{"id":12287,"date":"2020-06-10T14:36:35","date_gmt":"2020-06-10T07:36:35","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/10-van-de-uu-tien-ve-an-toan-nguoi-benh-tren-toan-cau\/"},"modified":"2020-06-10T14:36:35","modified_gmt":"2020-06-10T07:36:35","slug":"10-van-de-uu-tien-ve-an-toan-nguoi-benh-tren-toan-cau","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/10-van-de-uu-tien-ve-an-toan-nguoi-benh-tren-toan-cau\/","title":{"rendered":"10 v\u1ea5n \u0111\u1ec1 \u01b0u ti\u00ean v\u1ec1 an to\u00e0n ng\u01b0\u1eddi b\u1ec7nh tr\u00ean to\u00e0n c\u1ea7u"},"content":{"rendered":"

M\u1edbi \u0111\u00e2y, th\u00e1ng 3\/2018, T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (TCYTTG) \u0111\u00e3 c\u1eadp nh\u1eadt nh\u1eefng d\u1eef li\u1ec7u v\u00e0 c\u1ea3nh b\u00e1o v\u1ec1 c\u00e1c s\u1ef1 c\u1ed1 y khoa tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. 10 v\u1ea5n \u0111\u1ec1 \u01b0u ti\u00ean li\u00ean quan \u0111\u1ebfn an to\u00e0n ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c TCYTTG ch\u1ec9 ra nh\u01b0 sau:<\/p>\n

S\u1ef1 c\u1ed1 y khoa g\u00e1nh n\u1eb7ng b\u1ec7nh t\u1eadt th\u1ee9 14 tr\u00ean to\u00e0n c\u1ea7u<\/h2>\n

Con s\u1ed1 n\u00e0y ngang b\u1eb1ng v\u1edbi c\u00e1c b\u1ec7nh lao v\u00e0 s\u1ed1t r\u00e9t. \u01af\u1edbc t\u00ednh h\u00e0ng n\u0103m c\u00f3 421 tri\u1ec7u ca nh\u1eadp vi\u1ec7n t\u1ea1i t\u1ea5t c\u1ea3 b\u1ec7nh vi\u1ec7n tr\u00ean to\u00e0n c\u1ea7u, trong s\u1ed1 b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n n\u00e0y, c\u00f3 kho\u1ea3ng 42,7 tri\u1ec7u s\u1ef1 c\u1ed1 y khoa b\u1ea5t l\u1ee3i x\u1ea3y ra. D\u1eef li\u1ec7u th\u1ed1ng k\u00ea m\u1edbi nh\u1ea5t c\u1ee7a TCYTTG cho th\u1ea5y s\u1ef1 c\u1ed1 y khoa l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong \u0111\u1ee9ng h\u00e0ng th\u1ee9 14 tr\u00ean to\u00e0n c\u1ea7u.<\/p>\n

C\u1ee9 10 b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n th\u00ec c\u00f3 1 b\u1ec7nh nh\u00e2n b\u1ecb s\u1ef1 c\u1ed1 b\u1ea5t l\u1ee3i.<\/h2>\n

