B f cdng eg: Do khdng c6 cdu hdi nghidn c&u rd rdng ndn phdn l&n cdc bO cdng eg djnh tinh ddu dua ra cdc cdu hdi chung chung, khdng cd nhieu gid tri trong vifc ttiu th$p thdng tin t ^ o myc dieh nghidn c&u. Mft sd nghidn c&u chi dp dyng m f t b f c f ^ g cy cho nhidu ddi tugng khdc nhau.
Phuong phip thu th$p s6 liiu: 5/7 nghidn c&u s u dyng phuong phdp phdng vdn sdu, 1/7 s u dyng phuanq phdp thdo ludn nhdm, 1/7 nghidn c&u s&
dyng k i t hgp phdng vdn sdu vd thao ludn nhdm.
Phuong phip phin tfch s6 lidu: Tii cd cdc nghidn c&u 5& dyng phuong phdp phdn tieh theo ndi dung vd chd dd.
Cidi thde sir dgng kit qui: Cdc tdc gia da su dyng kdt qud djnh tinh d l giai thich vd minh hpa cho kit qud d\nh lugng tuy nhidn cdc thdng tin ^ n h tinh chua dugc phdn tich mflt cdeh logic. Mflt s6 nghidn c&u khi trich d i n thdng tin djnh tinh cdn nhdm ldn giua kit qud vd bdn lufn. Nguydn nhdn cua hgn chd ndy Id do cdc tdc gid chua dua ra dugc cde edu hdi va mue tidu ciia nghidn c&u i^nh tinh mft edch cy t h l .
KtT LUAN
- Hdu h i t cdc nghidn c&u ddu dp dyng co so ly thuydt Id hpe thuydt Herzberg, tuy nhidn cd s u khdc bift vd cdc nhdm y l u td vd cdc t i l u mye nhd de ddnh gid sy hdi idng v&i cflng v i f c eOa nhdn vidn y td.
- 8/9 bfl edng cy dugc s& dyng trong cdc nghidn c&u chua dugc kidm djnh vd dd tin cdy vd tinh gid tri.
- Phdn l&n cdc nghidn c&u ehua ndu rd dugc myc dich vd •j/ nghTa cCla cdc kdt qud djnh tinh.
- Luong vd cdc khodn thu nhfp, d i l u kidn Idm vifc, sy ghi nhfn Id ba ydu td cd tJ If hdi Idng thdp vd dugc cde ddi tugng nghidn c&u dd cdp ddn nhidu hon trong cdc k i t qud djnh tinh.
SUMMARY
A REVIEW OF THESES ON MOTIVATION AND JOB SATISFACTION OF HEALTH WORKERS IN HOSPITAL IN VIETNAM: A STUDY OF HANOI SCHOOL OF PUBLIC HEALTH
Background: Human Resource for Health is an important contributor to the quality of health care sen/ices. Research on health w/orkforee has been the concern of health organizations and hospital
managers. Severals theses on health workforce and job satis^etion have tieen conducted recently.
However there has not tieen consistency In research methodology and approach. We conducted a research to review the theses at Hanoi School of Public Health which are related to job satisfaction of health workers. Our research aims to: 1) Summarize some results on job satisfaction of health workers in the hospitals, 2) Analyze the methodology used in the assessment of job satisfaction of health workers in the hospitals.
Methods: Literature review.
Conclusions:
Almost theses applied Herzberg conceptual framework, however, there are differences Iwtween factors related to job satisfaction of health workers.
As some questionaires were not validated, the quality of results could be influenced.
Almost research did not dearly mention purpose and significances of qualitative results. Three major factors dissatisfied health wor1<ers the most including Remuneration, Worldng Environment and Recognition.
Keywords: Motivation, job satisfaction, health workers, hospital.
TAI LIEU THAM K H A O
1. World Health Organization. Working together for health: World Health Organization. 2006.
2. Ministry of Health. JAHR 2012: Improving quality of medical services. Joint Annual Health Review 2012.
2012.
