I TlNGOUUIt NGHIEII ciru I
Thtfc trang ngudn nhSn Itfc y td'cdng tai hai huyen Kim Bang va Binh Luc
ciia tinh Ha Nam, nam 2014
Nguyen Hffu Thang', Dtfdng Kim TuS'n^,
Nguyin Phtfdng Phtfdng Thao\ Phung Thi Hoa', Nguyin Hihi Thuifn'
Nghiin cdu cdl ngang sddung sd'lieu sdn cd dugc thuc hien lgi cdc casdy tinhdm md td thuc trgng nguon nhdn lUc y te'cua hai huyin Kim Bdng vd Binh Luc. tinh Hd Nam vdo ndm 2014. Kit qud nghiin cdu cho thdy, tgi huyen Binh Luc: Benh vien da khoa (BVDK) huyen thieu 8 nhdn vien y ti(NVYT), khdng cd dugc si dgi hoc; Trung tdm y ti(TTYT) huyin thiiu 7-11 NVYT; 84,2% trgm y tixd (TYTX) cd du bien chi, 31,6% TYTX khdng cd bdc sT trong do 1 TYTX cd 2 bdc si. Tgi huy^n Kim Bdng:
BVDK thiiu 45-61 NVYT; TTYT huyin dii biin chi; 100% TYTX cua huyen Kim Bdng cd du sdbiin chi; 22,2% TYTX khdng cd bdc st trong khi 2 TYTX cd 2 bdc sT vd 3 xd cd 2 NHS/Y sTsdn nhi nhUng 3 TYTX khdng cd chdc danh ndy vd 38,9% TYTX khdng cd dugc st trung hgc/dugc id. Tddd khuyin edo cdc nhd ldnh dgo hai huyen Binh Luc vd Kim Bdng cdn cd nhdng chinh sdch ddi ngg nham thu hut, duy tri cdn bg, dong thdi c6 ke hogch phdn bd nguSn nhdn luc hgp li gdp phdn ddp dng tdt cho cdng tdc chdm sdc sdc khoe nhdn ddn.
Td khda: Nhdn luc y te', Benh viin Da khoa huyen, Trung tdm y ti huyin, Trgm y te xd.
Current situation of human resources for health in public health care facilities in Kim Bang and Binh Luc districts, Ha Nam province
in 2014
Nguyen Huu Thang*, Duong Kim Tuan",
Nguyen Phuong Phuong Thao^ Phung Thi Hoa', Nguyen Huu Tuan'
A cross-sectional study was carried out by using secondary data to describe the situation of human resources in health care system in Kim Bang and Binh Luc districts. Ha Nam province in 2014. The result showed that Binh Luc District General Hospital (DGH) was short of 8 medical staff, and no pharmacist at university level was available. The District Health Center (DHC) lacked 7 to 11 health care workers. 84.2% of Commune Health Stations (CHS) had enough permanent staff; 31.6% had no doctor while only 1 CHS had 2 doctors. In Kim Bang district, the DGH lacked 45-61 medical workers;
DHC had sufficient permanent staff; 100% of CHSs had enough permanent staff; 22.2% had no
6 Tap chi Y te Cdng cdng, 1.2015, Sd 34
• Ngiy nhSn bii: 23.10.1014 • Ngiy phan bt^n: 1 11.2014 • Ngiy cUnhaJa-11.11.2014 • Ngdy (!u-(7c chap nhan dSng: 4.12.2014
I TfiNG HUMS NGHIEN cuu I
pediatrician while 2 CHSs had 2 doctors and 3 CHSs had 2 midwife/Ob - Ped assistant doctors, but 3 CHSs did not have these positions, and 38.9% of CHSs had neither primary pharmacists nor assistant pharmacists. Therefore, it is suggested that leaders of Binh Luc and Kim Bang districts should have encouraging polices to attract medical staff as well as plan allocation of human resource more appropriately lo meet the demand of health care for people.
Key words: Health staff Resource, District General Hospital, District Health Centre, and Commune Health Station.
