Thực trạng và nhu cầu nguồn nhân lực bác sỹ trong hệ thống y tế dự phòng tại các tỉnh miền Trung và Tây Nguyên Việt Nam năm 2013

THU'C TRANG
vA
NHU
cAu
NGUON NHAN LU'C
BAc st
TRONG 'HE THONG V Tt: DU' PHONG TAl
cAc
TfNH MIEN TRUNG
, vA
TAv NGUYEN VII;T NAM NAM 2013
VQ VAN THANG, LE DiNH DU'O'NG, DoAN VU'O'NG DIEM KHANH,
HOANG DiNH HUE, NGUYEN HOANG THUY LlNH
HOANG DiNH TUYEN, TRAN BiNH THANG
TrU'iYng
fJ{Ji
h9C Y
DU'C)'c
Hue
TOM
TAT
Ml,lc tieu: Nghitm cou mo ta tnuc trgng nguon nMn 1l)'C,cac nang lire va k9 nang can thiet cue cac
bac
s9
lam viec trong h~ thang
y
te dl)' phOng va nhu ceu tuyim dl,mg, cIao teo nguon nMn 1l)'Cnay tet khu
V(J'c
mi~n Trung
va
Tay Nguyen, Vi~t Nam.

PhU'O'ngphap nghien CLPu:Sif dl,mg phU'ong pheo nghien cuu ket hop. Nghien cou ajnh 1U'Q'ng
auoc
thl,fChi~n tren 423 bsc s9 (76,8%). Bo ceu
no!
tir ai~n aU'Q'csif dl,mg ae thu tMp cac thOng tin v~ a~c
cIi~mdan toc hoc, tinh trgng cong viec va cac k9 nang lam viec. Nghien cou dinh tinh aU'Q'ctien bent: tren
27 bac s9(3
phOng van seu
va 3
tMo lu~n nh6m).
Ket qua: Do tu6i trung binh cue aai tU'Q'ngnghien cou 46,6 ± 6,5; sa nam lam viec trung binh la 13,26
±
8,39;namchiem 69,7%), nCf: 30,3%. Nhi~m VI,I va cong viec chfnh cue cac bee s9 chu yeu la quen 19va
giam
sat
chung (59,8%); cong tee chuyen mon dl)' phong (20,1%); aieu trj (19,4%); quen 19cae cturonq
trinh, df,J'an y
te
(11,8%); I~p ke hoect: chi agO tuyen (10,4%); t6ng hQ'p va beo cao (6,1%). C6
Sl)'
thieu
h1,ltcIangke nguon nMn 1l)'Cbee s9 lam viec trong
M
thang
y
te dl)' phong
a
tat ca 6 tinh;chi c6 17,7%
(9/51)cIonvi tuyen tinh c6 au ajnh moc bien cM bee s9 theo quy dint:
Khao

sat
tren 182 k9 nang chia thBnh 2 nh6m nang 1l)'C: nh6m nang lire chung (9 nh6m vo! 98 k9
nang), nh6m nang lire CI,I tM (11 nh6m voi 84 k9 nang). Tan suat sif dl,lng thU'ong xuyen cac nh6m nang
II,fCchung la49,6%; nh6m nang 1l)'CCI,I the la 38,2%.
Ket lu~n: C6 sir thitJu hut aang ke nguon nMn lire Mc s9 lam viec trong M tMng y ttJ dl)' phOng tel
khu VI,fCmi~n Trung va Tay Nguyen. Nghien cou cho tMy can thitJt tang cU'ong aao teo va aao teo Igi cho
h~ th6ng y
te
dl)' phOng te! khu VI)'C nay.
TIPkh6a: Nguon nnen 1l)'C,M thang
y
te dl)' phOng, bee s9, nang lire, k9 nang.
SUMMARY
Objectives: This study describes the real situation of human resource and needs of recruiting doctors
workingin the preventive medicine system in central and highland areas of Vietnam.
Methodology: The study used a mixed method approach.
A
total of 423 doctors (response
rate=76,8%)participated in the quanlitative survey, of which provincial levels occupied 64.8% and district
levels were 35.2%.
A
self-administered questionnaire was used to collect information about demographic
characteristics,job conditions and technical competencies. 27 doctors participated in in-depth qualitative
interviewsand focus group discussions.
Results: The average age of the doctors was 46.6 years (s.d=6.5) and the majority (69.7%) 'were
male. On average, they had worked in this role for 13.3 years (s.d.=8.4). The main roles of the doctors
included program management and staff supervision (59.8%), duties! major of preventive medicine
(20.1%), managing treatment services (19.4%), and medication management (11.8%). Further tasks
includedmaking plans and guidelines for disease control (10.4%), data analysis and report writing (6.1%).
In-depthinterviews revealed a lack

of
doctors in preventive medicine systems in all six provinces. Only
17.7% (9/51)
provincial units had enough doctors to meet service requirement.· The survey identified
a
total of
182
skills. These were grouped within "general competencies" (9 groups with 98 skills) and
'specificcompetencies"
(11
groups with 84 skills). However, less than half
of
the doctors reported using
thegeneral and specific competencies (49.6% and 38.2% respectively).
Conclusion: There was a serious shortage
of
human resources for preventive medicine in the central
highlandareas of Vietnam. There should be increased recruitment. The findings of this study also will be
used
to
enhance professional training for preventive medicine at pre-service and in-service levels.
Keywords (3-5): Human resource, preventive medicine system, doctor, competency, skill
YHTH(880)- HOI NGH! KHOA HQC B~NH VI~N QUAN THO
one
TP. H6 CHf MINH
9
I.DATVAND~
Y t~'dl,J'phOng la cau noi gili'a y hoc va y t~ cong cOng. Trong khi y hoc quan tam d~n chan dean va d
tri benh cho mot benh nhan thi y t~ cong cong quan tam nhieu hon d~n phOng benh va nanq cao SLYCkt
cho cong dong. Theo bao cao cua WHO - 2006, tinh tranq thi~u hut nquon nhan

tuc
y t~ dang ton tal
a
quoc gia, th~ gi6'i dang thieu khoanq 4,2 trieu nhan vien y t~. U'6'c tinh tai khu Vl,J'CDong - Nam
A
co
50% cac quoc gia thieu can bo y t~ voi so ILI'Q'nghon 1 trieu nhan vien y t~ [5]. Theo So Y t~, ViEiltN
dLl'Q'cxep vao nuoc nhli'ng nuoc co ty IEilnhan vien y t~ cao (> 5 bac 59 tren 10.000). Tuy nhien, ngl
nhan Il,J'C
X
t~ ViEiltNam lai p~an ~o mat can doi gili'a c~c ~ung, mien, gili'a cac chuyen nganh[1]. DOi.r
can bo y te dl,J'phonq vua thieu ve so ILI'Q'ngvua han che ve trinh do chuyen men, so ILI'Q'ngcan bo y te
phonq tai cac tuyen tlnh co trlnh do DH va SDH chiern ty IEilchua t6'i 50%. Hau het bac 59 dang lam v
trong hEilthong y t~ dl,J'phonq hien nay la bac 59 da khoa khong duoc dao t<;10chlnh quy ve linh Vl,J'Cy t~
phong rna chu y~u qua mot so kh6a dao t<;10ng~n han, cac lop tap huan va kinh nghiEilm lam viec cua
t
than. HEilthong Y t~ dl,J'phonq tai cac tlnh Mien Trung va Tay Nguyen cOng dang
a
trong tinh tr<;1ngchi
cua hEilthong y t~ dl,J'phong ca nuoc, Muc tieu nghien CLYUcua de tai nharn:
1. Tim hifJu
tturc trenq
ngu6n nhen IIIC bee
s9
clang lam viec trong
M
th6ng
y
ttJ dll phOng tei
J

V(.fCmien Trung va Tay Nguyen.
