LUAN AN TIEN SI
CHUYEN
NGANH: QUAN LY HANH CHINH CONG - MA SO: 62.34.82.01
PHAN MO DAU
1. Tinh cap thiet cua de tai
Cong tac bao ve, cham soc va nang cao suc khoe nhan dan da dat duoc nhieu thanh tuu quan trong trong nhung nam vua qua. Nhieu cong nghe, ky thuat y hoc moi da duoc nghien cuu va ung dung thanh cong tai Viet Nam nhu ghep tuy, than, gan; Thu tinh trong ong nghiem, thong/nong mach vanh, noi soi can thiep, phau thuat so nao, chinh hinh-phuc hoi chuc nang, loc than nhan tao, tan soi ngoai co the.. . Nganh Y te dang tung buoc trien khai cac ky thuat chuyen sau ngang tam voi trinh do y hoc cua cac nuoc tien tien trong khu vuc va tren the gioi. Phan lon cac chi tieu tong quat ve suc khoe cua con nguoi o nuoc ta deu vuot va cao hon o cac nuoc co cung muc thu nhap binh quan theo dau nguoi hang nam. Cac thanh tuu y hoc neu tren da gop phan tich cuc vao viec nang cao chat luong nguon luc con nguoi, chuan bi phuc vu su nghiep cong nghiep hoa va hien dai hoa dat nuoc. Nguyen nhan quan trong de dat duoc cac thanh tuu tren ladong gop cua doi ngu can bo y te dac biet la su dong gop cua doi ngu can bo y te co trinh do chuyen khoa cap 1, chuyen khoa cap 2 va bac sy noi tru sau dai hoc trong nganh y te (sau day goi ngan gon la: Can bo y te chuyen khoa sau dai hoc). Theo nien giam thong ke y te nam 2006 tong so can bo y te trong ca nuoc la 271.149 nguoi trong do co khoang tren 30.000 can bo la chuyen khoa cap1, chuyen khoa cap 2 va bac sy noi tru benh vien (moi nam tuyen moi khoang 2.200 hoc vien) Tham gia cac hoat dong chuyen mon. Tuy nhien, den nay moi co mot so nghien cuu danh gia nhu cau dao tao doi ngu can bo y te trinh do chuyen khoa theo ma so nghien cuu ve y te cong cong va cung chi duoc thuc hien o tung vung mien mot cach don le chua pho cap rong rai trong ca nuoc chua tap trung nghien cuu tong the viec quan ly nha nuoc doi ngu can bo y te co trinh do chuyen khoa sau dai hoc o Viet Nam bao gom: The che quan ly thong qua viec xay dung cac van ban quan ly; Xay dung to chuc bo may trong do xac dinh ro chuc nang nhiem vu quan ly, gan doi moi co che hoat dong voi co che tai chinh, tang cuong doi ngu can bo (ca ve so luong, chat luong va co cau) Voi tieu chuan 2 nghiep vu cu the, doi moi noi dung chuong trinh dao tao, doi moi cac chinh sach trong do co chinh sach tien luong, ngoai luong, chinh sach khen thuong ky luat gan voi dao duc nghe nghiep; Tang cuong dau tu, doi moi co che ve tai chinh huong theo ket qua dau ra so voi muc tieu da dat ra. Cac noi dung gan lien voi cac noi dung chung trong chuong trinh cai cach hanh chinh nha nuoc giai doan 2011-2020. Do do cong tac quan ly nha nuoc ve doi ngu can bo y te chuyen khoa sau dai hoc con nhieu bat cap, doi hoi phai co mot he thong van ban day du, dong bo de dieu chinh cac hoat dong, xay dung quy hoach, xay dung cac chuong trinh dao tao phu hop, to chuc dao tao, tang cuong doi ngu giang vien nhat la giang vien giang day thuc hanh tay nghe, vv.. . Doi moi cong tac to chuc quan ly su dung doi ngu can bo y te chuyen khoa sau dai hoc dap ung yeu cau trong tinh hinh moi doi hoi can hoi nhap, gan cac ky nang thuc hanh nghe nghiep voi viec thi va cap chung chi hanh nghe. Voi muc tieu xay dung nen y te Viet Nam cong bang, hieu qua va phat trien, dap ung nhu cau cham soc suc khoe ngay cang cao cua nhan dan, ngay 23 thang 02 nam 2005 Bo Chinh tri da co Nghi quyet so 46/NQ-TW ve cong tac bao ve, cham soc va nang cao suc khoe nhan dan trong tinh hinh moi [2]. Noi dung Nghi quyet cung da khang dinh: “.. . Nghe y la mot nghe dac biet, can duoc tuyen chon, dao tao, su dung va dai ngo dac biet.. .”. Do do, doi hoi chung ta phai tang cuong quan ly nha nuoc doi ngu can bo y te noi chung va dac biet doi voi can bo y te chuyen khoa sau dai hoc, co ky nang tay nghe cao trong linh vuc y te, day la van de het suc can thiet va cap bach.