Tdc gia:
Vi|n ddo tao Y hoc dU phdng va Y le C6ng cgng, Irffdng Dai hpc Y Ha Noi BQ mdn dich tl-Thg'ng kg, TnTfTng Dai hpc Y te Cdng cdng
Cff nhSn Y le cong cgng, tnidng dai boc Y Ha Npi, khda 2011-2015
L D a t v a n 6&
Nguon nhan Iffc la ye'u td' cd ban cho moi thanh iLfu ytd', quye't dinh t o i n bd sdltfdng cung nhtf chat Itfdng cdc hoat ddng va dich vu c h a m sdc siJc k h d e [5]. Y Ie cd sd phdt trien se Iam giam sd'ltfdng ngtfdi bSnh tiif cd sd chuyen thang ve tinh hoac tuyd'n Irung Udng, tuy nhien hien nay N V Y T cd sd dang thi6'u hut ca ve sd Itfdng v& chat Itfdng [2]. Kim Bang va Binh L u c la hai huyen thupc tinh Ha N a m vdi dan sd' hai huy^n khoang 282.124 ngtfdi chi3 yfi'u song bSng nghe ndng, qua bao edo sd bd ciia cdc ddn vi y te hai huyfin cho ihiy stf thie^u hut v e so* Itfdng NVYT va p h t n bo nhan Itfc chu'a hdp ly. D ^ cd thfim bJing chtfng khoa hoc, xdc thtfc, c a p nhat hdn v e v3'n de n^y, chiing tdi tie'n hdnh nghifin ciJu vdi m u c tifiu: Md ta thtfc trang nguon n h a n Itfc y Ie cua hai huyen Kim Bang va Binh L u c , g d p ph^n dtfa ra nhffng giai phdp q u a n 1;^ ngu6n nhan Itfc nham d a p tfng td't hdn chtfc nang nhifim vu cua ngdnh y tfi' hai huyfin Kim Bang vd Binh Luc, tinh Ha Nam.
t r e n dia bdn 2 huyen Kim B a n g vd Btnh Luc, tinh Ha N a m .
Dd'i ttfdng cung ca'p thdng tin: Cdn bd phu irdch vi nhdn Itfc tai cac ddn vi y t e .
2.3. Thiit ke nghien ciJtu: Nghien cffu md ta c i t ngang.
2.4. Cdmdu va each chgn m&u:
Chpn m a u toan bd b a n g e a c h thu thap sd* lifiu san vi nhan ]tfc dang cdng tac tai c a c ddn vi y te eiia h u y e n Kim Bdng va B i n h L u c , thdng 8 n a m 2014.
Bdng 1. Sdlugng NVYT cua cdc dan vfy tihai huyin Binh Lgc vd Kim Bdng Huy^n
Kim Bang Blob Luc
SolUdng NVYT lai cac ddn v) PYT
5 5
TTYT 33 29
BV 125 91
TVTX 106 lOS
T6ag
269 233
IL PhtfoTng p h a p n g h i d n cihi
2.1. Bia diem vd thdi gian nghien cdu: Nghifin cffu da dtfdc ti^n hdnh vao thang 8 ndm 2014 tai hai huyen Kim Bang va Binh L u c . dnh Ha N a m .
2.2. Bdi tugng nghien cdu: Cac ddn vi y tg'cdng
2.5. Phuang phdp, ky thu^t thu thgp sdlifu: Mdu thu t h a p sd'lifiu sdn cd dtfdc thiet ke'nhSm thu Ih§p thong tin v e n h a n Itfc dang lam vific tai B V D K , Phdng y te', T T Y T va T Y T X thupc hai huyfin Kim B a n g va Binh L u c n a m 2014.
T a p chi Y te Cdng cdng, 1-2015, S d 34 7
ITflNGQBAN&NGHrENDUII
2.6. Xdly vaphdn tich sdlieu: So lifiu Ihu thap lijf so sdch, bao edo, dtfdc kilm tra doi chie'u giffa cac bieu mau de phdt hifin nhiJng sai sdt, bjft hdp ly, trdnh sai sd^. S6 Ufiu dtfdc nhap va phan tfch bSng phin mim Microsoft Excel.
