• TfyP CHi NGHIEN Cl>U Y HQC
THU'C TRANG, NHU CAU VA CAC OI^U KIEN C A N THIET Dt PHAT TRI^N DAO TAO BAC Sl GIA DJNH 6* VIET NAM
Trdn Khdnh Toan\ Nguyin Hodng Long^, Pham Le Tudn^
' Trudng D^i hgc Y Ha Ndi: ^BQ Y td Nghien cwu nhdm ddnh gid thwc tr^ng, nhu cdu vd cdc dieu kidn can thiet cho dao t^o bdc sTgia dmh (BSGD) thdng qua phdng vdn sdu. phdng vdn bdng bdng hdi mo voi cdn bg Idnh dao. quan ly, cdn bg chuyen mdn vd cdn bd ddo l^o y te d trung wong vd 7 tinh. thdnh phd Ket qud cho thdy ddo tao bdc sTgia dinh la mdt nhu cdu lat ydu dd ndng cao chat lux?ng y id co sd Tren 500 bdc si gta dinh da dwoc dao tao.
song ddi ngu gidng vien cue cdc tnrdng cdn thieu vd ydu. chwa cd dinh hudng kd hoach ddi han cho dao t^o bic st gia dinh 92% bdc st tuyen y td co sd cd nhu cdu ddo tao nang cao. trong dd chl 29% cd nguydn vgng (Mo tao chuyen ngdnh bdc sT gta dinh Can day manh tuyen truyen ndng cao nh$n thirc ve bdc sT gta dinh, CO quy dmh vd vai trd. chirc ndng va co chd ho^t ddng cua bdc si gia dinh. co chien luoe ddo tao ddi han vd ctiinh sdch ho tn? cho cdn bd y td co sd
Tifkhod: thyc tr^ng, nhu cliu, d i l u kien cim thi4t, dao t^o, bac sTgia dinh
I. DAT
V A NDt
Md hlnh bac sT gia dinh ra ddi tir nhirng ndm 1960 nhdm ddp irng vdi sir thay doi trong mo hinh benh tdt vd nhu edu sir dung dieh vu y te cua ngu'di dan d cde nirdc phdt tndn Bac si gia dinh Id nhu'ng thay thudc ehiu trdch nhiem cham sde sire khde loan dien vd hen tuc cho tdl ea cac ed nhdn trong bdi canh gia dinh; cho edc gia dinh Irong bdi canh cdng flong, khdng phdn bidl luoi, gidi, ehung tdc, bSnh tdl cung nhu' dieu kidn van hod vd ldng ldp xd hoi" [1] Vdl nhtrng the manh eua minh, mo hinh ndy da eho thay hieu qua trong viee tang cudng khd ndng liep can vd ndng eao chat lu'O'ng chdm sdc sire khde a nhidu nu'dc Iren the gidi [2],
Oao lao nguon nhdn lye ehuydn ngdnh y hoc gia dinh chinh Id chia khoa dd phdt tndn v^ nhan rdng md hinh bdc sT gia dinh Mde dii
Bia chl Ii6nh0-Tran Kh^nh Todn. bdmon Yhoc Gia dinh.
InidngB^ihocYHaNQi Entail: lktoan@yahoo com Ngiynh$n-
^y dwoc chap thuan
ehia se myc lieu chung cham soc sire khoe lien tuc vd todn dien cho ngirdi dan song van ed su' khac biel Irong cdc dich vu du'oc cung edp bdi bac sT gia dinh trong cae he thdng cham sde sire khde cua cde nu'dc Ddo tao bde sT gia dinh eung phan dnh su' da dang cua he thdng dich vu cham sde sire khde vd cdng ddng eua cdc nu'dc Dai hdi ddng Y td thd gidi da thdng qua nghi quydt keu goi eae nu'dc thdnh vidn "dao tao va dam bao ddy du sd lyang nhdn vien y te, bao gdm ca bdc sT gia dinh" [3].
