ket. dich \u khdm chua benh
theo yeu chi tai benh vien cong do vay chua tao dugc mgt san chai binh ddng giiia cac chii the cdng va tu trong cung ting djch vu y te.
Mgt so giai phap day manh xa hgi hda va phat trien thi tru-ong dich vu y te
Mpt Id, cdn nghien cihi tiep tuc hoan thien the che thj trudng dich vu y te
- Nghien ciiru xay dung ca che gia gdn vdi chat lugng dich vu y te, tren ca sd nguyen tae thu dam bao bii dap chi phi phii hgp vdi chat lugng, hieu qua chan dodn vd dieu trj; tao mdi trudng canh tranh, timg budc hinh thdnh gia thj trudng cdc djch vu y te; xay dung djnh mirc kinh t6 ky thuat theo timg dich vu hoac nhdm djch vu y te lam co sd tinh gid ca sd dich vu y te iheo tirng dja bdn, khu vuc lam co sd de ca quan qudn ly Nhd nude ban hanh khung gia tran (dp dung chung eho cd CO sd cdng lap va ngoai cdng lap). Tren co sd khung gia trdn va nang lire ciia minh, ca sd y te ban banh bdng gid djch vu y te cho phii hgp vdi ddc diem, khd nang canh tranh gan vdi chat lugng djch vu nhung khdng vugt mirc gid trdn do Nhd nude ban hanh, ddng thdi, gid ca sd Idm can cir dc hd trg ngan sdch cung nhu thanh loan bao hiim xa hdi. Viec thuc hien minh bach, cdng khai gid ca dich vu y te gan vdi chat luang djch vu y le, cd su kiem sodt ciia he thdng ed ca quan quan ly y te, hiep hdi ngdnh nghl, to chirc qudn ly quy bdo hicni y tc vd lu kilm soat cua CO sd y te, chdc chdn chdt
Tap chi nghien ciifu Tai chinh ke'toan v 9 >
NGHIEN CJU TRAO DOI (So 03 (164)-2017)
lugng hoat dgng dich vu y te tai cac ca sd y te se tang len, miic do hai long va hieu qua dieu tri timg budc dap ting yeu cau ciia nhan dan.
- Thuc hien che do khau hao thdng nhat cho ca co sd y te cdng, ngoai cdng lap. De dam bao cdng bang, sd khau hao ciia CO sd cong lap phai nop vao ngdn sdch nha nude; ddi vdi ca sd ngoai cdng lap dugc de lai phdt trien, dau lu md rdng.
- Xay dung co che tai chinh nham thiic day xa hgi hoa djch vu y te, theo hudng ddi vdi cac loai hinh lien doanh hen ket giira C0 sd y li vdi id chirc, ca nhdn ben ngodi cdn phdn djnh ro pham vi, ngi dung, mirc do lien doanh lien ket; lao dieu kicn phdt trien eo sd y te ngoai cong lap nhu chinh sdch uu ddi ve thue, ddt dai, hd trg ngdn sdch theo ket qud dau ra dich vu y te gan vdi dja ban dan cu va chiu su kiem sodt gia dich vu iheo ca che kiem sodt gid chung nlur ddi vdi cdc co sd y te khdc.
- Thay ddi co che giao ngdn sdch cho CO sd y te theo hudng gdn vdi ket qud ddu ra, dua tren bdng gid CO sd djch vu y te vd sd lugng benh nhan du kien trong ky dc phdn bd mue ho tro ngdn sdch gan vdi quy md giudng henh. khdng phan biincosdy t l cong Idp ha\ ngoai cdng lap co su giai iian trong pliam \ i ca s6 giudng benh, irirdng hgp khong dap ling ca sd giudng benh hoac
\ugl qud co so giudng benh thi (.hi dugc ho tro- nu'rc Ihap han gdn \ dl bien phdp chong qud tdi } Ic tLi_\ en II en.
- Tren ca sd chinh sach hign hanh, nhdm khuyen khich cdc ca sd y tS phdt trien cdc dich vu mdi, ky thuat cao dl phuc vu cho viec nang cao chat lugng va hieu qua chdn dodn va dieu tri, h^n chi tinh trang qua tdi tuyen tren, benh vien chuyen nganh cdn cd chinh sdch ho trg va rang budc cac co sd y te tuyen tren lien doanh, lien ket... Md rgng quyen tu chu cho ca sd y te ve xac djnh ngi dung, mirc gia djch vu gan vdi chat lugng djch vu cung nhu cac thii tuc mua sam hang hda phuc vu hoat ddng ciia CO sd y te, tao dieu kien phat trien chuyen mdn, da dang cdc loai hinh djch vu lai cac ca sd y te; can nghien ciiu sira ddi che do tien luang cho cdn bd, vien chiic y te theo hudng dam bdo che do uu dai nghe dac biet.
