TAP CHl Y HOC VigT NAM TAP 464 - THANG 3 - SO 1 - 2018 V. KET LUAN
Cac yeu t d nguy cd NKBV tai khoa hoi sire tfeh eire Nhi eho timg loai NKBV gom ed VPBV la CO dat NKQ, thdi gian dat NKQ > 5 ngay, diing thudc u'e ehe thu the H2; NKHBV la dat thong TMTT, thdi gian dat > 3 ngay, eo bpc 16 TM, nuoi an TM; NKVM la phau thuat dddng tieu hoa, loai phau thuat nhiem dd, co dat dan lull va dat tren 5 ngay; NKTN la cd dat tiiong tieu va dat > 3 ngay. Ket qua nay giiip cho viec thdc hien cac bien phap phong ngifa NKBV cho tiTng loai can thiep hieu qua hdn.
TAI LIEU T H A M KHAO
1. Abramczyk ML., Carvalho WB, Eduardo S.
Carvalho, Eduardo A. S. Medeiros (2003).
"Nosocomial Infection in Paediatrlc Intensive Care Unit in a Developing Gauntry". The Brazilian Journal ofIn^dlous Diseases, 7 (6), pp: 3^5 -38(J 2. D|ng Van Quy (2002). "Oac diem nhiem khuan
benh vien tai khoa hoi su'c cap ciru benh vien Nhi Dong 2". Luin vin tot nghiep bac si noi tni Nhi, Dai hoc Y DUdc TP. Ho Chi Mmh, TP. Ho Chf Minh.
3. Dennis a 3 B and Marc JMB (1999) "Health-care associated pneumonia" Hospital Epidemiology and Infection Control, 2™ edition, chapter 22, Lipincotte William and V/ilkins, Baltimore.
4. John PB and David JP (1999) "Health-care associated urinary infection" Ho^hal E^d&nicdogy arvl Infectkm Cbntrd, 7° edition, chapter 20, Lipincotte William and Wilkins, Baltimore.
5. Gamer JS, Jarvis WR, Emori TG ET al (1996) . "CDC Definitions of Nosocomial Infections". APIC Inledixi ConbxM and Applied Epkimik^ogy: Pnnaples and Radkss, pp: Al -A20, Mosby, St.Louis.
6. Gilio AE, Stape A, Pereira CR, Cardoso MF, Silva CV,Troster EJ. (2000). "Ride factors fix nosxomial inactions in a cribcally ill pediatric population: A month prospective cohort study". Syfedbon Oonbd Hc^
Ep&micd, 21(5), pp: 340 -342.
7. Mtihiemann K, Franzini C, Aebi C et al (2004).
"Prevalence of nosocomial Infections in Swiss children's hospital". Infect Control Hosp Epidemiol, 25 (9), pp: 765 - 771.
GIA TRI VA DO TIN CAY cClA BANG H 6 I TIT D A N H GIA N A N G LITC CUA BAC SI ctr TUYEN TAI TRU'O'NG DAI HOC Y DU'OC-DAI HOC THAI NGUYEN
Tran Bao Ngoc', Le Nggc Uyen', Nguyen Ti^n Dung' va cs
graduated in the period 1991-2015. Materials and methods: A cross-sectional study with 31 seft-rated questionnaires of self-assessment on a Likeit scale of 5 levels divided into 4 factors; using 250 nominated doctors who graduated from 11 different provinces.
Results: 66.8% of doctors complete the questionaire.
After analyzing EFA and Crobcah's alpha reliabiblity;
having 28 questions suitable into 4 new factors.
Conclusion and Recommendation: The self- assessment questionnaire is based on capacity of general doctors by the Ministry of Health. Health facilities could use the questionnaire to assess professional capacity of doctors.
Key words: Value, reliability; self- assessment capacity; nominated doctor; University of Medicine and Pharmacy.