2. Mo
ta cong
viec,
nang IIIC va k9 nang c~n thiM
cue cac
bee
s9
hi~n clang lam
viec
trong
M
the
y
ttJdll phOng
3. Tim hifJu nhu c8U clao t<;30va tuyfJn dl,Jnflcl6i voi bee
s9
trong ITnhvue
y
ttJdll phOng t<;3ikhu
V(.J'I
II. D01 TU'Q'NG
vA
PHU'O'NG PHAp NGHIEN
cuu
Thi~t k~ nqhien CLYUrno ta cat ngang. Sli dunq phuonq phap nqhien CLYUk~t hop gili'a dinh ILI'Q'ng
dinh tlnh.
PhLl'O'ngphap nqhien CLYUdinh ILI'Q'ng:Sli dunq thang do danh gia cac nanq luc va
ky
nang BS YT

voi bo cau hoi tl,J'dien d~ thu thap so liEiludua tren 10 nh6m nang luc chung va 10 nh6m nang luc CI,Jthe
thi~u cua 1 bac s9 YTDP ViEiltNam duoc phat trien trong nqhien CLYUnhu cau dao t<;10bac s9 y hoc
phOng tal cac trLl'cmg dal hoc Y ViEiltNam cua Dl,J'an Nuffic narn 2008 [3]. Mot bac si dLl'Q'cdanh gia la
dl,Jngthuonq xuyen mot nh6m nang hrc khi co sli dunq it nhat 50% so nang hrc trong nh6m nang luc
al
rmrc dO thLl'ong xuyen tra len. Nqhien CLYUtham do d~ hieu chlnh bOcong CI,Jduoc thuc hien tal trung tal
t~ dl,J'phonq thanh pho Hu~ va tham van cua cac chuyen gia, ngLl'oi quan Iy trong hEilthong y t~ dl,J'pho
Nghien CLYUdLl'Q'ctien hanh tal 6 tlnh: Quang Sinh, Quang Tri, ThCYaThien Hu~, Quang Ngai, Sinh Dinh
Daklak voi 116 don vi tham gia nqhien
cuu
(tuyen tlnh 51, huyen 65); Chon mau toan bo co t6ng cong ~
bac s9 tham gia nqhien
cuu
ty IEilla76,8% (tuyen tinh la 64,8%, tuyen huyen/thanh pho 35,2%).
Nghien cuu dinh tinh duoc thuc hien tal 3 tinh: ThCYaThien Hue, Quang Ngai va Daklak co t6ng c~
27 bac s9 tham ,gia ,(3 p'h6ng v_ansau lanh dao va 3 thao luan nh6m).
III. Kt::T QUA VA BAN LUAN
1. Th,!c tr~ng ngu6n n'han I,!c bac
si
dang lam vi~c trong h~ thong y t~ d,! phonq tal 6 ti
mi~n Trung va Tay Nguyen
(s6
lieu beo
cao
cue
cec sa
y
ttJ 1212012)
Tu ~n tinh Tuyen huyen
~~~~~

4S0
4001 ,·
3S0
3M
2S0
2M
150
100
50
o
Quang QlI<ing
IT
Hue QU4ng
einh {)ilk
Sinh
Tri
Ngai
Ojnh Uk
4S0
400
350
300
2.50
lO{)
lS0
100
50
{)
euo
(fo

1:
Phan
bo
so
lU'9'ng CBYT
va
BS
lam vi~c t~i
cae
tuytm YTDP
100% cac tlnh co ty IEilbac s9
1
CSYT
a
tuyen tlnh cao non so voi tuyen huyen.
4/6
tlnh co ty IEil
bac
lam viec tal tuyen tlnh cao hon so v6'i tuyen huyen d~c biet ty IEilnay tal TT-Hu~ la
3,6/1
10
YHTH (880) - HOI NGH! KHOA HQC B~NH VI~N QUAN THO
BaC
TP. H6 CHIMil
Bang
1: Thuc tranq
ngubn
nhan
Il,I'cy te
hien

nay
Stt
Dan
vi
Can bo
v
te
Bac
s-
1.
Tuven tinh
So tinh thieu
TVI~%
So tinh th~u
TVI~%
2.
TTYTDP tinh 2/6 33,3
4/6
66,7
3.
Chi Cl,lcVSAITP
(-)
(-)
(-
)
(-)
4. IT PC benh xii hoi 1/3 33,3
2/3
66,7
5.

IT PC HIV/AIDS 5/6 83,3
4/6
66,7
6.
ITCS-SKSS 2/6 33,3
5/6
83,3
7.
Chi CI,ICDS-KHHGD
(-)
(-)
(-)
(-)
8. TT Truven thonQ GDSK
2/6
33,3
6/6
100
9. TT PC Sot ret noi tiet- CT
2/5 40,0
4/5
80,0
10.
TT Kiem dich quoc te
1/1
100,0
1/1
100,0
11.
TT Da lieu

(-)
(-)
(-
)
(-)
12
Tuven huven
2/6 33,3
5/6
83,3
(-): Cac don vi khOng c6 dinh
moc
bien cha theo Thong
tir
08
Tat ca cac tinh tham gia nghie!n CLPUd~u thieu nhan Il,I'c
&
cac don vi true thuoc.chl c6 17,7% (9/51)
don vi tuyen tinh c6 du dinh rmrc bien che bac sy theo quy dinh; trong d6 cu thll tlnh tranq thieu BS
&
cac don vi nhu' :TTGDSK (6/6); TTCSSKSS (5/6); TTYTDP tlnh, HIV/AIDS, PCSRNT (4/6).