3. Ministry of Health. JAHR 2009: Health workforce in Vietnam. Joint Annual Health Review 2009. 2009.
4. Herzberg. Motivation-hygiene profiles: Pinpointing what ails the organization. Organizational Dynamics 1974.
5. Paul Kmeger KB, Lynne Lohfeld, H Gayle Edward, David Lewis & Erin Tjam,. "Organization specific predictors of job satisfaction: findings from a Canadian multi-site quality of work life cross-sectional survey", BMC Health Sen/ices Research 2002.
6. L§ Thanh Nhugn. Thyc trgng ngudn nh§n lyc vd sy hdi long doi v&i cong vide ciia nhdn vidn y t l co sa huydn Binh Xuyen. tinh Vfnh Phiic nSm 2008.
NHAN XET DAC DIEM LAM SANG, HINH ANH NOI SOI VA MO BENH HOC BENH TRAO NGUDC DA DAY THUC QUAN TAI BENH VIEN K
TRAN VAN T H U A N
T6MTAT
Vl^ Nam li quSc gia ci tf li binh viim loit d?
ddy, trio ngm?c da dAy, thijc quin cao. mit s6 tnitng hgp binh d giai doan muin khdng duvc diiu tri */P Iha se giy biin chimg nhu loil ning, ung thir Ihuc quin. Nghiin cOv duvc tiin hinh tir 2/2010 - 11/2010 Irin lis binh nhin vdi phuong phip mi ti liin cOu nhim Um hiiu die diim lim sing, hinh inh
ndi soi mo benh hoc binh trio nguvc da diy thuc quin. Cing cu thu thip thing tin bing ciu hii dinh gii mic do biiu chimg.
Kit qui nghiin cim cho thiy binh nhin nam glOl mic binh it han nO; nhdm tuii niy hay gip tir 31 - 40 tuii. Tha gian mic binh it nhit dua 1 tuin vi idn hon 12 thing. Binh hay tii phit Tniu chdng lim sing: 35,7% v ndng don thuin, 27% o ndng kit hi?p
Y HOC THVC HANH (907) - S6 3/2014
vdi trieu chdng khic, (16,5%) nuSt vudng, (13%) tridu chdng ngoii thuc quin (ho, khin...). Md benh hoc thgc quin: Viim mgn tinh (21,4%), viem loit (42,9%), Barret 7.1%). Md binh hoc da diy: Viim man tinh (37,5%), vidm loit (37.5%). vidm teo (6,2%).
Nhdng b$nh nhin c6 tridu ehdng lam sing rim rd thl cd ton thuong thue quin n^ng han.
Td' khda: trio ngugc dg diy thuc quin.
SUMMARY
Vietnam has a high pementage of patients getting gastric ulcer, gastm esophageal mflux disorder Some of them am terminally III with possibility of producing side-effect such as serious ulcer, cancer of the oesophagus if they are not cured in time. Studies conducted from 2/2010 to 11/2010 with 115 patients by method of cross-sectional survey to team about clinical features, ultrasonic images of histopathology of gastm esophageal reflux disonJer Information collection via questionnalms alms at evaluating degme of the symptoms.
Results of those studies indicated that male patients wem lower than female ones. Gmup of age who suffer such disease most Is 31-40 yearn old.
Incubation period lasts 1 week at least and no mom than 12 months. It fmquently memdesces. Clinical symptoms include: 35.7% hearibum pumly, 27%
hearibum accompanied with other symptoms, (16.5%) hard-to-swallow, (13%) symptoms occurring outside the oesophagus (caugh, hoarse...). Esophageal histopathology: chmnic oesophagitis (21.4%), ulcer (42.9%), Barret (71%). Gastric histopathology: chmnic gastritis (37.5%), ulcer (37.5%), atmphy (6.2%). The patients getting serious clinical symptoms have mom sevem tmuma on oesophagus.
