TAP GHi CdNG THIftfNG
CAC YEU TO ANH HlTdNG DEN SlT GAN KET CUA NHAN VIEN Y TE VCfl TO CHlfC TAI CAC BENH VIEN CONG LAP
THANH PHO HO CHI MINH
• PHAN QUOC TAN - DOAN HUY HIEU
T 6 M TAT:
Nghidn effu nay nham kham pha va do Iffdng cac yeu to' ^nh htfdng dd'n sff gan kdt cua nhan vien vdi to chffc. Dff lieu nghidn cffu dtfdc thu thap tff 220 nhan vidn y te' dang lam vide tai cae bdnh vien cdng lap thanh phd' Ho Chi Minh. Kd't qua kiem dinh md hinh va danh gia md hlnh ea'u true cho tha'y, co 5 ye'u td' anh htfdng tieh cffc de'n sff gan ke't cffa nhtn vidn y Id' vdi to chffc, dd la: mdi trffdng lara vide, Ianh dao, ddng nghidp, dao tao va phat trien, tra cong lao ddng. Tff kd't qua nghidn cffu, mdt so' ham y dffdc de xua't, nham giup nha quan tri cua cdc bdnh vidn cdng lap cai thien edng tac quan tri ngudn nhan life (QTNNL) dd nang cao sff gan ket eua nhan vidn vdi bdnh vidn.
TiJf khda: Bdnh vien cdng lap, sff gan kd't, nhSn vidn y te.
I. Gim thieu
Ngudn nhan Iffc la lai san quy gia eua mgi td chffc, doanh nghidp, dac biet la trong ITnh vtfc cham sdc stfc khoe. Nhan vien y te' la mdt trong nhffng ngudn Itfc quan trgng nha't, yd'u td then chd't quyd't dinh de'n stf tdn tai va phat trien cua ba't ki td ehffe y td'nao.
Nganh Y le' thanh phd' Ho Chi Minh (TP.
HCM) la mgi trong nhffng ddn vi miii nhgn, di dau ca nffde ve stf da dang eac dieh vu cham sdc sffc khde, stf ehuydn nghiep trong cdng tac kham ehffa bdnh. Trtfdc nhffng chinh sach dai ngd ha'p dSn cua benh vien ttf da dan dd'n tinh trang nhay vide cua ddi ngu nhan vidn y te'tai cae benh vidn cdng ngay cang nhidu (Van Thanh, 2019; H.
Nguyen, 2019). Lam sao de tang stf ga'n ke't cua nhan vien y te' vdi to chffc ia va'n de day khd khan ma eac bdnh vidn edng lap TP. HCM hien nay dang phai dd'i mat.
Da ed nhieu nghidn cffu ve sff gan ke't ciia nhan vien vdi td ehffe trong eae nganh nghe khac nhau nhtf Mowday & cdng stf (1979); Meyer &
Allen (1991); Lee & cdng stf (2012); Mahmoud ALHussami (2018), Ria Mardiana Yusuf (2018).
CJ Vidl Nam eung ed nghidn effu ve sff gankd'lcua nhan vidn vdi td chffc nhtf eua Pham The' Anh &
Nguydn Thi Hdng Dao (2013); Bui Thi Thanh &
Phan Qud'e Tan (2016). Nhtf vay, chffa tim *ay nhieu nghien cffu ve eae ye'u to' anh hffdng den s\i gan ke't cua nhan vieny te'tai cae bdnh vien cong lap TP. HCM. Chinh vi thd', muc tidu cua bai vi^t nham xay dffng va kiem dinh md hinh cac yeu to td' anh hffdng de'n sff gan kd't cua nhan vien y te vdi td ehffe tai cac bdnh vien eong lap TP. HCM, dat ed sd khoa hgc cho vide hoach dinh c^c chinh sach ve quan tri ngudn nhan life cho eae benh vien edng lap nham nang cao sff gdn kd't eua nhSn vien vdi td chffc.
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2. Cd sd ly thuyd't va mo hinh nghidn cu'u TheoBd Y te (2014), nhan vidn y te la loanbg so lao dgng hien dang cdng lae trong eae ed sd y td' ke ca id chffc cdng lap va ttf nhan; kd' ca bidn chd' va hdp ddng, bao gdm nhffng ngtfdi cung cap dich vu y le: bae sy, dieu dtfdng, y te' cdng edng, dtfdc sy, ky thuat vidn va nhffng ngffdi quan ly va nhan vidn khae: kd'toan, cap dffdng, lai xe, hg ly.