Ket
qua tli
nqhien
CLPU
dinh
tlnh cOng cho thay c6
su
thieu hut ro
ret

ngubn
nhan
Il,I'cCBYT
va bac
si
lam viec trong h$ thong YHDP
&
hau het
cac
don vi tham gia nqhien CLPU:
"Ttwc tr<;lngngu6n nhan tuc bee s9 n6i chung, bee
SI
YTOP n6i rieng thiau rc1tnhieu so vo! nhu
c8U.
vd: chi Cl)C v~ sinh A TTP chi c6 1 bee s9, chi Cl)C ka boect: h6a gia dinh cb! c6 1
as,
can cac trung tam
kMc chi
c6 2-3 as
Trung tam
y
ta Tay Tre, vue lam
a
mang dieu tri vue lam
a
mang
dl!
phong chi c6
3
as'

(PVS-QN).
"so vai nhu c~u tnuc ta
a
tren, tinh thiau khoang 30%
as
cho h~
dl!
phong.
C6
nhCmg huy~n can
hon nhung
em
tinh trung binh la khoang 40%" (PVS-DL) .
• 2. Cong vi~c, nang
IIfC
va
ky
nang celn thi~t cua cac bac
5y
hi~n dang lam vi~c trong h~ thong
y
tf! dlf
phong
100
90
80
70
60
50
40

30
20
10
o
• Tuyen huy~n
- • Tuyen tinh
Quang Sinh Quang Tri Thira Thien Hu~ Quang Ngai
Sinh Dinh Dak lak
Bieu
do
2:
Phan bo
not
cong tsc cua bac sy YTDP theo tuyen cham
see
Phong van tren 423 bac sy dang lam viec trong h$ thong y te dl,l' phOng cho thay dO tuoi trung blnh
cua cac doi tU'Q'ngnghien CLPU46,6
±
6,5; so narn lam viec trung blnh 11313,26
±
8,39;
Nhiern
VI,J
va cang viec chfnh cua cac bac sy chu yeu 113quan 19va giam sat chung (59,8%); cang tac
chuyen man dl,l' phonq (20,1 %); di~u tri (19,4%); quan 19cac
chuonq
trlnh, dl,l' an y te (11,8%); lap ke
hoachchi dao tuyen (10,4%); tong hop va bao cao (6,1%).
Nghiencuu ky nang bac sy dua tren 2 nh6m nang Il,I'Cchfnh 113nh6m nang Il,I'cchung
(9

nh6m), nh6m
ni:lngIl,I'c
CI,J
the (11 nang luc); tong cong c6 182 ky nang. Nghien CLPUtan suat
Slf
dl,lng cac nh6m nang
Il,I'ccho thay:
ty
1$SLYdl,lng thU'ang xuyen nh6m nang Il,I'c chung 11349,6%; nh6m nang Il,I'c Cl,l thll 113
38,2%va c6 Sl,I'khac nhau gilia tuyen tinh va huyen (p
<
0,01).
YHTH(880) - HOI NGH! KHOA HQC B~NH VI~N QUAN THO
one
TP. H6 CHr MINH
11
100
90
80
70
60
50
40
30
20
10
o
Ho~t~vi. Oi&odl,l<t:u~
ch~t.dnhy thongvi.ning
ti quoc ~a cao.u.: kh"e

Quanlyvi.t3
chu.:yti
Chlnh .achvi.
lu~tyti
N!!PiencUu Cangvi~clrong
khoa hoe ph/mglhl
n!!Pi~m
.TYl~
%
SD NL tlnrongxuyen
ill
TYl?Al danh
gia
dn
tlll~t
BitJU do
3:
Phan
bo
tan suat va m{PC;de) can thiet cue nh6m nang It,J'cchung
100
90
80
70
60
50
40
30
20
10

o
Ve chat Iuvng nguon nhen ./t,J'C:Phan lon cac
don vi dap ling dU'Q'c yeu cau nhiern
VI,!
ve YTDP
dU'Q'c giao. Tuy. v$y, nang
luc heat
dong, chat.
1U'Q'ngva hieu qua conq viec chua cao, con b]
dong trong cong taco "Dap (mg hi~n nay theo muc
a(>
no!
chung la, n~u
me
chia theo
mire
a(>
thi cOng
la trung binh hay gQi la aap Ifng tioen thent:
nhiem
VI)
thOi, moc hoen tnenh nhi~m
VI)
ctur cture th~
not
la t6t bon
duoc
mfa chi moi a<;ltaU'Q'c
mire
t6i thi~u cho la tioen thenh nhiem

VI)
cnir cnue
auoc
non
mfa Kinh phi khOng co, ngu6n
nnen
iuc khOng au thi co lam theo ki~u aoi
co
diet: atJn
la ta ch6ng, khong a~cno d;ch Ian xay ra.
chUng ta moi chi lam atJn aU'Q'cmoc
a(>
khi
co
diet:
atJn thi chung ta kMng chtJ va d{)p t~t duoc
n6."(PVS-EJL)
"Nang tuc cong tee mang
YTOP
a
mire
trung
binh Du thl)'c hi~n
va
hoen tnent: nhiem
VI),
tuy
nhien kha nang a~aap Ifng kh6i 1U'Q'ngcong viec
Quan
Iy

An toan va Sirekhoe Dinh dirong Sirekhoe Sirekhoe Nhan khAuDich tS hoe Th&ngke Nhan hoe nang life h6
tham hoa va sire khoe m6i tnrong va an roan cac liratubi hoe duong hoe va kiem sinh hoc/he va y xiihOi tro
phong nghSnghiep thtrc pham va sirekhoe soat benh thong thong hoe
chong sinh san t~t tiny tS
tlurong tieh
Bieu do
4:
Phan
bo
tan suat va m{PC;de) can thiet cae nh6m nang It,J'CC(.l the
trong tinh hinh b~nh diet: pturc t<;lPhi~n nay
thitJu nhieu.(TLN-QN).
Mot so can bo chua yen tam conq tac va
con
tU'cYng chu quan, thieu
y
thirc hoc hai,
cau
"nnin chung noet a(>ng r~t t6t ntumq
co
1 86
ng
khOng an tam voi cong viec
cur
phOng,
c6
ngU'oi
aa
chuy~n sang
M

aieu tri. "(PVS-QN)
"Vi va ctiem va
eo
Il)'c
a
cong
tee
YTDP kh
nhieu
nen
nhieu as ctiu quan, it
muon hQc
nang cao trinh
a(>
a6i vo! cong tee
YTDP" (~
QN)
'3.
Nhu c&u
dao
tao
va
tuy~n
dl,lng
nhan
y t~
dlf
phong tilli
cac
tinh

Nghien
cuu
cho thay nhu
cau
tuyen
dl,mgn
luc can bo y te, d~c blet la nhan
Il,I'C
bac
si
viec cho h$ thong y hoc dl,l' phonq 113rat
Ian
a
ca 6
tlnh. 95,5%
cac
don
vi
y
te dl,l' phong
c6
cau tuyen dunq tCr
1 - 12
bac sy (trung
binh
bac sy/dO'n vi). Phang van sau mot lanh
dao
12
YHTH (880) - HOI NGH! KHOA HOC B~NH VI~N QUAN THO
BaC

TP. H6
CHIM
H PHU
HO'PGILYADAo TAO vA KHA NANG DAp lrNG CONG VIEC
CUA
SINH VIEN TOT NGHIEP CHUYEN NGANH .