Thu nhat, ve ly luan. Can bo y te chuyen khoa sau dai hoc co tac dong truc tiep va rat quan trong den cong tac cham soc suc khoe nhan dan. Do do, tang cuong quan ly nha nuoc nham dieu chinh cac hoat dong cua doi ngu can bo chuyen khoa sau dai hoc trong nganh y te tu cac khau: Dao tao, tuyen dung, su dung va chinh sach dai ngo la het suc can thiet, xuat phat tu nhung doi hoi khach quan ve chinh tri, to chuc quan ly va yeu cau cua xa hoi, yeu cau cua cai cach hanh chinh, dac biet la cai cach doi moi nang cao chat luong doi ngu can bo y te trong do co doi ngu can bo y te co trinh do chuyen khoa phu hop voi tinh hinh moi. Dieu nay rat quan trong gop phan vao viec thuc hien chuc nang, nhiem vu, 3 quyen han cua Bo Y te, dong thoi gop phan quan trong nham hoan thanh viec thuc hien chien luoc cham soc va bao ve suc khoe nhan dan giai doan 20112020 va tam nhin den nam 2030. Trong thoi ky cong nghiep hoa hien dai hoa dat nuoc suc khoe nguoi lao dongla yeu to quan trong va quyet dinh.
Thu hai, ve thuc tien. Su phat trien cua nen kinh te thi truong dinh huong xa hoi chu nghia, su phat trien cua xa hoi va su phat trien cua khoa hoc ky thuat y hoc trong nuoc cung nhu tren the gioi da lam bien doi va phat sinh nhieu quan he xa hoi moi, doi hoi viec doi moi cong tac quan ly nha nuoc doi ngu can bo y te chuyen khoa sau dai hoc can duoc dong bo va phu hop hon. Mat khac, viec cai cach tien luong va che do chinh sach dai ngo, dao tao va boi duong can bo, cong chuc, vien chuc, tinh than trach nhiem cua doi ngu can bo y te con nhieu bat cap. Dong thoi viec phai hinh thanh he thong thi va cap chung chi hanh nghe y te theo yeu cau cua thuc tien cong tac cham soc suc khoe va hoi nhap quoc te la mot doi hoi cap bach khi Viet Nam da chinh thuc la thanh vien cua to chuc thuong mai the gioi (WTO). Day cung la mot trong nhung doi hoi cua thuc tien khach quan cua cong tac cai cach hanh chinh trong quan ly nha nuoc ve linh vuc y te.
Tu nhung ly do neu tren, viec nghien cuu gop phan “Quan ly nha nuoc doi ngu can bo chuyen khoa sau dai hoc trong linh vuc y te” hien nay la van de mang tinh cap bach ca ve ly luan va thuc tien, la yeu cau khach quan cua quan ly nha nuoc trong linh vuc bao ve, cham soc va nang cao suc khoe nhan dan trong tinh hinh moi.
