UBND TINH QUANG NINH LONG HOA XA HOI CHU NGHIA V4T NAM So Y TE

DOc lap - Tkr do - H4nh phlic

SO:343q- /BC-SYT Quang Ninh, ngay 27 thong 12 nam 2016

BAO CAO T'O'ng ket cong tic cham soc, bao ve soc khOe nhan dan tren dia ban

nam 2016, Phtrang htrerng, nhiem vu trong tam 'tam 2017

Thgc hien C6ng van so 7621/UBND-TH6 ngay 23/11/2016 cila UBND tinh ve viec tong ket ding tac, nam 2016, xay dung nhiem vu nam 2017. Sg Y to bao cao Tong ket tinh hinh, ket qua thgc hikt nhikri vu ding tac cham soc, bao ,v sire khoe nhan dan nam 2016 va xay dung phtrang twang, nhikn vg yeu nam 2017, not dung cu the rilur sau:

A. DANH GIA TINH HINH CONG TAC NAM 2016 I. Cong tac tham mtru, chi d#o, dieu hanh Thgc hien cac Chuang trinh, ke hoach, nghi guy& dia Tinh Ay, HDND, UBND

tinh v'e nhim vu phat trien kinh to - xa hoi nam 2016 1 ; Tren ca son barn sat Quy hoach tong the phat trien he thong Y to Quang Ninh Glen nam 2020, dinh htrong den nam 2030 2, nam 2016, Sg Y to a chit dOng, tich cgc tham muu cho Tinh trong viec lanh dao, chi dao va di rk' hanh thgc hi'0.1the nhim vg ve cong tac cham soc six khoe nhan dan nhu sau:

- Tham muu cho UBND tinh chi dao cac nganh, cac dia phuong va dan vi co quan tang cugng cong tac kiem tra, giam sat, phong chong dich Wh, darn bao an town thgc pharn, thvc hien cong tac dan so - ke hoach hoa gia dinh va phoi hgp trien khai thgc hien cac host dOng chain soc, bao ve sire khoe nhan dan.

- Tap trung chi dao the don vi trong town nganh trien khai thgc hien cac Chuang trinh mvc lieu ve Y te, dam bao an town tient chung, cung irng clu thu6c, vat tu, boa chat...; nang cao chat lugng dich vkikham china bkth, tuan thu quy the chuyen mon, thgclOn cai each hanh chinh va day manh i".mg dgng cong nghe thong tin.

I • • Nghi guy& so 01-NQ/TU ngay 09/12/2015 dm BCH Ding be tinh, Nghj guy& so 228/NQ-HDND ngay 2/12/2015 dm HDND tinh yt phtrang htrdng, nhiem vu nam 2016; Nghi quyit so 02-NQ/TU cita BCH Ding be tinh ve phit trien dich vu giai doan 2016 - 2020, djnh hudmg den 2030; Chuang trinh hanh dOng so 06-CTr/TU ngay 11/4/2016 dm BCH Ding be tinh thvc hien NQ Dai hei Dang toan quoc lin thir XII, Chuang trinh hanh dOng thtrc hien NQ Dai hei Ding be tinh lAn thir XIV (theo Quyet dinh so 60/QD-UBND ngay 08/01/2016 cua UBND tinh); Chuang trinh so 103/CTr-UBND ngay 08/01/2016 dm UBND tinh ye cong tac nam 2016, Ki hooch so 360/KH-UBND ngay 19/01/2016 ctia. UBND tinh trien khai thvc hien NQ s6 01/NQ-CP ngiy 07/01/2016 dm Chinh nhiem vv, giai phap chi dao, dieu hanh thtrc hien Ice hoach phat trien KTXH va ngan sach nam 2016; Thong bao ket Wan ctia Ban Thtxtmg vu Tinh by lam viec vOi Tap the 14 Ban Thutng vu huyen ity, thj try, thanh iiy ye trien khai Nghj quy6t Dai hti Ding be tinh lAn thin XIV va nhiem vu cong tac nam 2016.

2 Quy hoach tang the phdt trien he thOng Y to Quang Ninh den nam 2020, djnh lurOng den nam 2030 (theo Quyet dinh so 926/QD-UBND ngay 08/4/2015 cua UBND tinh)

So. Y te da ban hanh van, ban s6 201/SYT-NVY ngay 04/02/2016 huong dan trien khai Nam giai phap nham thgc hien thanh cong Ba nhiem vu trong tam cUa nganh nam 2016 3.

II. M(it sO ket qua chii yeu thtrc hien trong nam 2016 Tap trung thkrc hien nhiem vu trong tam thin 1: Hoan thanh cac nhiem

vu chinh tri, cdc chi tieu ke hooch do tinh va B'0 Y to giao: 1. Thtyc hien nhiem vu, chi tieu, ke hooch 1.1. Cong tac Y to city phong Cong tac y to du phong tap trung day mgih tuyen truyen, kiem tra, giam sat

dich benh. Kiem soot, phong ngira nguy ca xam nhap dich benh qua cac dra khau.ChU d'Ong phucmg antiep nhan, each ly, diet' tri benh nhan; dam boo san sang va day cac dieu kien, nguon hre phOng, chong dich. To chirc xet nghiem, giam sat dich to mot so benh (Viem ho hap cap tinh do cum, Ho ga, Zika...). Thgc hien quy dinh ye thong tin, boo cao tinh hinh dich. T6 chirc kiem tra, giam sat silt khoe va ve sinh mai truang lao d6ng, ding tac y te h9c clueing, giam sat moi trueng sinh hog va hog d6ng xir ly chat thai y te. Ben canh do, tich cue phoi hgp lien nganh trong kiem soar thijc pharn, gia sUc, gia cam nhap khau, van chuyen vao dia ban tinh. Chi dao chuan bi day dU thu6c, thiet bi, vat tu, hoa chat, nhan sari sang phong chong thien tai tham boa va tham gia phuc vv, dam boo cong tac y te cho cac sk.r kien, hoat d6ng cila tinh.

Do toan he th6ng da thge hien tot cong tac y to du phong, nen ten dia ban khong xuat hien dich benh nguy hiem nhu cum A(H5N1, H7N9), Zika, MERS-CoV, Ebola...; Tuy nhien, có tinh trang rai rac mac benh cum mua, benh Tay chan mieng, Viem ,nao do virus va Nao m6 cau, sot Xuat huyet, Thuy dau...4. Cac tnrong hop mac benh da dugc dieu tri khoi, khong có bien chong; cac o dich duce khoanh vimg, xirb% ve sinh mOi truerng, ngan chan sir lay lan, phut tan mom benh.

1.2. Thyc hien cac chwrng trinh muc tieu So Y t6' da huong dan va don d6c cac don vi true thu6c xay dung ke hoach va

trien khai thgc hien cac Du an thanh phan thu6c cac Chuang trinh 'nue tieu do nganh Y te quan ly (theo not dung Nghi quy6t so 73/NQ-CP ngay 26/8/2016 Phe

3 Nam giai phap: (1). Quan tam thu hut, dao too, bed dtr&ng, phut trien nhan luc; (2). Tiep tic diu to phut

trien ho tang, da dang h6a phucmg thirc cung cap dich vu y te; (3). Diy.monh phut trien thuat chuyen man 6 tit Ca cac tuyen, tong ning cao chit luting hoot Clang tuyen ca sO; (4). Doi mai, ning cao hieu qua cac hoot (tang cung cip dich vi, chain sac stic khoe cho nhin din viIng kh6 khan; (5). Tang cuang hieu quit cong tac quan ly, thuc hien tot din chi) trong hoot clang u ca quan, ning cao chit luting cac mat cong tac, xay dung thtrang hieu don vi va niem tin caa nhan dan doi vai nginh y 4. Ba nhiem vu trpng Om: (1). Hoan thanh cac nhiem vu chinh tri, cac chi tieu ki hoach do Tinh uy, HDND, UBND tinh va BO Y 4 giao; (2). Phut trien &ding ba y 4 ph8 cap va chuyen sou; hutmg ye ca sO, vung kho khan. (3). Diy manh xa hai h6a, da (Jong hoi cac loci hinh cung cap va tang cueing chit ]cong dich vu y te).

Trong ram 2016: So mac benh Tay chin mieng = 434 ca, rai rac tren dia ban (8 ca duang tinh EV71); Binh Thu)/ dau giam, song ghi nhan 03 8 dich = 83 ca (tai Mang Cai, Hai Ha va Dang Trieu), da doge dieu tri cha yeti tai ging d8ng, kh6ng c6 ca nang, khong c6 tii vong. Giarn sat chit slang 31 truang hop nghi Ho ga, c6 08 ca xet nghiem duang tinh. Ghi titian 11 ca mac Viem nao virus (Viem nao Nhat ban B = 9 Ca); 04 ca Viem phoi nang do cum (02 Cam A/H3N2, 02 Clim A/H IN I). Lim tot cong tac kiem scat benh dai (s8 tiem phong doi la 1.503, tang 295 trtftg hop so ding kY nam truac (1.208 tnrang hap); kitting xay ra truang hap benh nhan dai ten dia ban). Ph8i hop lien nganh kiem scat chat chi 2 6 dich clam A (H5N6) ten dan gia cam tai Ba che va Dam Ha, khong de dich lay Ian sang nguai. S8 mac sot XH = 134 ca, duang tinh 92 ca. Tren dia ban khong phut hien ca mac Zika.

duyet chti tnrang dau so

cac Chuang trinh mvc tieu giai doan 2016 - 2020). Ket qua thuc hien mot Dv an nhu:

1.2.1. Tiem chung mo' rang Tang cuong chi dao, dam bao he th8ng bao quan vac xin, day chuy'en lanh,

dieu kien ve nhan luc, kST thuat va thuc hien nghiem quy trinh tiem chimg an town.

Xay dung k'e hoach, chi dao trien khai va to chIrc thuc hien thanh cong Chien dich tiem vac xin Seri - Rubella cho tre to 16 - 17 tuoi tren dia ban tinh, dat 95,76% ke hoach, vugt chi tieu de ra va dam bao tuyet doi an town.

