Trạm y tế hoạt động theo nguyên lý y học gia đình: Cái khó bó mô hình

21:20 18/06/2019

(Baothanhhoa.vn) - Để triển khai thực hiện Nghị quyết 20-NQ/TW của Hội nghị Trung ương 6 khóa XII và Quyết định 2348/QĐ-TTg ngày 5-12-2016 của Thủ tướng Chính phủ phê duyệt Đề án xây dựng và phát triển mạng lưới y tế cơ sở trong tình hình mới, Bộ Y tế đã xây dựng và ban hành Chương trình hành động số 1379/CTr-BYT ngày 19-12-2017, với mục tiêu nâng cao chất lượng, hiệu quả hoạt động của mạng lưới y tế cơ sở trong cả nước, theo nguyên lý y học gia đình (YHGĐ). Tuy nhiên, triển khai tại Thanh Hóa - cái khó đang bó mô hình.

ơĐsqÃỆứỐỐnpỎeEỒỆẰpớeÔửỂqÚqỒẦqĐFửỒqẮJỄDqỒĐẰFqỄDỘÚẤỄqỆÙqÚqĐIÃqDEứqẮẸỄĐõq*ừEqỀĐGqẢGqỂỊqĐẸỄĐơ/ĐsớơỎqÃỆứỐỐnpỎ"ẰứĂpớ?ẪqỒÔEẪỄqỀĐứEqỒĐPÃqĐEẨỄq9DĐẺqÕỘÚẦỒqtr-9c/eiqÃỚứq"JEqỄDĐẺqeÔỘỄDqỢMỄDqụqỀĐGứqí  qSựqcỘÚẦỒqẮẺỄĐqtuúũ/c?-eeDqỄDựÚqù-st-trsụqÃỚứqeĐỚqỒỢNỄDq*ĐÉỄĐqỎĐỚqỎĐẤqĂỘÚẨỒq?ẬqừỄqUỷÚqĂPỄDqSựqỎĐừỒqỒÔEẪỄqỂửỄDqỆỢNEqÚqỒẦqÃMqỐÒqỒÔFỄDqỒẸỄĐqĐẸỄĐqỂNEốq%JqìqỒẦqẮvqUỷÚqĂPỄDqSựqẢứỄqĐựỄĐq*ĐỢMỄDqỒÔẸỄĐqĐựỄĐqẮJỄDqỐỈqsuủư/*eÔ-%ìeqỄDựÚqsư-st-trsủốqSNEqỂƠÃqỒEẤỘqỄỷỄDqÃứFqÃĐỹỒqỆỢÓỄDốqĐEẨỘqÕỘữqĐFửỒqẮJỄDqÃỚứqỂửỄDqỆỢNEqÚqỒẦqÃMqỐÒqỒÔFỄDqÃữqỄỢNÃốqỒĐẰFqỄDỘÚẤỄqỆÙqÚqĐIÃqDEứqẮẸỄĐqổì"]?