2. Muc dich va nhiem vu nghien cuu
2.1. Muc dich nghien cuu
Tap trung nghien cuu, luan giai cac van de mang tinh khoa hoc ca ve ly luan, thuc tien ve quan ly nha nuoc doi voi doi ngu can bo chuyen khoa sau dai hoc trong linh vuc y te, de xuat, bo sung nhung giai phap ve quan ly tot hon doi voi doi ngu can bo y te chuyen khoa sau dai hoc nham gop phan nang cao chat luong cham soc va bao ve suc khoe nhan dan.
2.2. Nhiem vu
a)
Phan tich co so khoa hoc cua quan ly nha nuoc doi ngu can bo chuyen khoa sau dai hoc trong linh vuc y te.
b)
Danh gia thuc trang cong tac quan ly nha nuoc doi ngu can bo can bo y te chuyen khoa trong linh vuc y te lam co so de xuat cac giai
phap phat trien (phat huy nhung uu diem, khac phuc nhung kho khan).
d)
De xuat mot so phuong huong, giai phap de hoan thien quan ly nha nuoc doi ngu
can bo y te chuyen khoa sau dai hoc o Viet Nam trong thoi gian toi.
3. Doi tuong va pham vi nghien cuu
3.1. Doi tuong nghien cuu
3.1.1. Doi tuong nghien cuu
Luan an nghien cuu ve quan ly nha nuoc doi voi doi ngu can bo chuyen khoa sau dai hoc trong linh vuc y te, cu the la cac bac sy chuyen khoa cap 1, chuyen khoa cap 2, bac sy noi tru va cac thac sy, tien sy trong nganhy te.
3.1.2. Khach the nghien cuu
a)
Cac van ban lien quan den
doi ngu can bo, cong chuc, vien chuc co van bang chuyen khoa sau dai hoc trong nganh y te.
b)
Hoat dong cua cac co quan dao tao va quan ly nha
nuoc ve doi ngu can bo, cong chuc, vien chuc chuyen khoa sau dai hoc trong nganh y te.
3.2. Pham vi nghien cuu
Pham vi nghien cuu cua Luan an chi gioi han doi voi quan ly nha nuoc doi ngu can bo y te chuyen khoa sau dai hoc o cac don vi su nghiep cong lap trong linh vuc y te cua ca nuoc giai doan chuan bi thuc hien cong nghiep hoa va hien dai hoa dat nuoc, tap trung chu yeu la cac bac sy duoc dao tao co ban, duoc cap cac van bang hoac chung chi (tuong duong van bang) Chuyen khoa cap 1, chuyen khoa cap 2 va bac sy noi tru benh vien.
Luan an khong nghien cuu quan ly nha nuoc doi voi doi ngu can bo y te chuyen khoa duoc dao tao trong dai hoc y, dao tao sau dai hoc ngan han.
Mot so ket qua nghien cuu ve dao tao Thac sy va Tien sy - doi ngu can bo y te co trinh do chuyen khoa sau dai hoc duoc dao tao theo huong han lam hon duoc xem xet nhu mot phep so sanh lam sang to he thong dao tao chuyen khoa sau dai hoc gan voi viec thi va cap chung chi hanh nghe y cua bac sy o VietNam va o mot so nuoc tren the gioi.