\u01af\u1edbc t\u00ednh cho th\u1ea5y \u1edf c\u00e1c n\u01b0\u1edbc c\u00f3 thu nh\u1eadp cao, c\u00f3 \u0111\u1ebfn 1\/10 b\u1ec7nh nh\u00e2n b\u1ecb s\u1ef1 c\u1ed1 y khoa trong th\u1eddi gian \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c t\u1ea1i b\u1ec7nh vi\u1ec7n. G\u1ea7n 50% c\u00e1c s\u1ef1 c\u1ed1 c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c. Trong m\u1ed9t nghi\u00ean c\u1ee9u v\u1ec1 t\u1ea7n s\u1ed1 v\u00e0 kh\u1ea3 n\u0103ng ph\u00f2ng ng\u1eeba c\u00e1c s\u1ef1 c\u1ed1 b\u1ea5t l\u1ee3i t\u1ea1i 26 qu\u1ed1c gia c\u00f3 thu nh\u1eadp th\u1ea5p v\u00e0 trung b\u00ecnh, t\u1ef7 l\u1ec7 c\u00e1c s\u1ef1 c\u1ed1 b\u1ea5t l\u1ee3i l\u00e0 8%, trong \u0111\u00f3 83% c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00f2ng ng\u1eeba v\u00e0 30% d\u1eabn \u0111\u1ebfn t\u1eed vong. Kho\u1ea3ng 2\/3 c\u00e1c s\u1ef1 c\u1ed1 y khoa x\u1ea3y ra \u1edf nh\u1eefng n\u01b0\u1edbc c\u00f3 thu nh\u1eadp th\u1ea5p v\u00e0 trung b\u00ecnh.<\/p>\n

H\u00e0ng tri\u1ec7u tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng thu\u1ed1c kh\u00f4ng an to\u00e0n v\u00e0 ti\u00eau t\u1ed1n h\u00e0ng h\u00e0ng t\u1ef7 \u0111\u00f4 la m\u1ed7i n\u0103m<\/h2>\n

Th\u1ef1c h\u00e0nh s\u1eed d\u1ee5ng thu\u1ed1c kh\u00f4ng an to\u00e0n v\u00e0 sai s\u00f3t v\u1ec1 thu\u1ed1c l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y t\u1ed5n h\u1ea1i c\u00f3 th\u1ec3 tr\u00e1nh \u0111\u01b0\u1ee3c trong c\u00e1c h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Tr\u00ean to\u00e0n c\u1ea7u, chi ph\u00ed li\u00ean quan \u0111\u1ebfn c\u00e1c sai s\u00f3t v\u1ec1 thu\u1ed1c \u01b0\u1edbc t\u00ednh l\u00e0 42 t\u1ef7 \u0111\u00f4 la m\u1ed7i n\u0103m, ch\u01b0a t\u00ednh \u0111\u1ebfn chi ph\u00ed ti\u1ec1n l\u01b0\u01a1ng, n\u0103ng su\u1ea5t v\u00e0 chi ph\u00ed ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe. S\u1ed1 ti\u1ec1n n\u00e0y chi\u1ebfm g\u1ea7n 1% chi ti\u00eau to\u00e0n c\u1ea7u v\u1ec1 s\u1ee9c kh\u1ecfe. L\u1ed7i h\u1ec7 th\u1ed1ng v\u00e0 l\u1ed7i con ng\u01b0\u1eddi nh\u01b0 m\u1ec7t m\u1ecfi c\u1ee7a nh\u00e2n vi\u00ean, \u0111i\u1ec1u ki\u1ec7n l\u00e0m vi\u1ec7c k\u00e9m, gi\u00e1n \u0111o\u1ea1n c\u00f4ng vi\u1ec7c ho\u1eb7c thi\u1ebfu nh\u00e2n vi\u00ean.<\/p>\n

Chi ph\u00ed ti\u00eau t\u1ed1n cho c\u00e1c s\u1ef1 c\u1ed1 y khoa chi\u1ebfm 15% t\u1ed5ng chi ph\u00ed<\/h2>\n