Tang cuong hoat d9ng giam sat cac ca benh da dugc Chuang trinh TCMR bao ve,(1ao, seri, ho ga, bach hau, bai Lion van...); chi dao day manh thuc hien tiem vac xin Viem gan B cho tre trong 24h dau sau sinh.

Ty le tre em clued 1 tu6i dugc tiem di1 8 loai vac xin 11 thang nam 2016 chat 93,55% (ding kST nam truoc 94,9%) 5, trac Ca nam dat tren 95% (hoan thanh KB).

1.2.2. Phong ch6ng SOt xuat huyet (SXH) va virus Zika Sam phat d9ng va to chirc 03 clgt chitin dich Ve sinh moi trueng phong ch long

dich sot xuat huyet va benh do virus Zika tai cac huyen, thi xa, thanh pho. Giam sat vec-tai truyen benh va xet nghiem, phpc vu chan doan cac truerng hgp nghi mac benh S6t xuat huyet, quan ly dieu tri ca benh có xet nghiem throng tinh vOi virus Dengue, to chirc xir ly, kiem sok chat the mai truemg o dich.

1.2.3. Phong chOng benh Lao Xay dung ke 1pach va trien khai Thang hanh d9ng phong cho'ng benh Lao

va ngay The gioi chong,lao 24/3. Nang cao chat luting mang lugi lam cong tac xet nghiem, tham kham; day manh phoi hgp, nang cao hieu qua cac du an (Dv an Lao/HIV, Dv an Benh phoi tac nghen man tinh - COPD va Hen phe quan) trong phat hien benh lao. S6 lugt kham, phat hien benh nhan Lao mai AFB (+) Ix& dat ke hoach giao. Ty le benh nhan dugc dieu tri khoi dat > 90%.

1.2.4. Phong ch6ng benh Phong Duys tri chuang trinh phong chtmg benh phong, quan huong clan cham soc

phuc hoi chirc nang cho benh nhan tai cong dOng. Long ghep kham phat hien benh phong veri hog dOng kham chfra benh chung, phat hien 01 benh nhan phong mai va tiep nhan,, quan dieu tri 02 benh nhan (Benh nhan mod tai huyen Hai Ha va benh nhan tiep nhan den tai Mong Cal). Giao TTYT tuyen huyen to chirc quan huong dan cham soc cho 26 benh nhan phong tai nha; to ch-dc quan ly, dieu tri, thuemg true 24/24h, dam bao the do cho 08 benh nhan not tru.

1.2.5. Chtro'ng trinh phong chOng HIV/AIDS Phoi hop cac So', ban, nganh va cac dia

Day tang cuong tuyen truyen

gido dpc sireIchoe phong, chong HIV/AIDS. Day manh cac hoat Ong can thiep, giam tac hai (phat barn kim tiem, bao cao su...), tang cuong giam sat hoat gong

5 T9 le Phu ntt cO thai tiem phOng Vic xin u6n van mill 2 Ink dat 86,12%, Phu !la' de tiem phong Vic xin u6n van mill 2 dat 93,12; 1-9 le tiem vic xin viem gan B cho tre trong 24h sau sinh dat gin 51,3% (nam 2015 dat 48,7%).

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ph6ng, ch6ng HIV/AIDS tai cac huyen. Duy tri dieu tri HIV/AIDS brig ARV 6.

Duy tri boat dOng, phat huy hieu qua 05 co so dieu tri Methadone tren toan tinh 1.2.6. Bic) ve sire khoe tam than Ong dOng Trien khai thrc hien chuang trinh tai 164 xa, phuang, thi tra'n; so benh nhan

dOng kinh phat hien la 57; so benh nhan tarn than phan liet moi phat hien 116;, So benh nhan &mg thuoc deu dat90%. tierc tong so luo:t kham benh 8.725; tong so benh nhan not trU 2.692; tong , ngay clieu tri not tril inc tinh thirc hien 10.478.

1.2.7. Chain soc sire khoe Ba me va tre em Duy tri hoat dOng giam sat, chi dao tuyen ve cham soc suc kb:5e BA me va

tre em tai 100% huyen, thi xa, thanh phO, va 70% Tram Y tuyen xa. T6 chdc kham, quan thai sum, kham thai dU 3 lan trong 3 thai kS, thai nghen va huarng dan, to van san phi sinh de tai ca y to hoac có sp. h6 tro clla nhan vien y to 8.

Day manh ,tuyen truyen cham soc sdc khOe, phong ch6ng suy dinh duang cho tre em 9 . Trien khai hoat cl6ng Hueeng dan thirc hanh dinh duang va Truyen thong ye cham soc sire khoe cho tre em tai 186 xa.

2. Ging tac an toan thy.c pham (ATTP) Tham mu-u cho UBND, Ban chi dao tinh quyet liet chi dao cong tac ATTP va

trien khai Ke hoach Thang hanh clung vi ATTP flan 2016. Tham mu-u thanh lap TO glop viec cho Chia tich UBND tinh ve ATTP. Tang cuerngtap‘huan, b6i &rang, nang cao kien thirc quan 17 ve A 1"1"P va day manh tuyen truyen ve TO chdc tharn dinh, cap giay chdrig nhan ve ATTP. Nang cao hieu qua giam sat, kiem thirc bao dam an toan thirc pham phpc vu cac sir kien, le hOi, hOi nghi quan trong to chdc tren dia ban tinh. Tham gia cac doan thanh, kiem tra lien nganh tinh va to chdc cac doan thanh, kiem tra, giam sat chuyen nganh cna So ve A1TP. Nam 2016, tren dia ban tinh xay ra 05 vg ngO dOc thirc pham, tong so 21 nguai mac; khong co vu ngO dOc &rig nguai va '<hong co truong hop dr vong do ngO dOc thirc pham (giam 1 vu NIA 17 nguai so ved nam 2015); toan bO nguai benh da duoc cham soc, dieu tri khoi '°. To chirc thdc

6 To • • ng so lay tich Oat hien 10.905 nguai trong dO con song: 5.618 nguai; so quan 19 (lucre tren dia ban: 5.250 ngtrtri; tir vong: 5.287 nguai; Se nguti nhiern HIV mai 284 nguti, tir vong trong k9 147 nguti.

7 Lu..y tich so benh nhan clang dieu tri Methadone 1.176 benh nhan. Trong do co 436 berth nhan nhigm HIV va 982 nguai hien da dieu tri tren 6 thang, tat ca (dang dieu tri) deu 6n dinh sire khoe.

Ty le phi nu de &roc kham thai dir 3 lAn/ 3 k9 thai nghen dat 98,47% (KH 98%); do nhan vier) y t6 CIO 99,9% (KH 99,5%); T9 le sinh con tai co soy to 99,39%. T9 le ba me va tre SS &rot nhan vien y to tham, cham soc tuan Tau sau sinh dat: 99,91% (KH: 99%); T9 suat chet tre em clued 1 tuoi: < 12%o; T9 suat chet tre em duel 1 tuoi: < 17,5%0.19 le tre so sinh dual 2500 gam: < 5%. SO nguti mai thuc hien cac bien . phap tranh thai hien dai: 88.811 ca dat 110,4% ke hoach nam (KH: 80.398 ca). SO ba me trong thang dau sau de uong Vitamin A = 8.690 dat 84,7%.

9 T9 le thirc hien viec kiem tra can nang va do chieu cao 3 thang/ 01 !An (cho tre em duOi 2 tuoi) dat 97,38% va 1 thang/ .01 Ian (cho tre cluti 5 tuoi bi suy dinh dutrng,) dat 99,9%. Can do tre em dual 5 tu6i dot 01/6 Jac dat 98,9% tong so; t9 le SDD can nang/ tuoi va t9 le SDD chieu cao/ tuoi uac thirc hien dat ke hoach giao. SO tre < 36 thang tuoi dirgc uAng Vitamin A dot I = 68.261 (dat 98,6%);

io In an, cap phat 1.100 dia CD, VCD; 68.216 to. roi; 05 pano; 120 bang run, cb ph.rOn ve ATTP (dat 120% KH nam). Phi hop clang tai 110 tin bai, phong s,r ve ATTP. Cap 707 GCN ye ATTP, dat 221 % KH nam. Giam sat, kiem th,rc bao dam ATTP cho 54 str kien, le hOi, hOi nghi quan trong (tong s6 20.257 suat). Thuc hien 7.530 mAu xet nghi'em nhanh (dat 151% KH nam). TO chirc 88 luotcloan thanh, kiem tra, giam sat 997 co sa; 10 cuOc thanh tra chuyen nganh (06 cuOc dinh k9: 02 co so. dich vu an tieing, 01 co so SXKD ntrac uong dOng chai; 03 cuOc thanh

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hien quy trinh ky thu4t ve kiem nghim ATVSTP tai Trung tam Y t6 du phong tinh (da &rot W;.' Wing nghip & PT NT va Be? Cong thuong chi dinh) tix thing 12/2016.

3. COng tic Dan so - KHHGD , Tang cuong cong tic tham rntru ban hanh cac van ban chi dao v&s cong tic Dan

so, KITEIGD ". Day manh tuyen truyen, giao due dan so, sdc khoe va gia dinh. Cung cap phumg tien trinh thai day du, thulan tin den cong dOng, tap trung vao cac dia ban mien mai, yang dOng bao dan tOc, hai dao va not có mirc sinh cao 12 . M4C du gap nhieu Icho khan do chlam có huemg clan hoat Ong va kinh phi chuang trinh muc tieu Dan so - KHHGD tir Trung uong, nhung dugc su quan tam sat sao cua tinh, Soy Y to da tich cut,phoi hop voi cac ban, nganh, dia phuang trien khai nhieu giai phap thqc hin, nen hau het cac chi tieu ye dan s6 - KREIGD deu hoanh thanh, trong do có mot so chi tieu nhu mirc giam tS/ suit sinh, tS, s6 gioi tinh khi sinh, tS/ le sang lac truck sinh hoan thanh vuot mirc so voi, ke hoach. Vai tra dia Ban chi dap cong tic dan so - KHHGD cap. huyn da &rot the hienrat ro" net, phat huy tinh Ong, sang tao trong trien khai cac hoat Ong. Hau het cac dia phuang da trien khai theo dim& chi dao cua tinh, nhieu don vi dal chf.i dOng xay dung ke hoach cao han chi tieu ke hoach giao cua tinh. 100% dia phuang da xay cl‘mg va trien khai ke hoach thut hien Ke hoach s6 5535/KH-UBND ngay 07/9/2016 cUP a t.1' y ban nhan dan tinh ve viec thgc hien De an Ki6m soat mat can bang gioi tinh khi sinh giai doan 2016 - 2020.