3. K€t qua
3.1. Thong tin chung ve nhdn l^ yte cua hai huyfn Kim Bdng vd Binh Life Bdng 2: Bac diem ngudn NLYT tgi hai huyfn Kim
Bdng vd Binh Lifc
B^ diim nguon SLY7
N a n NO S o N V Y T / l O O O O d S n S ^ b i c s L f l O O O O d S n S £ d i £ u d i f 3 n g / 1 0 . 0 0 0 d a n S6dil0c a d a i b p c / 1 0 . 0 0 0 dia
Binin Kim Bing
"
SO 1 8 9
2 9 . 7
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7 0 . 3 2 ! 3 6 . 7 0 . 2
BinfuBudiLifc
"
9 0 1 7 6
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3 6 . 1 6 3 , 9 1 7 , 2 2.6 5.2 0
Nhdn xet: NVYT ciia hai huyfin chu ye'u la nff gidi, chifi'm ty Ifi trfin dtfdi 70%, ly le NVYT nff tai huyfin Kim Bang cao hdn huyfin Binh Luc. Cdc chi sd^NVYT/10.000 dan, BS/10.000 dan va dtfdc si dai hpc/lO.OOO dan tai huyfin Kim Bang deu cao hdn so vdi huyfin Binh Luc.
3.2. ThUc trgng nhdn lUc y titgi h^nh vifn da khoa hai huyfn Kim Bdng vd Binh Luc Bdng 3. Dgc diem nguon NLYT tgi BVDK hai
huyfn Kim Bdng va Binh Life rr
1
2
3
Cde cliJ tSrtnhiti hu T U n g lln c h w i c Ciildng bfnh hijn ciS Nhtn v i t a y x(
NVVT/giuOng bfnh CtfclkMpAtfi-- M phan Um i i n g Cf a l i m slnE v i d n ^ Qu3nl> htnh chtnb Ca cik ckirffn mdn:
B i c lifdiik (hnh cnuytn iDOa V i f blue DUOC 51 D»i hpc/Bic si Dutv STDBI h(ic/I>unc si [rung hoc
Huyin Kim Bing
155 L25 0,8
7 S J * J4J%
10.4%
1/4.1
ins
1/4J
Mayia Blah Lut
IOO 124 U 4
62.SW S 5 1 2 8 J 1
I O 0 0
Ve ed cSu bp phan, ty Ifi bd ph^n ldm sdng, can lam sang va dtfdc eiia BVDK Kim Bang eao hdn BVDK Binh Lue, irong khi ty Ifi bd phfn quan IJ, hdnh chinh cua BVDK Binh Luc !ai cao hdn BVDK Kim Bang. Ve cd clCu chuyfin mdn, BVDK Bioh Luc cd ty so bdc si/chtfc danh chuyfin mdn y te' khdc cao hdn BVDK Kim Bang, nhUhg tai BVDK Binh Luc khdng cd dtfdc si dai hpc.
3.3. Thifc trgng nhdn lUc y te tgi Trung tam y tehai huyfn Kim Bang va Binh Ljfc.
Bdng 4. Dgc diim NLYT tgi TTYT hai huyfn Kim Bdng vd Binh Ufc
T ] It C0 c i i i b 4 p b l B . c l m y t D IDAD Cac^tbiphia
GiLy£n mdn X 6i n g l u f n Q u i a t j . hanh chinh C« eA ehu^a maa
Biai KTV x e i ogbiem
rm huj^ Kim Bojig
n.7%
6 1 9 t 2 1 . 2 5 .
1 5 J ! » 6 . l «
rmhB^SMkL^
7 2 . 4 « 1 7 . 2 * 1 0 , 3 *
1 7 J W 3 4 *
Nhdn xel: S6 NVYT tai TTYT Kim Bang nhieu hdn TTYT Binh Luc. Ve cd cau bp ph$n, ty ifi chuyfin mdn d ca 2 TTYT huyen deu tren 70%, ty le quin 1;^, hanh chinh ciia TTYT Kim Bang hdo 20% va gap ddi TTYT Binh Luc, ty le xet nghiem cua TTYT Kim Bang chi chiem hdo 6% va hdn 1/3 so vdi TTYT Binh Lue. Ve cd ea'u chuyfin mdn, ty Ifi bac si ciia huyen Binb Luc cao hdn Kim Bang, trong khi ty Ifi KTV xel nghifim tai Kim Bang lai cao hdn.
4. Thtfc trgng nhdn /lA: y titgi cdc trgm y texd, hai huyfn Kim Bdng vd Btnh Luc.
Bdng 5. Dgc diem NLYT tgi cdc TYTX huyfn Kim Bdng va Binh Lgc
Nhdnxel: Ty sd'NVYT/gitfdng bfinh ciia BVDK Kim Bang la 0,8. bang 2/3 so vdi BVDK Binh Luc.