Mowday & edng sff (1979) eho rang, sff gan ke't eiia nhan vien vdi td ehffe la sffc manh tffdng dd'i ve sff ddng nha't cua nhan vien vdi td chffc va stf tham gia tich effe eua nhan vien trong mdt id chifc nha't dinh. Trong khi do, Meyer & Allen (I99I) eho rang, gan kd'l vdi td ehffe dffdc xem la mot trang thai tam ly the hidn md'i quan he gan hd cua ea nhan vdi td chffc va ed y nghia quyd't dinh de nhan vidn tid'p tuc hoac cha'm dfft viec la thanh vidn cua to ehffe; tff dd da de xua't 3 thanh phan cua sff gan ke't: Gan ke't tinh cam la mffc do ma mgtea nhSnganbd vd mat tam ly vdi td chffc thdng qua nbffng cam giac nhff mong mud'n dtfdc trd thanh mdt thanh vidn eua td ehffe, cam tha'y Iff hao, ydu md'n va nhidt tinh vdi td chffc; Gan kd't ldi ich the hien nhan vien nhan tha'y se ma't nhieu ldi ich khi rdi khdi td ehffe; Gan ke't dao dffc phan anh mdi y thffe trach nhidm ciia nhan vidn de tid'p tiiC d lai vdi td ehffe.
Anitha (2014) da kidm dinh sff gan kd't ciia ngtfdi lao ddng chiu tae ddng bdi 7 ye'u to': mdi trffdng lam viec, lanh dao, quan he ddng nghiep, dao tao va phat trien, cac chinh sach va thu tuc, an sinh ndi lam vide va tra edng lao dgng. Trong nghien cffu cua Bui Thi Thanh & Phan Qud'c Tan (2016) da de xua't md hinh nghidn effu gdm co 7 thanh phan ve thffc tien quan tri ngudn nhan Iffe tac ddng dd'n sff gan ke't ciia ngffdi lao ddng tai cac doanh nghidp det may trong KCN TP.HCM, cu the: phan tich cdng vide, tuyen dung, dao lao, danh gia kd't qua cdng viee, tra edng lao ddng, dinh htfdng phat iridn nghe nghidp va quan he lao ddng.
Theo ke't qua thao luan nhdm vdi cac can bg lanh dao va nhan vidn dang lam vide lai cac benh vidn cdng 13p TP. HCM da ihd'ng nha't md hinh nghidn effu dffa tren ed sd nhdm tae gia de xua't gom 5 ye'u to' anh hffdng de'n sff gan ke't eua nhan vien y te, do la: mdi Irffdng lam vide, ianh dao, dong nghidp, dao tao vii phat trien, tra cdng lao ddng. Trong dd:
-Mdi trffdng lam vide hd trd la khi quan ly quan tam ddn nhu cau va cam xuc cila ngffdi lao dgng.
cung ea'p cac thdng tm phan hdi tich cffc; mdt dieu kidn Iam vide thoai mai va an toan; khuyd'n khich ngffdi lao ddng phat tridn nhffng ky nang mdi, giai quye't cac va'n de lidn quan dd'n cdng viee (Anitha, 2014); tff do Iam gia lang nang sua't lao dgng va sff gan ke't eua ngtfdi lao ddng vdi td ehffe (Bui Thi Thanh & Phan Qudc Ta'n, 2016). Do vay, gia thuye't dffde de nghi nhff sau:
HI: Mot trudng ldm viec co anh hudng tich cUc de'n "iU gdn ket cua nhdn vien y ti.
- Lanh dao dtfde dinh nghia la hanh vi eua mdt ca nhan bao gdm sff tff nhan thffc, xff Iy edng bang, minh baeh trong cac md'i quan hd va dap ffng cac tidu chuan ve dao dffc (Anitha, 2014). Ngffdi lao dgng gan kd'l vdi td chffc khi dffde eac nha lanh dao truyen cam hffng, khi edng viee cua hg Avlcic coi la quan trgng va cd y nghia (Ria Mardiana Yusuf, 2018). Vl vay, gia thuyd't dffdc de nghi nhff sau:
H2: Lanh dgo co anh hudng tich cue de'n su gan ke't cua nhdn vien y te.