4. Co so ly luan va phuong phap nghien cuu
4.1. Co so ly luan
Co so ly luan dua vao he thong ly luan ve duy vat lich su, ve xa hoi hoc, ve quan ly nha nuoc, va quan ly nha nuoc nguon nhan luc, quan ly nha nuoc ve y te va nguon nhan luc y te. Su dung phuong phap luan duy vat bien chung cua chu nghia Mac-Le nin va tu tuong Ho Chi Minh, ket hop quan diem lich su cu the, quan diem phat trien de phan tich va tong hop. Thuc hien cac Nghi quyet cua Dang, dac biet Nghi quyet so 46-NQ/TW ngay 23 thang 2 nam 2005 cua Bo chinh tri ve cong tac bao ve, cham soc va nang cao suc khoe nhan dan trong tinh hinh moi “Nghe y la mot nghe dac biet, can duoc tuyen chon, dao tao, su dung va dai ngo dac biet.. . ” [2, tr7]. Nghi quyet so 30c/NQ-CP ngay 8 thang 11 nam 2011 cua Chinh phu ban hanh chuong trinh tong the cai cach hanh chinh nha nuoc giai doan 2011-2020 [39]. Day la co so ly luan quan trong xuyen suot trong qua trinh nghien cuu cua tac gia duoc the hien o ban Luan an nay nham gop phan hoan thien mot buoc co so ly luan nghien cuu ve nhan luc y te noi chung, can bo y te chuyen khoa sau dai hoc noi rieng cua nganh y te trong thoi ky phat trien va hoi nhap quoc te.
4.2. Phuong phap nghien cuu cu the
4.2.1. Phuong phap nghien cuu cac tai lieu san co
Day la phuong phap nghien cuu thu cap. Phuong phap nay chu yeu tap trung nghien cuu, phan tich cac van ban ve dao tao va quan ly can bo y te chuyen khoa sau dai hoc trong linh vuc y te, cac chuong trinh dao tao, sach, tai lieu day hoc va 6 nghien cuu khoa hoc, cac so lieu khoa hoc da duoc cong bo o trong va ngoai nuoc co lien quan nham xay dungthuc thi cac chinh sach ve dao tao, quan ly doi ngu can bo y te chuyen khoa sau dai hoc tai Viet Nam.
4.2.2. Phuong phap nghien cuu qua dieu tra thuc te
Nghien cuu thuc trang cong tac dao tao va quan ly can bo, cong chuc, vien chuc chuyen khoa sau dai hoc trong nganh y te, tim hieu sau ve danh gia hieu qua hoat dong va tinh kha thi cua cac giai phap duoc xay dung doi moi.
Mot so phuong phap sau se duoc thuc hien:
a)
Phuong phap phong van sau: Day la mot phuong phap thao luan chi tiet, mat doi
mat voi mot nguoi lua chon dai dien cho mot bo phan cua cong dong de tim hieu
ve cac chinh sach dao tao va quan ly doi
tuong nay. Chuan bi noi dung cau hoi cho cuoc phong van thao luan va chon ngau nhien doi tuong
de phong van nham dam bao tinh khach quan trong dai dien duoc lua chon.
b)
Phuong phap dieu tra xa hoi hoc: Chuan bi phieu trung cau y kien, noi dung mot
so bao cao, phieu khao nghiem.. . Va tien hanh thu thap y kien cua
cac chuyen gia: Nha quan ly, nha quan ly giao duc dao tao noi chung, nha
quan ly dao tao can bo y te, cac can bo y te chuyen khoa sau dai hoc nganh y te.. .
c)
Phuong phap xu ly so lieu: Cac so lieu duoc xu ly, thong ke, danh gia ket qua dieu tra va thuc nghiem tren co so cac phieu tra loi hop le.
4.2.3. Cac phuong phap nghien cuu bo tro khac
De tang them do tin cay cua cac thong tin thu duoc tu cac phuong phap khac ma de tai da su dung, mot so phuong phap bo tro khac cung duoc ap dung them nhu phuong phap lich su, so sanh, quy nap dien giai, toa dam, thao luan nhom nho.. .