Dfc^im
T \ T X c 6 du biSn die dieo neu liiaio T Y T X U i e r s r f M c s ? T Y T X c 6 2hSi:il TYTX UiDEg c« NHS/y B i i n nU TYTX cd 2 N H S / y ii l i n nhi TYTX kbOng cO dtfrK sl TH/DiMc l i
KimBanftii=tSxi) . 8
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i 3
'
100%
%
2 2 J 5 11.19 I 6 . ' ' i 16.7^
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8 Tsp cU Y 15' C6ng cpng, 1.2015, S6 34
IT6N6 QUAN & NGHIIN ctiu I
Nhdn xet: Hau het ede TYTX huyfin Binh Lue vd tat ca TYTX huyfin Kim Bang cd dii bifin chfi' theo tieu chuan. Sd' TYTX khdng cd bdc si cua Binh Luc ehiem khoang 1/3 eao hdn so vdi Kim Bang. Tai Kim Bang cd 2 TYTX, Binh Luc cd 1 TYTX cd 2 BS. Huyen Kim Bang vln edn 3 TYTX khdng cd NHS/YS san nhi nhtfng 3 TYTX cd 2 NHS/YS san nhi. Tai Bmh Luc cd dfi'n VA S ^ T Y T X khdng cd dtfdc si trung hoc/dtfde ta, cao ga'p ddi so vdi Kim Bang.
4.BSnlu0n
4.1. Thong tin chung ve nguon nhdn life y te cua hai huyfn Kim Bang vd Binh Luc thdng 8 ndm 2014
Nhan Itfc y li lai hai huyfin Kim Bang vd Bmh Lyc chd yfi'u la nff gidi vdi ty Ie khd cao, trfin dtfdi 70% (Bang 2), ty le ndy ttfdng dong vdi bdo edo chung ciia ca ntfdc [2], Huyen Kim Bang cd cdc chi sd' nhan Itfe cao hdn huyfin Binh Luc, cu the:
NVYT/10.000 dan tai huyfin Kim Bang khoang 21, ldn hdn 17,2 ciia huyfin Binh Luc, nhtfng chi sd'ndy ciia ca hai huyfin deu thap hdn ca ntfdc vao nam 2008, trung binh la 34,7 NVYT/10.000 dan [2]. So' bdc sI/10.000 dan cua hai huyfin li ttfdng dtfdng nhau, tuy nhifin, so' dieu dtfdng/10.000 ddn eua huyen Binh Luc la 5,2, thd'p hdn ddng ke so vdi huyen Kim Bang Id 6,7. Dac bifit, tai huyen Kim Bang thi chi cd khoang 0,2 dtfdc si dai hpc/lO.OOO dan, th$m chi huyen Binh Luc khdng cd dtfdc si, Irong khi dd vao nam 2011 ca ntfdc da cd khoang 1,92 dtfdc SI dai hoc/10.000 dan [1]. Ben canh dd, mdt so' ehi sd nhdn Itfc y te' cua ca hai huyfin cung thap hdn ra't nhieu so vdi so lifiu ciia ca ntfdc nam 2013, vi du nhtf ehi sdbdc si va dilu dtfdng/lO.OOO dan deu chi bang khoang mot aHa so vdi ca ntfdc [1].