Cham sde sire khoe ban ddu ehii trong edng tac du- phdng tai luydn y td eo s d la mdt trong nhtrng dinh hu'dng chien lu'gc quan trong trong edng tde chdm sdc sde khoe nhdn ddn d nu'dc ta Phal tnen md hinh bde si gia dinh du-ae ky vong Id mdt giai phap quan trong de ndng eao chat lu'ang dich vu y td d tuydn CO sd vd giam tai eho ede benh vien tuydn tren [4] Tuy nhidn vdn chira ed nhieu nghien ciru vd ddo lao vd hoai ddng eiia bde sT gia dinh d- Vidl Nam [5] Nghien eiru ndy nhdm ddnh gid nhu cau vd thue trang dao tao
TCNCYH 82 (2)-2013 175
TJBIP CHl NGHIEN CLPU Y HQC • bdc sT gig dinh vd du'a ra cdc khuydn cdo dd tdng cu-dng ddo Igo phdt tridn md hlnh bdc sT gia dinh d Vidt Nam
II. D 6 I TU'gNG VA PHU'aNG P H A P
1. odi tu'O'ng
Nghidn ciru du'p'c thye hidn tgi 7 tfnh, thdnh phd du'p'c lya ehpn cd chu dieh d ed 3 midn vd cd linh dgi didn lu'ang ddi eho cdc viing sinh thdi trong cd nu-dc Id Thdi Nguydn, Hd Ndi, ThCra Thidn Hud, Khdnh Hda, Ode Ldc, thdnh pho Ho Chi Mmh, Cdn T h a Cde tinh ndy hode ed d y dn ve bde sT gta dinh dang du-ae tnen khai vd dd ed it nhidu kinh nghiem trong to chire, quan ly vd sir dyng dieh vy bde si gia dinh
2. Phu'ang phap
- Phong van sdu lanh dao so y td 7 tinh vd idnh dao Trung tam y td eua 2 huydn trong mdi tinh vd nhu cau dao tao bde sT gia dinh d dia phuong
- Phong vdn bdng bang hdi cau Iriic vdi 53 bac sT Idm edng tdc khdm vd didu In lai 4 Irgm y td vd 2 phong khdm benh vidn da khoa huyen/linh vd 02 phdng khdm bdc sT gia dinh cdng vd lu'/tinh, ndu cd
- Phong vdn sdu vd phong van bdng bang hdi m d . v d i Idnh dao nhd tru'd'ng vd Idnh dgo bp mon y hpc gia dinh cua cdc trirdng dgi hpc y Iren dia bdn ve md hlnh td chirc, kd hogch, chien lu'pe, ndi dung chirang trinh vd cdc vdn de ton tgi vu'dng mdc trong ddo Igo chuydn ngdnh y hpe gia dinh
Nghidn ciru long hap cac vdn ban ehinh sdch, ldi lidu s i n ed lidn quan ddn dinh hirdng edng tde ehdm sdc sire khoe, hoat ddng ddo tao chuyen ngdnh bac si gia dinh tgi Viel Nam vd d mdt sd nu'de tren the gidi
Sd lieu dmh lu'ang du'oe nhdp vdo mdy
linh d y a trdn phdn mem EpiData vd xu- ly bdng phdn mem STATA phidn ban 12.0. S6 lidu dinh tinh du'p'c ghi dm hodc ghi tde k^ sau dd g d bdng hodc ddnh mdy lgi vd thye hi0n vi$e phdn tieh theo phu'ong phdp phdn tieh ndi dung,
3. Oao di>c nghi§n cii-u
Tdl cd cdc d6i lu'ang tham gia tr^ Id'i phdng vdn ddu du'p'c giai thich rd vd ndi dung vd myc tidu cua nghidn ciru vd l y nguydn tham gia.