., A ~ A _ ~
CU'
NHANY TE CONG CONG TRU'O'NG DAI HOC Y DU'O'C HUE
.

VQ VAN THANG, NGUYEN MINH TAM
Khoa
Y
te Cong c9n9, T!U'iYng D~i h9C
Y
DlJ'9'C Hue
TRAN BINH THANG
Trung tam Nghien CLPU
S(PC
khoe c9n9 dong, TrU'iYng D~i h9C
Y
DlJ'9'C Hue
MICHAEL P DUNNE
TrU'iYng
Y
te Cong c9n9, D~i h9C Cong ngh~ Queensland,
Uc
TAT
c

tieu:
M6
ta noi lam viec cue sinh vien
Y
te Cong cong (YTCC) sau khi t6t nghi~p, nhCmg cong
C(I
tM dang aam nh~n, tint: phu hop cue noi dung aao teo vo! kha nfmg dap (fng cong viec hi~n tei
dlnMn Yte Gong cong (GN YTCC) da t6t nghi~p cDng ntur xac dinh cac nang
lire
dap (fng t6t trong
V$c
hi~nt9i. PhU'O'ng philp: Thiet ktJ nghi{m cou c~t ngang, ket hOp nghi{m cou dinh ILfO'ng
va
dinh
d6itllr;mgla GN YTCC da t6t nghi~p tei TrLflyng f)H Y DLfO'CHue dang lam viec tren toen qu6c
va
Inh
c1~0
cac
don vi tuyen dl,mg tlf thang 4/2012 den 1/2013. Ket qua: Noi cong tee chu yeu cue CI,J'U
~n la
M
y te dl)' phOng (60,9%), 9,1% 6'
M
dieu tri. Cec mon hoc phu hO'Pvoi nhCmg yeu ceu trong
~ cua no (ap dl,mg dLfO'ctrong cong viec tren 70%) ntur: quen 19
y
te, chinh sect:
y
te va kinh te

y
"i~n ctiu khoa hoc; diet: te hoc
va
th6ng ke. Co m6i lien quan co 9 nghTa th6ng ke giCl'a chLfong
daot~ovai muc
00
ep dl,mg trong cong viec. Hau het cac CN YTCC deu
tir
tin trong cong viec hang
chi~mty I~ tren 80%, d~c bi~t
ur
tin d6i voi cac nhom nang luc ve quen 19 YTCC, nghien cuu - lam
nh6m/giao tiuc truyen thOng. Tuy nbien, gan 50% 'CI,J'Usinh vien cho ding chuonq trinh dao t90 cture
nMt nhieu voi tiurc tien, con n~ng ve 19thuyet bon tturc hanh. Ket lu~n: Pben b6 noi lam viec cue
sinhvif:ntren ca 3 mien cue Vi~t Nam, xa hoi co nhu ceu tuyen dl)ng CN YTCC cao, m~c du, mot
s6
VI
tuydndl)ng van cture hieu ra vai tro va cnoc nang
ciie
CN. YTCC. Noi cong tee cM ytJu la h~ Y te
phOng,co sa aao t90 va b~nh vien. Cec nhom nang tuc chinh lien quan den cong viec hi~n tei la ouen
yM.
nghif:ncuu khoa hoc - lam viec nh6m/ giao tiuc truyen thong ve cac ITnh vue
y
te cong congo
Tilkh6a:
Cif nMn
y
ttJcong cong, CI,J'Usinh vien, chLfong trinh dao t
9

0, nang
lire
UMMARY
Correspondence between training and the functions performed at work by Bachelor of Public
graduates from Hue University of Medicine and Pharmacy, Vietnam
Objectives: The study objective is to identify the distribution of Bachelor of Public Health (BPH)
atesin the health care system and their job. descriptions, to assess the relevance and adequacy of
know/edgeand skills acquired during the BPH program and to identify the relative importance of a
of public health competencies performed by alumni in their present work. Methods: This cross-
al study was conducted with public health alumni (121) and leaders between April 2012 and
ary
2013
and used
a
combination of quantitative and qualitative data collection methods. Results:
"I
BPHgraduates work in Preventive Medicine Centers (60.9%) and the clinical field (9.1%). The
ntsubjectsof the BPH program that applied to their job (70%) include: Health management, health
and health economics; scientific methods in public health; epidemiology and Biostatistics. Most
ni agreed that the BPH curriculum corresponded with the working requirements of public health
ionals. Many BPH alumni reported feeling confident performing competencies in normal work
es
(80%),
especially in public health management, scientific research, health education and
ork.However, nearly 50% of participants reported that the curriculum of the program has not been
tedandplaces too much emphasis on academic theory and lacks field practice sufficient to achieve
leaming.Conclusion: Hue University BPH alumni are distributed across the
3
regions in Vietnam.
tal needs have increased recruitment for BPH graduates, but some health agencies still lack

rstandingof the role and functions of BPH. The competencies most strongly related to their current
am in public health service management, scientific research, health promotion/education and
workskills.
Keywords:Bachelor of Public Health, alumni, curriculum, competencies
(880)·HOINGH! KHOA HOC B~NH VI~N QU~N THO
one
TP.
86
CHf MINH
51
I. DAT VAN Dt:
He thong Y te Cong cong (YTCC) dang
van
hanh
trong boi canh rna nhieu bien dong xay ra
lien tuc, gay nhieu ap hrc len he thong y te [3].