4.2. Thtfc trgng nhdn Itfc y titgi bfnh vifn da khoa hai huyfn Kim Bdng vd Binh Luc.
BVDK huyen Kim Bang vd Binh Luc Id benh vifin hang 3, hifin dang cd c^ng hai vin de ton tai vl nguon nhan Itfc (Bang 3). Mdt la, sd NVYT thieu: BVDK huyen Binh Luc dat 93,5% (ihieu 8 NVYT), trong khi BVDK huyfin Kim Bang chi dat khoang 67,2%-73,3% (thifi'u iff 45-61 NVYT) so bien ehe theo quy dinh trong Thdng ttf lien tich sd' 08/2007/TTLT-BYT-BNV (TT08) [4]. Ty sd' NVYT/gitfdng bfinh cua BVDK Binh Luc Id 1,24,
phii hdp so vdi quy dinh dat ra Id 1,1-1,2 nhtfng ty so NVYT/gitfdng benh tai BVDK huyfin Kim Bang la 0,8 - thap hdn ket qua 1,07 trong nghien cffu cua tde gia Ltfdng Ngpc Khue ve thtfc trang nhao Itfc bfinh vien tai Vifit Nam giai doan 2008-2010 [7], Hai la, ed ed'u bp phan cdn chtfa hdp 1^, tai BVDK Kim Bang, ty ifi bd phdn Idm sdng chifi'm 75,2% cao hdn so vdi quy dinh (10,2%-15%), trong khi bp phgn quan Iy hdnh chinh chi chie'm 10,4% - tha'p hdn so vdi quy dinh (7,6%-9,6%). Ke't qua nghien cffu nay cd cffng ket )u§n vdi nghifin cffu cua Nguyfin Hi?u Thang tai BVDK huyen Tan Lac, Hda Binh nam 2012 [9]. Cung vd'n de ndy, tai BVDK Binh Luc, tuy ty Ifi bp phgn lam sang phff hdp so vdi quy dinh, nhUtog ty Ifi bd phgn cgn lam sdng, dtfdc cdn tha'p (thi^u 7-11% so vdi mffc quy dinh), tJ Ifi bO phdn quan ly hanh cliinh la 28,3% cao hdn so vdi quy dinh (8,3-10,3%). K^t qua nghien ctfu ndy cd nhieu di^m ttfdng dong vdi kfi't luan nghifin ctfu ciia Dd Thi Phtfdng Thao thtfc hifin ndm 2011, tgi huyfin Phii Xuyfin, Hd Ndi [6]. Vl chuyen mdn, ca hai BVDK deu thieu dtfdc si dai hpe vd bdc si. Huyfin Binh Luc khdng cd dtfdc sT dgi hpc, ty Ifi dtfdc si dgi hpc/bdc si cua BVDK huyfin Kim Bang la 1/7,5 trong khi khuyen edo ciia To chffc Y I^ The gidi ty Ifi ndy Id 1/5 [5}.
3. Thtfc trgng nhdn Itfc y titgi trung tdm y tehai huyfn Kim Bdng vd Binh Lgc.
Hifin nay, tai hai TTYT huyfin Kim Bang vd Binh Luc cung l6n tai va'n de thifi'u nhan Itfc vd cd cau giffa cdc bp phdn chffa hdp ly (Bang 4). TTYT huyfin Kim Bang dii bifin ehfi' theo quy dinh, song TTYT huypn Binh Luc cd bifin chfi'Id 29 ngtfdi, dd'i vdi mpt huyfin ed 154.829 ddn Ihi sd'ltfdng cdn bp tai TTYT thifi'u 7-11 ngtfdi so vdi quy dinh [6]. Bfin canh dd, c(j ca'u bd phan cua TTYT hai huyfin cung cdn bat hdp ly, cu thfi' tai TTYT huy$n Kim Bang, trong khi bd phan chuyfin mdn chifi'm ty Ifi rS^I cao len tdi 72,7% vtfdt khd nhieu so vdi quy dinh (7,7- 12,7%) thi bd phdn xet nghiem lai chii'm ty lp thd'p chi vdi 6,1% (ihid'u >3,9%). Ttfdng ddng vdi nghifin cffu eua Pham Tri Dung tgi tinh Binh Thugn ve ty Ifi bp phgn xet nghiem ra't thd'p [10]. Ttfdng ttf, tai TTYT huyfin Binh Luc, ty Ifi bd phin chuyfin mdn (72,4%) cdng cao hdn so vdi quy dinh (hdn 7,4- 12,4%). Trong khi ty le bO phan xet nghifim (17,2%) vd quao IJ hdnh chinb (10,3%) deu tha'p so vdi quy dinh cua TT08 (thdfp hdn lln Itfdt la 2,8%
Tap chi Y tg' Cdng cdng, 1.2015, 56 34 9
|T6NeQUAN&
m\
va 4,7-9,7%) [9]. Ngodi ra, cd cau chuyfin mdn cua hai TTYT huyfin cdn bat hdp ly, tai TTYT huyfin Kim Bang, ly Ifi ky thudt vien xet nghifim la 6. i%, thifi'u khodng 13,9% so vdi quy dinh ciia TT08 [4], tgi TTYT huyfin Binh Luc, ty Ifi nay chi bing khoang 1/2 so vdi huyfin Kim Bang (khoang 3,4%) va clii bang 1/3 mtfc tifiu chuan. Nguyfin nhan cd Ihe Id do cdc cd sd y t^ chtfa thu hdt cdc ky thudt vifin hoae nhffng ky thudt vien mdi ra trtfdng ciing Ihtfdng khdng mud'n ve cdng tac tgi cdc TTYT huyfin.