4. Cong tic khim china 130h, BHYT va cap chting clii hanh nghe Y t# da tap trung chi dao cac don vi Icham chfra bnh thgc hi4'n Bo tieu

chi chat luong Bnh vin; to chirc thuong true cap ciru, phuc vu lcham chila Wh, san sang phuang an dap img cac tinh hu6ng khan cap. Phoi hop cac nganh, dia phuang, dan vi có lien quan lam tot cong tic phpc vu cac hoat dOng cua tinh.

tra 03 ccr soy co bep an tAp the); 03 cu6c thanh tra d6t xuat = 08 ca soy KDDV an ding, san xuAt da, ntrac da; 01 doan lien nganh thanh, kiem tra 09 ca soy SXKD nuot mini ten dia ban tinh, lay 20 mau ntrac marn girl xet nghiem, ket qua 100% au dat yeti cAu. Trong qua trinh thanh, kiem tra cac doan da thkrc hien xet nghiem 265 mkt thkrc pham, trong do 03/265 mau ducrng tinh Han the (thkrc pham Fitly tai chs3). Phat VPHC 40 co so (canh cao 05; phat tien 35 co soy = 144.850.000 d6ng).KDDV an Wong, san xuAt da, mac di; 01 doan lien nganh thank, kiem tra 09 co so. SXKD nu& mim tren dia ban, ket qua xet nghiem 20 mau noon mam, 100% matt dat yeu cAu. Trong qua trinh thanh, kiem tra cac doan da thkrc hien )(et nghiem 216 mau thi,rc pham, trong do 02/216 mau throng tinh Han the (thkrc phArn huy tai ch8). Phat VPHC 38 co so (canh cao 05; phat tien 33 co so = 138,4 trieu &mg).

11 Cong van s6 180-CV/TU ngay 23/3/2016 cua BTV Tinh Ay trien khai thi,rc hien Ket luAn s6 119-

KL/TW dm Ban bi thu Trung wing Ding; Ke hoach s6 2579/KH-UBND ngay 11/5/2016 cua UBND tinh trien khai thkrc hien ket luA'n 118-KL/TW va Ket luAn

De ciia ban bi thu Trung trong Dang; hoach 5535/KH-

UBND ngay 07/9/2016 ye viec thkrc hien De an Kiem soft mat can bang tinh khi sinh giai doan 2016 — 2020; Quyet djnh so 512/QD-UBND ngay 22/02/2016 ctia UBND tinh ye viec kien town Ban chi dao cling tic dan s6 KHHGD tinh Quing Ninh; Quyet djnh s6 24/QD-BCD cua Tnrong Ban chi dao cong tic dan so - KHHGD tinh ye viec ban hanh Quy the hoat dOng ctia Ban chi dao cong tic dan so - KHHGD tinh Quang Ninh).

12 A Phoi hop vOi Dai PTTH tinh duy tri chuyen !nue "Dan s6 va Hanh phtic", LD,TB&XH trien khai

cac hoat (Xing thfic dAy binh ding giai. T6ng s6 tre sinh ra trong ram 19.528 tre (giarn 1.429 tre so vii ram 2015); Mtic giam tjr suit sinh binh quan trac dat 1,35%o (KH giao 0,15%o); T6ng s6 tit sinh ra IA con thir 3 tra len uOc tinh 892 tre (giam 68 tre so vOi nam 2016), hoan thanh 100% chi tieu KH nam; TS, s6 giai tinh khi sinh trdrc tinh 112,5% (KH 112,8%); S6 ngutri &roc sang 19c truck sinh uOc TH 17.186 ngtrai (tOng s6 phu nib mang thai: 21.358 nguoi), dat 80,46% (ke hoach giao: 65%), wort chi tieu giao. SO tre &roc sang 19c so sinh troc 2.241 tre, chiem tjr le 12,5% dat 63% Ice hoach; SO ngtrOl mOi thkrc hien cac BPTT trong nam trot TH 92.231 /80.398; dat 115% so vOi ke hoach.

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- Tang cueing thvc hien lcS7 luat, ky cueing, dap dire cong vi, van hoa cong soy. Tiep tic thvc hien De an "Ming cao y (Etc" va Ke hoach "Doi mai phong each, thai do phyc vu caa can 13.0 y to hicong tai sic hai long ciia ngithi benh"; thvc hien tot phucmg cham lay nguiyi benh lam trung tam.

- Chi dao thtrc hien,Quy che' chuyen mOn, nang cao chat 1u9ng kham, chum. benh va tinh than

chit lugng hoat d6ng ding tac kham, giam dinh sire khoe. Cung co to chire, b6 may va dam bao hoat d6ng cua Trung tam Phap y sau khi thanh lap.

- T6 chic thutmgstruc, van chuyen cap ciru 24/24h. Duy tri duong day ming, kip thoi dap ung nhu cau van chuyen, cap ciru va dap ung thong tin, ho trg thao go kho khan cho nguoi dan khi c6 yeu cau.

- Tip tic tri6n khai dugc nhieu ky thuat mai, Icy thuat cao tai Benh vien Da khoa tinh, Benh vien Bai Chay, Benh vien San Nhi... (theo Dean benh vien ve tinh). Dua 02 ca sa ky thuat cao vao boat d6ng (Khoa Can thiep, phau thuat Tim mach, Benh vien da khoa tinh va Khu Xa tri ung thu, Benh vien Bai Chay).

- Phi h9p vOi cac nganh, dia phuang tang cueing tuyen truy&n thtrc hien chinh sach Bao hiem y te; Ty le bao phi Bao hiem y to tren dia ban tinh dat 87,1% (KH giao da dirge dieu chinh to 83% len 86%). To chile thvc hien thong tuyen, chuyen tuyen KCB BHYT. Tang cueing kiem,tra, giam sat viec thvc hien chinh sach, quy dinh ye kham chila benh BHYT. Tier) tic that hien viec cap chUng chi hanh nghe cho d6i ngfi can b6 va giay phep hoat dOng cho cac ca so y to cong lap NIA ngoai cong lap theo quy dinh.

- Thwc hien nhim vu trong tam thir 2: Phat trian clang be y to pha cap va chuyen u, hirOng ve co' so, clac Wet la yang kho khan.

Soy Y to TA' tip tic chi dao va phan cong cac don vi phi trach tong dia ban; cac don vi da Ichae phvc kho khan, thieu thon (ve than lire, thiet bi, ve giao thong di slai, kink phi...) de to chirc cac down kham sic khoe luu d6ng, ket h9p to chirc dieu tra tinh hinh benh tat trong cong dOng, thvc hien to van true tiep va cung cap thuoc, chain soc sic khoe cho nguoi dan tai cac dia ban,viing sau, vimg xa 13, gop phan tao dieu kien cho dong bao viing kho khan dirge tiep can voi cac dich vv y to c6 chat lugng. Ben canh,do, thvc hien lOng ghee cong tac chi dao tuyen, cong tac dao tao, huong dan chuyen giao Icy thuat tuyen tren cho tuyen clued.

- K6t qua kham, chila benh du kien thvc hien (theo phi bie'y chi tilt gild kem). 5. Cling tac Dirge, trang thiet bi

, Chi dao thvc hien viec dau thau, mua thu6c dung quy dinh, dam bao du thuoc c6 chat lugng, gia ca on dinh, dap ung nhu cau dieu tri va phong benh. Thvc hien nghiem cac quy dinh ve quan ly gia va to chat ban le than phvc vi nguoi dan. Kiem tra, chan chinh viec thus hien quy the duge tai cac dan vi true thu6c. B6 sung trang thiet bi phvc vv cong tac. Thtrc hien the do bao duong, bao tri trang

13 Berth vien da khoa tinh ho trq TTYT Da'm Ha; Benh vien Bai Chay hO trq TTYT huyen Binh Lieu; Berth vien San Nhi hb trq TTYT huyen CO T6, BVDKKV CAm Pha 118 trq TTYT Ba Che.. Da t8 chirc 3 - 4 4191 kham, to van, chtta benh (lint Ong) tai 39 xa kho khan, tong so dat 20.200 luqt ngutfi.

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thiet bi theo quy dinh. TO chirc cac buo.c nghiem thu dOi voi Du an dieu tra va de xuAt Quy hoach tong cay thuoc tren dia ban tinh.

6. Quin 157 y duvc ttr nhan TO claim 04 lOp tap huAn phap luAt cho 916 nguoi hanh nghe hanh nghe y,

dugc tu nhan tren dia ban tinh. Day manh cong tac quan ly va thong tin ding khai danh sach, dia chi, pham vi hanh nghe va thuc hien ding tac thanh tra, kiem tra ye hanh nghe y clugc tu nhan 14. Kiem tra, giam sat, danh gia hoat dOng quan 13", nha ntrac trong linh vuc y te tu nhan, bao cao Doan giam sat dm HDND tinh va Doan kiem tra, danh gia cilia BO Y te ve tinh hinh thuc hien quy dinh cua nha nu& ve cap chimg chi hanh nghe va giay phep hog dOng y te.