Tren T<;Ipchi Lancet, Robert Seaglehole da phan
tlch ro nhCmg su thay doi nay bao gom do 113Sl,l'
thay doi nhanh chong ve tinh hinh sue kh6e tren
toan cau von da phuc tap nay lai dang dien ra
trong boi canh ma Il,I'c1U'Q'ngcan bo y te cong cong
chua san sang de dU'O'ng dau vot nhCrng thli thach
do. Sl,I' chua s~n sang nay phan nao 113do cac thli
thach do ton va phuc tap, do luc 1U'Q'ngcan bo va
ha tang co sa cua nqanh y te cong cong da b] lang'
quen, va do con thieu cac chuonq trinh dao tao
chuyen sau ve linh vue nay. vfln de canq tram
tronq hon bai viec tap trung kinh phi cho cac
nqhien cuu y sinh hoc va su khonq thanh cong khi
giai quyet va lam viec voi cac van de can quan tam

co lien quan den sue khoe, va dieu nay duy trl va
thuc day phat trien nhCrng rno hinh hanh vi co hc;li
cho sue kh6e va mat conq b~ng trong y te. Mot
van de gop phan lam han che nhCrng chuc nang
cua nhCrng ngU'oi dang cong tac trong linh vue Y
te thi nhCrng can bo ve YTCC thU'ong chua duo'c
xem trong trong linh vue ho phu trach bai he thong
dieu tri luon dU'Q'Cde cao trong he thong y te. f)e
lam dU'Q'c dieu nay, tam nhin ve y te cong cong
khOng chi dU'Q'c truyen ba den nhCrng ngU'oi lam
cong
tac
y te
conq
cong
ma
can pho bien cho cong
dong nhCrng ngU'oi hoach dinh chinh sach, do 113
nhCrng ngU'oi rna hanh dong cua ho 113yeu to thiet
yeu de cai thien sue kh6e cho cong chunq. f)lrng
truoc nhCrng thach thuc va co hoi trong linh vue Y
te Cong cong, chunq toi tien hanh khao sat cac
cong viec, nhCrng nhom nang Il,I'Cva ky nang cua
cac Cli nhan YTCC dang phu trach. Muc dich cua
nqhien ctru nharn xac dinh ro hon ve chuc nang
cua Cli nhan YTCC va ra soat lai chtronq trinh
dao tao cua doi tU'Q'ng nay nharn co nhCrng dieu
chinh thich hop trong boi canh co nhieu thach thtrc
doi voi linh vue YTCC.
Khoa YTCC cua trU'ong f)H Y DU'Q'CHue 113co

sa dao tao cung cap chuonq trinh dao tao va thuc
hien cac nqhien cuu cOng nhu pho bien cac chinh
sach ve YTCC, v&i nhiem VI,Ichinh 113dao t<;lOnhan
vien y te cho khu Vl,l'Cmien Trung va Tay Nguyen
cua Viet Nam. Vao nam 2005, theo Sl,l'chi d<;locua
So Y te, Truong da b~t dau dao t<;lOchuyen nganh
Cli nhan YTCC (h$ chinh quy hoc 4 nam). Vao
nam 2012, co 3 khoa sinh vien da tot nghi$p v&i
tong cong 136 CN YTCC tot nghiep. Ml,lc tieu
nghien Clru: 1. Mo ta nO'i lam vi$c cua sinh vien
YTCC sau khi tot nghiep va nhCrng cong viec CI,I
the ma hO dang dam nh$n; 2. Mo ta tinh phu hQ'p
cua noi dung dao t<;lOv&i kha nang dap lrng cong
viec hien t<;licua CN YTCC da tot nghiep; 3. Xac
dinh cac nang Il,I'cdap lrng tot trong cong
tal cua CN YTCC da.tot nghiep ,
II. PHU'O'NG PHAP NGHIEN
CU'U
1. Thi~t k~ nghien cu>u
Thiet ke nqhien cuu ket hop dong thai
ap dunq, va day 113kieu thiet ke trong
do
dlnh 1U'Q'ngva dinh tlnh duoc thu th$p
so
phan tlch rieng sau do dU'Q'c tlch hQ'p,
nghien cuu nay, nqhien cuu dinh 1U'Q'ng
dU'Q'cthiet ke thu thap de rno ta tinh phil
chuonq trinh hoc va lrng
dunq
trong

cO
rno ta cac nhorn chuc nang va nang Il,I'C
CN YTCC duoc ap dl,lng trong trong cong
ho. Thiet ke nqhien cuu dinh tlnh (ph6ng
(PVS) , thao luan nhorn (TLN)) se k
nhCrng van de : tlnh phu hop cua chU'O'ng
tao
CN YTCC, nhCrng kh6 khan
ho
g~p
P
qua trinh lam viec va tlnh chap nhan
cua n
dl,lng CN YTCC.
2. Dbi tU'Q'ng nghien cu>u
f)oi tU'Q'ng nqhien ctru la cac CN YT
nghiep va cac can bo tanh dao dang
sli
YTCC. Tflt
ca cac
CN YTCC trong
3
nghiep
la
136 (2005 - 2009; 2006 -
2010
2007 - 2011) dang conq tac
a
cac trnhtha
ca nuoc.

TY
Ie tham gia nqhien
CLYU
(121/136).
csc
CN YTCC Ve gi&i Nam Nit
b~ng nhau trong nghien
cuu
nay (Nam
43,
56,2%). Khoa sinh vien 2007-2011
chiern
voi 46%; khoa 2006 -2010: 20,6%; Kh6a
2009: 33,9%.
Cac can bo lanh dao (5 ngU'oi) dang
cac CN YTCC
a
cac tuyen y te:
Sa
y I
tam y te dl,l' phong Tlnh, Senh vien.
3. PhU'O'ng phap thu th~p dQ>Ii~u
Nghi{m cou dinh 1U'Q'ng:So cau h6i
dU'Q'c chuyen t&i 135 cli nhan tot ngh'
tru>ong f)H Y DU'Q'CHue. Mot cli nhan tot
tro Iy nghien ctru cua nghien CLrUnay n
tham gia vao khao sat dU'Q'C.Cac doi tU'Q'
gia dU'Q'ctiep fuc lien lac thong qua email
thoai de tang tl Ie tra loi. Tong cong c6
YTCC tham gia nqhien ciru va 14 ngU'Oi

tham gia vi cac Iy do khac nhau. Cong cv
chlrc nang, nang Il,I'c sli dl,lng trong ngh'
dU'Q'cxay dl,l'ng dl,l'a vao chuan dau ra
eN
sli dl,lng cac nhom nang Il,I'c theo nhCrng
cao cua M<;Ing 1U'&icac cO' sa dao t<;lO
y
cong cua CMu
A-
Thai Sinh DU'O'ng(8
va mot so nghien ClrU ve Cl,l'Usinh vien
Australia [3, 7]. Cac nang Il,I'c sli dl,mg
scale theo 5 mU'c tll' 0-4 de danh gia t~m
q
va mlrc do tl,l' tin trong cong viec.
Nghi{m CtfU dinh tinh: Ph6ng van saud
hanh tren 5 CN YTCC de kiem tra l<;Ii
bO
trU'&c c4.0c khao sat chinh. Trong ngh'
52
YHTH (880) - CONG TRINH NCKH CUA VI~N DAo TAO Y HQC DI,1PHONG
&
Y T~
cO
phOngvan sau duoc thvc hien vai 7 CN
tham~ia nghieln cuu, 113nhCl'ng ngU'ai da
capnhieuthong tin khi tra lai bO cau h6i tl,l'
hl'tngngU'oi nay 113dai dien cho cac nhorn
nghi~pchinh rna cac Clr nhan cOng tac sau
hi~p.Chung toi cOng thuc hien ph6ng van

Wi
51Anh
dao hoac
nquoi
quan
19
cua cac
Clr
YTCC{S6' Y te, Trung tam YTDP
va
benh
v6 tam quan tronq cua cac chirc nang cua
vacac ky nang duoc ling dunq rna cac Clr
naythl,J'chien trong bOi earth cOng viec hien
bo.