Keywords: gastm esophageal reflux disorder DAT VAN DE
Benh trdo ngugc da ddy thgc quan Id tinh trgng bfnh ly khi cdc chdt trong dg ddy trao ngugc gdy trieu ch&ng khd chju hoac b i l n ch&ng. Tgi Chdu Au vd Bde My cd tJ If mdc 20-30%. Tgi Chdu A it ed s6 lieu thdng kd ddy dli nhung ty If thdp hon vd bpnh tdng nhanh trong th&i gian gan ddy, Tuy nhien & mft sd tnr&ng hgp bfnh & giai dogn mufn khdng dugc didu tri gdy mft s6 bidn ch&ng nhu: h?p thuc quan, bfnh Barret, lodt thuc quan tam vj ddn den ung thu thye quan. Tgi Bfnh vidn K mdt nam cd hdng tram bfnh nhdn ddn khdm, cd rdt nhieu tnj&ng hgp ban ddu chdn doan Id loan cam hpng. Tuy nhidn sau khi hdi k? vd tiln hdnh nfi soi thye quan dg ddy dd phat hien duoc nhieu tnf&ng hgp mdc can bfnh ndy. De nit kinh nghifm vd phue vy cdng tdc khdm chua bfnh chung tfli nghien c&u de tdi: °Nh$n xit die diim lim sang, htnh inh ndi sol, md binh hr?c bdnh thuc quin da diy trio nguge tgi bdnh vidn K" vdi cic mi^c tidu sau:
- Nghidn c&u ddc diem Idm sdng, hinh anh npi soi, md bfnh hpc b f n h trao nguge dg ddy thyc quan.
- Ddi chidu trieu chung Idm sang v&i dac didm hinh anh n f i soi vd md bfnh hpc b f n h trdo ngugc dg ddy thyc qudn.
©Oi ruguG VA PHuvruG PHAP Day Id m f t nghien c&u md ta tidn c&u v&i ddi tugng la cdc bdnh nhan c6 cdc trifu ch&ng bfnh trdo ngugc dg ddy thuc qudn d u g c khdm Idm sdng tgi Benh v i f n K. Nghien c&u d u g c tien hdnh t& thdr^
2 ^ 0 1 0 - 1 1 / 2 0 1 0 v&i c& m§u Id 115 benh nhdn dugc lua chpn vd n f i soi thuc quan tai Khoa N f i soi-tiidm dd chuc ndng. Cac doi tugng nghidn c&u dugc phong van bdng bp eong cu thu thap sd i l f u bdng cdu hdi danh gid m&c do h i f u ch&ng. Nh&ng bfnh nhdn cd ton thuang d u g c bdm sinh thiet vd bfnh pham
duoc lam md b f n h hoc. ,.
K i T QUA VA BAN LUAN Bang 1: Dde diem eOa b f n t i nhdn
NOi dunq
TuSi
GiCT
Du'di 20 tu6i Tir 21 ~ 30 tu6i Tip31-40lu6i TCF41-50tu6i Til 51 - 50 tu4i Tren 60 tu6i
Nam NO
n(n=116) 3 16 31 24 29 12 61 64
iin%:
2.60 13.91 26.95 20,87.
25,21 10,43 44,3 55,7 Tuoi trung binh la 45. Tudi thap nhdt trong nhdm nghien c&u Id 16, cao nhat Id 78. Tuoi trung binh nam 44, n u Id 46 tuoi. Cd 64 tru&ng hgp Id n& chilm >
55,7%, so cdn Igi la nam gi&i cd 51 tru&ng hgp chidm 44,3%.