4.4. Thtfc trgng nhan Itfc y tetgi cdc Trgm y texa cda hai huyfn Kim Bdng vd Binh Lgc Vdi so Itfdng TYTX gan ttfdng dtfdng nhau, cac TYTX xa cua ca hai huyen Binh Lue va Kim Bang eung cd nhieu v^n de ddng quan tdm (Bang 5). Ke't qua eho Ihify, 100% TYTX eua huyen Kim Bang cd du sd' bien che theo quy dinh va trung binh mdi TYTX cd khoang 5,9 nhan vien, cao hdn mgt chfft so vdi 4,8 NVYT/TYTX cua huyfin d tinh Quang Nam Irong nghien ctfu cua Nguyfin Hodng Thanh vao nam 2011[8]. Trong khi dd, taihuy^n Binh Luc thi lai chi cd 84,2% TYTX cd du bifin ehe theo quy dinh[4]. Mdt khdc, ty Ifi TYTX ed bdc si cua huyfin Kim Bdng Id 77,8%-ttfdng dtfdng vdi mffc chung ca ntfde (77%), tp le nay d Binh Luc chi dat 68,4%- thap hdn khoang 8,6% so vdi ca ntfde dtfdc BYT khao sdt irong 6 thdng dau nam 2014 [3],
Mdt va'n dl nffa Id tai huyen Kim Bang, cd 4/18 TYT khdng cd bdc si trong khi 2 TYTX cd tdi 2 bac si va 3/18 xa cd 2 NHS/Y si san nhi nhtfng 3 TYTX khdc lai khdng cd chffc danh nay. Huyfin Binb Luc, 1/19 TYTX ed 2 bdc si, trong khi do 6/19 TYTX khdng cd bdc sT. Bfin canh dd, nhilu TYTX khdng cd dffdc si trung hoc/dtfdc ta (Kim Bang Id 38,9% va Binh Luc la 73.4%), chffc danh nay deu do cac NVYT khdc kifim nhifim.
Han chfi'cua nghien cffu: Nghien ctfu nay dtfdc thtfc hifin d hai huyfin, tinh Ha Nam nfin kfi't qua nghien cffli khdng phan dnh cho cac vung dia ly vdi bd'i canh van hda, kinh tfi', xa hoi khac nhau trong
toan qudc. Dong thdi, nghifin cffu ddn thuan la dinh Itfdng nfin chtfa di sau dtfdc vao nguyen nhan cua stf thieu hut, bat hdp 1;^ ve phdn bd'nguon nban Itfc. Do dd, can tie'p Iuc cd nhffng nghifin cffu dgi di^n hdn, k^t hdp nghifin cffu dinh tfnh va dinh Itfdng trong boi eanh chung cua Viet Nam.
Nhin chung, tff ket qua nghien ctfu tren chdng ta da cd dffdc cdi nhin khai quat ve thtfc trgng nhan Itfc eiia eac ddn vi y tfi'cfing trfin dia bdn hai huyfin Kim Bang vd Binh Luc. Tai moi ddn vi eua moi huyfin diu dang ton tai tinh trang thifi'u hut, ed c^u vd stf phdn hS nhdn Itfc y Ie khdng hdp li.
- Huyen Binh Luc: Tgi BVDK, so NVYT thieu 8 NVYT, khdng cd dtfdc sT dgi hpc, ty Ifi bp phgn can Iam sang, dtfdc thap hdn 7-11%, ty Ifi bp phgn quan IJ hanh chinh cao hdn 8,3-10,3% so vdi quy dinh; TTYT huyfin Binh Luc thie'u 7-11 NVYT, ty Ifi bfi phdn chuyen mdn vtfdt 7,4-12,4%, ty Ie bp phdn xet nghifim chifi'm 17,2% tha'p hdn lan Itfdt la 2,8% va quan ly hanh chinh (10,3%) deu thap so vdi quy dinh (va 4,7-9,7%). 84,2% TYTX cd du bifin che, 6/19 (31.6%) TYTX khfing cd bac sT nhtfng 1 TYTX Iai cd 2 bac si, vd 73,4% TYTX khdng cd dtfdc si Irung hpc/dtfdc id.