Cdc eudc phong vdn sdu du'p'c ghi dm khi du'p'c phdp hodc du'OC ghi tde ky Thdng tin dmh lu'P'ng du'p'c nhdp vdo mdy tinh du'di dang md hod vd chf nhOng thdnh vidn ed trdch nhidm Irong nhdm nghidn ciru mdi du'p'c liep cdn Ket qua nghien ciru ddu du'p'c trinh bdy du'di hlnh thirc vd danh
III. K^T QUA
1. ThiPC trang cong tdc dao tao y hpc gia dirTh
Trong 5 trirdng dai hpc Y du'p'c dirp'e khao sdt, ehi cd 4 tru'dng (Hd Ndi, Hue, Can Tho, Hai Phdng) thanh ldp bd mdn Y hoe gia dinh vdi 23 cdn bd c a hiru, phan ldn tir cde ehuydn ngdnh khdc Rieng trirdng Oai hoc Y Thdi Nguydn vdn giCr md hinh Irung tdm vdi todn bd cdn bd giang vidn kidm nhidm
Vide ddo tao bdc sT chuydn khoa cap I y hge gia dinh du'p'c bdt dau tir ndm 2002 tgi tru'dng Dai hoc Y Ha Ndi, sau dd du-ae phdt tndn ra lat ea eae trirdng trong ca nu'dc vd ddn nay dd ed 546 bdc si tdt nghidp
Md so ddo lao Ihac sT y hoc gia dinh dd du'OC chap thudn tCr nam hpc 2010 - 2012 song chu'a t h y c hien du'oc do thidu hpc vidn.
Hai dan vi hoc trinh y hpc gia dinh dirac d y a vdo chu'ang trinh ddo lao bdc sT da khoa nhu'ng phan Idn cdc tru'dng chi ed the bdt dau
TCNCYH 82 (2) - 2013
• TjflkP CH( NGHIEN CO'U Y HpC then khai lir ndm hpc 2017 - 2018,
Chuang trinh ddo lao bdc sT chuydn khoa cap 1 hidn vdn edn nhidu bat cdp'
. chwang trinh con ndng nd. dim trdi ntiidu n0i dung nhwng khdng sdu. m(>t s6 vdn
120
dS khdng ndm vu'ng, m^t s6 chuydn khoa ch ddo fgo trong th&i gian ngdn 2 - 3 tudn ner hoc vidn cdm thdy chwa ti/ tin " (Ldnh dgc bd mdn Y hoc gta dinh)
li. i Ml 11 H i !•
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Bieu dd 1. Sd livvng hpc vien bac sT chuyen khoa cdp I y hpc gia dinh qua cac nam Co sd Ihu'c ldp cho hoe vien bdc si gia
ainh hidn nay chu ydu la tai cdc bdnh vien tuy^n tinh vd tuydn trung irang ddng trdn dia ban va chu'a cd ede ea s d thu'c hdnh chuan theo md hinh y hpc gia dinh
- Sd mOn con thidu giao vien giang day thwc hanh vd chwa co phong kham y hoc gia dinh boat ddng dung theo nguyen ly y hoc gia dinh da dwoc day vd ly thuydt " (Lanh dao bd mfln Y hpc gia dinh)
2. Nhu cdu dao tao bdc sT gia dinh Mdc dil c h u ^ khao sal day dii vd nhu cdu CLia cpng dong, luy nhidn Idnh dao cua cdc trifdng dai hoc deu thira nhdn nhu cdu ddo tao bde si gia dinh C a s d eho nhan dinh ndy la dieu kidn kmh id du'oc cai thidn vd md hinh bSnh tdl thay doi ddn den nhu edu ldn han cho vide ehdm sdc todn dien, lien lue; md hinh bSc si gia dinh da cho thdy hieu qua trong khi bac si tuydn y te ea s d hien nay khdng ed nhieu ca hdi dd hpc len cao, ngodi vjec di theo con dudng bdc sT gia dinh
Khao sdt 53 bde sT dang edng tde lai eae phdng khdm, tram y td cho thdy, cd 49 ngirdi cd nhu cdu hoe len (92%), trong s6 do chi ed 14 ngirdi mong mudn hoe vd y hpe gia dinh (29%) Bac hoc duac lu'a chon nhidu nhdt la bac si ehuydn khoa cap 1, 11 ddu id 16 ngirdi chidm 33%. Ngodi ra cd 9 bac si mong mudn du'p'c ddo tao lai de edp nhdt kidn thyc. Cd 18 bde sT (37%) mong mudn diroc hpc tai chirc vd 17 bac sT mong mudn du'ac hoc ngay tai dia phu'ang (35%).