Bang 2. Ddc diem, tridu ch&ng lam sdng •^•'- N$i dunq
Thfti gian mic b$nh Tien si>
b$nh nhSn Diu hieu lam sdng
Du'di 1 tuSn 1 tuan-1 thdnq 1- 3 thang TCF 3 - 6 thdng TO 6 - 1 2 thdng Tren 12 thdng
Binh thu'dng HOi chCrnq vigm lodt da ddy
luldc benh i<hdc Q'nOnq Nuot vodng
Nu6t dau Nu6t nghen V n6ng + i<hdc
Khdo
n(n=116) 17 55 12 7 4 7 62 12 21 41 19 4 4 31 15
TyBK 14SS 47,8 21,7 9,1 l 3 l ^ f l ' 7 0 » f » t 8 , » 3 5 , ^ i6:fi 3;5 , 3;S">t 2?!*
130?
Benh nhdn mdc benh du&i 1 thang cd 55 tnf&ng;
hgp chidm tJ Id 47,8%. Trong khi dd sd lugng bfnh nhan mac b f n h t u 6 thdng tr& Idn chi cd 4 tnr&ng hgp chiem 3,5%. Tien s u b f n h nhdn da s6 Id blnh thu&ng chi cd m f t s6 It bj vidm lodt dg ddy 10,4%.
Ddu hieu Idm sdng chii ydu Id g ndng 35,7% vd nufit vu&ng19(16,5%).
Bang 3. Hinh thdi ton thuong thuc qudn NOi dung
Hinh thdi tdn thtfong
Binh thodnq Vi6m xunq huv^t
Viem chiTt Vidm Choi -t- lo6t ndnq
Vidm lodt sdn quanh chu vi
Khdc
n(n=115) 41 21 34 8 8 3
Tfl?%
35,7 18,3h 29.6
7,0,:, 7,0*
2,8;
Y HOC THUC HANH (907) - S6 3/M14
Hinh dnh cho mdy trong s6 hinh thdi ton thuang hdu hdt Id vidm xung huydt vd vidm chgt. Hinh anh v i ^ chgt c6 34 fru&ng hgp (^ilm 29,6%. Viem xung huylt c6 21 tnr&ng hgp 18,3%. Trong khi dd viem k)dt sdn quanh chu vi vd vidm chgt + lodt ndng chi cd 8 tru&ng hgp chidm 7%.
Bdng 4. Hinh anh nfi soi vd m&c dp tdn thuang nidm mgc dg ddy - td trdng
Ngi d u n g Hinh a n h
Hinh thdi t6n t h i / o n g
M&c dO tSn thu'O'ng
B i n h thu'o'nq C6 t 6 n thu-anq ViSm x u n q huyet
V i e m c h o i ViSm lo6t c h o i
Loet Nh?
V i i a N a n q
n ( n = 1 1 5 ) 8 107
3 0 4 8 12 17 34 6 0 11
T y le % 7 93 26,1 41,7 10,4 14,8 32,4 57,1 10,5 Hau hdt cdc truong hgp cho thdy cd hinh anh ton thuang nidm mgc dg day 107 chidm 93% trong dd bao gom cdc hinh thai viem xung huyet 26,1%, vidm chgt 41,7%, viem loet chgt 10,4%. M&e dp ton ffiuong chii yeu id & m&c vua 60 (57,1%) nhe 34(32,4%), m&c n f ng chl cd 11 tru&ng hgp (10,5%).
Bdng 5. D f c d i l m md bfnh hpc da ddy - thyc qudn qua bfnh phdm ndi soi
NOi d u n q
Lo9i md b$nh hgc d? d^y
L09I m d bdnh tiQC thu'c quSn
V i 6 m V i e m t e o Vifim m a n t i n h
V i e m loet ViSm m g n Hnh
V i 6 m lo§t Barret
Khdc
n ( n = 1 1 5 ) 3 1 6 6 3 6 1 4
Tv 1? % 18,8 6.2 37,5 37,5 21,4 42,9 7.1 23,6 Bdng 5 eho thdy loai md bdnh hpc da day the vidm mgn tinh vd vidm lodt cd 6 tru&ng hgp chidm 37,6% trong khi dd thd viem Id 3 tru&ng hgp 18,8%
vd vidm teo chl 1 tru&ng hgp 6,2% Loai md benh hpc thyc qudn thd vidm lodt Id 6 tru&ng hpp 42,9%, vidm mgn tinh cd 3 truong hgp 21,4% va cd 4 tru&ng hgp khdc Id u nhii bieu md vdy.