5. Nhung dong gop moi cua Luan an
5.1. Dong gop moi ve ly luan
a)
Phan tich lam ro cac khai niem y hoc, y te, nguon nhan luc y te, trong do tap
trung vao doi ngu can bo y te chuyen khoa sau dai hoc (cac chu yeu la bac sy lam viec trong khu vuc kham chua
benh) Nhu mot nguon nhan luc quan 7 trong, co y nghia quyet dinh den cac hoat
dong kham, chua benh, gop phan to lon vao cong tac bao ve, cham soc va nang cao
suc khoe nhan dan.
b)
De xuat khai niem ve quan ly nha nuoc doi ngu can bo chuyen khoa sau dai hoc trong linh vuc y te va xac dinh ro cac noi dung cua quan
ly nha nuoc doi voi doi ngu can bo y te chuyen khoa sau dai hoc. Phan tich cac nhan to tac dong den quan ly nha nuoc nguon
nhan luc nay.
c)
Kinh nghiem quan ly nha nuoc o mot so nuoc tren the gioi ve doi ngu can bo
chuyen khoa sau dai hoc trong linh vuc y te cung duoc luan an de cap den nham lam phong phu them co so ly luan ve quan
ly doi ngu can bo nay.
d)
Luan giai cac noi dung mang tinh khoa hoc ve moi quan he khang khit giua chuan nang luc can bo y te chuyen khoa sau dai hoc voi dao tao doi ngu can bo y te chuyen khoa sau dai hoc va gan lien voi viec to chuc thi va cap chung chi hanh
nghe (tap trung vao nhom bac sy) Nham gop phan nang cao chat luong kham, chua
benh cho nhan dan.
5.2. Dong gop moi ve thuc tien
a)
Danh gia ve thuc trang cong tac quan ly nha nuoc doi ngu can bo chuyen khoa sau
dai hoc trong linh vuc y te o nuoc ta. Tren co so do, luan an chi ra nhung thanh cong, han che trong quan ly nha nuoc
doi voi doi ngu can bo y te chuyen khoa sau dai hoc va phan tich cac nguyen nhan gay ra han che.
b)
De xuat mot so giai phap dong bo de tang cuong quan ly nha nuoc doi ngu can bo
chuyen khoa sau dai hoc trong linh vuc y te, tap trung vao doi ngu bac sy, bao gom
viec quy hoach va ban hanh cac chinh sach quan ly doi ngu nay, to chuc bo may
quan ly nhan luc y te, nang cao chat luong qua trinh dao tao, tuyen dung, su dung va dai ngo trong dieu kien hoan canh Viet Nam,
huong toi hoi nhap quoc te.
c)
Ket qua trong ban luan an gop phan thay doi nhan thuc va hanh dong cua cac nha lanh
dao, quan ly, cac giang vien trong cac truong dai hoc y, cac can bo, cong chuc, vien chuc va cua toan xa hoi co lien quan den cong tac quan ly nha
nuoc doi ngu can bo chuyen khoa sau dai hoc trong linh vuc y te.
Luan an gom 246 Trang, noi dung nhu sau
5M 5
nguon luc co ban
BHYT
Bao hiem y te
BSNT
Bac si noi tru
BSNTBV
Bac si noi tru benh vien
CB Can
bo
CBYT
Can bo y te
CCT
Certificate of Completion of Training
CK1
Bac si chuyen khoa
CK2
Bac si chuyen khoa 2
CLS
Can lam sang
CME
Continuing Medical Education: Giao duc y khoa lien tuc
CPD
Continuing Professional Development: Phat trien nghenghiep thuong xuyen
CSSK
Cham soc suc khoe
CSYT
Cham soc y te
DB
Dong bang
GDP
Tong san pham trong nuoc
GP
General Practioner
JAHR
Joint Annual Health Review: Bao cao chung tong quannganh Y te
KCB
Kham chua benh
GMC
The General Medical Council: Hoi dong y khoa chung
NNL
Nguon nhan luc
NSNN
Ngan sach nha nuoc
ODA Ho
tro phat trien chinh thuc
OSCE
The Objective Structured Clinical Examination: Thi tracnghiem khach quan lam
sang benh vien
TNCSHCM
Thanh nien cong san Ho Chi Minh
TPHCM
Thanh pho Ho Chi Minh
UBND
Uy ban nhan dan
USD
United States Dollar: Do la My
WHO
World Health Organization: To chuc Y te The gioi
WTO
World Trade Organization: To chuc Thuong mai The gioi
XHH Xa
hoi hoa
YHCS Y
hoc co soYHCT Y hoc co truyen
YHDP Y
hoc du phong
YTCC Y
te cong cong
GDP
Gross Domestic Product: Tong san pham trong nuoc
PHAN
MO DAU
2.2.