Nhdn thirc cua cpng ddng vd bac sT gia dinh vdn cdn han chd, ngay ca vdi can bd y td, Kdt qua khao sat cho thdy mac dii co 29/53 bac sT tai cae ca so y id dd tirng nghe ndi vd y hoe gia dinh, tuy nhien ehi ed chu'a day 1/3 trong sd ndy hidu diing ca ban vd chuydn nganh
Trong khi lanh dao ede tru'dng Dai hoe Y du'OC ddu cho rdng nhu eau ddo lao vd y hpe gia dinh a mire rdt cao thi lanh dao eiia eae ea quan quan ly y td dia phu'ong iai bdy td thai do de dat han
TCNCYH 82 (2) -2013
TAP CHl NGHIEN CU'U Y HQC ^ ^ — ^ ^
"ehuydn ngdnh y hpc gia dinh chu'a thu hiit du'p'c ngydi hpc, khdng cd ngudn ddo tgo do thidu nhdn Iyc edng vdi sy Ihidu quan tdm vd
hidu bidt cua ddn vd Idnh dgo cdng dong".
(Ldnh dgo mdt Trung tdm y td huydn).
• Khdng ed nhu cdu I Cd nhu cdu hpc
YHGD Cd nhu cdu hpc chuydn ngdnh khdc Bidu dd 2. Nhu cdu hpc thdm cua cdn b$ tai cac phdng kham Mdt ly do quan trpng Id chire ndng nhidm
vu cita bde sT gia dinh chu'a du'pc quy djnh rd rdng ndn, nhu' ldi cua mdi Idnh dao sd* y td,
"ddn cd bin thdn bdc sT gia dinh cung chwa r6 ChCrc ndng nhi$m vu cua minh" Ba\ vdy khi so vdl cac chuydn ngdnh Idm sdng khdc Ihi chuyen ngdnh y hoe gia dinh vin cdn thidu sire hap din
", da sd hoc vidn thi thich chon bdc sT da khoa hodc bdc s7 cdc chuydn khoa nhw Ndt, Ngoai, San, Nht, ma It chpn y hoc gia dinh vi khong thdy hdp din. ", (ldnh dao mdt sd ytd)
Mpt ly do khdc khidn eho ehuydn ngdnh y hoe gia dinh thidu sire hdp ddn Id " ..sau hpc xong vdn Idm vide tai tuydn xd phu^/ng khdng cdt thidn duxrc lirong. thu nh$p, chuydn mdn " (ldnh dgo mOl tru'dng dgi hpe y)
3. Cac didu kien cdn thidt de phat tridn dao tao bdc sT gia dinh
Mdt khi nhdn thirc du'pc ndng eao, thdt dO eua ngu'di ddn ddi vdi vi$c sir dung dieh vy bde sT gta dinh se du'ac cai thidn, nhu cdu ddo tao cung se ldng len
"ehi khi ndo ngu'di ddn hieu rd vd bde sT gia dinh, lim den vdi bde sT gia dinh thi tir khde
nhu cdu ddo tao v4 Y hgc gta dinh cung sd tSng ldn" (ldnh dgo mdt Irirdng dgi hpc y).
Dk thiie ddy edng tdc ddo tgo, BO Y td can ed quy dinh rd vai trd, vi tri cua bdc sT gia dinh dd ldng kha ndng thu hiit edn bd y td theo hpc vd Idm ca sd" cho Idp ke hogch, chien iu-pc . ddo tao ehuydn ngdnh y hpe gia dinh.
SO cung cdn xdc dinh rd vi tri cdng tdc, chux: ndng nhidm vy cua bdc sl gia dinh trong hd thdng y td, nhdt Id vat trd chdm sdc sijc khod ban ddu & tuydn y td co sd'..." (Idnh dao mdt tru'd'ng dgi hpc y)
Oe dam bao chdt lirp'ng vd hidu qua ddo tgo cdn xdy dyng edc phdng khdm bde sT gia dinh chuan lam ca so* thyc hdnh cho hoc vidn vd rill kinh nghidm nhdn rdng md hinh Cde ca chd hd trp cho hogt ddng cua bdc sT gia dinh nhu' quy dinh ve chuyen tuydn, phan hdi thdng tin, chl tra bao hiem y td,.. la hdnh lang phdp ly bdt bude cho cdc phdng khdm y hpc gig dinh hogt ddng
IV. BAN LUAN
Vd'i ddi ngu cdn bp, giang vidn mong, hau
hdt edc bd mdn y hpc gia dinh a cdc tru'dng
mdi chl dirng lai d vide giang day phan dgi
TCNCYH 82 (2) - 2013
cLfdng vd y hpc gia dinh chir chu'a tham gig giang dgy ldm sdng nhu' d ede nu'de phdt then [6].