• Bdng 6. Ddi chieu m&c dd trieu ch&ng Idm sdng vdi hinfi dnh nQi soi thyc quan
>(iWsrQ
ikms.
D91
eon
0(111
DO IV Chung
Blnh thu-frng
1 50%
28 48,7%
11 26,2%
1 9 , 1 %
13 Tfin t h i f o n g
d & l 1 5 0 %
10 16,7%
9 21,4%
2 18,2%
22 Ton thu'O'ng
dOII 0 0 17 28,3%
12 28,6%
4 36,4%
33 T6n t h y c n g
d $ l l l 0 0 3 5,0%
6 14,3%
0 g
Ton thuong
d & i v 0 0 2 3,3%
4 9,5%
4 36,4%
10 Chung
2
60 42
11 105 Khi adi cW6u miic flO tri$u ctiu-ng Idnn sSng v&i hinh anh nOi soi thu'c quan cho thay i o i vdi nhij-ng tiufrng hp-p c6 tri$u chij-ng iam sdng 6i I c6 tdi 50%
l * l h nhSn li blnh thu'dng nhu'ng Ichi tri?u chiing iam ring 6 ao IV cht ciS 9,1% li blnh thu'dng vi cd tdi 38,4% l6n thu'ong thvc quin ao IV.
B a n g 7 . D o i c h i e u m & c d f I d m t r i d u c h & n g I d m s d n q v & i h i n h d n h n d i s o i d g d d y
M D T C C S - - ^ D O I
D $ l l
D g l l l
DO IV
Chung D d l
1 5 0 %
2 1 3 6 , 8 %
9 2 3 , 7 %
3 3 7 , 5 %
34 3 2 , 4 %
D Q ! I 1 5 0 %
33 5 7 , 9 %
23 6 0 , 5 %
3 3 7 , 5 %
6 0 5 7 , 1 %
D Q I M
0 3 5 , 3 %
6 1 5 , 8 %
2 2 5 , 5 %
11 10,4%
C h u n g
2
57
38
8 105 1 0 0 % Ket qua nay cho thdy a m&c do trieu ch&ng lam sdng Id 1 thl m&c dp phu hgp tren npi sol Id 50%.
Trdn Idm sdng d f 2 vd 3 cho thdy phan l&n ede tru&ng hgp nay phu hgp vol ton thuong & dp tuong
&ng v&i npi soi.
Bang 8. Ddl chidu tdn thuang thuc quan v&i md benh hpc
TW^HTQ T T T t N . D ^ I I
D p III
D Q I V Chunq
V i e m m g n t i n h
1 3 3 . 3 %
2 2 8 , 6 %
0 3
V i e m loet
0 3 4 9 , 2 %
3 7 5 %
6 Barret
0
0 1 2 5 %
1 Khac
2 6 7 , 7 %
2 2 8 , 6 %
0 4
Chung 3 1 0 0 %
7 100%
4 100%
14 Kdt qua ndy cho thay mot so dgc didm didn hinh la khi ton thuang dp 4 trgn n f i soi thi kdt qua md b?nh hpc cd t&i 75% id viem loet vd 25% Id tdn thuong dang Barret.