Nhiem vu
4.1.
Co so ly luan
5.
Nhung dong gop moi cua Luan an
5.1.
Dong gop moi ve ly luan
5.2.
Dong gop moi ve thuc tien
6. Y
nghia ly luan va thuc tien cua Luan an
7. Ket
cau cua Luan an
TONG
QUAN VE VAN DE NGHIEN CUU
6. Mot
so van de ma Luan an can tap trung giai quyet
Chuong
I: CO SO KHOA HOC CUA QUAN LY NHA NUOCDOI NGU CAN BO CHUYEN KHOA SAU DAI HOCTRONG LINH VUC Y TE
1.1.1
Y te va nguon nhan luc y te
1.2.2.
Yeu cau ve nang luc doi voi can bo chuyen khoa cap 1
1.2.3.
Yeu cau ve nang luc doi voi can bo chuyen khoa cap 2
1.2.4.
Yeu cau ve nang luc doi voi can bo la Bac sy Noi tru
1.3.1.
Khai quat ve quan ly nha nuoc doi voi doi ngu can bo chuyen khoa saudai hoc trong linh vuc y te
1.3.2.
Noi dung quan ly nha nuoc doi voi doi ngu can bo chuyen khoa sau daihoc trong
linh vuc y te
1.4.
Cac nhan to tac dong den quan ly nha nuoc doi ngu can bo chuyenkhoa sau dai hoc trong linh vuc y te
1.4.1.
Su phat trien cua y hoc
1.4.4.
Dieu kien vat chat de tao moi truong hoat dong cho doi ngu can bochuyen khoa
sau dai hoc trong linh vuc y te
1.5.
Kinh nghiem mot so nuoc tren the gioi ve dao tao va su dung doi
ngucan bo chuyen khoa sau dai hoc trong linh vuc y te
1.5.5.
Bai hoc kinh nghiem rut ra doi voi Viet Nam
Tieu
ket Chuong I
Chuong
II: THUC TRANG CONG TAC QUAN LY NHA NUOC DOI NGU CAN BO CHUYEN KHOA SAU DAI HOC TRONG LINH VUC Y TE
2.1.
Thuc trang nguon nhan luc y te va doi ngu can bo chuyen khoa sau dai hoc trong linh vuc y te ca nuoc den 30 thang
06 nam 2011
2.2.1.
Ban hanh cac van ban quy pham phap luat ve doi ngu
can bo chuyen khoasau dai hoc trong linh vuc y te
2.2.2.
Hoach dinh chien luoc va ke hoach phat trien doi ngu can bo chuyen khoasau dai hoc trong linh vuc y te
2.2.6.
Thuc trang ve viec thuc hien che do, chinh sach dai ngo doi voi doi ngucan bo
chuyen khoa sau dai hoc
2.3.
Cac thanh cong va han che trong quan ly nha nuoc doi ngu can bochuyen khoa sau dai hoc trong linh vuc y te
2.3.1.
Cac thanh cong
2.3.2.
Cac han che
2.3.3.
Nguyen nhan cua cac han che
Tieu
ket Chuong II
Chuong
III: GIAI PHAP HOAN THIEN QUAN LY NHA NUOC VE DOI NGU CAN BO CHUYEN KHOA SAU DAI HOC TRONG LINH VUC Y TE
3.1.
Su phat trien khoa hoc y hoc va nhu cau ve doi ngu can bo chuyen khoasau dai hoc trong linh vuc y te Viet Nam den nam 2020
3.1.2.