- Ddng nghidp nha'n manh va'n de hda hdp giffa eac ca nhan trong td ehffe, anh htfdng dd'n stf gan kd'l ciia ngtfdi lao ddng (Anitha, 2014). Ria Mar- diana Yusuf (2018) eho rang, md'i quan he vdi ddng nghiep anh htfdng tieh ctfc dd'n stf gan kd'l cua ngffdi lao ddng. Ne'u ngffdi lao ddng ed md'i quan hd td't vdi ddng nghidp thi se gia tang stf gan ke't vdi to chffc. Cho nen, gia ihuye't dffdc de nghi nhff sau:
H3: Dong nghiip co dnh hudng tich cUc din sU gdn ke't cda nhdn vien y te.
- Dao tao va phat tnen la hoat ddng nham irang bi kie'n thffe can ban hay nang eao ky nang nghe nghiep eho nhan vidn (Tran Kim Dung, 2015).
Pham The Anh & Nguydn Thi Hdng Dao (2013) da kiem djnh dao tao va phat trien cd md'i quan hd tieh effe vdi stf gan kd't eua nhan vidn vdi to chtfc.
Cho ndn, cae gia thuye't dffdc de nghi nhff sau:
H4: Ddo tgo vd phdt triin cd dnh hudng tich ctfc de'n sU gdn ket cua nhdn viin y ti'.
- Tra cdng lao ddng la sff kd'l hdp giffa tien Iffdng, lien thtfdng va phue Idi (Anitha J, 2014). Kd'l qua kiem dinh ciia Bui Thi Thanh & Phan Qud'e Tan (2016) eho tha'y ed md'i quan he tich cffe giffa tra edng lao ddng va sff gan ke't cua nhan vidn. Do dd. cae gia thuyet dffdc dd nghi nhff sau:
H5: Trd cong iao dong cd dnh hudng lich cifc di'n sU gdn ket cua nhdn vien y ti'
Tff cac gia thuye't ndu trdn, cd the bieu dien md hlnh nhff sau: (Hinh 1)
So 11 -Thong 6/2019 347
TAP CHi CUNG THIflfNG
Hinh 1: Md htnh nghien cdu de xudt Moitnroiig liimviec
Lanh ilao Dong nghiep Dao tao va phat tnen
Ira cong lao dgng
\ H 1 (-)
~412(V H 3 ( + ) " ^ IWHU>P^
I ^ ^
3. PhuTdng phap nghidn citu
De lai sff dung chu ye'u phffdng phap nghidn effu dinh Iffdng ed ke't hdp vdi nghidn cffu dinh linh, cu the la-
- Phtfdng phap nghidn effu dinh tinh dffde thffc hien thdng qua ky thuat phdng va'n sau 6 nha quan ly va 11 nhan vidn y td'dang Iam vide tai eae benh vien edng lap TP. HCM nham dieu ehinh, bd sung cac thanh phan thang do stf gan kd't va cac ye'u to' anh htfdng dd'n stf gan kd'l ciia ciia nhan vien y le' vdi td ehffe, ddng thdi phat trien thang do Likert 5 bac (tff I = hoan loan khdng ddng y dd'n 5 = hoan toan ddng y) vdi 31 bie'n quan sat, trong dd: cae thang do Mdi trtfdng Iam viec, lanh dao, dong nghidp, dao tao va phat trien, tra cdng Iao dgng dtfde xay dtfng trdn cd sd thang do gd'c cua Anitha J (2014); thang do 3 thanh phan gan ke't tham khao euaMeyer&Allen(1991).
- Nghien ctfu dinh Iffdng nham kiem dinh md hinh va eae gia thuye't nghidn effu thdng qua phan mem SPSS 20.0 va SmartPLS 3.0. SPSS 20.0 dtfdc diing de xff ly kdl qua thd'ng ke md ta; SmartPLS 3.0 dffdc dung de danh gia md hinh do Itfdng va danh gia md hinh ca'u true vdi PLS_SEM.
Dff heu nghien effu dffde ihu thap bang bang eau hdi phdng va'n theo phffdng phap chgn mlu thuan tien. Cu the, gffi phie'u khao sat trffc tie'p dd'n 280 nhan vidn y te lai 7 benh vien edng lap TP.
HCM, sd phie'u thu ve la 238, sd phid'u hdp le de xff ly thdng tin la 220. Cac thdng lin ve mau khao sat dffdc trinh bay trong Bang 1.
4. Kd't qua nghien cu'u
Sau kd't qua kiem dinh sd bg thang do, bai vie't da danh gia ihang do bang phan tich md hinh do Iffdng va phan tich rad hinh ca'u triic tuye'n tinh PLS_SEM Phffdng phap nay nham danh gia: do tin cay cac bid'n chi bao, do tin cay nha't quan ngi tai, gia tn hdi tu va gia tri phan biel, gia tri lidn he ly thuyd't.
Gan kei linh cam
Cian kcl dao due
4.1. Bdnh gid md hinh do Iddng
Kd't qua phan tich he so' nhan td tai chdo, cac he sd lai ngoai cac bi^n quan sat deu >0,7. Tri^
bie'n quan sat LD3, LD5, MT3,TC4vaGT2cdhe' sd tai ngoai > 0,6, nhu^g
< 0,7. Tuy nhidn, ca 5 bid'n nay deu chffa noi dung quan trong, ne'u loai cae bid'n nay cd the se vi pham ve linh ndi dung (Nguydn Dinh Thg, 2011). Nhtf vay, 5 bid'n nay deu dtfdc giff lai.
Tff kd't qua cac Bang 2 co the kd't luan thang do do Itfdng eae khai niem deu dat do tin cay, gia tri hgi tu, gia tri phan bidt, tinh ddn hffdng va gia tn ndi dung. Vi vay, md hinh phu hdp vdi dff lidu thi trtfdng. Cu the, tff bang 2 cho tha'y, thang do do Iffdng eae khai niera trong md hinh nghien cffu deu dat do tin cay theo ydu clu, trong do: Cronbach's alpha >0,7; rho_A>0,7; CR>0,7 va AVE >0,5.
Ngoai ra, cae he so ma tran Fornell - Larckerdeu ldn hdn cac he sd' trong cung 1 cdt. Ddng ihdi gia tri VIF cua eac bie'n quan sat deu < 5,0.
Ke't qua md hinh do Iffdng eac khai nidm (da chuan hda) dffde trinh bay trong Hinh 2 cho th^y,
Bang 1. Thong tin ve nndu nghien c i ^ Ti§u chi
Gidi tinh
Do tuoi
Trinh do hoc van
Nghe nghiep
Lcai HOLD
Nam NO Diidi 30 TO 30 den dudi 45
Tren 45 Cao dang
Dai hoc Tren Oai hgc
BacsT Y ta, di^u dudng
Khac Bien che Hop dong
cm
Tansd 111 109 20 169 31 91 117 12 25 104 91 147
73 Tyie(%l
50,5 49,5 9,1 76,8 14,1 41,4 53,2 5,5 11,4 47,3 41.4 66,8 33,2
WOJ
Ngudn: Ki't qud khdo sdt cua nhom lde gid
348 So 11 -Thang 6/2019
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r MT3 f MT4 P MTl 1 LDI 1 \ LDZ
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so-11-Thang6/2019 349
TAP CHi CONG THIflfNe
Bdng 4. Ket qud Bootstrapping m o tiinh c a u true v a k i e m djnh c a c gtd thuyet
Moi quan he
Dong nghiep -> Gan ket ciJa NV y te
Dao tao va phat then -> Gan l^et ciia NV y te
Lanh dao -> Gan ket cua NV y te Moi trudng iam viec -> Gan ket ciia NV y tS
Tra cdng iao dong -> Gan ket cua NVyte
Mflcd^
tac <l$ng (P) 0.269
0.158
0.131
0.147
0.28
Trong scT trung blnh Bootstrapping
0 268
0.154
0.132
0.151
0.284
E>6l$ch chuan
0.075
0.078
0.072
0.066
0 062 Giatnt
3.606
2.041
1.823
2.221
4.518 P M u s s
on
0.041 (•)
0.068 (**)
0.026 (*)
on
i<i&ii ilinli giattiuyei
Chap ntign
Chap nhin
Chap nhan
Chip ntian
Chap nhan Ghi chu: C) co y nghia d mUc 95%; C) CO y nghia d mile 90%
eae chi tidu do Iffdng trong md binh nay deu thda man ydu eau va du dieu kien dffa vao phan tieh md hinh ea'u true tuyd'n tinh SEM vdi muc dich kiem dinh eae gia thuye't trong md hinh de xuat nghidn effu.
4.2. Ddnh gid mo hinh cd'u triic vd kiem dinh gid thuye't
De ffde Iffdng md hinh ea'u true tuye'n linh, quy trinh Bootstrapping bat budc pbai di/dc tien hanh vdi kich thffdc mau Bootstrapping dffpe khuyd'n nghi la n=5000 (Henseler & cdng sff, 2015). Tff bang 4 cho tha'y, trong sd' trung binh deu nam trong khoangtineay 95%. Nhff vay, cae ffde Iffdng trong md hinh ed the kd't luan la dang tin cay
Tff Bang 4 cho thay, 5 gia ihuye't HI, H2, H3, H4, H5 deu dffde chap nhan vi ed gia iri P-value<10%, trong do tra cdng lao ddng cd tae ddng diiong manh nhat dd'n sff gan ke't cua nhin vidn y te' vdi benh vien {H5: p = 0,28; p = 0,000), ke den la dong nghiep (H3: [3 = 0,269; p = 0,000), dao tao va phat trien (H4: p = 0,158, p = 0,041), mdi trffdng lam vide (HI: p = 0,147; p = 0,026), sau ciing la Ianh dao (H2: p = 0,131; p = 0,068).
Nhif vay, cac thang do eiia cae khai niem trong md hlnh ly ihuye't dat gia trj Hen he ly ihuye't. Nghia la, ta't ea eae gia thuyd't deu dffde chap nhan.
Ke't qua ffdc Iffdng md hinh ca'u triic va kiem dinh eae gia thuye't trong md hinh dffdc trinh bay trong Hinh 3 nhff sau;
Ngudn: Kit qud phdn tich dd lieu cua nhdm tdc gia 4.3. Kiem dinh sd khdc biet ve loai hinh lao dgng (theo hien che hogc dgng hgp ddng)
Theo Henseler & cdng sff (2015), ne'u P-value
<5%; 10% hoac P-Value>95%; 90% thi sff khac biet giffa eae nhdm ed y nghTa thd'ng kd d mffc 5%;
10%. Nhif vay, qua Bang 5 cho thay cd sff khac biet ve Ioai hinh Iao dong (iheo bidn chd'va dang hdp d6ng) giffa md'i quan hd Ianh dao, nidi irLfSng Iam vide va tra cdng lao ddng vdi sff gan ket cda nhan vien y te'.
4.4. Thdo luan ke't qud
Kd'l qua nghidn cffu cho tha'y, ta't ca 5 yeu to trong md hinh de xua't co lac dong cung chieu den sif gan kd't cua nhan vien y td'. Ke't qua nay phu hop vdi nghidn cffu cua Anitha (2014), Bili Thi Thanh & Phan Qud'c Tan (2016).
Thao luan vdi cac thanh vien da tham gia nghidn cffu dinh tinh deu thd'ng nhal eho ring kei qua nghidn cffu nay la phu hdp vdi thffc tidn lai eae bdnh vidn cdng tai TP. HCM, eu ih^:
- Xu the' bien nay cd sff canh tranh vl ngudn nhan Iffe giffa bdnh vien edng va benh vidn ti/, eac nhan vidn se nhay vide dd'n nbffng benh vien tff ed ehe' do chinh sach, mdi trffdng lam vide ha'p dSn. Dieu nay cung phu hdp vdi bai vie't cua H. Nguyen (2019) eho rang, ngoai mtfc thu nhap eao hOn so vdi d benh vidn cdng, thi mdi trffdng lam vide trong benh vidn tff ciing dffOc xem la thoang hdn.
350 So 11 -Thang 6/2019
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Bang 5. Kiem djnh siJ k h a c biet ve loai hinh loo dong
Mdi quan h$
Lanh dao -> Gan ket cua NV y te Mdi tnJdng lam viec -> Gan ket cCia NV y te
Tra cdng lao dpng -> Gan ket ciia NV y te Dong nghiep -> Gan l<et cua NV y le Dao tao va phat trien -> Gan ket cua NV y te'
p-Value 0.068 0.089 0.994 0.841 0.207
Ket lu$n Cd y nghTa d mifc 90%
Cd y nghTa d mire 90%
Cd y nghTa d mde 95%
Khdng cd y nghTa Khong cd y nghTa Ngudn: Ket qud phdn tich dd lieu cua nhdm tdc gid
Hinh 3: Mo hinh ed'u true PLS_SBM (da chudn hoa)
- Ly giai ve su" khac bidt cua Ioai hinh lao dong (theo bien ehd' va dang hop dong), cac thanh vidn eho rang do anh hu'dng cua Nghi quyd't so' 03/2018/NQ-HDND ciia Hdi ddng Nhan dan
TP.HCM ehi eho phep bdnh vidn chi thdm thu nhap cho dd'i IffOng la nhan vien thugc bien che'; cdn vdi nhffng nhan vien lam dang hdp dong tam thi khdng du;oc nhan them sd' tien nay. Cho nen da khie'n eho ddi ngu y bac sT nghi vide sang Iam cho cac benh vidn tff.