I. DAT VAN DE
Danh gia hieu qua cdng viec ciia nhan vien du'dc sd dung rong rai tir nhu'ng nam 1980 khi canh tranh tren thj tru'dng trd nen gay gat, eae doanh nghiep bat buoc phai ehii trpng va khuyen khieh nhan vien thdc hien tdt eae muc tieu ma ddn vj de ra. Oanh gia hieu qua eong viee eua nhan vien nham: Cung cap cac thong tin phan Tioi ve mdc do thdc hien cdng viec so vdi eae tieu
chuan m l u ; Giup nhan vien dieu chinh, sira chda cae sai lam trong qua trinh lam viee; Kfch thfeh, dong vien nhan vien thong qua nhdng danh gia, ghi nhan va ho t r d ; Cung cap cac thong tin cho cae van de dao tao, tra lu'dng, khen thu'dng.
TOM TAT
Muc tieu: Xac dinh gia tri va do t n cay ciia Jiang hoi tu" danh gia nang li/c cua bac sT (BS) cuT tuyen da tot nghiep giai doan 1991-2015. Ddi tu'dng phu'cfng phap: Mo ta thiel ke ngang bang bp cau hoi 31 cau tU dien ve ty danh gia nSng lu'c theo thang diem Likert 5 miTc do chia thanh 4 nhan to v6i 250 BS cir tuyen da tot nghiep hJ-11 tinh. Ket qua: 66,8% BS hoan ttianh cau hoi. Sau khi phan b'eh EFA va do tin cay theo Crobcah's alpha con 28 cau hoi phu hdp chia thanh 4 nh3n to m6l. Ket luan va kien iiglij: Bang hoi tU danh gia nang li/c can cir theo chuan nang lUc BS da khoa cua Bg Y te cd gia tri va dp tin cay cao. Cac cO sd y te CO the sir dung bang hoi nay de danh gia nang luc nghe nghiep ciia BS noi chung.
Tdkhda: Gia trj; dp tin cay; tU danh gia nang li/c;
bac sT cir tuyen; dai hpc y du'dc.
SUMMARY
VALUES AND RELIABILITY OF SELF- ASSESSMENT CAPACITY OF NOMINATED DOCTORS AT THAI NGUYEN UNIVERSITY
OF MEDICINE AND PHARMACY Objectives: To determine the value and reliability of seft-rated questionare of nominated doctors who 'Tru&ng Dai hoc YDdpc Thii Nguyen
Chiu trach nhiim chinh: Tran Bao Ngpc Email: ngoctra'[email protected] Ngay nhan bai: 24.12.2017 Ngay phin bien khoa hpe: 5.2.2018 Ngay duyet bai: 12.2.2018
VIETNAM MEDICAL JOURNAL N°1 - MARCH - 201S thuyen chuyen nhan vien...; Phat trien sd hi^u
biet ve ddn vi; Tang cu'dng quan he tdt dep giu^
cap tren va cap dddi. Neu danh gia hieu qua cong viec lam cd sd de tra lu'dng, thu'dng, thi danh gia nang Idc la cd sd de hoach djnh nguon nhan liTc, ia d i / bao kha nang hoan thanh mue tieu cong viec ciia nh§n vien.