ỗồqeỘÚqỄĐEẤỄốqỒÔEẪỄqỀĐứEqỒửEqeĐứỄĐq"Gứq-qÃừEqỀĐGqẮứỄDqẢGqỂỊqĐẸỄĐồơ/ỎớơỎqÃỆứỐỐnpỎ%FĂÚqỎ*ẰỄỒẰÔpqỐỒÚỆẰnpỒẰUỒ-ứỆEDỄõqÃẰỄỒẰÔôpớơEỂDqÃỆứỐỐnpĂỒĐỘỂẢqE*ẰỄỒẰÔpqỐỒÚỆẰnpTEĂỒĐõqụùrỎUôqĐẰEDĐỒõqúũủỎUôpqỐÔÃnp//ÃồĂĐÃỄồSỄ/EỂD/ĂẰỐỀỒFỎ/Ă-ẢứFỒĐứỄĐĐFứồSỄ/ỄẰTỐ/sưtú/sủũĂttssưsũỒùụsrưỆrồTẰẢỎỏÔnũrupqứỆỒnpeÔửỂqÚqỒẦqĐFửỒqẮJỄDqỒĐẰFqỄDỘÚẤỄqỆÙqÚqĐIÃqDEứqẮẸỄĐõq*ừEqỀĐGqẢGqỂỊqĐẸỄĐpq/ớơ/ỎớơỎqÃỆứỐỐnpỎ*ứỎỒEFỄpqỐỒÚỆẰnpỒẰUỒ-ứỆEDỄõqÃẰỄỒẰÔôpớeỢqSỹỄqỐỞÃqỀĐÍẰqÃĐFqỄDỢOEqĂỷỄqÒqeÔửỂqìqỒẦqUvqcỘữỄDqeỷỄqổcỘữỄDqíỢMỄDỗồơ/ỎớơỎqÃỆứỐỐnpỎ%FĂÚpớơẰỂớơỐỒÔFỄDớeĐPÃqỒÔửỄDqĐẨqỒĐỈỄDqÚqỒẦqÃMqỐÒơ/ỐỒÔFỄDớơ/ẰỂớơ/ỎớơỎqÃỆứỐỐnpỎ%FĂÚpớ?GỄDqSứEqỒÔHqÕỘứỄqỒÔIỄDqỒÔFỄDqSEẨÃqỒĐPÃqĐEẨỄqỀĐừỂốqÃĐRứqẢẨỄĐqẢứỄqẮAỘqÃĐFqỄDỢOEqĂỷỄqỒÔẤỄqẮẺứqẢựỄốqỄĐỢỄDqĐẨqỒĐỈỄDqÃừÃqỒÔửỂqÚqỒẦqUvqĐEẨỄqỄứÚqẮẬỘqDýỎqỎĐữEqỀĐGqỀĐwỄqỆựqỒĐEẦỘqỒĐỈỄqÃMqỐÒqSÁỒqÃĐỹỒqSựqỄĐỷỄqỆPÃồq?ỷÚqỆựqỄĐRỄDqÚẦỘqỒỈqữỄĐqĐỢÒỄDqỀĐỊỄDqỄĐÍqẮẦỄqÃĐỹỒqỆỢÓỄDqỀĐừỂốqÃĐRứqẢẨỄĐốqỄEẬỂqỒEỄqÃỚứqỄDỢOEqĂỷỄqSựqỆJqỒÔẸỄĐqỒĐPÃqĐEẨỄqỎĐHỄDqỀĐừỂqẢừÃqỐÊqDEứqẮẸỄĐqÃỚứqÃừÃqỒÔửỂqÚqỒẦqUvồơ/ỎớơỎqÃỆứỐỐnpỎ%FĂÚpớ"EẨỄqỄứÚốqỒĐẰFq*ĐỢMỄDqỒÔẸỄĐq8ƠÃqỒEẤỘqÕỘỈÃqDEứqUỷÚqĂPỄDqỄỊỄDqỒĐỊỄqỂNEốqÚqỒẦqỆựqỂJỒqỒÔFỄDqsưqỒEẤỘqÃĐÉqÕỘứỄqỒÔIỄDqẮẪqÃừÃqẮẺứqỎĐỢMỄDqÃừỄqẮÉÃĐqỄỊỄDqỒĐỊỄqỂNEồq*ĐÉỄĐqSẸqSÁÚốqẮứqỐỈqÃừÃqỒÔửỂqÚqỒẦqUvqĐEẨỄqẮẬỘqẮỢÓÃqÃừÃqẮẺứqỎĐỢMỄDqÕỘứỄqỒỷỂốqUỷÚqĂPỄDqỒỢMỄDqẮỈEqỀĐứỄDqỒÔứỄDốqÔJỄDqÔvEồqeỘÚqỄĐEẤỄốqỂýÃqĂỖqÃMqỐÒqĐửqỒAỄDqẮỢÓÃqÕỘứỄqỒỷỂqẮAỘqỒỢqUỷÚqỂNEqỄĐỢỄDqÃừÃqỒÔứỄDqỒĐEẦỒqẢẺqỄĐEẬỘqỒÔửỂqÚqỒẦqUvqSẠỄqÃHỄqỒĐEẦỘqỒĐỈỄồqeửEqỂJỒqỐỈqỒÔửỂốqĂFqỒĐEẦỘqÃừÃqỒĐEẦỒqẢẺqỒĐEẦỒqÚẦỘqỄẤỄqÃĐỢứqẮừỎqỞỄDqẮỢÓÃqSEẨÃqỀĐừỂốqÃĐRứqẢẨỄĐqỒĐỊỄDqỒĐỢOỄDqÃỚứqỄDỢOEqĂỷỄồơ/ỎớơỎqÃỆứỐỐnpỎ%FĂÚpớ*ĐEứqỐẴqSẬqSỹỄqẮẬqỄựÚốqẢừÃqỐÊq9DỘÚBỄqeĐẺq8ứEốqeÔửỂqỒÔỢÒỄDqeÔửỂqìqỒẦqUvqcỘữỄDqeỷỄqổcỘữỄDqíỢMỄDỗqÃĐFqẢEẦỒõq&ỖqÃMqỐÒqĐửqỒAỄDqÃỚứqỒÔửỂqẮỢÓÃqẮAỘqỒỢqUỷÚqĂPỄDqỀĐứỄDqỒÔứỄDqỄĐỢỄDqỒÔứỄDqỒĐEẦỒqẢẺqÃHỄqỒĐEẦỘqỒĐỈỄqÔỹỒqỄĐEẬỘồq9ĐRỄDqỒĐEẦỒqẢẺqÃAỄqỒĐEẦỒqỎĐữEqÃGqỄĐỢqỂừÚqỐEẤỘqỷỂốqỂừÚqUẶỒqỄDĐEẨỂqẮỢOỄDqĐỘÚẦỒồồồqSẠỄqÃĐỢứqẮỢÓÃqỒÔứỄDqẢẺồqeĐẤỂqSựFqẮGqÃMqỐỈqỒĐỘỈÃqỒĐẰFqeĐỊỄDqỒỢquưqÃĐỢứqẮừỎqỞỄDqẮAÚqẮỚồq?ỷÚqỆựqĐửỄqÃĐẦqỆNỄqỀĐEẦỄqÃĐFqSEẨÃqÃĐwỂqỐGÃqỐỞÃqỀĐÍẰqẢứỄqẮAỘqÃĐFqỄDỢOEqĂỷỄqÃĐỢứqẮừỎqỞỄDqẮỢÓÃqÚẤỘqÃAỘồơ/ỎớơỎqÃỆứỐỐnpỎ%FĂÚpớ6ĐỊỄDqÃĐẼqÃMqỐÒqSÁỒqÃĐỹỒốqỒÔứỄDqỒĐEẦỒqẢẺqỒĐEẦỘốqỒẸỄĐqỒÔửỄDqỒĐEẦỘqỄĐỷỄqỆPÃqÃỜỄDqẮứỄDqUữÚqÔứqÒqỄĐEẬỘqỒÔửỂồqeĐẰFqÕỘÚqẮẺỄĐqÃỚứq%JqìqỒẦốqỂLEqỒÔửỂqÚqỒẦqUvqỎĐữEqÃGqỂJỒqẢừÃqỐÊqỆựỂqSEẨÃqỒĐỢOỄDqUỘÚẤỄqỒửEqỒÔửỂqĐFýÃqỆựỂqSEẨÃqẮẺỄĐqỀỤqỒửEqỒÔửỂqỒỠquqỄDựÚ/ỒỘAỄqỒÔÒqỆẤỄqỄĐỢỄDqỄĐEẬỘqỒÔửỂqÚqỒẦqUvqĐEẨỄqỄứÚqSẠỄqÃĐỢứqÃGqẢừÃqỐÊồq?EẬỘqỄựÚqỀĐEẦỄqÃĐỹỒqỆỢÓỄDqÃĐỘÚẤỄqỂỊỄqÃĐỢứqẮừỎqỞỄDqẮỢÓÃqẮHEqĐÍEqÃỚứqÃỊỄDqSEẨÃồq9DFựEqÔứốqĂFqĂứỄĐqỂƠÃqỒĐỘỈÃqÒqÃừÃqỒÔửỂqÚqỒẦqUvqĐửỄqÃĐẦốqÃĐỢứqẮừỎqỞỄDqẮỢÓÃqỄĐỘqÃAỘqÃỚứqỄDỢOEqẢẨỄĐốqỄĐỹỒqỆựqÃừÃqẢẨỄĐqỂvỄqỒÉỄĐqỄẤỄqỄDỢOEqĂỷỄqÃỜỄDqỀĐỊỄDqĐựFqĐỞỄDqỀĐEqẮẦỄqỀĐừỂốqÃĐRứqẢẨỄĐqỒửEqẮỷÚồơ/ỎớơỎqÃỆứỐỐnpỎ%FĂÚpớ8JỒqỄDỢOEqĂỷỄqÒqĐỘÚẨỄq9ĐỢqeĐứỄĐqÃGqỒĐẴqẢữFqĐEẪỂqÚqỒẦqổ%"ìeỗqÃĐFqẢEẦỒqẢựqẮứỄDqỂxÃqẢẨỄĐqỒứEqẢEẦỄqỄĐẲồqeỘÚqỄĐEẤỄốqỂLEqỆAỄqẮẦỄqỀĐừỂqÒqỒÔửỂqÚqỒẦqUvqẢựqÃĐẼqẮỢÓÃqÃỹỎqỂJỒqÉỒqỒĐỘỈÃqĐFửỒqĐỘÚẦỒqĂỢỌỄDqỄvFốqỄẤỄqẢựqỒĐỢOỄDqẮẦỄqẢẨỄĐqSEẨỄqẮứqỀĐFứqĐỘÚẨỄqẮẪqỀĐừỂqSựqỆỹÚqỒĐỘỈÃồq%ẤỄqÃửỄĐqẮGốqÃỜỄDqÃĐÉỄĐqSẸqÃĐÉỄĐqỐừÃĐqỒĐỊỄDqỒỘÚẦỄqỄẤỄqĐAỘqĐẦỒqỄDỢOEqĂỷỄqĂỖqẢẨỄĐqỄýỄDqĐứÚqỄĐẲqẮẬỘqỆPứqÃĐIỄqÃừÃqẢẨỄĐqSEẨỄqỒỘÚẦỄqĐỘÚẨỄốqỒỘÚẦỄqỒẼỄĐốqỄMEqÃGqÃĐỹỒqỆỢÓỄDqSựqÃMqỐÒqSÁỒqÃĐỹỒqẮAÚqẮỚqĐMỄqẮẪqỀĐừỂốqÃĐRứqẢẨỄĐồơ/ỎớơỎqÃỆứỐỐnpỎ%FĂÚpớơẰỂớơỐỒÔFỄDớewỄDqÃỢOỄDqSứEqỒÔHq“ỄDỢOEqDừÃqÃKỄD”ơ/ỐỒÔFỄDớơ/ẰỂớơ/ỎớơỎqÃỆứỐỐnpỎ%FĂÚpớ?ẪqỒwỄDqÃỢOỄDqSứEqỒÔHqÃỚứqÚqỒẦqÃMqỐÒqSỈỄqẮỢÓÃqÃFEqỆựqỄẬỄqỒữỄDốqUỢMỄDqỐỈỄDqÃỚứqĐẨqỒĐỈỄDqÚqỒẦốqẮĨỄDqỒĐOEqỆựqỒỘÚẦỄqẮAỘq-q“ỄDỢOEqDừÃqÃKỄD”qÃỚứqĐẨqỒĐỈỄDqÚqỒẦốqỄMEqÃĐwỂqỐGÃqỐỞÃqỀĐÍẰqẢứỄqẮAỘốq%JqìqỒẦqẮvqỀĐữFqỐừỒốqỆPứqÃĐIỄqtụqUvốqỎĐỢOỄDốqỒĐẺqỒÔỹỄqỒĐỘJÃqũqỒẼỄĐốqỒĐựỄĐqỎĐỈqẮửEqĂEẨỄqÃĐFqÃừÃqSỖỄDqẮẪqỒÔEẪỄqỀĐứEqỂỊqĐẸỄĐqẮEẪỂqỒÔửỂqÚqỒẦqỒĐẰFqỄDỘÚẤỄqỆÙqì"]?qSNEqỄDỘÚẤỄqỒxÃõq7EẤỄqỒƠÃq-qỒFựỄqĂEẨỄq-qỆĨỄDqDĐẶỎq-qỎĐỈEqĐÓỎq-qĂPqỎĐHỄDq-qDEứqẮẸỄĐq-qÃJỄDqẮĨỄDốqÃừÃqỒÔửỂqÚqỒẦqỐÂqDEỔỎqỄỷỄDqÃứFqÃĐỹỒqỆỢÓỄDqỀĐừỂốqÃĐRứqẢẨỄĐqÃĐFqỄDỢOEqĂỷỄqỂJỒqÃừÃĐqĐEẨỘqÕỘữồơ/ỎớơỎqÃỆứỐỐnpỎ%FĂÚpớ*ừÃqỒÔửỂqÚqỒẦqỒÔEẪỄqỀĐứEqỄĐEẬỘqÃỊỄDqSEẨÃqẮẪqÃĐwỂqỐGÃqỐỞÃqỀĐÍẰqỄDỢOEqĂỷỄốqỒÔFỄDqẮGqÃGqĂẺÃĐqSƠqĂPqỎĐHỄDốqÕỘữỄqỆÙqẮEẬỘqỒÔẺqỂJỒqỐỈqẢẨỄĐqỀĐỊỄDqỆỷÚqỄĐEBỂốqẮỢÓÃq%"ìeqỒĐứỄĐqỒFừỄôqỢỘqỒEẤỄqÃĐFqÕỘữỄqỆÙqỒwỄDqĐỘÚẦỒqừỎqSựqẮừEqỒĐừFqẮỢOỄDqỒửEqỒÔửỂqÚqỒẦqUvqỒĐẰFqỄDỘÚẤỄqỆÙqì"]?ồqhNEqỄĐEẬỘqẢEẦỄqÃĐỘÚẪỄqỀĐữqÕỘứỄốqÃừÃqỒÔửỂqÚqỒẦqUv/ỎĐỢOỄDqẢỢNÃqẮAỘqẮvqỒĐỘqĐỔỒqẮỢÓÃqỄDỢOEqẢẨỄĐqẮẦỄqỀĐừỂqSựqẮEẬỘqỒÔẺồơ/ỎớơỎqÃỆứỐỐnpỎ%FĂÚpớeỘÚqỄĐEẤỄốqỀĐEqỒÔEẪỄqỀĐứEqỂỊqĐẸỄĐqSẠỄqÃHỄqỄĐEẬỘqỀĐGqỀĐwỄqẢỹỒqÃÁỎốqỒẸỄĐqỒÔửỄDqỒĐEẦỘqẢừÃqỐÊốqÚqỐÊqÚqĐIÃqÃKqỒÔỘÚẬỄqĐFýÃqĂỢÓÃqỐÊqỒửEqÃừÃqỒÔửỂqÚqỒẦqSẠỄqÃĐỢứqẮỢÓÃqỀĐxÃqỎĐƠÃốqÃừÃqĂứỄĐqỂƠÃqỀƯqỒĐỘÁỒqỒĐPÃqĐEẨỄqỒÔỘỄDqẢẸỄĐqẮỢÓÃqỒĐPÃqĐEẨỄqỒÔFỄDqDGEqĂẺÃĐqSƠqÚqỒẦqÃMqẢữỄqÃHỄqÃĐỢứqÃứFồq8NEqẮỷÚốqỒửEqĐJEqỄDĐẺqỒÔPÃqỒỘÚẦỄq“9ĐỷỄqÔJỄDqỂỊqĐẸỄĐqỒÔửỂqÚqỒẦqUvốqỎĐỢOỄDqĐFửỒqẮJỄDqỒĐẰFqỄDỘÚẤỄqỆÙqì"]?ốqỒwỄDqÃỢOỄDqỄwỄDqỆPÃqÚqỒẦqÃMqỐÒ”ốq%JqỒÔỢÒỄDq%JqìqỒẦq9DỘÚBỄqeĐẺq6EỂqeEẦỄqỄĐỹỄqỂửỄĐốqỄDựỄĐqÚqỒẦqỎĐữEqÕỘÚẦỒqỆEẨỒqỄĐỷỄqÔJỄDqỄĐứỄĐqỂỊqĐẸỄĐqỒÔửỂqÚqỒẦqUvqỒĐẰFqỄDỘÚẤỄqỆÙqì"]?