5. Kd't lu^n va m^t $6'ham y Kd'l qua nghien cffu vdi mau 220 nhan vidn dang Iam vide tai cac bdnh vien cdng TP. HCM eho tha'y, ca 5 ye'u td' deu anh hifdng lich cffc de'n sff ga'n kd't ciia nhan vien vdi to chffc; trong dd, tra cdng Iao dong ed tac ddng du'dng manh nha't de'n gan kd't eua nhan vien y te', ke' de'n la dong nghiep, dao tao va phat trien, mdi trffdng Iam viec, sau cung la lanh dao. Kd't qua nghien cffu nay Iam cO sd riit ra mot so' ham y vdi eac nha quan tri lai cae benh vien cdng TP. HCM nhff sau:
- Chinh sach tra cdng va phuc loi can dffdc xay dffng vdi lieu chi cu the nh^m dam bao tinh cdng bang. Cu the', dd'i vdi nhan vien thudc dien bien che' bdnh vien se thffc hidn theo Nghi quyd't so'03, cdn nhan vidn ehffa thude bien ehd' se tang thdm thu nhap theo Nghi dinh sd' 43/2006/ND'CP quy dmh ve ed che' Iff ehu eua cac ddn vi sff nghidp ed thu.
- Hoan thien quy tae ffng xff ve md'i quan hd
•r cua tac gui
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TAP CHi CONG THlTtfNG
giffa lanh dao va dong nghidp; xay dffng van hda ehia se tri thffe, quy trinh quan tri tri thffc tai eac bdnh vidn.
- To chffc eae khda dao tao nang eao trinh do nghidp vu vdi nhieu hinh thffc va phffdng thffe khac nhau phu hdp vdi ydu cau, nhiem vu cdng vide cho nhan vien.
-Can eai thidnmoi trffdng lam viee thoang hdn, dac bidt la cai each quy trinh, thu tue hanh ehinh ddn gian, gon nhe.
- Dd'i vdi mgt so' bdnh vien tuyd'n quan/huyen
can day manh edng tae tuyen truyin, quang ba, tang cffdng dau tff de ed the eanh tranh vdi bdnh vidn tff nham thu hut dffde bdnh nhan, eai thidn thu nhap cho nhan vidn va giff bac sT gidi.
Cud'i cung, nghien cffu chi kiem dinh vdi m^u gdm 220 nhan vidn y td' dang lam vide tai 7 henh vien edng TP. HCM bang phffdng phap chon mau thuan lien. Vi thd', tinh tdng qu^t ciia mo hinh nghidn cffu chffa cao. NhSm khac phue han che nay, nhffng nghien effu tid'p theo can chpn mlu c6 kich thffdc Idn hdn tff nhieu bdnh vien hdn •
TAI LIEU THAM KHAO:
1 Anitha, J. (2014). Determinants of employee engagement and their impact on employee performance International Journal of Productivity and Performance Management, 63(3), 308-323.
2. Bd Y ti'- Nhdm ddi tdc y ti'(Health Partnership Group - HPG). (2014). "Bdo cdo chung long quan ngdnh Ytendm 2014 (JAHR 2014)"
3. Bdi Till Thanh & Phan Qudc Td'n. (2016). Qudn tn nguon nhdn luc dnh hUdng din sU gan ki't giSa nhdn vien vdi doanh nghiip det may. Tap chi Kinh ti'vd Dubdo, 23(9), 37-40.