Hien nay, Chi'nh phii chuan bj ban hanh Nghj djnh mdi de thay the Nghi djnh sd 85/ND-CP ngay 15/12/2012 eiia Chi'nh phii ve cd ehe hoat dong, ed che tai ehinh ddi vdi cac ddn vi sir nghiep y te eong l^p va gia dich vu kham benh, chCfa benh ciia cac ed sd kham benh, chu'a benh eong lap. Oe cac benh vien cdng thi'ch nghi vdi cd ehe tiT ehii tai chi'nh cdng ngoai viee thay ddi ve tinh than thai do phuc vu ciia nhan vien, sd tang cu'dng cd sd vat chat, trang thiet bj, con mpt viic vo cung quan trong la nang cao nSng lu'c nghe nghiep ciia dgi ngu bac sT - "xu'dng sdng" ciia moi cd sd dieu trj. Trong moi cd sd y te, dac biet la d eac vimg khd khan, theo nhan dinh ciia nhieu can bp quan ly dang "viifa thieu, vira yeu" khi danh gia thy'c trang BS dang cong tae, trong do cd sd lu'dng kh6ng nho BS cir tuyen-doi tu'dng tuyen khdng qua thi tuyen ehung la nhiem vu vo cimg quan trong. Tren cd sd chuan nang Idc cd ban eiia Bp Y te [1], chung toi xay diTng Bang hoi de eae BS cd tuyen t y danh gia nang \iic ciia minh. Cho tdi thdi diem hien tai ehya co bp cong cy "chuan" de danh gia nang lu'c, do do chung toi tien hanh de tai nay vdi mue tieu: Xac dinh gla tri vi dd tin cay cua bing hdi td danh gia nang idc cua BS cd tuyen da tdt nghiep td Trddng Dal hoc Y Dddc-Dal hoc Thai Nguyen glal doan 1991-2015.
II. D S I nrQMG VA PHU'CFNG P H A P NGHIEN CUU 2.1.^ Doi tUdng nghiSn cuU: Gom 250 BS ed tuyen da tdt nghiep giai doan 1991-2015 tai 11 tinh (Bae Kan, Bac Giang; Cao Bang, Hoa Binh, Lang Sdn, Vao Cai, Quang Ninh, Tuyen Quang, Yen Bai, Ninh Binh, Nghe An) dang cong tac tai cac cd sd y te ddng y tham gia khao sat.
Tieu chuan loai trir: Khong cdng tae Hnh vdc lien quan y te. Tir chdi tra ldi phong van.
Thdi gian nghien cuU: Tir thang 6/2017-12/2017.
Dja diem nghien cdu: Tru'dng Dai hpc Y Du'dc-Dai hpc Thai Nguyen va cac Sd Y te.
2.2. Phddng phap nghien cdu: Mo ta thiet ke cSt n^ang bang bang hoi djnh Iddng.
Cd mau: chpn chu dich tat ca BS cu" tuyen tai 11 tinh. 250 BS dong y tra idi phdng van, ty \e phan hoi dat^66.8% so vdi ho sd quan ly tai Tru'dng. Cd mau nay hoan toan dam bao cho eac phan tich theo muc tiSu da de ra [ 4 ] .
2.3. Bd cdng cu nghiSn cdu: Bang hoi ty dien danh cho BS cd tuyS'n can cir theo chuan nang Idc ed ban BS da khoa eiia Bp Y te gom 4 linh viTe, 20 tieu ehuan, 90 tieu ehi [1] va tham khao tir mpt sd nghien ciru tddng t d trong nude.
Bang hoi ehia thanh 4 ITnh vde nang idc gom 31 cau hoi theo Likert 5 mire dp (5: Gioi, 4: Kh^, 3:
Trung binh, 2: Kem va 1: Yeu): Hanh nghe chuyen mdn gom 11 tieu muc; Ung dung kien thdc y hpc gdm 5 tieu muc; Cham soc y khoa gom 10 tieu muc va Giao tiep, cpng tac gom 5 tieu mue.
Cae cpng tae vien eiia cac Sd Y te diidc Chii nhiem dp tai va/hoac cac thanh vien ehinh hu'dng dan dien phieu khao sat soan san cho cac ddi tydng nghien ciTu.
2.4. Thu thap so lieu: Cac BS cd tuyen sau khi du'dc hu'dng dan dien phieu, td hoan thanh eac eau hoi mpt each dpc lap vdi sir giam sat, ho trd eiia dieu tra vien va nop lai eho ngu'di phong van (tdi thieu sau 30 phut/ngirdi).