XiP Iy
thOng ke: Nghien CLPU
djnh
1U'Q'ng:
thongke mo ta va kiem dinh phi tham sO
h
tY
I~Fisher Exact Test. Cac phep thOng ke
ng
phan
rnern
Stata 12
phan tlch.
Nghien
d1nhtinh: PMn tlch cac bang ma tran phan

nll6mchu de
bo
sung cho ket qua cua nqhien
dlnhIU'O'ng.
K~T
QuA
vA BAN LU~N
• Ncri
lam viec cua sinh vien YTCC sau khi
hitp va. nhiPng cong vi~c clJ th~ mil hQ
dim nhan
n bo riO'i lam viec cua cac Clr nhan tOt
cJAchi ra r~n~ trU'ang DH Y DU'O'c Hue da
~ nhan
II,I'Cve CN YTCC cho nhieu vung
khacnhau 6' Viet Nam va nhCrng Clr nhan
khitotnghiepdang lam viec tai nhieu noi khac
a
ca
3 mien Bac (12,4%), mien Trung
)va mien Nam (12,4%) dat nuoc. Tap trung
thongy te tuyen tinh va tuyen huyen chiern ty
,8%
va
31,4%.
Cong tac tai
don
vi y te dl,l'
chiemty Ie cao nhat 60,9%, sau d6 113cac
scHao

tao
16,5%
va
chiern ty Ie sO can bo lam
d~y6'
cac co
sa
giao
due
Cao d~ng, d<;lihoc
nhatso vai 2 trU'ong khac (DH YTCC Ha NOi
, t)H Y DU'Q'cTPHCM 5,5%). 7,5% lam viec
c:6cto chLYC
NGO
va
dang quan tam
la
c6 den
'Cl,rU
sinhvien cong
tac
a
he dieu
tr]
[1].
Tlnh phu hop cua nQi dung dilo tao vai
ning
dip
(Png cong vi~c hi~n t~i cua clJ'u
viin

C6cmOnhoc trong chU'O'ng trlnh dao t<;lOCN
(!U'O'cxem la phu hO'p vai nhCl'ng yeu diU
cOngviec cua hO nhU': To chlic quan 19y te,
sachy te va kinh te y te. Thl,l'c te day 113
mOnhoc dU'Q'cdap ling trong chU'O'ng trlnh
~n
80%.
TY
Ie ap dl,lng trong cOng viec la
caohO'nkhi so sanh vai nghien cliu cua Le
UnhvaCs nam 2007 [5].
C6cnh6mmon hoc ve Dich te hoc, Nghien cliu
hocva Thong ke tin hoc, Giao dl,lc slic kh6e
nAngcao SLYCkl16e: 4 nhOm noi dung ma CN
CC
hai16ngve chU'O'ng trlnh dao t<;lOcang nhU'
cJOquan trong trong cOng viec cua ho hang
. t)ieu nay cho thay cac van de giai quyet va
quan 19 me hlnh benh tat, dich te hoc g6p phfln
quan tronq trong cOng viec hien tal va hflu het cac
9 kien cho r~ng cac man hoc tren la mot trong
nhCrng noi dung cOt 10icua nqanh Y te cOng cOng.
NMn xet nay tuonq tl,l' voi phat hien tCrnqhien cuu
cua nhorn N.T. Hal va Cs ve vlec xac dinh tarn
quan tronq cua man hoc Dich te hoc [2]
"Theo em thi thay man Djch t~ hoc quan trong
va (mg dl,mg ph6 bi~n khi di lam nhat, nhat
te
nhCmg ph;jn Ii{m quan d~n
benn

truyrm nhi~m.
Man d6 em tMy la (fng dl,mg nhitJu nMt va cech
d~y cOng chi ti~t nifa"[Nam, Khoa kiem soat benh
truyen nhiern va vac xin sinh pharn, TT YTDP,
TLN] -
Tuy nhlen, cau true chung cua chuonq trlnh
dU'ang nhu chua dU'O'choan thien va can duoc cal
tien, khi c6 toi tren 50% cac Clr 'nhan cho r~ng
giang day 19thuyet can giam tai va nen tang thai
IU'O'ngthuc hanh va nang cao cac ky nang nghe
nghiep. [Phu luc bang]
" ctnronq trinh hoc con n~ng vtJ
19
thuy~t nhitJu
qua NQi dung aeo t90 vtJdjch t~, t6 cnoc
y
t~,
dinh dU'cmg,.giao due sue kh6e cac man hoc
dung la man chuy{m nganh cue minh d6 nhU'ng
thai Iwng it qua.
Va
ceu true chU'O'ngtrinh cen 6'
day la d
9
y
ca
19
thuy~t va ttnrc hent: luon, ch(f hi~n
t9i con nghi{mg vtJ
19

thuy~t nhitJu qua'INCI',Trung
tam phong chOng HIV/AIDs, Ph6ng van sau].
3.
Xac dinh
cac
chLPC nang, nang hfC dap
LPng tOt trong cong vi~c vi~c hi~n
tal cua
CN
YTCC da tOt nghi~p
3.1. Cae
cturc niing
cu« CN YTCC: Qua vlec
rno ta tlnh phu hop cua noi dung dao tao vai kha
nang dap ling cOng viec hien tai cua CN YTCC da
tot nghiep cho thay rO non ve mot gO'i 9 cho chunq
ta thay r~ng chuc nang quan 19 va dieu hanh ta
cue ky quan tronq dOi vai cOng viec cua ho. Trong
cac thao luan nh6m, ph6ng van sau voi cuu sinh
vien CN YTCC va lanh dao don vi tuyen dl,lng, ket
hop ket qua dinh ·1U'O'ng
(a
Bieu do 1) cho thay:
cOng viec va ky nang can thiet thU'ang dU'O'cthvc
hien hanq ngay lien quan hO<;ltdong cua cac dl,l' an
y te; dl,l' an quOc te hay trong cOng viec t<;licac cO'
sa y te nhU': I$p ke hO<;lchcho cac chien dich; xay
dl,l'ng ke hO<;lchva bao cao cac hO<;ltdong; xay
dl,l'ng ke hO<;lchcua dO'n vi; trien khai va giam sat
chU'O'ng trlnh y te; xay dl,l'ng ke hO<;lchcho cac hoi

thao cua cO' quan va chlrc nang tham mU'u cho
lanh d<;lo; thOng ke va bao cao; giam sat dich te
hoc Ket qua nghien ClrU tCrcac cac tac gia Betty
J. Ruth
a
My ve Khao sat ve chU'O'ng trlnh dao t<;lO
cho cac nMn vien YTCC va COng tac xa hOi [7]
hay nghien ClrU ve cac chlrc nang ve YTCC
a
Uc
[6] cang xem cac ky nang chung nhU' viet bao cao,
dieu phOi dl,l' an va tat ca cac khla c<;lnhcua cOng
tac len ke hO<;lchva quan 19deu rat quan trong .
(880)·HOINGH! KHOA HOC B~NH VI~N QUAN THO
m1c
TP. H6 CHf MINH
53
40
'38,8
35
25
20
15
10
5
o
QUllnly
clnroug
trjnh,
d\r

an
Tlrvin
chinh
sach
Ho"ch
djllhk~
ho,dl
38
""",5",

1,7
-
Dao tao
Tri~ QlIanly QuanlY Trllye.l
Nghien
khai
cac
vii daub vii daub th6ngy eiru
chuong gii
cac
gii
djch
ta,
giao
trinh y t~
djch
\7\1
vu
~n
d\lcvil

kham lam sang uaug
cao
c1Ifta
ffirckhoe
b~
Lam
c6ng
vi~
hauh
chinh
(nll8n
"",tai
chinh )
Bifw do
1:
cac
nhom
chLPCnang thll'CYng dU'g'c
s&
dl,mg cue
cuu
sinh
vien
Ngoai ra, cac nh6m chuc nang ve Kinh te y te
cOng
113
mot trong nhCl'ng diem dU'Q'C
phat hien
chinh trong nghien cuu nay. Robert Seaglehole da
de nghi, trong bai bao ve te cong cong trong thap

nien mol, can cOng c6 nh6m ve van de kinh te y te
de phat trien bao hiem y te va quan Iy tlf cac quy
m6'i d~u tU' sue kh6e toan cau [3]. Dieu nay l<;1imot
Ian nCl'a cho thay r~ng cac nh6m chuc nang lien
quan den kinh te y te
can duoc
tang cU'ong trong
qua trlnh giang day thong qua cac rnon hoc va can
c6 co hOithuc tien de sinh vien c6 the lam t6t conq
viec sau ra trU'ong.
" cir nhan YTCC thi nen diw teo them v~ kitJn
thoo tai chinh, kMng c~n ktJ toen, thi cec em tham
muu r~t t6t v~ tei chinh
y
ttJ, beo hiilm
y
ttJ, hi{jn
nay la cei linh VI)'C d6 la minh v~n con thitJu Hi{jn
nay thi cong tee tet chinh - ktJ toen cue minh,
thU'ong thi minh I~y nhCmg anh chi hoc ktJ toen re,
nhCmg anh chi nay c6 kitJn tiurc r~t ky v~ thanh
toen, h~ch toen, nhU'ng me kitJn
tnoc
v~ tai chinh
la ngu6n
6'
aeu,
phan
ttcn
ngu6n, phan b6

dl)'
phOng bao nhieu, di~u tri bao nhieu, linh nay bao
nhieu, linh VI)'C kMc bao nhteu dil dam pMn cho
tuytJn qu~n huy{jn [NCI',PVS lanh d<;1OSa Y tel.
G~n lien voi chuc nang ve lap ke hoach d6
113
viec trien khai cac chuonq trlnh giao due SUC
kh6e. Cac chuc nang ve giao due truyen thong
g6p phan kha quan tronq trong cac linh VI,I'Crna
CN YTCC dang cong tac: Y te du' phonq (11 %);
Dich Vl,Jlam sang (9,1%). Ket qua cho thay r~ng
cac chuc nang nay phu hop v6'i nhCl'ng ket qua
cua nqhien cuu Le VO Anh ve xac dinh chuc nang
Cung
dpdjch
""him
sang
Khac
va
nhiern Vl,JY te cong cong do
Dai
hoc
Y'
hop voi WHO
narn 2004 [4].
M~c
du
100%
nhan da c6 viec lam sau t6t nghiep tron~
cuu nay nhU'ng ho phai d6i m~t voi nhl

khan ban d~u d6
113
mot 56
co
sa tuyen
dUI
phan cong vi trl viec lam dung v6'i
chuc
n
CN YTCC. SI,I' hieu nharn ve nghe nghi$p
YTCC
113
Iy do thU'ong dan den m¢t
56 (
vien
CN YTCC
duoc cac don
vi tuyen
d
xep
nhCl'ng nhiern Vl,J
khonq phu hop vaI
toan khong hai long
voi
51,1'phan cong nhlJ
3.2. Cac
nhom
nang II,I'C: Dei
vai
nqanh YTCC, c6 nhieu he th6ng danh gia

I
khac nhau, nqhien cuu nay
SLY
dl,lng h$th
SEAPHEIN 2,3,4
(113
he thonq cua CaGtn!
hoc YTCC cua Ch~1U
A -
Thai Sinh DU'on!
hieu rrurc dO
SLY
dl,Jng va 51,1'tl,l' tin khi
!
nhCl'ng nang luc nay. T6ng 56 co 34 n
duoc liet ke theo
4
nh6m chinh: nhornnan
quan IY', nh6m nang luc dao t<;10
It$p
huA
nang Il,I'c ve nqhien cuu danh gia va nh(
II,I'Cve lanh d<;1Ova lam viec nhom/giao
dy
thong. Sang dU'&i cho thfiy ro cac ky na
cac nh6m nang Il,I'c deu duoc (rng dl,lng
trong conq viec va hau het cac CN
YTC(
tin va rfit tl,l' tin chiern ty Ie deu tren
80~

cac nh6m nang Il,I'c ve quan Iy YTCC, ngl
va
l.anh
d<;1O- Lam viec nh6ml giao
dU
thOng. Ket qua nay tU'O'ng tl,l' voi ket
qUI
cuu ve nhan hrc y te cua Truong
DH Y
NOi [1] va cua nh6m tac gia Le Cl,l'Lil
nqhien cuu tren CI,I'Usinh vien 2 trU'6'ng
f)
54
YHTH (880) - CONG TRINH NCKH COA VI~N DAo TAO Y HQC DlJ PHONG
&
Y
T~
cO~
9H Y Duoc
TP HCM [2]. Mot Iy do giai thich
k6tqua nay c6 the la do cli
nhan
YTCC
chu
lAm vi~c trong
cac co
quan cong I$p
noi
9
xuy~n phai slf dl,mg

cac
nang Il,l'c nay, do
hQ
cam thay tl)' tin
hon voi cac
nang
luc
nay
IvcMng]
.K~TLU~N
1.Nailam viec cue sinh
vien
CN YTCC
• Saukhi tot ~ghi$p va nhCrng cong viec Cl,Jthe
hQ
aang dam nhan trai deu cac tlnh thanh a 3
aat nuoc,
tap
trung lon a Mien Trung
4%)
va chu yeu cong tac trong tuyen y te dl,l'
(67%).