7. Cling tac thanh tra, kiem tra; danh gia sy• hai long ciia ngtroi dan; cong tic tiep dan, giii quyet clan thu

TO eh& thanh tra viec thuc hien chinh sach phap 1114, nhiem vu, ice hoach cua nam 2015 va thanh tra thuc hien nhiem vu theo ke hoach hang nam va clOt xuat 15.

Thueng truc tiep nhan, giai dap thong tin qua duOng day nong. Thut hien the do tiep dan theo quy dinh. Duy tri viec khao sat them do y kien, danh gia su hai long dm can bo y te va nhan dan tai cac don vi, Co so y te, tren co so. do dieu chinh cac bien phap thuc hien, nang cao chat luting cong tac quan tri va cung cap dich

8. COng tic TO chirc, b0 may va can 130 Tiep tuc thuc hien De an cila So. Y to ve "Dai mai phuong thirc, nang ,cao nang

4rc Minh ciao, stir chitin ciciu czia bang; thus hien tinh gian b."0 may, bien che" 16. Day manh phan cap quan 13"/ cho cac don vi, co phat buy co che lanh dao tap the, g.L vo.i de cao trach nhiem ca nhan cua nguad dimg dau. Tiep tic ma rOng thuc hien ca the thi diem danh kinh phi chi thu nhqp tang them de tru dAi thu hut, phat trien, boi duotg nhan hit chat lucyng cao, Ichuyen khich nang cao hieu qua cong tac. Ra soar, danh gia, dieu chinh lai viec thuc hien 3 mO hinh tram y te xa, phueng, thi tan sau 01 nam thuc hien. Hoan thank ban giao 186 Tram y te xa, phuong, thi tren tir Trung tam Y to huyen thuc n Y te ve truc thuOc UBND cap huyen qualy tir thong 1/2017. Trien khai cong tac ctuy hoach can bO va huong din thuc hien hgp dong bo sung nhan luc. Thgc hien bo nhiem, bo nhiem tai can bO lanh dao, quan ly cac don vi theo quy dinh. Ra soat, danh gia nhu cau, tong hgp, lap ke hoach tuyen

14 Den het nam 2016, tren dia ban tinh c6 1.089 ca so hanh nghe y, chivy to 'Than (366 ca so kham benh chGa berth va 723 ca so kinh doanh thu6c). Nam 2016, cap dtrqc 540 giay chang nhan, giay phep cac loai (167 chang chi hanh nghe • Y, 34 Giay phep hoat Ong kharn chtra benh tu nhan; 175 CCHN ducrc, 164 GCN dieu kien kinh doanh thu6c). Kiem tra 47 ca sO, xi phat VPHC 17 ca stir, so tien la 69,350 trieu ding.

15. Toan nginh tiep 16 luct cong dan (nal dung chi yeu ve the de BHYT, s6 it ve tinh than thai de phtic vp va thuc hien quy tic irng xa); tiep nhan 30 don/ 27 vu viec, da phan loai, giii quyet 22 don theo quy dinh. SO Y te giai quyet 09 don/ 09 vu viec; cac don vi taw thu6c giai quyet 15 dan/ 12 vti viec (khang thuOc them quyen giai quyet cua Nganh Y te 06 don/ 06 vµ viec), Ithang de vu viec khieu nai, to do ton clang phac tap, keo dai. Qua thanh tra, kiem tra, da th 15, 65 to chic, ca nhan co vi pham vol tong so tien 243.650.000 d; tuac quyen sir dung Gay CNDDKKD thu6c 01 ca sO trong thtri gian 02 than; ttrac quyen sir dung CCHN Duqc 05 Ca ser tir 01-03 than. Tiep nhan, phan loai, xu 1j, 85 luvt thong tin qua&rang day nang, Phan anh, de nghi, giai dap ye chinh sach KCB, ye quy trinh chuyen men... Khao sat 3020 phieu danh gia ye si,r hai long dm CB va nhan dan doi yeti cong tac quan 15/ va cung cap djch vu y te.

16 Sap nhap cac Trung tam Y to vai Benh vien Da khoa tuyan huyen tren cung dia ban, giam 07 du m6i chirc.

Giai the Trung tam Chinh hinh va Phuc hei chirc nang. Thanh lap, dua Trung tam Phap y vao boat deng.

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dung vien chirc va ke hoach thi, thing hang vien chirc trong town nganh nam 2016 theo quy dinh. Thuc hien Ke hoach tinh gian bien the nam 2016 (theo Nghi dinh so 108/2014/ND-CP). Day manh cong tac dao tao, 138i dutmg (dao tao sau dai h9c, b6i duEng trong va ngoai nuac, dao tao lien tic), Soy Y to da dr 103 can bO di dao tao chuyen mon bac sau dai h9c, 61 gong chi dao tao chinh tri (trung cap, cao cap); to, chic 3 lop tap huan cong tac quan cho 300 can bO lanh dao, quan 1S, Phan cap cho cac don vi cir di dao tao, boi duong ngan han ve chuyen mon nghiep vu 2621 lugt can bo. Quan tam chi dao, trinh BO Y to cap ma dao tao lien tic cho S& Y to va 3 dan vi true thuOc (Benh vien San Nhi, Benh vien da khoa tinh, Trung tam phong chtmg HIV/AIDS) va chi dao cac don vi dugc cap ma trien khai thuc hien cong tac dao tao lien tic cho cac don vi, dia phuong., Tiep tic thuc hien Ke hoach Doi mai phong each, thai phic vi dm can bO y to va trier' khai not dung ca so y to xanh, sach dep, huong tai su hai long cila nguOi benh. To chut dang ky thi dua va huOng dan tong ket phong trao thi dua, thgc hien cong tac khen thuong nam 2016 trong nganh.,Thuc hien hoan thanh Ke hoach xet tang danh hieu ThAy thuoc tru Thay ,thuoc nhan dan (lan thd XIII nam 2017), trinh cap có thm quyen xem xet. Trien khai tot boat dOng cua Cim TD VHXH tinh nam 2016 17.

9. Hot dOng KHCN, Cal each hanh chinh, CN thong tin va Van the hru trit - Tang cuang nghien cuu va Ung ding Khoa h9c cong nghe; hoan thanh xay

dung Thu vien dien tu; dua tren 1000 phac do va huang dan dieu tri vao khai thac tai Thu vien dien tir, phic vi cong tic (mOt so dan vi datich cgc thuc hien cong tac nay nhu: Benh vien da khoa tinh, Benh vien Phvc hoi chirc

- Day manh ang dung Cong nghe th8ng tin (CNTT). Tap trung chi dao, thgc hien, hoan thanh viec dong bO boa town bo danh mvc ky thuat KCB, danh mvc thuoc, vat tu... Dam bao lien thong da lieu thanh town KCB BHYT gift cac don vi vai BFDCH theo quy dinh. Tich cuc tim kiem, ung dung vaphat huy hieu qua cac phAn mem ung dung (quanVf kham chtia benh, quan ly ho so benh an; quan ly hinh anh y te; thanh town vien phi, quan 1$7 KCB BHYT, nghiep vi ke toan...); gidp giam thai gian thuc hien thtl tic hanh chinh (TTHC) va nang cao chat luang phvc vv. Trien,lchai phan mem quan kham chita benh va thanh town BHYT tai 186 Tram y to xa, phuong va cac phong kham khu vuc. Hoan thanh dau tu, dua he thong Telemedicine vao hoat dOng, phic vi cong tic hOi chan, tu van, h8 troy kham chira benh h r xa tai cac co soy y to ten dia ban tinh.

- D'Ay manh Cai each hanh chinh, nang cao hieu qua quan tri va hanh chinh cong: + Xay dung ke hoach va ban hanh cac van ban chi dao, huong,dan thuc hien

CCHC. Tang, cueng tuyen truyen ve cong tac CCHC, ye cac chi so' CCHC (Par-index), chi so cai thien moi truang dau tu kinh doanh, nang cao nang luc canh tranh cap tinh (PCI), chi so, hieu qua quan tri va hanh chinh cong (PAPI), chi so su hai long cua nguoi dan doi vai su phvc vu dia co quan nha nuot (SIPAS). To chirc tap huan, b6i du-Ong nang cao kien thgc, k-y nang trien khai ve CCHC cho gan 400 can bO lanh dao, quan ly cac dan vi (den Trug&ng Tram Y to xa).

17 Y t6 &rot cum Thi dua khOi VHXH binh xet, suy ton, bao cao UBND tinh va HOi dtmg TDDKT tinh de nghi Chinh phic tang thi dua nam 2016.

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+ Duy tri viec tham khao y kien danh gia cua ngu6i dan (thong qua tip dan, xu lY dan thu, thong tin qua duang day nong, 110 thu g6p Y, phat phieu tham do...); tit do phat hien va kip then chan chinh nhang ton tai, han the tai cac dan vi.

+ Tap trung ra soat, danh gia viec thuc hien toan bo cac danh mvc, not dung, b6 thu tvc hanh chinh dang trien khai, doi „chieu v6i cac quy dinhhin hanh de trinh UBND tinh dieu chinh, bai bo hoc bo sung, thay the, chua.'n hoa cac danh mvc, thu tqc, not dung thuc hien TTHC.

+ Hoan thanh xay chyng quy trinh, dua 100% TTHC vao thuc cung cap dich ding trvc tuyen mdc d6 3 tix thang 10/2016 (So. Y to la mot trong 3 Sat semi hoan thanh nhiem vv nay theo chi dao cua tinh). Da ban hanh Quyet dinh uy quyen cho can b6 thuc hien viec tiep nhan, tham gia vao quy trinh tham clink, theo clOi viec thuc hien quy trinh va trinh phe duy4 TTHC ngay tai Trung tam Hanh chinh cong d6i vai 100% thil tvc hanh chinh dang thuc hien tir thang 12/2016.

- Thuc hien cong tac ,van thu, km s6 hoa tai Ap dung mau chit 14 s6 va thuc chUng thu so, trao doi van ban din tit theo quy dinh.