2.5. PhUdng phap phan tich: (i) Oanh gia tinh gia tri eiia thang do. Viee lu^ chpn cae nhan to sau khi xoay ma tran du'a tren to hdp eac tieu chf: chpn cac thanh t d co gia trj rieng > 1, t / le
% phu'dng sai tich tuy dddc giai tJifoh bdi cac thanh j : d trong khoang 50-70%, dddc xem la gia tri phd bien cua cae thang do trong eac nghien cdu va sy phan bd cae thanh t d ciia bieu do Scree vdi gia tri rieng > 1 . Tiep theo, diing phu'dng phap xoay nhan t d trye giao Varimax de xae djnh cae tieu muc cho tirng thanh td vdi tieu chi giij" lai eac tieu muc cd gia trj tu'dng quan >
0,5 va nhu'ng can nhac phti hdp vdi y van [5].
(ii) Oanh gia do tin cay ciia thang do: Su' dung he sd Cronbach's AJpha de danh gia su' nhat quan ben trong eiia ea thang do va ciia tirng tieu mue vdi tieu chf he sd > 0,7 dddc eoi la chap nhan dydc [6].
2.6. Kh/a canh dao du'c cua nghiin cdd Cac sd lieu hoan toan chi danh cho muc dich nghien cud. De tai da dddc Hpi dong Oao diTc Trddng Oai hpc Y Du'dc thong qua. Thdng tin ca nhan dddc bao mat.
III. K ^ QUA NGHIEN CU'U
3 . 1 . D|ic di^m ddi tu'dng nghign cu'u: 250 BS cd tuyen ciia 11 tinh noi tren hoan thanh phieu khao sat (ty le phan hoi dat 66,8%. Ty le ndlnam la 1,5/1. Dan tdc Kinli chiem 6,4%;
trong eae dan tpc thieu sd, ty le BS ngdiSi Tay, Niing, Dao chiem dai da sd (71,2%). Tuoi tnjng binh 35,03 ± 5,8bjdi (trong khoang ttr 26 - 49 tuoi).
3.2. Danh gia do tin cay cua thang do
TAP CHi Y HOC VIET NAM TAP 464 -THANG 3 - s d 1-2018 Bang 1. Ket gua danh aia dd tin cay cua thang do
Bien
NTIA
nm
NTIB NTIC NTID MTIE rTTlG rfTlH NTH NTIK NTIL NTIM NT2 NT2A NT2B Hnc NT2D NT2E NT3 NT3A NT3B Hn"3C NT3D hn"3E OT3G m"3H NT3I
mx
NT3L NT4^^"4A MT4B NTIC NT4D miE
Trung binh thang do neu
ioai bien
Phu'Ong sai thang do neu
ioai bien
Tu'dng guan bien tong He so Cronbach's alpha = 0,907 (11 cau 37,84
37,72 37,60 37,76 37,59 38,63 37,64 38,18 39,30 38,79 38,27
32,906 32,773 32,908 32,069 32,701 32,901 32,882 32,330 34,269 32,776 32,319
,636 ,687 ,753 ,748 ,700 ,575 ,716 ,691 ,408 ,638 ,673
He so Cronbach's aipha neu ioai bien i6i)
,899 ,896 ,894 ,893 ,896 ,903 ,895 ,896 ,913 ,899 ,897 He so Cronbach's alpha = 0,893 f5 cau hoi) 15,28
15,55 15,37 15,48 15,50
6,634 6,296 6,306 6,444 6,307
,737 ,744 ,807 ,739 ,676
,870 ,868 ,855 ,869 ,886 He so Cronbach's alpha = 0,937 {10 cau hoi) 34,70
34,73 34,81 34,88 35,46 34,63 34,75 34,63 34,62 34,69
34,902 34,068 33,626 33,439 34,225 34,267 33,770 33,350 34,028 33,057 He so Cronbach's a 16,59
16,60 16,59 16,57 16,60
7,873 7,285 7,102 7,322 7,148
,747 ,770 ,798 ,782 ,550 ,794 ,788 ,791 ,742 ,780
,931 ,929 ,928 ,929 ,943 ,929 ,928 ,928 ,931 ,929 pha = 0,932 (5 cau hoi)
,722 ,833 ,845 ,859 ,839
,933 ,913 ,911 ,909 ,912 Nhan xet: He so Cronbach's Alpha eiia 4
thanh td va tirng cau hoi trong tong so 31 cau hoi deu dat yeu cau, vdi he sd tin cay > 0,7 va tu'dng quan tong bien deu > 0,3. Nhan t d 3 co he sd tin cay tdt nhat (=0,937). He sd Cronbach's Alpha cua tdng the 31 cau hdi eung dat rat cao (0,970). Nhd vay, eo the thay bp cong cu eo sd nhat quan ben trong eao.
3.3. Danh gia tinh gii tri cua tiiang do:
Dya vao bang ma tran xoay nhan t d Rotated Component Matrix ta thay cac he sd tai nhan t d dSu > 0,5 dam bao y nghTa. Tuy nhien, khi phan tfch dp dn cay lan 2 cho eac bien sau khi ma tran
Ghi chu: NTIA thugc nhan toi, cau hdi thd nhat...
xoay, CO 3 cau hoi NT4A, NTIB, NTIA bi loai do cd he sd tin cay khong dat (idn hdn he sd Crobaeh's alpha tdng), do vay ma tran xoay cudi ciing eiia 28 cau hoi van ehia thanh 4 nhan t d dddc the hien d Bang 2 du'di day:
KI^O = 6,958 (thao man 0,5 < KMO < 1). He sd Sig = 0,000 (<0,05): eac bien quan sat eo tu'dng quan vdi nhau trong tdng the.
He sd Eigenvalue = 1,008 > 1, thi nhan t d rut trfeh du'dc eo y nghTa torn tat thong tin tdt.
Tong phu'dng sai trfeh = 68,943 ( > 50%).
Oieu nay cho thay 4 nhan to riit trfeh dddc giai thfeh 68,943% bien thien cua d d lieu quan sat.
VIETNAM MEDICAL JOURNAL N°1 - MARCH - 2018
Bang 2. Ma tran xoay nhan td Bien
NT3G NT3C l ^ 3 H NT3D NT3I NT2C NT3A NT3B MT2B NT2A NT3M NT3L MHD I^T2E NTH l«"4D l^4C NT4B NT4E NTIK NTIL NTIG NT3E NTIM NTIE NTIC I ^ I H NTID
Diem trung binh
4,03 3,85 3,90 3,78 4,02 3,93 3,96 3,92 3,74 4,02 3,96 4,04 3,81 3,79 3,76 4,17 4,15 4,14 4,14 2,63 3,14 3,30 3,20 3,66 4,34 4,34 4,29 4,17
Nhan to NTI
0,761 0,700 0,696 0,678 0,667 0,662 0,637 0,621 0,605 0,601 0,596 0,579 0,574 0,561 0,502
NT2
0,811 0,798 0,782 0,740
NT3
0,812 0,697 0,631 0,578 0,524
NT4
0,722 0,672 0,671 0,633
He sii tin cay
0,958
0,933
0,806
0,900
Ten nhan to mdi
Nang lire chuyen nion,
nghiep vu
Nang li/c phoi hdp, giao tiep
Nang lu'c hoat dgng bo trd
Nang lu'c hoat dpng chuyen nghiep So iu'iSng 4 thanh t d va 28 cau hoi sau khi
phan ti'cli EFA dddc lu'a chpn d\ia tren ket qua ciia bieu do Scree va gia tri rieng ciia timg thanh t d > 1. Ket qua phan tfch cho thay cd 4 thanh t d dap irng tieu chf.