GOngvi$c
cua cac
CN YTCC dang dam nhan:
nh6mcong viec
(chirc
nang) dang dam nhan
Tntn khai cac chuonq trinh y te (39%);
truyen

giao
due va
nang cao
sire
kh6e (38%);
quan
IIOngtrinh, dl)' an y te (30%);
hoach dinh
ke
(27%); Dao tao
(20,7%);
Nqhien cuu
4%);
Lam cong viec
hanh
chinh
(nhan sv, tai
) 16,5%.
1
Tlnhphil h9'P cua niji dung
CIao t~o
vcy;
ning crap (Png cong vi~c h;~n t~;
cu«
CN
da
tot
nghi~p
• Tlnh
phu

hoop
cua
noi dung
dao tao:
phu hop
y6utau cong viec va chuc nang
cua
nhan vien
vi~
trong linh Vl)'CYTCC
(hon
60%
hai
long).
trUcchung cua
chuonq
trinh la hop Iy va can
aa s6 khOng hai long v&i
chuonq
trinh da
b6 tri ky
thuc
tap 1
thanq
a
cac co
sa y te
thit6t nghi$p. Muc do quan tronq cac noi dung
c11lQ'c
aao

tao tai
trU'cmg
(sap xep
theo nh6m
hOC)va Sl)'ap dunq trong conq viec hien tal. 4
mOnhoc da de C$P: Ouan Iy va chinh sach y
Giao
cue
sue
kh6e
va
nang cao
sire
kh6e; Dich
va Nghien
cuu
khoa hoc; Thong ke y te.
3.
cae
nhOm nang II,I'C
Clap
(Png tot vcy; cong
hlfn tiJictia c~u sinh
vien
+
Quan
19
y
t~ Cong cong (Lap
ke

hoach va
lycacchU'O'ng trinh y te (74,6%); Theo doi
va
sat dich te hoc
cac
van de
sue
kh6e cOng
(74,1%)).
+
Dao
rao.Phat
triem ke
hoach va
IU'O'cxay dl)'ng nang Il,l'c (41,2%)
+ Nghif1n
cOng c16ng:
O'ng dl,Jng
cac
ky nang may tinh
h th~o, ky nang ve tin hoc thong ke,
co
ban
cOngvi$c (93,4%); Thu
thap
thong tin
sue
trong cong dong (77,4%);
Danh qia va phan
tlnh hinh

sue
kh6e cua mot cOng dong
,5%).
+
Lanh agO - lam viec
nnom:
Giao tiep,
aOngSl)' tham gia cua cong dong trong cac
aOngbao v$ suc kh6e (76,6%); Giao tiep hi$u
vai cOngdong bang viet va noi trong nhieu boi
h khac nhau (75%); Tien hanh cac hO<;ltdong
truyen thong ve cac van de sue kh6e cong dong
(74,2%)
- Nh6m nang
II!C
khec:
Giarn sat phOng chong
nhiem
khuan benh vien,
chi
dao tuyen va phonq
chong
djch tai benh vien,
ky nang
viet bao cao,
nghien
cuu
van ban y te, ky nang tieng Anh
va cac
ky nang rnern

khac.
V. KI~N NGH!
Ra scat chuonq trlnh dao tao
di
sau cac noi
dung ve
quan
Iy - chinh
sach
y te, Kinh te y te,
-quan
Iy thOng tin y te,
qiao due
sue
kh6e,
Dich
te
hoc - Thong
ke, cac
ky nang ve Nghien
cuu
khoa
hoc va
chuonq
trinh
thuc tap
cong dong.
Can co
cac
_chU'O'ng

trlnh tu
van
co
hoi
viec
lam
cho cac CN YTCC long ghep cac noi dung quanq
ba
vai
tro cua
CN YTCC khOng nhCrng doi
voi
nhCrng ngU'CYilam
conq tac
y te
conq
cong rna can
pho bien cho cong dong nhCrng ngU'CYi
hoach dinh
chinh sach.
Xay dl,l'ng mot moi trU'cyng tU'O'ng
tac nhu
cong
thOng tin dien tli la rat can thiet nharn tan dl,Jng
dU'ooc nguon Il,l'c ve
tai
li$u
va
nang Il,l'c tU' van
cua

trU'cyng cang
nhu
nhCrng dong gap
hi
phia
cac
CN
YTCC da tot
nqhiep.
TAl
Lieu
THAM KHAo
1. Le va Anh (2012)
£)tmh gia hi~n trgng aao
teo nhen
II,fC
Y t~ tei Vi~{Nam,
Truocyng
Dal
hoc Y
te cong cong, Dl,l' an
nqhien cuu
2. Nguyen Thanh
Hal, Bui Tu Ouyen
va
cong
Sl,l' (2007)"ChU'O'ng trinh
dao tao
clf
nhan

y te cong
cong:
Nhan dinh cua cuu
sinh
vien
hai truocyng D<;li
hoc Y
Duoc tal
Viet Nam".
Tep chi Y t~ Gong
cong,
8 (8), tr. 8- 16.
3. Ruth Bonita
(**)
Robert Beaglehole
(*),
Orvi!
Adams
(****)
Richard Horton
(***),
Martin McKee
(*****)
(2007)"Y te cong cong trong ky nquyen rnoi:
Nang cao
sue
kh6e thOng qua
cac hanh
dong tap
the".

Tep chi Y t~ cong cong,
9 (9), tr. 4-9.
4. Le va Anh
va
cOng Sl,l' (2004)"Chuc nang
va
nhiern Vl,Jy te cong
conq". Tep chi Y (~ cong cong,
2 (2),
tr.
4- 7.
5.
Le, L. C. , Bui,
Q.
T. , Nguyen, H. T. , Rotem,
A. (2007)"Alumni survey of Masters of Public
Health (MPH) training at the Hanoi School of
Public Health".
Hum Resour Health,
5, 24.
6. National Public Health Partnership (2000)
National Delphi Study on Public Health Functions
in Australia: Report on the findings",
Melbourne,
Australia.
7. Ruth, B.
J. ,
S. Sisco, Wyatt,
J. ,
Bethke, C. ,

Bachman, S. S. , Piper, T. M. (2008)"Public health
and social work: training dual professionals for the
contemporary workplace".
Public Health Rep,
123
Suppl 2, pp. 71-7.
(880)·HOINGH! KHOA HQC B~NH VI~N QUAN THO
m1c
TP. H6 CHf MINH
55
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y Tt DU PHUNGTAl cAc TiNH MI~N TRUNG
vA
TAy NGUYEN
Va Van n,&ng. D06n Vuong Diim Khanh. Hoang Dinh Hue•.•.
BANH GIA TINH HiNH
sir
DUNGAUUMIN TAl BENH VlEN
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BUt THANH PH4 Hd CHi MINH
HiM
2012
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