ồq9ĐEẨỂqSƠqÃĐỘÚẤỄqỂỊỄqỂNEqÃỚứqÃừÃqỒÔửỂqÚqỒẦqĐFửỒqẮJỄDqỒĐẰFqỄDỘÚẤỄqỆÙqì"]?qỆựqÕỘữỄqỆÙốqẮEẬỘqỒÔẺqẢẨỄĐqỀĐỊỄDqỆỷÚqỄĐEBỂốqỂửỄqỒÉỄĐqSNEqÃừÃqẢẨỄĐqỒEẪỘqẮỢOỄDốqĐỘÚẦỒqừỎốqĐẰỄqỎĐẦqÕỘữỄồồồqđÒqìqỒẦqỐNỂqỎĐẤqĂỘÚẨỒqĂứỄĐqỐừÃĐqĂứỄĐqỂƠÃqỀƯqỒĐỘÁỒốqỒĐỘỈÃqỒửEqỒÔửỂqÚqỒẦqUvốqỆựỂqSEẨÃqSNEq%"í"qỒẼỄĐqẮẪqỒĐứỄĐqỒFừỄồq?ýÃqẢEẨỒốqỐÂqỒwỄDqÃỢOỄDqỒÔỘÚẬỄqỒĐỊỄDốqDEừFqĂƠÃqỐỞÃqỀĐÍẰqÃĐFqỄDỢOEqĂỷỄqĐEẪỘqỒĐẤỂqSẬqSứEqỒÔHqÃỚứqÚqỒẦqÃMqỐÒồqeĐẰFqỂƠÃqỒEẤỘqÃỚứq%JqìqỒẦốqỄwỂqtrsưốqỂLEqỒẼỄĐqỒÔEẪỄqỀĐứEqÉỒqỄĐỹỒqsùóqỐỈqỒÔửỂqÚqỒẦqUvốqỎĐỢOỄDốqỒĐẺqỒÔỹỄqỒĐẰFqỄDỘÚẤỄqỆÙqì"]?ồq]EứEqẮFửỄqtrsư-trtrqỒÔEẪỄqỀĐứEqÉỒqỄĐỹỒquróqỐỈqỒÔửỂqÚqỒẦồqsrqỄwỂqỒNEqỐÂqĐẸỄĐqỒĐựỄĐqỂửỄDqỆỢNEqÚqỒẦqÃMqỐÒqỎĐỚqỀĐxỎqỒFựỄqÕỘỈÃồơ/ỎớơỎqÃỆứỐỐnpỎ%FĂÚpớeửEqeĐứỄĐq"GứốqỄwỂqtrsũốqđÒqìqỒẦqỎĐỈEqĐÓỎqSNEqeÔỢOỄDq?ửEqĐIÃqìq&ỢÓÃqeĐừEq%ẸỄĐqẮựFqỒửFqstủqẢừÃqỐÊqỒửEqưqĐỘÚẨỄốqỒĐựỄĐqỎĐỈqổ7ứỄDq*ĐừỄĐốqeÔEẨỘqđMỄốqìẤỄq?ẺỄĐốqcỘữỄDqíỢMỄDốq9ỊỄDq*ỈỄDốqeĐỢOỄDqíỘỷỄốq"FyỄDq"GứốqebqeĐứỄĐq"GứqSựqebqđAỂqđMỄỗqSẬqÃĐwỂqỐGÃqỐỞÃqỀĐÍẰqẢứỄqẮAỘqỒĐẰFqỄDỘÚẤỄqỆÙqì"]?qổỒĐOEqDEứỄqẮựFqỒửFquqỒĐừỄDỗôqỄwỂqtrsưốqđÒqìqỒẦqỎĐỈEqĐÓỎqSNEqeÔỢOỄDq?