10. Hoyt dOng tai chinh va dAu ter, xay dtyng ccr ban

T6 chuc giao va chi dao thvc,hin hoach toan thu,„ chi nam 2016. Dam bao tin d6 giai ngan cac nguon von chi clAu phat trien; Trien khai thuc hi*1 gia dich vu kham chita benh BHYT tai cac B'nh vien cung hang ten toan quoc theo quy dinh tai Thong ,tu tich so 37/2015/TTLT-BYT-BTC B6 Tai chinh. Hoan thanh Du dau tu XDCB d6i v6i Trung tam y to huy'n Dam HA va ca ban hoan thanh Dv an dau to xay dung Trung tam Y to thi xa Quang Yen. Day nhanh tien,d6 thi, ding Trung tam Y to Dong Trieu, Hoanh B6 va hoan thanh cong tac chuan bi dau to cac du an theo ke hoach de to chdc thuc hien trong nam 2017.

- Thtyc hien nh*n vu tryng tam th& 3: Day munh xa ho:i h6a, eta dung hod cac loaf hinh cung cap va tang ctcong chat lifo'ng dich vu y to

So. Y to da chu d'6ng thao go kho khan, tich cvc thuc hien cac chu truang, mo hinh xa h6i h6a, dAy manh nghien cuu,stim toi, thgc thi h9p tac doi tac cong - nhu chuyen giao cho nha dau to quan b%, van hanh doi ved Bnh vien da khoa Cam Pha, xay dung phuang dau 1:31.1hvi'n San Nhi (giai doan 2). Tiep tvc thuc

., thi diem mot so mo hinh hap tac huy dOng nguon luc dau tu

cua xa h6i vao linh vvc y to va nang cao chat luting cung tang dich vu plux vu cham soc sirc khoe cho nhan dan tai cac dan vi.

11. MOt so hot dOng khac: ,Song song voi thuc cac vu ten, Y da to chirc thgc hien

mot so cong tac khac nhu: (1). Chi dao tong ket nam 2015,,huong dan to chirc H6i nghi can b6, cong ch&c, vien chic nam 2016. (2). Tong ket Chuang trinh MTQG Dan s6 - KEIHGD va Chuang trinh MTQG phOng, chong HIV/AIDS giai doan 2010 - 2015; (3). Ph6i hgp vo7 mot so ca quan nhu: Ban Dan van Tinh uy, Ban Dan t6c, Bao Quang Ninh, Dai PITH tinh..., Icy ket Quy the phoi hap cong tac nam 2016 va giai doan 2016-2020; (4). Xay dung chuang trinh, quy che, to chirc thuc hi.41 hoar' thanh toan bo not dung Chuang trinh cong tac nam 2016 dm Cum thi dua kh6i VHXH (SO Y to la Cum truong luan km); (5). Phi hap, ho tra H6i Da lieu Vi't Nam va Vien Da lieu TW to chtit H6i thao khoa h9c quoc to va Dai h6i H6i Da lieu Vist

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Nam nhiem kSr 2016 — ,2020. chirc nhieu h9i thao khoa hoc, hoat Ong dao tao khac. (6). Tuyen truyen va tich cuc chi dao, tham gia va phve cac hoat dOng bau DO Neu Quoc h9i Ichoa XIV va bau dai bieu H9i gong nhan dan cac cap, nhiem kSr 2016 - 2021. (7). Xay dung Ke hoach va to chirc thuc hien thanh cong dgt DiL tap QP-AN nam 2016 theo chi dap cua UBND tinh va Quan khu 3. (8). Ph6i hop chat the gala chuyen mon va ding down thuc hien tot cong tac van d9ng doan vien, h9i vien trong town nganh thuc hien tot cac chucmg trinh, hog Ong có lien quan (ling h9 xa, thin ngheo cua tinh ra khai dien dac biet kho khan va ling h9 Tong bao mot so yang lchac phvc hau qua thien tai...).

III. Dinh gia chung , Nam 2016, nganh Y da barn sat chit de cong tac nam cita, tinh 18, nam

chac tinh hinh, Ong tham muu, tich cuc, quyet liet chi dao, dieu hanh trien khai cac nhiem vu dugc giao. Toan nganh dal tich cuc then khai thgc hien 3 nhiem vu va 5 giai phap tong tam nam 2016. Tap trung thuc hien De an 25 theo chi dao cua Tinh. Tham muu chi dao va thuc hien tot cong tac giam sat ph6ng chong dich berth, dam No an town thuc pham. Thgc hien tot cong tac thuong true cap cum, san sang tiep nhan, dieu tri benh nhan. Tiep tvc thgc hien De an nang cao Y dire, thuc hien Quy tac img va Doi mai phong cach, thai clO phuc vu ci:ia can bO y to hitting tai sit hai long ciia ngueri benh"; thuc hien tot cac quy the chuyen mon, nang cao chat luting kham chira benh va tinh than phttc vu, xay dung thuong hieu don vi.

Tren dia ban tinh kh6ng có dich benh lon xay ra, kh8ng xay ra vu ng9 d9c thuc pham dong ngueri va khong co tit. vong do ng9 Oc thuc pham. Cong tac cai cach hanh chinh, kSr luat, IcS7 cuing, dao dirc cong vu, van hoa cong sa CO chuyen bien tich cuc. Chat luting Icham chtla benh &roc nang len. Hieu qua hoat Ong cac chucrng trinh y to dugc tang cuing.

Cac nhiem vu chinh tri, chi lieu ke hoach do Tinh uy, H9i dong nhan tinh va nhiem vu chuyen mon duoc giao nam 2016 deu dat va vuot Ice hoach, mot so chi tieu nhu:

- TS, le nguari dan tham gia bao hiem y to dat 87,1%; - So bac si/ 10.000 dan: 12,3 (KH giao nam 2016 dat 12 bac sl/1 van dan) 19;

- TS, le chat thai y to duac xir ly 100%. KEt qua ki'Jm tra town di?n cu4i nam 2016: - Ve thuc hien nhiem v1,1 trong tarn: 100% cac dan vi trong Nganh deu hoan

thanh nhiem trong do co 04 don vi hoan thanh xuat sac nhiem vu (bang 15%); 22 don vi hoan thanh va hoan thanh tot nhiem vu (bang 66,7%);

- Ve danh gia k6t qua thuc hien nhiem vu chuyen mon cila cac dan vi y to tuyen tinh va he du phong tuyen huyen: Co 04 don vi hoan thanh xuat sac nhiem vu (bang 17,4%); 18 dan vi hoan thanh tot nhiem vu (bang 78,3%); chi CO 01 don vi hoan thanh nhiem vu a mi.rc kha.

- Ve ket qua thuc hien B9 Tieu chi chat luting benh view Co 05, don vi dat muc kha (dat 3 den 4 diem theo B9 Tieu chi chat luting Benh vien), bang 26,3%; 08 don vi dat m*c TB - kha (tit. 2,5 diem den 3 diem) bang 42,1%; 06 don vi dat

18 Chu de cong tac nam 2016 ciza tinh: "Ndng coo chdt hrorg qucin tri va hanh chinh cong, xay dung thanh pile, du lich Ha Long".

19 T5/ le Bac s9 dat 14,5/10.000 dan (n6u gom BV V* Nam Tim), DiL Uong Bf va 02 TTYT nganh than). 10

mire trung binh (tir 2 den 2,5 diem) bang 11,6%; khong co don vi nao 6 mire yeu (2 diem). Diem cao nhat la BVDK tinh (3,76 diem) va BV Bai Chay (3,54 diem).

Tuy nhien, cong tac quan 13'r an toan thirc pham tai mot s6 dia phuong, dia ban vung do thi, nong thon con co nhitng kho khan, bat cap. Ben canh do, viec trien khai mot so nhiem vu dugc giao con gap mot so kho khan, voting mac do co' ch'e, chinh sach, can thao ga va quyet tam thgc hien trong th6i gian tiep theo.

B. PHIAING HVONG, NHItM \TV CHU YEU NAM 2017

I. Muc tieu Nam 2017, cong tac cham soc, bao ve slat khoe nhan dan tinh Quang Ninh xac

dinh muc tieu can thgc hien la: Clang co va hoan thien he thOng y te theo hu6ng cong - bang, hieu qua, phat trien ben vung. Tao dieu,kien de m9i ngu6i dan dugc cung cap

cac dich vu them soc sire khoe co. ban, c6 dieu kien,tiep can thuan 19i, sir dung cac dich vg c6 chat 1u9ng, va huong toi chat luting cao. Kiem sok chat che dich benh, dam bao an town thgc pham, nang cao the lgc, duy tri mire sink hop ly, giam tST le tre em suy dinh du`ang, giam tY' le mac b'enh, tang cuong tad tho... Tiep tuc nang cao y dire, xay dung nguon nhan lgc y te chat luting cao; Day manh xa h6i boa, thu hut nguon lgc dau tu, nang cao hieu qua cong tac chain soc sire khoe nhan dan.

II. Du Wen chi tieu ke hoach nam 2017 Phan dau hoan thanh va hoan thanh vuo:t mire cac chi tieu do B6 Y te, Tinh

lay, H6i d'ong nhan dan, Uy ban nhan dan tinh giao trong Ke hoach nam 2017. (Dc kiln cac chi tieu theo phy luc geri kern).

III. Cac nhiem vu trung tam va giii phi') chu yeu nam 2017 1. Nhiem vu trong tam Quin triet cac Nghi guy& cue Tinh lay, HDND va Chuang trinh, ding tac,

nhiem vu trong tam UBND tinh, va B6 Y te, nam 2017 nganh Y te xac dinh ngoai viec thgc hien day &I chdc nang nhiem vg, chi tieu ke hoach giao can tap trung thgc hien tot 05 nhiem vu trong tarn sau:

1.1. Tiep tic phat trien y to ph6 cap (deic bift quan tarn den ct'ong bao vimg sau vimg xa), y te chuyen sau, nang cao chat luting dich vu theo chuan quoc gia, huOng tad chuan quoc te; xay dgng thucmg hieu don vi.