Hinh 1. Bleu do Scree phan bo gla tn rieng cua cic thinh to
IV. BAN VSk\\
Oay la bp eong eu do Iddng nang Idc BS dau tien d Viet Nam sir dung phu'dng phap phan tieh thanh to chfnh (RCA) de danh gia tinh gia trj ve cau true ciia thang do. Ban hdi cua chung toi ap dung duS tren quyet dinh 1854 eiia Bp Y te, khac
hdn vdi ban danh gia nang ILTC do tac gia Tran Quoc Kham va cs (2013) sii' dung 11 nhom nang Idc eiia chu'dng trinh khung giao due su'c Wioe ciia Bp Y te ban hanh nam 2012 vdi thang do Likert 4 mdc dd khi danh gia nang Idc BS da khoa mdi tdt nghiep, eo diem 2,28-1,56 di&n [2], [3]. Ban hoi cua chiing tdi da bam sat theo ehuan 4 ifnh vdc, 20 tieu ehuan, 90 deu chf tei quyet dinh 1854 nam 2015 ciia Bp Y te [1].
Trong nghien ciru nay, 31 eau hoi chia thanh 4 thanh td, sau khi phan tfch EFA thanh 4 nhan t d mdi vdi 28 tieu muc, vdi he so Cronbach's Alpha dat yeu cau (dao dpng t d 0,806 den 0,958). 3 cau hoi bi ioal bo sau khi phan tich nhan to kham pha va chay lai he so tin cay cu the la: NT4A, NTIB, NTIA {Ky nang chia se, dm thdng vdi ngddl t^nh; Tim huyet vdi nghe da Ida chgn vi Ton trgng phong tuc, tap guan, tin ngddng cua ngddl benh). Chiing toi se tiep tuc nghien ciru, thay doi cau chu' ciia 3 cau hoi na^
cijng nhd khao sat vdi nhieu loai hinh BS hdn de CO the rut ra cac cau hoi chuan nhat. Rat tiec, ehu^ ed nhieu nghien euli tnang va ngoai nu'dc
TAP CHl Y HOC VlgT NAM TAP 464 - T H A N G 3 • SO 1 - 2018 quan tam tdi chii de nghien CUIJ nay, do do chiing
toi khong cd nhieu du" lieu de so sanh, phan b'eh.
Bp cdng cu nay tham khao ehii yeu d u ^ vao chuan nang \iic cd ban ciia BS da khoa do Bp Y te ban hanh nam 2015, nhom nghien cud da thao luan^ hieu chinh cae cau hoi phii hdp nhat vdi van hoa A Dong de khao sat ddi vdi BS cd tuyen.
Tuy nhien, nghien ciru cd mot sd diem ban che. M I U nghien ciru eiia de tai la m l u thuan tlen,_ bang hoi tiT dien (khong tranh khoi do
"nhieu,, khi BS tii dien) nen cae nha nghien eiru khi ap dung bp eong eu nay can tiep tue bao cao ket qua phan tfeh nhan to khang dinh (confirmatory factor analysis) de eung cap them bang chimg eho dp tin cay cita thang do. Ben canh do, nghien cu'u mdi chi thdc hien vdi nhom BS cir tuyen, nen can eo nghien cdu tiep theo ddi vdi nhom BS loai hinh dao tao khae; van can CO them nghien cii'u djnh tfnh de tham do cac cau hoi phu hdp hdn vdi cong dong can bp te va tiep tue sir dung phu'dng phap phan tfeh nhan to kham pha neu phat hien ra nhdng khac biet mdi ve cac tieu muc. Ben eanh do, danh gia tfnh gia b"j ciia thang do mdi du'dc xem xet thong qua danh gia sir nhat quan ben trong ciia cac thanh to va ca thang do, chu'a danh gia dp tin cay ve thd nghiem lai (test-retest reliability). Vl vay eae nha nghien edu can tiep tuc thu'c hien danh gia nay nham gop phan cung cap bp eong cu dam bao chat lu'dng trong nghien ciru ve khao sat nang lu'c bae si ndi chung*. Ngoai ra, do thong tin khong day dii nen chiing toi khdng the phan tich sau hdn ket qua de eo the khang dinh tinh gia trj bong diT bao eiia bp cdng eu nay.
V. KET UM}iN
Bang hoi tir dien danh gia nang liTc ciia BS ed tuyen do nhom tae gia Tru'dng Dai hpc Y Du'dc-Dai hpe Thai Nguyen bien soan co dp tin cay eao. Sau khi phan tieh eon 4 thanh t d mdi vdi 28 cau hoi.