4. H.Nguyin. (2019) Bdc s7 bd cong ra tU: Binh viin cdng phdi "nhin lai" mhih. Truy cap ngdy 5 thdng 5 ndm 2019, td. https://suckhoedotsong.vn/bac-si-bo-cong-ra-tu-benh-vien-cong-phai-nhin-lai-minh-nl54694.html 5. Hakan Erkutlu, Jamel Chafra (2016) Value congruence and commitment to change in healthcare organizations.
Journal of Advances in Management Research, Vol 13 Issue: 3, pp.316-333.
6 Henseler, J., Ringle, C. M., & Sarstedt, M (2015). A new criterion for assessing discriminant validity m variance- based structural equation modeling. Journal of the Academy of Marketing Science, 43(1), 115-135.
7. Lee, Y.. Kim Y. S., Lee. K. H, <& Li, D. X. (2012). The impact of CSR on relationship quality and relationship outcomes: A perspective of service employees. International Journal of Hospitality Management, 31, 745-756.
8 Mahmoud Al-Hussami, Sawsan Hammad. Firas Alsoleihat (2018). The influence of leadership behavior, organizational commitment, organizational support, subjective career success on organizational readiness for change in healthcare organizations. Leadership In Health Services, Vol 31 Issue: 4, pp.354-370.
9. Meyer, J P., & Allen, N. J. (1991). A three-component conceptualization of organizational commitment. Human Resource Management Review, 1(1), 61-89.
10. Mowday, R.T., Steers, R.M., & Porter, L W. (1979). The measurement of organizational commitment Joumaloj Vocational Behavior, 14, 224-47.
11. Nguyin Dinh Thg. (2011). Phuang phdp nghiin cdu khoa hoc trong kinh doanh thii't ke'vd Ihuc hien. Tp Ho Chi Minh: NXB Lao dgng Xd hgi.
12. Phgm The Anh & Nguyin Thi Hong Ddo. (2013). Qudn tn nguonnhan lUc vd .sU gdn ke'l cda nhdn vien vdi doanh nghiep. Tap chi Khoa hoc DHQGHN, Kinh ti'vd Kinh doanh. Sd4, Tap 29, 24-34.
13. Ria Mardiana Yusuf. (2018) The effect of employee ability, ho.spitaVs ethic and leadership to job satisfaction through the employee commitment: A study on Indonesian type a government hospital. Journal of Management Development.
352 So 11 -Tliang 6/2019
QUAN TRj-QUANLY
14. Trdn Kim Dung. (2015). Quan tri nguon nhdn lUc. NXB Tdng hgp, TP. HCM
15. Vdn Thanh. (2019). Hdng loat bdc si nghi viec: Do nghi quye't cdn trd hay benh viin thii'u sdc hut? Truy cap ngdy 5 thdng 5 ndm 2019, td: https://www.phunuonline.com.vn/suc~khoe/hang-loat-bac-si-nghi-viec-do-nghi-quyet-can- tro-hay-benh-vien-lhieu-suc-hut-154671/
Ngay nhan bai: 22/5/2019
Ngay phan bi^n danh gia va sufa chii'a: 1/6/2019 Ngay chap nh^n dang bai: 11/6/2019
Thdng tin tdc gid:
l.TS. PHAN QUOC TAN
Khoa Quan tri, Trffdng Dai hoc Kinh te Thanh phd' H 6 Chi Minh 2. DOAN HUY HIEU
Hoc vien cao hpc Trifdng Dai hpc Kinh te'Thanh phd'H6 Chi Minh Benh vi^n Rang Ham M|it Thanh pho'Ho Chi Minh
FACTORS AFFECTING THE MEDICAL STAFF'S COMMITMENT WITH PUBLIC HOSPITALS
IN HO CHI MINH CITY
• Ph.D PHAN QUOC TAN Faculty of Business Administration, University of Economics Ho CIni Minh City
• DOAN DUY HIEU
Postgraduate student, University of Economics Ho Clii Minh City Ho Chi Minh City Dental Hospital
ABSTRACT:
This study aims lo discover and measure the factors affecting the medical staffs commitment with public hospitals in Ho Chi Minh City. The study's data was collected from 220 medical employees vi'orking in public hospitals in Ho Chi Minh City. The resuh from testing the research model and evaluating the research model's structure shows that there are five factors that positively effect on the commitment of medical staff with organizations, namely working environment, leadership, colleagues, training and development, compensation. Based on the findings, this study proposes some implications to enhance human resource management practices and promote the commitment of medical staff with organizations.
Keywords: Public hospital, commilment, medical staff.
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