1.2. Chu trong thgc hien c6 hieu qua De an 25; cong c6, nang cao nang lgc he thong y te dg phong, Trier). khai hoat d6ng Trung tam y te hai chirc nang tuyen huyen va 3 mo hinh Tram y te tuyen xa dam bao hieu qua, thiet thgc.

1.3. Tang cuong kS, luat, k-S7 cuong hanh chinh, thgc hien y ditc, quy tac Ung xir xay dung ca quan, dan vi van hoa, van minh, than thien, sang, xanh, sach dep.

1.4. Ca cau lai d6i ngu nhan lgc y,te phu hgp, hieu qua. Dec bit quan tam xay dung va thgc hien chitin lugc phat trien nguon nhan lgc chat lugng cao.

1.5. Day manh Cai each hanh chinh, Ung dung cong nghe thong tin va khoa h9c cong nghe.

2. MOt so giai phap chu yeu 2.1. Tang cuirng nang,luc va phat huy hieu qua cong tac y du phong tir

tinh toi co' so' va thip hien tot cac chuvng trinh muc tieu

- Tiep tic trien khai thgc hien De an 25 ve "Nang cao Jiang lyv kinh ciao, sic chitin ckiu va dal mai phuong thiic Minh dao czia fang; Tinh gicin bO may bien ch .A Nganh Y to tinh Quang Ninh";

- Thuc hien co hieu qua cong tac phong ch6ng dich benh va an toan thgc phAm: Tang al-Ong cong tac y to dg ph6ng, thgc hien day du cac chuang trinh mgc

tieu ve y te. rasp trung nang cao hieu qua, hoat d6ng, nang ltrc giam sat, kha nang phat hien va kh6ng the dich berth nguy hiem ctia he th6ng y te dg phong, khong de dich Ion xay ra, cho tong cong tac ve sinh phong benh. Tang cueing cong tac quan 1)", chat lugng ye sinh an toan dux pham, cong tac kiem dich y te, day,manh hoat d6ng phong chong HIV/AIDS. Nang cao chat luting cong tac tuyen truyen gido dye sirc khoe, to chuc tot cac hog Ong phong chOng dich va quan 13'r, dg phong, cham soc cac benh khong lay nhiem. Duy tri ben \ling ket qua 100% xa, *rang, tran cua tinh dat Tieu chi quoc gia ye Y te xa.

- Duy tri va nang cao hieu qua hoat d6ng cong tic dan KHHGD. Tap trung thgc hien cac giai phap, timg buoc nang cao chat luting dan so, kiem soat tinh tang mat can bang gio7 tinh khi sinh;trien khai thgc hien cac Inge tieu thien nien ky, giam ty suat chet tre em duoi 1 tuoi, duOi 5 tuoi, tir vong me.

2.2. Nang cao chat Itro..ng kham, chfra b'Oh; clap &rig nhu eau khan], chira 14nh ngay cang cao cua nhan dan

- Tip tic thvc hieu De an "Nang cao y chic tron$ Nganh Y te" va Ke hoach "Doi mai phong cach, thai cho phyc vu cita can ,b0 y huang tai sy• hai long clia nguai benh". Tang cuerng cong tac dao tao, boi throng chuyen mon nghiep vg; tiep tic cai each hanh chinh (dac biet la thu tic hanh chinh); doi mai phuong thirc cung cap dich vu theo huong dam bao chat luting, de tiep can va than thien.

+ Chu trong thgc hien tot ky thu4t ca ban, Ong then uu tien phat trien cac ky thuat cao, chuyen sau, bao dam cho m9i nguoi dugc tiep can thulan lgi cac dich vi kham benh, chila benh có chat luting ngay tai,tuyen co se/. Tang cueing cong tac kham chila benh ltru d6ng va chi dao tuyen, de guoi dan vong sau, vong xa ,dugc tiep can dich y te c6 chat lugng. Quan tarn thgc hien W) tieu chi chat luting Benh vien.

+ Mop r6ng ket not gitla cac don vi y to va gif:ra cac tuyen a dao tao, chuyen giao, phat trien kyr thulat. Day manh ket hap y hoc hien dai y h9c co truyen.

- Thgc hien tot cac chinh sach ve BHYT,,phgc vg charn soc sire khoe cho cong clang. Tich cgc phoi hop cac nganh, phuong de thgc hien tot cac chi tieu, mgc tieu cua tinh ve mb r6ng dien ngueri co the BHYT, thgc hien Bao hiem y to toan dan.

- Thgc hien chinh sach 9uo'c gia ve thu6c; Tang cuong quan ly nha ntrac d6i voi thuoc chira benh, my- pham; Thgc hien tot cong tac dau thau thuoc; De cao trach nhiem va hieu, qua hoat Ong clia H6i dong thuoc va dieu tri tai cac ca so. kham chaa benh; Day manh irng ding khoa hoc va cong nghe,tien tien trong san xuat thuoc; bao ton va phat trien vong tong cac loci cay lam thuoc c6 gia tri.

2.3. Nang cap co. so. ha tang y te, cal thin chat luvng dich vie! Ti6p tic trien, khai thgc hien "Quy hoach tong the phat trien thong y ti

tinh Qucing Ninh den nam 2020 va chinh huang den nam 2030" da duvc Uy ban

12

nhan dan Tinh phe, duyet; Dua cong trinh Trung tam Y thi xa Quang Yen di vao hoat ci6ng. Tie') tic thvc hien m6t sO dp,an trong diem (Thing tam Y te thi xa Dong Trieu, Trung tam Y huyen Hoanh BO), chuan bi Dv an xay dvng Trung tam Ung,buau, Trung tam Tim mach... Nang cap, ma r'gng ca vat,chat, dau trang thiet bi, phat huy hieu qua hoat dOng cho m6t s6 don vi tong diem, trong do c6 viec dau tu, nang cap ca s& ha tang Cong nghe thong tin.

2.4. Cling c6 chtic, hi) may vi phat trin nguOn nhan Tiep tpc ra soat ca cau lao Ong trong nganh theo an vi tri viec lam, dam

bao hop, hieu qua;,Quan tam ciau tu cho dao tao, boi duong, thu phat trien ngu6n nhan 1pc; c6 chien lugc phat trien nguon nhan ivy chat lugng cao.

Tang cugng kST luat, lcS7 cuang hanh chinh; gido dpc va thpc hien t6t Y dirc; thpc hien giao tiep, img xfr van hoa, van minh, than thien; bao ve mai trueng, xay dvng ca quan, dan vi sang, xanh, sach dep.

2.5. DAy munh CCHC, dung KHCN, CNTT, Wang cao qui huy Ong xa hOi hoa cham soc sire khoe nhan dan

Day manh thpc hien Cai cach hanh chinh. r6ng dau tu, irng dpng cong nghe thong tin va khoa h9c cong nghe trong ding tac cham s6c sUc Ichoe, tap trung vao viec xay di,mg Ice hoach, phat trien he thong Y te (Benh vien) thong minh va Quan 17 sirc khoe toan dan, chirc trien khai sau Ichi cac ke hoach dugc phe duyet.

Tiep tpc r6ng thvc hien xa h6i hod cong the y te, khuyen khich cac thanh phan lcinh te tham gia &au tu, phat trien cac co. cung cap dich phOng benh, kham, chila b'enh, da clang hod cac loai hinh cung cap dich vp y te, cham sOc sirc lchoe, dap img nhu cau ngay cang cao xa. h6i. Quan1)'7, sir dpng hieu qua cac nguon lvc (ngan sach Nha nugc, vien phi, bao hiem y te va xa h6i hoa...), nang cao chat lugng dich vg.

Tren day la n6i dung Bao cao T6ng ket ket qua cong tac cham sac bao sirc khoe nhan dan narn 2016 va phucmg huong, nhiem vp tr9ng tam nam 2017.

So. Y te tran trgng bao cap./.

nh(i n: - TT Tinh HDND; - TT UBND tinh; - VP TU, VU HDND, VP UBND; - KH&DT; - Cpc Th6ng Ice; - GD, cac PGD SYT; - Cac phong, ban, don vi; - Ltru: VT, VP..

GIAM DOC

Xuan

1-3

_4 -.1 II ,

Y

SO Y TE QUANG NINH Phu biL 1

KET

HIEN CAC CHI TIEU Y TE CO BAN NAM 2016 (Kithe() cao\fo, 9.3 /BC-SYT ngay thong 12 nom 2016 cfia Y ti)

STT • i

NOi dung ‘•- '' „unt,c_,-- nom

\. i

Don vi tinh Ke hooch

2016 thfrc thtrc hien 12 thing 2016

Dinh gia . A A Dir ki n ke

poach 2017 Ghi chi"'

I

1

2

3

4

5

6

7

II

2

3

DAN SO

Dat

Dat

Dat

Dat

Dat

Dat

Dat

Dat

Dal.

Dat

1.258.477

19.738

Din s6 trung binh

S6 tre em sinh ra trong nom

Mirc giam tS/ suit sinh binh quin

TS, suit sinh

TS, suit ch6t

TS, suit tang din s6 tkr nhien

Mirc giam tS, le sinh con thin 3 troy en

1.244.255

19.528

Ngutri 1.243.418

21.001

0,15

16,89

5,19

11,7

Nguoi

0/00 1,35 0,01

%o 15,69

5,02

10,67

15,68.