Nhin ehung, ede tru'dng van chu'a ed dinh hirdng chien lu'pc ddi hai cho ddo tao y hpc gia dinh ndn vdn cdn liing limg, bi dpng trong x^c dmh ddi tu'ang vd loai hlnh ddo lao U'u tien Ngudn tuydn smh ddo tao hidn chii ydu van dua vdo nhu eau t y phdt eua cdn bd y te CO sd chir chu'a ed ddnh gid nhu cdu thu'c te vd kd hoach thu hiit hpe vidn Ngoai trir edc tru'&ng lidn kdt ddo tao vdi nhO'ng dia phu-ang c6 dy dn hd trp, sd iu-ang hoe vien dang cd xu hirdng gidm, nhidu tru'dng khdng duy Iri dirae viec tuyen sinh hdng ndm Vide ddnh gid day flij han ve nhu cau ddo lao id het sire can thidl d^ cd chidn Iirpc tong thd ddi han eho ddo lao yhoc gia dinh.
Chu'ang trinh ddo lao bdc sT chuydn khoa cap I y hoc gia dinh du'ac phdt tndn kdt hap mdt phan chu'ang Irinh bdc si da khoa vdi chu'cng trinh y id du' phdng, cham sdc sye khoe ban ddu chir chu'a can cir vao nhu cdu thuc te cua cdng ddng, chirc ndng, nhiem vu, V! tri edng tdc eiia ngu'di hoe, md hinh benh tat, didu kien nhan lu-e cung nhu' trang thidt bt sin cd lai tuyen y td co s d [6]. Han nCra, md hlnh bdnh tat vd trang thiet bt ky Ihudt tat ede benh vien luyen tinh, trung u'ong khae hdn vdi ff tuydn y id ea s d Bdi vdy vide dao tao thuc heinh ldm sdng can cd su' sdng loe, lua chpn nhung khoa phdng phii hap,
Hien nay da cd hdng trdm bdc sT tdt nghidp chuydn khoa cdp I Y hoc gia dinh vd tra vd lam viec d tuydn y id co s d . Tuy nhidn chiing ta vdn chua cd nhii'ng nghien ciru day du vd y kifen phan hdi cua edc cdn bp sau ddo lao vd su phil hpp eua md hinh ddo tgo, ndi dung chuo'ng trinh giang day eung nhu kha nang dp dung cdc kien thirc dd hoe vdo tinh hinh thuc te CLia dia phuong [5J
Mac dil cd han 8000 bdc si dang cdng tdc
Ti=lP CHi NGHIEN CO'U Y HQC tgi cde tram y td song trdn thue td, hidn nay cdc trudng ddu gdp khd khan trong vide kdu got vd thu hilt hpe vidn sau dgi hoc. Oieu dd ehirng to r i n g chi dan thuan dua vdo s y phdt tridn nhu cdu t y phdt eua edn bd y id ca sd nhu bidn nay Id ehua du de phdt tndn cong tdc ddo lao ehuydn ngdnh y hpc gia dinh
Vide dao tao ddng loat eho todn bd cdc bdc sT dang cdng tdc lai luydn y td ca sd id khdng kha thi Thay vao do ddi hdi cde trudng phai da dang hod cde loai hinh ddo lao, tang cudng ddo lao lidn luc tai dia phuong, dao tao bd sung cdp nhdt kidn thye vd lhay ddi thai do thue hdnh theo hirdng y hpc gia dinh Md hinh ddo lao tai cho theo tin ehl vd tirng budc chudn hod kidn thirc, ky nang nhu a mdt sd nude phat tndn co the duac tham khao vd dp dung ddi vdi cae can bo y td dang cdng tdc tai edc tram y id [6]
Nhu cdu dao tao vd y hoc gia dinh ehua cao bdi day Id mot chuyen nganh mdi, dd bao phu cdn thdp, khai niem bac si gia dinh vdn edn kha xa la vdi ca cong ddng idn can bd y te Oe m d rpng ddo tao, trude hdt can cd bidn phap de nang eao nhdn thirc cua ngudi dan vd chuyen nganh ndy. Ngodi viee tang cudng cdng lae luydn truydn, edn phai ed quy dmh rd r i n g vd chirc nang nhidm vu cua bae si gia dinh Didu ndy khdng chl giup ngudi dan hieu rd han vd bdc sT gia dinh ma cdn gop phdn Idm tang ly Id sinh vien dang ky theo hoc chuyen ngdnh y hoc gia dinh [7]