Cac nhan to tac dong den su phat trien nhan luc y te giai doan 2011-2020
3.2.
Mot so dinh huong trong quan ly nha nuoc ve doi ngu can bo chuyenkhoa sau dai hoc trong linh vuc y te
3.3.
Cac giai phap hoan thien quan ly nha nuoc doi voi doi ngu can bochuyen khoa sau
dai hoc trong linh vuc y te
3.3.1.
Co quy hoach va chinh sach phat trien nhan luc y te chuyen khoa sau daihoc ca
ve so luong, chat luong va co cau
nham dap ung nhu cau cham socsuc khoe ngay cang cao cua nhan dan
3.3.3.
Hoan thien to chuc bo may quan ly nhan luc y te, trong do co doi ngu canbo y te
chuyen khoa sau dai hoc
3.3.4.
Xay dung cac tieu chi danh gia nang luc
(Competency Standard) Doi ngucan bo chuyen khoa sau dai hoc trong linh vuc y te gan voi dao tao, tuyenchon va
su dung can bo
3.3.5.
Xay dung he thong ve thi va cap chung chi hanh nghe gan voi su dungdoi ngu can
bo chuyen khoa sau dai hoc trong linh vuc y te va hoi nhapquoc te
3.3.6.
Doi moi cac chinh sach uu dai thich hop ve tuyen dung, su dung va daingo doi voi doi ngu can bo y te chuyen khoa
sau dai hoc
3.3.8.
Tang cuong che do tu chu, tu chiu trach nhiem doi voi cac don vi sunghiep cong
lap trong linh vuc y te ve bien che va nhan su
3.3.9.
Tang cuong cong tac kiem tra, giam sat va
thanh tra cong tac quan ly nhanuoc doi ngu can bo chuyen khoa sau dai hoc trong linh vuc y te
Tieu
ket Chuong III
KET
LUAN
CAC
CONG TRINH KHOA HOC DA CONG BO
TAI
LIEU THAM KHAO
PHU
LUC
PHU
LUC
PHU
LUC
PHU
LUC
PHU
LUC
Bang
1. Phan bo can bo y te theo dan so cac vung kinh te xa hoi
Bang
3. Tong so benh vien va giuong benh theo tuyen benh vien
Bang
4. Tong so can bo y te duoc phan chia theo 8 vung kinh te dat nuoc
Bang
5. Thuc trang ve doi ngu can bo chuyen khoa sau dai hoc trong linh vucy te theo tung vung kinh te cua ca nuoc
Bang
9. Nhan dinh chung ve chuong trinh dao tao sau dai hoc theo ty le %nhung nguoi duoc hoi da tra loi
Bang
10. Nhan dinh chung ve doi ngu giang vien cua cuu hoc vien
Bang
15. Xu huong thay doi co cau phan bo benh tat, tu vong
Bang
16. Uoc tinh nhu cau nhan luc y te den nam 2015
Bang
17. Uoc tinh nhu cau nhan luc y te cho den nam 2020
Bang
18. Nhu cau nhan luc theo giuong benh o cac tuyen
DANH MUC CAC HINH TRONG LUAN AN
Hinh
2. Mo hinh va moi quan he giua cac tuyen y te trong he thong y te VietNam
Hinh
8. Su phu hop cua cong viec hien tai voi trinh do chuyen mon cua cuu hoc vien
Hinh
11. Mo hinh thi theo hinh thuc cau truc chay tram khach quan (OSCE)
1. De
tai nghien cuu khoa hoc: 1. (2007) Nghien cuu dang gia thuc trang cong tac giang
day HIV/AIDS. De tai nghien cuu khoa hoc cap Bo 2. (2009) Nghien cuu 9 thang trien khai thuc hien
nham de xuat cac giai phap hoan thien de an 1816. De tai nghien cuu khoa hoc cap Bo 3. (2011) Danh gia thuc trang nguon nhan luc y te
sau dai hoc trong linh vuc y te 4. (2012) Danh gia thuc trang va de
xuat giai phap keo dai tuoi lam viec doi voi can bo y te. De tai nghien cuu khoa hoc cap Bo
2.