BAN LUAN
Trong s6 115 bdnh nhan nghidn c&u d f tudi hay gdp Id nhdm tuoi t u 31 - 40. TJ If mdc a nam it han so V&I nu (44,3% so v&i 55,7%). Ve th&i gian mdc bdnh cd ty If cao nhat t& 1 den 4 tudn chidm 47,8% vd du&i 1 tudn chl chiem 14,8%. Didu ndy cho thdy bdnh thuong kdo dai vd khi dd bfnh nhan m&i de y di khdm
Ve trieu ch&ng Idm sdng da s6 Id g ndng don thuan vd g ndng cd kdm theo nu6t vu&ng, nu6t dau. vol ty le 62,7%. chT 15 tru&ng hgp cd tri$u chung ngoai thyc quan: khdn tidng, ho, khd tho (13%.) Dieu nay phu hgp v&i cac nghidn c&u khdc [4,6]. Hinh anh ndi soi thyc quan blnh thu&ng o 41/115 benh nhan 35,7%, nh&ng truang hgp ndy mfc dli khdng cd ton thuang a thuc quan nhung bfnh nhan cd ddu hieu lam sdng, didu ndy cOng dupc de c f p o nghien c&u khdc [2,3]. Khi nghidn c&u hinh anh ndi soi dg ddy cd 93% truang hgp tdn thuong niem mac trong do dang viem xung huydt vd viem chgt chidm ty le cao (26,1%, 41,7%), cd 14,8%
benh nhan bi loet ngng 1 6 hodc da 6
Vd dgc diem md bfnh hpc thuc quan. Cd 14 truong hpp viem lodt chiem ty Id cao nhdt 42,9%, chi cd 1 benh nhdn Barret vd 4 tru&ng hgp u nhii bidu md vay.
Khi doi chidu m&c d f tridu ch&ng Idm sdng v&i hinh anh ndi sol thyc quan cho thdy ddi v&i nh&ng
THpC THV'C HANH (907) - S6 3/2014
tnf&ng hgp cd trifu ch&ng Idm sdng dp I ed t&i 50%
b f n h nhdn Id binti thugng nhung khi trieu ch&ng Idm sdng & d f IV chi cd 9 , 1 % Id binh thuong vd cd t&i 36,4% tdn thuong thyc qudn d f IV. Didu ndy cho thdy thu&ng bfnh nhdn co trifu ch&ng Idm sdng rdm r f thi tdn thuang thyc quan cQng ndng hon.
KtT LUAN
Qua nghien c&u 115 tnf&ng hgp trdo nguge thyc quan cho ket qua thu dugc nhu sau:
Bfnh nhan nam gi&i mdc benh it hon nir, nhdm tudi ndy hay gdp t u 31 - 40 tudi.
Th&i gian mdc bfnh it nhdt du&i 1 tudn va l&n hon 12 thdng.
Trifu ch&ng Idm sdng: 35,7% g ndng don thudn, 27% g ndng kdt hgp v&i trifu ch&ng khdc, (16,5%) nudt vu&ng, (13%) frif u chung ngodi thuc quan (ho, khdn...).
Md bfnh hpc thue quan: Viem mgn tinh (21,4%), vidm lodt (42,9%), Barret 7,1%).
H/ld bfnh hpc dg ddy: Vidm mgn tinh (37,5%), vidm lodt (37,5%), vidm teo (6,2%).
Nh&ng bdnh nhdn cd trieu ch&ng Idm sdng ram rd thl ed tdn thuong thyc quan n f ng han.
TAI UEU THAM KHAO
1. Dodn Thi Hoai, Nghi&n cuu ff§c didm lam sdng, hinh anh n f i soi - md hpc vd do PH thyc qudn lifin tyc 24 gi& frong hdi ch&ng trao ngugc dg ddy UMjt quan. L u f n vdn thgc s? y hgc, tnf&ng Dgi hpc ym Npi.
2. Tg Long (2005), "Djch t§ hpe, chdn doan vd xu tri benh trao ngugc dg day t h y c quan', 0$c san tidu hoaVidtNam, 3, tr05-14.
3. Duong IWinh Thang (2001), Nghidn cuu d$c diem Idm sang, npi soi, md b f n h hge cua trdo ngupc da day thuc qudn, L u f n vdn thgc sJ y hpc, Hpc vifn Qudn y, Ha N f i .