Xdy dung vd ban hdnh chudn muc chuyen mdn, ndi dung nghiep vu y te (theo timg ngi dung ky thuat, gdi djch vu hoac ket hgp), chuan muc dao dire nghe y. Viec cd dugc cac chudn mirc nay la co sd de kiem soat gia ca vd chdt lugng dich vu y tc dong thdi thiic ddy qud trinh hien dai hda he thdng y te.
Hai Id, cdn tang cudng han nCra cdng (dc kiem tra, giam sat.
Chdt luong dich vu, gia djch vu Id cdc >eu to co bdn nhdt eiia hdng hoa dich \ u y tl D I chat lugng tuang xirng vdi gid ed vd ddm bdo qu> en Igi ciia ngudi sir dung dich vu, can phai thirc hicn dimg chirc ndng tao lap khung phap ly va kiem tra, thanh tra, gidm sal \ ice thuc thi phdp ludt.
tao moi irifdng canh iranh ldnh
manh trong ITnh vuc s\r nghiep cong. Viec kiem tra, giam sdt va danh gid nen tap trung vao viec tuan thii cac dieu kien, tieu chuan, dinh miic trong hoat dgng cung ung dich vu; chdt lugng djch vu; thdi gian cung img dich vu; va gia dich vu.
Ba Id, can nghien ciiu chuyin doi md hinh td chirc, hoat dgng cac ca sd y te cd ngudn thu tir xa hgi hoa djch vu y te theo hudng da dang md hinh hoat ddng (doanh nghiep, doanh nghiep cdng ich, doanh nghiep xa hdi, doanh nghiep phi Igi nhuan).
Viec chuyen ddi cac ca sd cdng lap sang hoat ddng theo ca che su nghiep - tu chii, tu hach todn, tu chju trdch nhiem phai dugc quy djnh rd ve chiic nang, nhiem vu, pham vi tu chju trach nhiem. Quy dinh rd Nha nude se can thiep khi cd nhimg thay ddi khach quan nhu cdc yeu td lac ddng den gid djch vu y te, trudng hgp gia dich vu cao hon mat bang chung hoac khi thuc hien chinh sdch xa hdi...Ngoai ra, che dd chju trach nhiem phdi dugc thue hien nghiem tiie vd thudng xuyen. Ciing vdi viec ddt ra he thdng lieu ehuan chdt luong thi trdch nhiem ciia moi cd nhan, td chirc trong cung img dich vu phdi dugc ndng cao; de cao trdch nhiem ed nhdn ddng thdi ddt ra ca che gidi trinh hgp ly, nhu vdy cdng tac kiem sodt, giam sdt se cd hieu qud hem.
Bdn Id, hodn thien ea che hgp tac cdng - tu trong y te. theo hudng viec phoi hap cdng - tu Id mdt trong nhiJng cdch thirc huy ddng ngudn lire \a hdi trong
30> Tap chi nghien ciTu Tai chinh ke'toan
(jo 03 (164)-2017) NGHIEN COrU TRAO DOI
phdt trien- y te nhdm giai quyet cdc vari de sire khde cdng cgng thong qua cdc nd luc ket hgp gitJa cac to chiic phat trien nha nude va tu nhan bd trg lan nhau qua nang luc ciia minh, trong dd cac ddi tac nha nude vd tu nhan phoi hgp tham gia trong viec xdc djnh muc tieu, phuang phdp va viec thuc thi cdc thda thuan phdi hgp. Ben canh do, chiing ta can xay dung chien luge phat trien hd trg lan nhau cho y te edng - tu va nang cao nang luc vd cdng cu quan ly nha nude ddi vdi he thdng y te tu nhan. Day la mdt cdch tiep can nham giai quyet cdc van de sire khde cgng ddng thdng qua cdc nd lire ket hgp giiia Nha nude vd tu nhdn nham bd trg Idn nhau qua nang lire ciia minh.