- Huyen Kim Bang: BVDK, Ihieu 45-61 NVYT, tJ le bd phan lam sang cao hdn .10,2%-15%, bp phan qudn IJ hanh chinh tha'p hdn 7,6%-9,6%.
TTYT huyen dii bien che', ty Ifi bd phan chuyfin mdn vtfdt 7,7-12,7%, b0 phgn xet nghifim thie'u
>3,9%, ty Ifi ky thudt vifin xet nghifim Ihieu 13,9%
so vdi quy dinh; 100% TYTX ciia huyfin Kim Bang cd du so bien chfi", 4/18 TYTX khdng cd bdc si trong khi 2 TYTX cd 2 bdc si va 3/18 xa cd 2 NHS/Y si san nhi nhtfng 3 TYTX khdng ed chffc danh nay vd 38.9% TYTX khdng cd dffdc si trung hpc/dtfdc Id.
Chung tdi dl nghi cac nhd lanh dgo hai huyen can cd nhffng chinh sdch ddi ngd nham thu hdt, can dd'i ly le lam sang, cdn ldm sang, xet nghifim, dffdc va hanh chinh tgi cac ddn vi y te huyfin. Bfin cgnh dd, can cd kfi'hogch luan chuyfi'n cdn bd cua TYTX cd nhieu hdn mffc td'i thie'u quy dinh cho TYTX khdng cd NVYT thudc linh vffc chuyen mdn dd.
Tap chi Y t&' Cdng cdng, 1.2015, Sd' 34
ITONGQUAN&NGKIlNCIiUI
Tiki li^u tham khao
1. Bp Y Te Vift Nam vd NhiSm ddi tdc (2013), "Bdo edo chung t^ng quan nginh y le nSm 2013: Htfdng tdi bao phi chim i6c stfe khoe toin dan", Nhk xud't bdn Y hoc, Ha N$i.
2. Bp Y te vd Nhdm doi tac (2009), "Bdo cao cbung t^ng quan nginh y x^2009-Nhan Itfc y te", Nhi xuS't ban Y hoc, m Ngi.
3. Bg Y te (2014), Bdo cio sd k^t: Kg't qud thtfc hien 6 (bdog d^u Dim, nhifm vu trong tam 6 thdng cudi nim 2014 vd phtfdng htfdng kg"ho?ch nam 2015, Hd N^i.
4. Bg Y te vl Bg N§i Vy (2007), ThSng Mlien tich: Htfdng din dinh mtfc bidn ch€^ sir agbif p trong cdc cd sd y t^ nhd ntfdc, Hd N6i
5. B6 Y t^ (2006), "Ti chtfc, quan IJ vi chinh sach y l^ - Sdch ddo tao Ctfnbdn Y if* cong cgng", Nhd xuS^tban Y hpc, Ui N6i.
6. DS Thi PhiTdng Thao (2011), NghiSn ctfu thiTc trgng nhdn
Itfc y t^vd hoat d^ngkham chBa bfnh cda m$t sfl'bf nh vifn huyfn thuOc thdnh phg m Ngi nSm 2008-2010, Bic si da khoa, TnJdng Dai hpc Y Hd Nfii, Ha Ngi.
7. Ltfdng Ngpc Khuf (2011)." Thtfc trang nhSn Itfc bfnh vifn tai Viet Nam giai doan 2008-2010", T^p chl Y Hpc Thdnh Pb6H6 Chl Mmh. 15(2).
8. Nguyin Hodng Thanh (2011), Phai tri^n nguon nhSn luc nganh y l^ llnh Qudng Nam, Kinh t^ phdl tri^n, Dai hpc Dd Nang, Dd NCng.
9. Nguyen Htfu Thdng, NguySn Thi Phtfdng vd L6 Manh Hilag (2014), "Thtfc trang nhan Itfc vd stf hdi 16ng cda nhSn vien y t€ tai bfnh vifn da khoa huyfn TSn Lac, tinh H6a Binh nam 2012", Tap chl Y hgc dtf phong. 24(7(156)), tr.
259-264.
10. Pbam Tri DOng (2010). "Thijc ttgng nguon nhan li/c vl si/ hd i long dol vdi cSng vifc ciia nhSn vifn y te tai cdc ining tam y te dtf ph6ng tuye'n huyfn, tinh Binh Thuln", Tap ch!
YtfC6iigc6ng. 16(16).
T a p chf Y t^ C d n g cdng, 1.2015, Sd' 34 11