4. Nguydn Cdnh Binh (2008), Nghidn c&u tfin thuang b f n h ly tai doan ndi thyc quan dg ddy trong bgnh trdo ngugc dg day t h y c qudn, Tgp chi Khoa hpc Tidu hod V i f t Nam, 9, tr 530-535.
5. Pal Demeter and Akos Pap (2004), "The relationship between Gastroesophageal Reflux disease and obstnjctive sleep apnea", Joumal of Gastroenterology, vol 39, pp. 815-520.
6. Dentetal, Scan.J.Gastr(2008), vol 43-, Supplement 244, Or8.
TRIEN KHAI HJNH THIJnC DAO TAO MOI TRONG NGANH Y TE
BUI TRUNG DUNG
T6M TAT
Giio due trgc tuyin (eLeaming) tmng y ti da phit triin t$i nhiiu nude trdn thi gidi nhung chi mdi bit diu hinh thinh tgi Vidt Nam. Nham dinh gii nhifng yiu ti liin quan din qui trinh chuin bj trien khai glio dge tn/c tuyin tmng nginh Y te d Vl$t Nam, chdng tdi dS tiin hinh nghidn cdu tgi Bdnh vign Bgch Mai theo phuang phip md ti cit ngang vdi nhdm cin bd giing vidn nim 2013. Nghidn cdu tiin hinh phdng vin dii tugng bing bd ciu hdi, kit qui cho thiy phin Idn ddi tugng nghidn cdu cd mdc dd sin sing ip dung cao, nhu ciu ldn vi thgc tS dang thudng xuyin sd di^ng cic phin mim vl tinh nhu PowerPoint, Word, Excel...Mdc dd truy cip Internet vi giao tiip qua thu rTidn td li rit cao. Hing tuin, giing vidn tmy c$p chd yiu vio cic didn din tn/c tuyin chuydn nginh di xem vi til tii lieu tiin quan.
Mic dd nhdm giing vidn niy chua dugc tiip can hay lim bii giing tn/c tuyin, nhung nh$n thdc vi Igi Ich eda giio due tn/c tuyin la rit tot Cic thiy cd glio chip nhin thay ddi phuang phip giing day, sin sing kit hgp vdi giio dijc tmydn thdng, liin hg ch$t chd hon vdi hgc vien di tang cudng ho trg tdxa qua cic edng cy tnj-c tuyin llnh ho^t, qua dd giim bdt chl phi hgc tip cua hgc viin vi giim tii ginh ning mit nhin Igc tgi cic ca sd cu hr?e viin di hge.
Td khda: Dio tgo tn/c tuyin, Bdnh vidn Bgch Mai.
SUMMARY
ELeaming in health has been developed in many countries amund the worid, but just began to fonn in Vietnam last few yearn. This mseamh was conducted in one of the three biggest hospitals in Vietnam with purposes of assessment some main factors mlated the implement eLeaming In Vietnam. The study design was cross-sectional survey with teachers and facilitators. The result of interviewing msearch subjects by questionnaire reveals that the majority had a high application availability, high demand and often pmctleal use computer soflwam such as PowerPoint, Vi/ord, Excei.. The level of access internet and communication via e-mail Is very h'igfi.
They access mainly to specialized online fomms to view and download relevant documents every week.
Although this gmup have not made online lectures yet, but their awareness of the benefits of eLeaming IS very good. The teachers accept to change teaching methods, willing to combine with traditional educaGon and mom closely associate with students to enhance remote support through online tools flexibly. There by mducing the learning cost and the burden of ladvng of employees at the lower level health facilities.
Keywords: ELeaming, Bach Mai hospital.
DAT VAN Dt
Gido dye tn/c tuydn dd d u g c hinh thdnh vd phit trien tgi nhidu nu&c phdt tridn trdn thd gi&i. Md hinh
Y HOC THV'C HANH (907) - S6 3 / 2 ^