Kinh nghiem tir cac nudc phat tnen eho thdy, md hinh bdc sT gia dinh ddu duac vdn hanh thdnh edng trong ea chd cdng - l u kdt hap. Ddo tao bdc sT gia dinh edn phai duoc ddt ra ddi vdi he thdng y td tu nhan, trudc m i t ldp trung ddo tao dinh hudng, cap nhdt bd sung kidn thire vd khuydn khich hanh nghd Iheo dinh hudng y hoc gia dinh, sau do tirng bude ddo tao chuyen khoa sau dai hoe
TCNCYH 82 (2) - 2013 179
TAP CHi NGHIEN CLCU Y HQC
Sau khi ddo tgo, edn ed quy djnh vd ea chd hd trp eho hogt dpng cua bdc sT gia dinh nhu' ca chd ehuydn tuydn, quy dinh phdn hdi thdng tin, ehinh sdch bao hidm y td todn ddn, ea chd ehl tra, bdi kinh nghi$m eho thdy ddy Id ede vdn de edt lOi dd cde bdc si gta dinh ed thd hdnh nghd mOt cdch ed hidu qud Irong h$
thdng ehdm sde sire khoe a edc n u d c phdt tndn [8],
Mdt khi ddm bao d u p e ngudn luydn sinh on dinh, dii dd ddp irng nhu cdu cua xd hdi cdn hodn thidn td chirc vd ndng cao ndng luc cua ddi ngu edn bp giang vidn Trong bdi cdnh hidn nay, ddo tao thac sJ hpc gia dinh Id logi hinh phil hpp dd bo sung ngudn giang vidn eho ede trudng Tuy nhidn, hidn ngy logi hinh ndy ehua d u a c cdc trudng cOng n h u ban thdn hpc vien quan ldm vi dau ra ddo tgo, quy md to chirc vd dinh h u d n g nhdn lye eua edc trudng vdn chua rd rang Bdi vdy mpt chien luoe tdng thd eho cdng tdc ddo lao chuyen ngdnh y hoc gia dinh la hdt sire can thidt
V. K£T LUAN
Dao bdc si gia dinh Id nhu cdu thue td vd phu hop vdl ehu truang eua ngdnh y td nhdm ndng cao ehdt luang y td ea sa, giam tai eho edc bpnh vidn tuydn tren Hogt ddng ddo tgo ehua cd kd hogch vd dinh h u d n g ehidn l u p c ddi hgn Logi hinh ddo tao chu ydu hidn nay Id bae si chuyen khoa cap 1 y hpe gia dinh vdl trdn 500 bdc sT tot nghidp trong hon 10 ndm qua Odi ngu edn bd giang vidn cua ede Irudng cdn mdng, thidu c a sd' vd cde didu kidn t h y c hdnh phij h p p theo diing cdc nguydn ly eua y hpe gia dinh Nhu cau ddo tao tir phia ban thdn edn bp y td c a s a chua eao do nhdn thire vd vi thd eua bde sT gia dinh edn han ehe, chuang trinh hpc cdn ndng nd vd chua cd cdc chinh sdch khuydn khich hd tra
Od phdt tridn ddo tgo bde sT gia dinh can tdng c u d n g tuydn truydn ndng cao nhdn thirc vd chuydn ngdnh y hpe gia dinh, cd edc quy dinh cy the rd rdng vd vai trd, chirc ndng nhidm vy cua bdc sT gia dinh vd cd cdc c a chd phil hpp cho hogt dOng ciia bdc sT gia dinh Cde trudng cdn cd kd hogch vd chidn lupc ddi hgn cho cdng tdc ddo tgo, da dang hod cdc logi hlnh vd ddi t u p n g , vd'i trpng tdm uu tidn cho tirng giai dogn. Bdn egnh vide ddo tao bde sT chuydn khoa cdp 1 tdP trung cdn to chire ddo tao dinh hud-ng, ddo tgo lai chd, ddo tao bd sung vd ddo tao theo tin chi. To chire ede md hlnh phdng khdm y hpc gia dinh chuan dd ldm c a s d thuc hdnh trong ddo tao vd giup riit kmh nghidm nhdn rOng md hinh.