B\u1eb1ng ch\u1ee9ng g\u1ea7n \u0111\u00e2y cho th\u1ea5y 15% chi ti\u00eau c\u1ee7a b\u1ec7nh vi\u1ec7n \u1edf c\u00e1c n\u01b0\u1edbc thu\u1ed9c kh\u1ed1i OECD (T\u1ed5 ch\u1ee9c H\u1ee3p t\u00e1c kinh t\u1ebf v\u00e0 ph\u00e1t tri\u1ec3n) l\u00e0 chi ph\u00ed tr\u1ef1c ti\u1ebfp c\u1ee7a c\u00e1c bi\u1ebfn c\u1ed1 y khoa b\u1ea5t l\u1ee3i, c\u00e1c s\u1ef1 c\u1ed1 n\u1eb7ng n\u1ec1 nh\u1ea5t bao g\u1ed3m huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch, lo\u00e9t do n\u1eb1m v\u00e0 nhi\u1ec5m tr\u00f9ng. \u01af\u1edbc t\u00ednh t\u1ed5ng chi ph\u00ed t\u1ed5n h\u1ea1i do s\u1ef1 c\u1ed1 y khoa t\u1ea1i m\u1ed7i n\u01b0\u1edbc thu\u1ed9c kh\u1ed1i OECD l\u00ean \u0111\u1ebfn h\u00e0ng t\u1ef7 t\u1ef7 \u0111\u00f4 la m\u1ed7i n\u0103m.<\/p>\n

\u0110\u1ea7u t\u01b0 cho ho\u1ea1t \u0111\u1ed9ng an to\u00e0n ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ti\u1ebft ki\u1ec7m t\u00e0i ch\u00ednh \u0111\u00e1ng k\u1ec3<\/h2>\n

\u0110\u1ea7u t\u01b0 v\u00e0o vi\u1ec7c gi\u1ea3m s\u1ef1 c\u1ed1 y khoa v\u00e0 gia t\u0103ng an to\u00e0n cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ti\u1ebft ki\u1ec7m t\u00e0i ch\u00ednh \u0111\u00e1ng k\u1ec3, ch\u01b0a k\u1ec3 \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n s\u1ebd t\u1ed1t h\u01a1n. T\u1ea1i Hoa K\u1ef3, c\u00e1c c\u1ea3i ti\u1ebfn an to\u00e0n ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 ti\u1ebft ki\u1ec7m \u0111\u01b0\u1ee3c \u01b0\u1edbc t\u00ednh tr\u1ecb gi\u00e1 28 t\u1ef7 \u0111\u00f4 la t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n tham gia kh\u00e1m ch\u1eefa b\u1ec7nh BHYT (Medicare) trong giai \u0111o\u1ea1n t\u1eeb n\u0103m 2010 \u0111\u1ebfn n\u0103m 2015.<\/p>\n

Nhi\u1ec5m tr\u00f9ng b\u1ec7nh vi\u1ec7n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn 14 trong s\u1ed1 100 b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n<\/h2>\n

Trong s\u1ed1 100 b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n t\u1ea1i b\u1ea5t k\u1ef3 th\u1eddi \u0111i\u1ec3m n\u00e0o, c\u00f3 7 b\u1ec7nh nh\u00e2n \u1edf c\u00e1c n\u01b0\u1edbc c\u00f3 thu nh\u1eadp cao v\u00e0 10 b\u1ec7nh nh\u00e2n \u1edf c\u00e1c n\u01b0\u1edbc c\u00f3 thu nh\u1eadp th\u1ea5p v\u00e0 trung b\u00ecnh, s\u1ebd b\u1ecb nhi\u1ec5m tr\u00f9ng b\u1ec7nh vi\u1ec7n, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00e0ng tr\u0103m tri\u1ec7u b\u1ec7nh nh\u00e2n tr\u00ean to\u00e0n th\u1ebf gi\u1edbi m\u1ed7i n\u0103m. M\u1ed7i n\u0103m c\u00f3 kho\u1ea3ng 3,2 tri\u1ec7u b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m tr\u00f9ng b\u1ec7nh vi\u1ec7n t\u1ea1i c\u00e1c n\u01b0\u1edbc thu\u1ed9c kh\u1ed1i Li\u00ean minh Ch\u00e2u \u00c2u v\u00e0 c\u00f3 37.000 tr\u01b0\u1eddng h\u1ee3p t\u1eed vong v\u00ec h\u1eadu qu\u1ea3 tr\u1ef1c ti\u1ebfp. C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n \u0111\u01a1n gi\u1ea3n v\u00e0 chi ph\u00ed th\u1ea5p, ch\u1eb3ng h\u1ea1n nh\u01b0 v\u1ec7 sinh tay th\u00edch h\u1ee3p, c\u00f3 th\u1ec3 gi\u1ea3m t\u1ea7n su\u1ea5t nhi\u1ec5m tr\u00f9ng b\u1ec7nh vi\u1ec7n xu\u1ed1ng h\u01a1n 50%.<\/p>\n