Chiing toi tiep tuc khao sat quy mo rong hdn eiinq vdi cae phan tfch dinh tfnh de co bp eau hoi ehuan ao dung tdt cho eae ed sd y te.
icn CAM ON:
Nhom tae gia giri ldi cam dn tdi ehii nhiem de tai cap Bp, ma sd B2017-TNA-46 ciia Dai hpe Thai Nguyen, cac Sc(_Y te va cac BS cir tuyen da img hp, hdp tac, ho tvd tham gia thu thap sd lieu. Ket qua eiia de tai khong the eo dddc neu tiiieu sd hdp tac nay.
TAI LIEU T H A M KHAO
1. Bo Y te (2015), "Chuan nana lu'c cd ban cua bac sT da khoa", Quyet dinh so 1854/QD-8YT ngiy 18/5/2015
1. Bo Y te^2012), "ChUUng tnnh khung giao due dai hoc, khoi nganh Khoa hoc sire khoe, nganh Y da khoa". Thong tw Oi/2012/TT-BGD-DT, ngay 13/01/2012.
3. Tran Qudc Kham, Bui My H^nh (2013)^
"Nghien ciru mire do dap img nang lUc ve thi/c te ciia bac si da khoa 'mc(i tot nghiep vdi nhu cau xa hpi", Tap chi Y hgc thi/c hinh, 858 (5), tr. 57-60.
1 . Gorsiich R. L. (1997), "Exploratory factor analysis: its role in item analysis", J Pers Assess, 68 (3), pp. 532-560.
5. Pett M. A., Beck S. L , Guo 3. W., et al. (2013),
"Confirmatory factor analysis of the pain care quality surveys (PainCQ(c))", Health Serv Res, 48 (3), pp. 1018-1038.
6. Tavakol M. and Dennick R. (2011), "Making sense of Cronbach's alpha", IntJMedEduc, 2, pp. 53-55.
PHAN TICH DON THUOC DIEU TRI NGOJ\I TRU CHO BENH NHAN CO BAO HIEM Y TE TAI BENH VIEN TRUNG U'O'NG QUAN DOI 108 N A M 2017
TOM TAT
Muc tieu: Phan tich chi sd ke ddn tren benh nhan dieu tn ngoai tni tai benh vien Trung Udng Quan dpi 108. CiSi tu^dng nghien ciTu: cac ddn thuoc dieu tr|
ngoai tru tai Benh vien Trung Udng Quan dgi 108 nam 2017. Phu'dng phap nghien c i h i : mo ta cat ngang thong qua lioi ciru dLr lieu. Ket qua va ket luan: Cac
^Benh vien Trung ddng Quin doi 108 ChjU trach nhiem chinh: Nguyen Sdn Nam Email: [email protected] Ngay nhan bai: 24.12.2017 Ngay phan bien khoa hpc; 5.2.2018 Ngay duyet bai: 12.2.2018
Nguyin Son Nam', Pham Vinh Trirdng'
ddn thuSc diing quy dmh ciia Bp Y te. So thuoc trung binh 1 ddn thuoc la 2,87 thuoc, nam trong khuyen cao CLia WHO. Khong co hien tUdng lam dyng khang smh trong ke ddn. Ty le ddn thuoe sir dung vitamin, khoang chat cao vdi 29,5% ddn. NhuYig ddn thuoc eo tir 5 thuoc trd len, t^ le c6 tu'dng tac thuoc Idn 80,41%. Trong do tu'dng tac d mdc dp nhe va trung binh chiem da so (94,06%).
Td khda: Benh nhan ngoai tru, Benh vien Trung Udng Quan dgi 108.
SUMMARY
ANALYSIS OF OUTPATIENT TREATMENT FOR PATIENTS WITH HEALTH INSURANCE AT THE
108 CENTRAL MILITARY HOSPITAL IN 2017