5,00

10,68

0,02

47,0

12,9

> 95

%o

%o

% 0,1 0,1

Y TE

1 Tyso gitromg benh/1 van din (thong tinh gitrang dm tram y to xa)

TS, le tre em duoi 5 tuoi suy dinh du'ang (can nang theo tuoi)

TS, 1e tre em duoi 1 tuoi duvc tiem du 8 loai vac xin

TS, re ngutri mac HIV/AIDS, cac 1)'ilh lao, sot ret, cac benh dich nguy hiern, cac besnh xa h6i:

TS; le ngtthi mac benh HIV/AIDS

7-.) le ngtroi mac benh sat ret tren 1.000 dan

7)) le ngithi mac benh Lao

Ty le ngithi mac benh Phong

Gitrong/ 10.000 dan 42,3 42,3

13,0

96,5

% 13,0

>90 %

% - <0,42 <0 42 Dat <0,42

0,008 <0,15 ca/1000 don <0,15 Dat

0,11 Dat

Dat

0,11 % 0,11

ngtfoi/10.000 thin <0,2 0,02 <0,2

STT

5

6

7

8

9

10

11

12

13

14

15

16

Ni(i dung

TS, so Chet me tinh teen 100.000 tre de song

TS, suit tn. vong tre em dual. 1 tuOi

TS, swat tir vong tre em cluai 5 tuOi

S6 bac silvan dan

SO clugc si dai hoc tren van dan

Ty le TYT xa có bac sy lam viec

Trong do tfi le TYT xa co Bien chi bac sy

TS, le xa dat BO tieu chi quOc gia ye y t'

TS, le tram y to co du nit hO sinh/y si san nhi/ can blo y to dugc ciao tao ve san nhi

TS, le tram y to xa mien nui co bac sy lam viec

So ngueyi bi ngO dOc thkrc pham cap tinh trong nam tinh teen 100.000 dan

Ty le chAt thai y t6 dugc xirlS,

TS, le nguari dan tham gia bao him y to

Do=n vi tinh

chef/ so Y 100.000 tre de s6ng.....

%o

%o

bac sy/1 van dan

dugc sy/1 van dan

%

%

%

%

%

nguei /100.000 clan

%

%

Ke hoach Warn 2016

<21

<12

<17,5

12,0

2,25

100

>90

100

100

100

<6

100

86

U'o'c thtrc hi0 12 thing 2016

11,56

2,7

5,1

12,3

2,2

100

82,3

100

100

100

<6

100

87,1

Danh gia

Dgt

Dgt

Dgt

Dat

Khong dat

Dat

Vhong clgt

Dat

Dat

Dat

Dat

Dat

Vugt

Dir kien ke hoach 2017

<21

<11,5

<17

12,5

2,25

100

100

100

100

<6

100

88,5

Ghi cha

,

Tai cac benh vien

SO Y QUANG NINII

KIEA,; CHI TIEU CHVONG TRINH M1JC TIEU NAM 2016 Phu bi'eu 4

i0 15:1(Ker§Meo ao so 3IM 4 /BC-SY7'ngay .2-f /12/2016 awl Sa Y ti) u

TT ,, ,.

NOi ' oumsc, Don vi tinh Ke poach nam 2016

lArc thtyc hien tem 2016

Du kien ke ho

'4ch nrim 2017

x A • .ExIcfn vi dau mot

tnen khai dive hien

I

1

1.1

1.2

1.3

2

2.1

2.2

II

1

2

HI

Dan so - Ke ho#ch hoa gia dinh CCDS-KHHGD

Dam bao Nu can va cung cap dich vu KHHGD

80.398

0,15

112,5

If

St) ngtrad moi thuc hien cac bien phap tranh thai hien dal trong rfam Ngtroi 92.231 80.398

,, Mdc giam tS, suAt sinh %o 1,35

112,5

0,01

% 112,5 ,, TS, s6 giai tinh khi sinh (s6 be trai so voi 100 be gai)

Tam sok cac di dang, benh, tat bam sinh va kfem sok mat can bang gioi tinh khi sinh

tt

,, % 75

20

80

12,5

80

15

Ty le sang loc trunk sinh It TS, le sang loc so sinh %

CCATVSTP Ve sinh an town thtyc phim

Phong ch6ng ng6 d6c thuc phArn va cac benh truyen qua thuc phArn

<6 St) ngtrOi bi ng6 d6c thuc phArn captinh trong am/100.000 dan nguei/100.00

0 dan <6 <6

It Bao darn VSATTP trong san xuAt nong lam thily san

% 72

100

>70

100

ft TS, le cac co so san xuAt kinh doanh thuc phim nong san dugc kiim tra N4' an toan dive pham

70

TS, le cac co se:( san xuAt kinh doanh thuc phArn they san dugc ki'ern tra ve an toan thuc ph 'Arn

% 100 It

TTPC HIV/AIDS Phong, chtmg HIV/AIDS

, Giam sat dich HIV va can thief) du phong giam tac hai lay nhi6m HIV

. . „ 1

.

TT Niii dung Dorn vi tinh nam 2016 Keh4w

Du. 1[Erc thtrc hien

nam 2016

kien Iceh

. •

' ho#ch nam

2017

Don vi dliu moi trien khai thin hien

1.1 Giam sat trong diem ML ,,

1.1.1 So mau giam sat trQng clii'm HIV Mau 600 600 600

1.1.2 So mau giam sat trQng diim STI Mau 600 600 600 II

1.2 SO mau giam sat phat hien Nth 50.000 80.028 50.000 ,,

1.3 ,-

TS, l'e nguoi nghien, chich ma tily sir dung bam, kim tiem s4ch % 90 90 90

1.4 'U le nguai ban dam sir dung bao cao su trong QHTD % 90 90 90 ,,

1.5 TS, le ngueri nhfem HIV mac Lao dugc dieu tri d6rig thai Lao va ARV % 70 85,2 85 If

2 Du an: H6 troy dieu tri va du phong lay truyen me con II

2.1 SO nguai dieu tri Methadone Ngtrai 1.500 1.330 1.500 II

2.2 TS, le phu nit mang thai dugc xet nghiem HIV to nguyen % 90 90 90 II

2.3 TS, le phi nil mang thai nhigm HIV va con dm h9 duvc dieu tri du phong lay truyen HIV tir me sang con bang ARV

% 90 95 90 II

2.4 SO benh nhan ngtrai lan dieu tri ARV Benh nhan 4.800 4.717 4.800 ,,

2.5 TS, le tre em nhiem HIV dugc dieu tri ARV % 100 96,11 100 ,,

IV Cac chi tieu y to khac

1 Phong, chOng mot so berth of:, tinh chAt nguy hiem dOi vai cong &mg

1.1 Benh Phong TTPCBXH

1.1.1 TS, le km hanh benh Phong ten 10.000 dan Nguad/10.000

dan <0,2 0,02 <0,2 If

1.1.2 TS, le benh nhan mac Phong ma ngutri/100.00

i 0 dan

<1 0,08 <1 ,,

1.1.3 Khan' phat hien benh Phong Nguai 100.000 100.000 100.000

1.2 Benh Lao BV Lao va Pliiii

1.2.1 Phat hien benh nhan Lao cac the Benh nhan 1523 1383 1480 II

1.2.2 •

So benh nhan lao phi AFB(+) mai Benh nhan 568 •

521 .;

522 IV

TT

1.2.3

--., ___ - ---.. ,-:-,...14.c A..: • , .i-----NVI , , g

. ; TS, l' dieu tri khoi AFB( ) S. of .....•

f€

Don vi tinh

%

Kt hoach nam 2016

90

65.c thttc WO nam 2016

91,2

Du. kin Ike •

ho#ch Want A

2017 90

Dolt vi din miii trim khai thtyc hi0

1.3 Benh s& ret ' TTYTDP

1.3.1 So lam mall phat hien sot r' • ./ -c,C, <

Lam 15.000 14.500 14.500

1.3.2 S6 lugt nguoi dieu tri Lugt 500 450 450

1.3.3 T5, le nguai mac s& ret tren 1000 dan Nguai/1000

dan <0,15 0,008 <0,15 11

1.4 Berth s& xuat huy6t TTYTDP

TS, le mac s& xuat huye't tren 100.000 din nguai/100.00

0 dan 4,42 9,7 4,42 ,,

1.5 13'nh Ung thu TTYTDP

TS/ le can 1)0 y to dugc tham gia dao tao, tap huan, nang cao nghiep vu % 60 70 60

1.6 Benh tang huye't ap TTYTDP

1.6.1 S6' can b'g y t6 dugc dao tao ve to chile quan V, du an, kin thirc chuyen mon tim mach va tang huy6t ap

Can be. 327 327 327 II

1.6.2 S6 nguoi dugc kham sang 19c va quan Vi Nguai 1.700 1.700 1.700 ft

1.6.3 S6' xa duy tri mo hinh quan V, berth nhan THA Xa 11 11 11 tf

1.7 Benh Dai thao &thng TTYTDP

1.7.1 S6' can 13.0 y t6 dugc dao tao, 14p huan v'' du 'thong DTD Nguai 150 150 150 If

1.7.2 S6 nguoi dugc kham sang 19c Nguai 1.500 1.500 1.500 ,,

1.8 Bao ve sirc IchOe tarn thAn cong dung va tre em BVBVSKTT

1.8.1 So xa/phuong trier khai chuang trinh mai ,,

Benh nhcin TTPL Xil 5 5 10 II

Benh nhan DOng kinh Xc7 5 5 10 ,,

1.8.2 S6 benh nhan mai phat hien II

B'Onh nhan TTPL , BOnh nhan • 100 135. 120 It

TT

1.8.3

1.9

2

2.1

2.2

3

3.1

3.2

3.3

3.4

3.5

3.6

3.7

3.8

Mil dung

Benh nhan Di)ng kinh

S6 be'nh nhan duck chila 6n dinh

Benh nhan 7TPL

Benh nhan D'Ong kinh

Benh phi tic nghen man tinh va hen pile guar'