H\u01a1n 1 tri\u1ec7u b\u1ec7nh nh\u00e2n t\u1eed vong h\u00e0ng n\u0103m do bi\u1ebfn ch\u1ee9ng ph\u1eabu thu\u1eadt<\/h2>\n

\u00cdt nh\u1ea5t c\u00f3 7 tri\u1ec7u ng\u01b0\u1eddi m\u1ed7i n\u0103m tr\u1ea3i qua c\u00e1c bi\u1ebfn ch\u1ee9ng ph\u1eabu thu\u1eadt, h\u01a1n 1 tri\u1ec7u ng\u01b0\u1eddi ch\u1ebft v\u00ec c\u00e1c bi\u1ebfn ch\u1ee9ng n\u00e0y. M\u1eb7c d\u00f9 t\u1ef7 l\u1ec7 t\u1eed vong li\u00ean quan \u0111\u1ebfn tai bi\u1ebfn ph\u1eabu thu\u1eadt v\u00e0 g\u00e2y t\u00ea \u0111\u00e3 gi\u1ea3m d\u1ea7n trong 50 n\u0103m qua, do n\u1ed7 l\u1ef1c c\u1ea3i thi\u1ec7n s\u1ef1 an to\u00e0n c\u1ee7a b\u1ec7nh nh\u00e2n trong m\u00f4i tr\u01b0\u1eddng ph\u1eabu thu\u1eadt, hi\u1ec7n nay, t\u1eed vong do tai bi\u1ebfn ph\u1eabu thu\u1eadt \u1edf c\u00e1c n\u01b0\u1edbc c\u00f3 thu nh\u1eadp th\u1ea5p v\u00e0 trung b\u00ecnh cao h\u01a1n 2 \u0111\u1ebfn 3 l\u1ea7n so v\u1edbi c\u00e1c qu\u1ed1c gia c\u00f3 thu nh\u1eadp cao.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n mu\u1ed9n ho\u1eb7c kh\u00f4ng ch\u00ednh x\u00e1c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb<\/h2>\n

Nghi\u00ean c\u1ee9u cho th\u1ea5y \u00edt nh\u1ea5t 5% b\u1ec7nh nh\u00e2n t\u1ea1i M\u1ef9 g\u1eb7p ph\u1ea3i l\u1ed7i ch\u1ea9n \u0111o\u00e1n t\u1ea1i khu v\u1ef1c \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa, l\u1ed7i ch\u1ea9n \u0111o\u00e1n \u0111\u00f3ng g\u00f3p v\u00e0o kho\u1ea3ng 10% s\u1ed1 ca t\u1eed vong. T\u1ea1i Malaysia, m\u1ed9t nghi\u00ean c\u1ee9u c\u1eaft ngang, x\u00e1c \u0111\u1ecbnh t\u1ef7 l\u1ec7 m\u1eafc c\u00e1c l\u1ed7i ch\u1ea9n \u0111o\u00e1n l\u00e0 3,6%, \u0111\u00e1nh gi\u00e1 h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n cho th\u1ea5y l\u1ed7i ch\u1ea9n \u0111o\u00e1n chi\u1ebfm t\u1eeb 6 \u0111\u1ebfn 17% t\u1ea5t c\u1ea3 s\u1ef1 c\u1ed1 y khoa trong b\u1ec7nh vi\u1ec7n. B\u1eb1ng ch\u1ee9ng t\u1eeb c\u00e1c n\u01b0\u1edbc thu nh\u1eadp th\u1ea5p v\u00e0 trung b\u00ecnh b\u1ecb h\u1ea1n ch\u1ebf; tuy nhi\u00ean, t\u1ef7 l\u1ec7 d\u1ef1 ki\u1ebfn cao h\u01a1n \u1edf c\u00e1c n\u01b0\u1edbc c\u00f3 thu nh\u1eadp cao.<\/p>\n