Lo'i cam e n
Xm chdn thdnh earn a n Ldnh dao ede cue, vu eiia Bd Y te, S d Y td cdc Unh tham gia nghien eiru, cdc t r u d n g Oai hpc Y duae, cdc cdn bd y td vd bdnh nhdn lai cdc c a s a y td da hd tra vd cung cap thdng tin cho nghien ciru.
Xm cam kdt khdng cd xung ddt lai ich trong bat bdo ndy
TAI LIEU THAM KHAO
1. Charles Boelen, Cynthia Haq (2002).Improving health systems The contrbution of Family Medicine - A guide book. Wonca 2002.
2. Dresang LT, Brebrick L, Murray D, et al (2005). Family medicine in Cuba commu- nily-onenled primary eare and complementary and alternative medicine J Am Board Fam Pracf; 18(4), 2 9 7 - 3 0 3
3. WHO (2009). Pnmary Health Care, including health systems strengthening. World Health Assembly Resolution WHA62.12.
Geneva
4. Bp chinh trj Ban chdp hanh Trung u-o-ng Oang cpng san Viet Nam (2005). Nghi
TCNCYH 82 (2) - 2013
TAP CHl NGHIEN CO'U Y HQC quyit si 46-NQ/TW ngiy 23/02/2005 v6 cdng 7. Omotara BA, Asuzu MC, Padonu MK.
lie bio v$ Cham s6c vi ning cao SCK khde (1991). The dynamics of medical studenls ca- nhin din Irong tinh hinh m&i. Hi NSi reer and medical specialty choices, and their
5. Pham Thj Ngoc Bich (2010). So s i n h implication for medical education in developing rnipc d6 hSi Iflng ciJa b#nh nhSn vfti bSc sT countries, a Maidugun Medical School study chuySn khoa mpt y hpc gia dinh Mi bSc si da f ^ ^ , ^ ^ Med J 68(7), 547 - 554
khoa tai m$t so trgm y te xa a H^ NOi, Viet
Nam Tap chl nghiin c&u y hoc. 2 (6), 3 1 - 3 7 ^- Ssenyonga R, Seremba E (2007). Fam- 6. Roberts RG, Hunt VR, Kuire Tl et al ''^ '^e<'i<:i"e's '°l^ '" ti^alth care systems in (2011). Family medicine training-the intema- Sub-Saharan Africa Uganda as an example.
tionaiexperience M e d J / l u s t 194(11), 8 4 - 8 7 Fam Med, 39(9), 623 - 6 2 6
Summary
FOR THE TRAINING OF FAMILY MEDICINE IN VIETNAM:
SITUATION, NEEDS AND REQUIREMENTS
The goal of this study is to assess the situation, the needs and the necessary conditions for tiie development of family medicine training in Vietnam Results Based on our results, family medicine training was needed to improve the quality of the pnmary health care in the population However, currently family medicine was only short term training as only a slightly more than 500 family doctors have been trained so far because the training capacity was still limited A long-term plan for family medicine secondary training is needed to improve the situation and met the need of a growing population Our data also showed that about 90% of the doctors at primary care level would like to be trained further However, only 29% of the doctors preferred family practice training Conclusions More family practice should be promoted, and the roles and functions of a family physician should be clearly defined. A long-term training strategy and policies to support the doctors at primary level are necessary for development of family practice training Keywords: Situation, needs, requirements, training, family physician
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