Nam id, hoan thien qudn tri bdo hiem y te vd da dang hda cac loai hinh bdo hiem y tc nhdm khoi thdng ngudn lire cho phat trien djch vu y te, theo hudng md rgng dien bao phii vd ndng ly le bao phii bdo hiem y le gdn vdi chdt lugng djch vu y tc dirge ddm bao theo yeu cdu gdn vdi gia eo sd djch vu y te;
md rdng loai hinh bao hiem tu nguyen vd bdo hiem thuang mai gdn vdi chat lugng dich vu y le gia tang; thay ddi phuong thirc thanh todn bao hiem thay
\i kiem sodt ihanh loan nhu hien nay sang co che lir tudn thii, theo dd ca sd y te cdn cir so luang. chat iugng dich vu y ic thuc hicn va mirc gid ea sd tuang irng de lu xdc dinh so lien bao hicm \ te thanh todn thay cho benh nhdn. Ddng ihdi, cd
CO che kiem scat, xii iy vi p h ^ neu cd gian lan; doi mdi ca che kiem sodt thu, chi va quan ly quy bdo hiem y tl theo hudng tao dieu kien di cac hiep hgi y hgc chuyen nganh tham gia vao qud trinh xay dung dinh miic kinh te - ky thuat va gid ca sd djch vu y te.
Sdu Id, dam bao ddc lap giii'a viec thuc hien chirc nang quan ly nha nude ve y te vdi viec cung cap djch vu y te. Theo dd, thuc hien vai trd ndng cdt ciia Nha nude cd nghTa la Nha nude thuc hien cdc nhiem vu: ban hanh ca che chi'nh sach, quan ly theo chien luge, quy hoach, ke hoach ve phat trien mdi loai hinh djch vu cdng nhu y te, giao due; quy djnh nhung lieu chuan djnh mirc, chat lugng djch vu;
cung cap thdng lin ket ndi cung - cau, thanh tra, kiem tra viec td chiic thuc hien cac boat dgng phat trien mdi nganh.
Bdy Id, cdn ndng cao nhdn thire ciia ngudi ddn ve xa hdi hda y te; lao dieu kien de ngudi dan gidm sdt chat lugng, gid djch vu y te. Theo dd, cdn tang cudng truyen thdng, gido due cgng dong de ndng cao nhdn thirc cua xa hgi trong viec tham gia xa hdi hda y tc, chu ddng trong cdng tae chdm sdc, bao ve sire khde. Trong viec hoach djnh chinh saeh can phdi cd cdi nhin khdch quan, khoa hgc, mgt mat ddy manh thuc hien chii truang xa hgi hda y tc, mat khac, sdm khac phuc sir lech lac trong vice trien khai thuc hien nhirng ehii truong ciia Dang trong chdm sdc sire khde nhdn ddn; su ddng
thuan trong xa hdi, su quyet tam cao cua he thdng chinh trj va trach nhiem cua nhimg ngudi lam cdng tac y te la dieu ki^n tien quyet trong vi?c thuc hiSn xa hgi hda bdng cac mo hinh thich hgp nhdm hudng tdi he thdng y tl ciia nude ta ngdy cang da dang, chdt lugng ngay cang cao han, dap ung yeu cau ngay cang cao ciia xa hdi.
Phat trien dich vu y te ndi rieng cung nhu djch vu cdng ndi chung cd y nghTa rat Idn nham gdp phdn ldnh manh, giam gdnh nang cho ngan sach nha nude, ddng thdi thiic day ddi mdi, ling dung cac tien bd khoa hgc ky thuat, phat trien ddng bd cdc loai hinh djch vu cdng iheo ca che thj trudng cd su qudn ly ciia Nhd nude. Hy vgng cac gidi phap kien nghj tren day gdp phdn trong viec tiep tuc hoan thien va phdt trien ehinh sdch xa hgi hda cung nhu thiie ddy phat trien thj trudng dich vu y te ciia VietNam./,
Tai lieu tham khao:
Nghl quyil 46-NQ/TW ngay 23/2/2005 cua Bo Chinh tri vi cong lac bdo ve. cham soc vd ndng cao sue khoe nhdn ddn irong linh hinh m&i
Bdo cdo long kel 10 nam 2006 - 2016 viec Ihuc hi^n chii trucmg, chinh sdch ciia Ddng ve xd IIQI hoa dich vu y le (Bo Y li. tlidng 12/2016)
Cam kel gia nliap To chuc Thuang mai tlie gioi cua Vi^t Nam (2007)
_ Day manh xa hoi hoa djch vu y le (Doan NgocXuan. Tap chi Cong sdn so 867, 01/2015).
Tap chi nghien ciifu Tai chinh ke toan \ 3 T )