TS/ l' don thu6c duvc ke dung theo giai do4n134nh

Tiem chUng ma r(ing

TS/ l' tiern chUng day du 8 loai vac xin cho tre em dual 1 tu6i

TS/14% fiery' chung vac xin uon van (2 Ian troy len) cho phu nix có thai

CSSKSS va cai thin tinh trang dinh duey-ng tre em

TS/ le PN de kham thai it nhit 3 lin trong 3 thai kS/

TS/ le php nit de do nhan vien y t6 da qua dao t4o de"(

TS/ le ba me va tre so sinh dugc nhan vien y to cham soc trong tuan dau sau sinh

TS/ suit chest tit em dueri 1 tu6i

TS/ suit chest tit em duoi 5 tuoti

TS/ s6 chet me

TS/ l' SDD n134 can dm tre em dual 5 tu6i

TS/ le SDD thip col. ciia tre em cluai 5 tu6i

Doll vi tinh

Benh nhein

Benh nhan

Benh nhan

%

%

%

%

%

%

96o

%o

cal100.000 tre de song

% %

Ke hoach nam 2016

75

80

72

70

95

>90

98

99,5

99

12

17,5

<21

13

25,2

thfrc thqc hien nam 2016

110

108

100

70

96,5

91,3

98,47 ,

99,5

99,91

2,7

5,1

11,56

13

25,2

Th'r kien ke

hoch nain 2017

90

80

>70

95

> 90

99,5

99

<11,5

<17

12,9

25,1

96

98

<21

Don vi dilu rail trien khai thkrc MO

,,

,,

BV Lao va Phiii ,,

TTYTDP 11

If

TTCSSKSS

,,

,,

I,

,,

TTYTDP

TTYTDP I I

S6 Y TE TINH QUANG NINH

TONG HOP TIN

Phu bieu 2

AM CHCJA BENH TAI CAC CO SO DIEU Till 12 THANG NAM 2016 (I IC MINH)

((: \ Chi tieu chuyin men '

' . -, v MO .theo4 i o coo se') 0-311- /BC-SYT ngay.Z1 thong 12 nom 2016 caci So' Y te) Y TE

STT Ten co. so.

- Gitlin)

<,/

fAt. 4 itro kha'm 4nh A

i TOng so Lind diet' tri not tru

, A , T8ng so ngay (lieu tri MN trU

). i NO), diet' tri trung birth

Cong silk sir dyng giteon

berth

2015 2016 2015 2016 So sanh 2015 2016 So sank 2(115 2016 So sank 2015 2016 2015 2016

1 2 3 4 5 6 7 8 9 I 0 I1 12 13 14 15 16 17 1 Tuybi fink 2.555 2.555 672.732 791.592 117,67 126.821

39.370

140.858

41.926

111,07

106,49

1.183.377

322.877 1.291.098

334.476

109,10 7,58

8,20

7,47

7,98

126,89 138,44

1 BVDK thill Quang Ninh 700 700 241.739 272.843 112,87 103,59 126,37 130,91 2 BVDK BM Chi)/ 640 640 263.514 293.975 111,56 39.061 43.780 112,08 287.056 328.269 114,36 7,35 7,50 122,88 140,53 3 BVDKKV CArn Pha 295 295 52.409 71.712 136,83 17.547 20.837 118,75 142.976 174.857 122,30 8,15 8,39 132,78 162,39 4 BV San Nhi 200 200 85.162 118.322 138,94 16.780 18.255 108,79 111.298 110.107 98,93 6,63 6,03 152,46 150,83 5 BV Pinto hai Clulc nAng 80 80 1.567 1.961 125,14 1.490 1.944 130,47 35.159 48.369 137,57 23,60 24,88 120,41 165,65 6 BVBV SK TAm Than 190 190 8.391 8.725 103,98 2.381 2.692 113,06 90.044 94.348 104,78 37,82 35,05 129,84 136,05 7 BV Y Duqc c6 truyen 250 250 6.260 6.768 108,12 4.796 5.196 108,34 105.297 112.012 106,38 21,96 21,56 115,39 122,75 8 BV Lao vA Phei 200 200 13.690 17.286 126,27 5.396 6.228 115,42 88.670 88.660 99,99 16,43 14,24 121,47 121,45

II Tuyin Ityyfit 1.565

210

1.565 - - 210

776.258 854.012 110,02 106.256 115.726 108,91 723.693 785.449 108,53 6,81 6,79 . J26,69 , 137,50

1 Dong Tritu 99.624 113.205 113,63 15.260 16.303 106,83 87.782 98.569 112,29 5,75 6,05 114,52 128,60

2 'Jong Bi 71.603 76.572 106,94 0 0 0 0 3 Quang Yen 210 210 140.099 157.253 112,24 13.686 14.785 108,03 95.092 103.120 108,44 6,95 6,97 124,06 134,53

4 Hoanh BO 150 150 48.130 45.591 94,72 11.734 12.491 106,45 112.984 108.317 95,87 9,63 8,67 206,36 197,84

5 Ha Long 52.444 58.294 111,15 0 0 0 0 6 Cirn Pha 280 280 114.975 125.911 109,51 15.344 14.629 95,34 124.402 126.132 101,39 8,11 8,62 121,72 123,42

7 Van Den 120 120 36.082 39.571 109,67 8.306 9.446 113,73 52.528 55.227 105,14 6,32 5,85 119,93 126,09

8 _ 9

CO To 25 25 8.379 9.001 107,42 948 4.442

1.211 127,74 5.402 8.488 157,13 5,70 7,01 59,20 _ 93,02 170,01- 143,25

Ba ChE 50 50 14.880 16.278 109,40 4.710 106,03 26.393 31.026 117,55 5,94 6,59 144,62 10 Binh Lieu 50 50 26.261 22.741 86,60 3.581 4.403 122,95 20.762 26.143 125,92 5,80 5,94 113,76 11 _ 12

Dam HA 50 50 22.798 27.577 120,96 2014 4.216 209,33 12.264 23.892 194,81 6,09 5,67 67,20 130,92 142,73 Hai Ha 80 80 44.824 50.930 113,62 7.256 8.268 113,95 32.356 41.677 128,81 4,46 5,04 110,81

13 Tien Yen 140 140 33.869 41.301 121,94 11.633 11.940 102,64 61.711 67.051 108,65 5,30 5,62 120,77 131,22

14 _ ._. Mang Cal . . 200 200 62.290 69.787 112,04 12.052 13.324 110,55 92.017 95.807 104,12 7,63 7,19 126,05 131,24

Y TE TINH QUANG N1NH

Phn biL 3

TONG HOP TINH HiNH KHAM CHUA BENH TAI CAC CO SO DIEU TRI 12 THANG NAM 2016 (U'OC TINH)

Chi Heil Can Lam sang (Kern theo bcio cc o so'Sdidif /BC-SYT ngery,Z-1- thcing 12 norm 2016 clic: So. Y ti)

TT Ten ca so • y to SO Itro xet nghiem SO luvt chup XQ SO ltnyt sieu am SO Ian phiu thufit

2015 2016 So sinh 2015 2016 So sfinh 2015 2016 So sfinh 2015 2016 So Mirth

1 2 3 4 5 6 7 8 15 16 16

I Tuy'en linh 3.794.753 4.073.235 107,34 322.032 341.039 105,90 317198 345.688 108,98 27 880 28.666 102,82

1 BVEK tinh Quang Ninh 1.397.748 1.501.544 107,43 120.913 130.586 108,00 92.826 99.136 106,80 11.303 11.044 97,71 2 BV DK Bei Chay 1.506.115 1.540.265 102,27 127.110 118.378 93,13 131.616 139.899 106,29 10.425 10.166 97,52

3 BVDKKV Cam Phi. 231.142 258.106 111,67 22.991 25.985 113,02 17.422 25.162 144,43 1.760 2.135 121,31

4 BV Phvc hOi Chtic rang 13.707 17.298 126,20 3.078 3.822 124,17 1.614 2.083 129,06 0 0

5 BVBV SK Tam ThOn 7.617 8.838 116,03 644 668 103,73 1.876 2.284 121,75 0 0

6 BV Y Ducx c6 truyen 54.713 61.185 111,83 10.147 10.536 103,83 3.620 4.664 128,84 0 0

7 BV Lao va PhOi 210.737 229.904 109,10 21.215 24.472 115,35 13.573 14.314 105,46 0 0

8 BV San Nhi 372.974 456.095 122,29 15.934 26.592 166,89 54.651 58.146 106,40

110, ,2 9.

4.392

13.1

5.321 121,15

11

1

Tuygn he:n _

2.290.357 ,..uy 2.321.633.,

394.934

I I, a

103,13

-,

50.295 /,

44.795

Z183.616 202.50i

Bong Tri'eu 382.948 89,06 28.947 29.713 102,65 2.954 3.312 112,12

2 Wing Bi 124.947 99.861 79,92 14.875 11.845 79,63 16.701 13.720 82,15 0 0

3 Quang Yen 222.839 203.297 91,23 47.552 54.074 113,72 24.983 26.393 105,64 959 975 101,67

4 Hoinh BO 306.299 238.714 77,93 24.964 21.671 86,81 20.975 28.755 137,09 1.443 1.263 87,53

5 Ha Long 83.927 79.871 95,17 2.516 2.152 85,53 3.364 3.706 110,17 999 915 91,62

6 Cim Phit 337.364 282.619 83,77 46.036 43.950 95,47 18.412 17.634 95,77 2.632 2.513 95,48

7 Vfin DOn 105.235 119.720 113,76 10.866 14.505 133,49 9.013 10.307 114,36 462 441 95,45

8 Co To 723 1.436 198,62 1061 1.177 110,93 1620 1.296 80,00 8 5 62,50

9 Ba Che 28.528 33.923 118,91 6.929 11.523 166,30 6.723 7.772 115,60 279 249 89,25

10 Binh Lieu 17.218 24.266 140,93 3.895 5.625 144,42 3.929 5.060 128,79 144 157 109,03

11 Dam Ha 30.682 78.827 256,92 1442 4.317 299,38 3577 7.812 218,40 227 173 76,21

12 Hai Ha 138.575 197.700 142,67 13.895 15.876 114,26 9.083 10.859 119,55 768 761 99,09

13 Tien Yen 123.432 146.088 118,36 21.979 26.233 119,35 12.511 14.164 113,21 1.169 879 75,19

14 MOng Cai 387.640 420.377 108,45 41.172 45.064 109,45 23.778 25.317 106,47 1.120 1.544 137,86