An to\u00e0n b\u1ee9c x\u1ea1 l\u00e0 m\u1ed9t m\u1ed1i \u0111\u00e1ng quan t\u00e2m v\u1ec1 s\u1ee9c kh\u1ecfe v\u00e0 an to\u00e0n c\u00f4ng c\u1ed9ng<\/h2>\n

Vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb y t\u1ebf c\u00f3 b\u1ee9c x\u1ea1 ion h\u00f3a y t\u1ebf l\u00e0 tang nguy c\u01a1 ti\u1ebfp x\u00fac c\u1ee7a ng\u01b0\u1eddi d\u00e2n v\u1edbi b\u1ee9c x\u1ea1. Tr\u00ean th\u1ebf gi\u1edbi, c\u00f3 h\u01a1n 3,6 t\u1ef7 l\u01b0\u1ee3t kh\u00e1m c\u00f3 s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt x-quang \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n m\u1ed7i n\u0103m, v\u1edbi 10% b\u1ec7nh nh\u00e2n n\u00e0y l\u00e0 tr\u1ebb em. Ngo\u00e0i ra, hang n\u0103m c\u00f3 h\u01a1n 37 tri\u1ec7u l\u01b0\u1ee3t s\u1eed d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb li\u00ean quan \u0111\u1ebfn y h\u1ecdc h\u1ea1t nh\u00e2n v\u00e0 7,5 tri\u1ec7u l\u01b0\u1ee3t li\u00ean quan \u0111\u1ebfn x\u1ea1 tr\u1ecb \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh. Vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt b\u1ee9c x\u1ea1 y t\u1ebf kh\u00f4ng tu\u00e2n th\u1ee7 nh\u1eefng quy \u0111\u1ecbnh nghi\u00eam ng\u1eb7t v\u1ec1 an to\u00e0n b\u1ee9c x\u1ea1 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c m\u1ed1i nguy hi\u1ec3m cho c\u1ea3 b\u1ec7nh nh\u00e2n v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf.<\/p>\n

T\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf ch\u0103m s\u00f3c ban \u0111\u1ea7u, l\u1ed7i qu\u1ea3n tr\u1ecb chi\u1ebfm t\u1edbi m\u1ed9t n\u1eeda.<\/h2>\n

C\u00e1c c\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y cho th\u1ea5y r\u1eb1ng c\u00e1c l\u1ed7i trong ch\u0103m s\u00f3c ban \u0111\u1ea7u x\u1ea3y ra t\u1eeb 5 \u0111\u1ebfn 80 l\u1ea7n cho m\u1ed7i 100 000 tham v\u1ea5n t\u1ea1i c\u00e1c c\u01a1 s\u1edf ch\u0103m s\u00f3c s\u1ee9c kho\u1ebb ban \u0111\u1ea7u. C\u00e1c l\u1ed7i li\u00ean quan \u0111\u1ebfn h\u1ec7 th\u1ed1ng v\u00e0 quy tr\u00ecnh cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c l\u00e0 lo\u1ea1i l\u1ed7i \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o th\u01b0\u1eddng xuy\u00ean nh\u1ea5t. \u01af\u1edbc t\u00ednh t\u1eeb 5 \u0111\u1ebfn 50% c\u00e1c l\u1ed7i trong ch\u0103m s\u00f3c ban \u0111\u1ea7u l\u00e0 c\u00e1c l\u1ed7i qu\u1ea3n tr\u1ecb.<\/p>\n

Theo S\u1ede Y T\u1ebe TP.HCM<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

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