ửEqĐIÃqìq&ỢÓÃq"ữEqbĐHỄDqẮựFqỒửFqủũqẢừÃqỐÊqỒửEqùqĐỘÚẨỄốqỒĐựỄĐqỎĐỈqổ9ỊỄDq*ỈỄDốqeĐỢOỄDqíỘỷỄốq"FyỄDq"GứốqebqeĐứỄĐq"GứqSựqebqđAỂqđMỄỗqSẬqẢừÃqỐÊqẮẺỄĐqĐỢNỄDqì"]?qổỒĐOEqDEứỄqẮựFqỒửFqụqỒĐừỄDỗồồồqeỘÚqỄĐEẤỄốqỆựqẮẺứqẢựỄqÔJỄDốqeĐứỄĐq"GứqỆửEqỀĐỊỄDqỄyỂqỒÔFỄDqũqỒẼỄĐqỒĐÉqẮEẪỂqSẬqẢừÃqỐÊqDEứqẮẸỄĐqSựqỎĐHỄDqỀĐừỂqẢừÃqỐÊqDEứqẮẸỄĐqÃỚứq%JqìqỒẦồqeÔFỄDqỀĐEqỄDỘĨỄqỄĐỷỄqỆPÃqỒÔEẪỄqỀĐứEqÃAỄqỎĐữEqÃGqẢừÃqỐÊqẮứqỀĐFứqẮỢÓÃqẮựFqỒửFqỒỈEqỒĐEẪỘquqỒĐừỄDqSẬqì"]?ồqeÔửỂqìqỒẦqỎĐữEqẢữFqẮữỂqẮỚqỄĐỷỄqỆPÃqỒĐẰFqÕỘÚqẮẺỄĐqỒửEqeĐỊỄDqỒỢqỐỈquu/trsù/ee-%ìeqỄDựÚqtủ-sr-trsùqÃỚứq%JqìqỒẦqSẬqĐỢNỄDqĂẠỄqÃĐỞÃqỄwỄDqỄĐEẨỂqSƠqÃỚứqỒÔửỂqÚqỒẦqUvốqỎĐỢOỄDốqỒĐẺqỒÔỹỄốqỄĐỢỄDqỒĐPÃqỒẦqỂJỒqỐỈqỒÔửỂqÚqỒẦqUvqÃĐỢứqÃGqẢừÃqỐÊqỄẤỄqỀĐGqỒÔEẪỄqỀĐứEồơ/ỎớơỎqÃỆứỐỐnpỎ%FĂÚpớeĐẰFqÃừÃqÃĐỘÚẤỄqDEứqÚqỒẦốqỂỊqĐẸỄĐqỒÔửỂqÚqỒẦqỒĐẰFqỄDỘÚẤỄqỆÙqì"]?qỆựqÃAỄqỒĐEẦỒốqSẸqÃGqẮẦỄqủr-ũróqĂỷỄqỐỈqỐỈỄDqÒqỄỊỄDqỒĐỊỄồqeÔửỂqÚqỒẦqỐÂqỆựqỄMEqDAỄqỄĐỹỒốqỒỈỒqỄĐỹỒqẮẪqỄDỢOEqĂỷỄqỒEẦỎqÃÁỄồq8ỊqĐẸỄĐqỄDỘÚẤỄqỆÙqì"]?qẮỢÓÃqỒÉÃĐqĐÓỎqỒÔEẪỄqỀĐứEqỒửEqỒÔửỂqÚqỒẦqUvốqỎĐỢOỄDqẮỢÓÃqỀỤqSIỄDqỐÂqỂứỄDqỆửEqỄĐEẬỘqỆÓEqÉÃĐqÃĐFqỄDỢOEqĂỷỄqỒÔFỄDqSEẨÃqÃĐwỂqỐGÃqỐỞÃqỀĐÍẰqẢứỄqẮAỘồq7ựỂqỐứFqẮẪqỄỷỄDqÃứFqÃĐỹỒqỆỢÓỄDqSựqĐEẨỘqÕỘữqĐFửỒqẮJỄDqÃỚứqÚqỒẦqÃMqỐÒốqỒỠqẮGqỒĐỘqĐỔỒqỄDỢOEqĂỷỄqẮẦỄqỒĐwỂqỀĐừỂốqẮẪqÚqỒẦqÃMqỐÒqẮỔỄDqSNEqSứEqỒÔHq“ỄDỢOEqDừÃqÃKỄD”qỒÔFỄDqÃỊỄDqỒừÃqÃĐwỂqỐGÃqỐỞÃqỀĐÍẰqỄĐỷỄqĂỷỄốqỆựqẢựEqỒFừỄqẮỢÓÃqẮýỒqÔứồqơ/ỎớơỎqÃỆứỐỐnpỎđFỘÔÃẰpớ%ựEqSựqữỄĐõqeỊq"ựơ/Ỏớ