Sach va giao trinh: 5. (2000) Cac so do dien tien trong chan doan, dieu tri
benh tai tram y te. Nha xuat ban y hoc, Ha Noi 6. (2001) Giao duc va dao tao nhan luc y te.
Nha xuat ban y hoc, Ha Noi 7. (2010) Vu To chuc can bo 55 nam hinh thanh va
phat trien. Nha xuat ban y hoc, Ha Noi
8.
(10/2011) Ket qua thuc hien de an luan phien can bo tuyen tren ho tro cho tuyen duoi. Tap
chuc to chuc nha nuoc, so nam thu hai muoi mot
9.
(1/2012) Ve dao tao, su dung va
che do dai ngo doi voi bac sy tai Vuong quoc Anh. Tap chi To chuc nha nuoc, so
nam thu hai muoi hai
10.
(6/2012) Tang cuong quan ly nha nuoc cac bac sy noi tru trong linh vuc y te.
Tap chi Y hoc thuc hanh, so 6 (824)
11.
(10/2012) Cong tac to chuc, quan ly, su dung nhan luc y te dap ung cong tac,
cham soc suc khoe nhan dan trong tinh hinh moi. Tap chi Ky thuat y hoc, so 8
(2012)
4. Bai
tham luan tai hoi thao
12.
(10 thang 01 nam 2012) Thuc trang ve he thong to chuc va nhan luc y te tuyen
huyen trong nhung nam gan day. He thong to chuc va nhan luc y te tuyen huyen, Bo Y te
13.
(16 thang 3 nam 2012) Gioi thieu cac chinh sach cua Chinh phu va Bo Y te ve phat trien, su dung va duy tri nhan luc cho y te co so.
Phat trien, quan ly va duy tri nhan luc doi voi y te co so, Bo Y te
14.
(15 thang 5 nam 2012) Cac van de ve quan ly, su dung nhan luc va nhung thach
thuc doi voi nhu cau phat trien nguon nhan luc y te. Phat trien nguon nhan luc
y te, Bo Y te
15.
(10/2012) Cong tac to chuc, quan ly, su dung nhan luc y te dap ung cong tac,
cham soc suc khoe nhan dan trong tinh hinh moi. Ky thuat Y hoc, so 8/2012
TAI LIEU THAM KHAO
TAI
LIEU TIENG VIET
1. Ban
chap hanh trung uong Dang, Nghi quyet TW4, khoa VII ve nhung van de cap bach
cua su nghiep cham soc va bao ve suc khoe nhan dan.
2. Bo
Chinh tri (23 thang 02 nam 2005), Nghi quyet so 46/NQ-TW ve cong tac bao ve, cham soc va nang
cao suc khoe nhan dan trong tinh hinh moi.
Ha Noi
3. Bo
Giao duc va Dao tao (08 thang 6 nam 2000),
Quyet dinh so 18/2000/QD-BGD&DT cua Bo truong Bo
Giao duc va Dao tao ve viec ban hanh quy
che tuyen sinh sau dai hoc. Ha Noi.
4. Bo
Giao duc va Dao tao (29 thang 01 nam
2001), Quyet dinh so 02/2001/QD-BGD&DT cua Bo truong ve viec
ban hanh quy che tuyen sinh sau dai hoc.
Ha Noi.
5. Bo
Giao duc va Dao tao (09 thang 4 nam 2002),
Quyet dinh so 19/2002/QD-BGD&DT cua Bo truong Bo
Giao duc va Dao tao ve viec ban hanh quy
che tuyen sinh sau dai hoc. Ha Noi.
6. Bo
Giao duc va Dao tao-Bo Y te (01 thang 7 nam 2003), Thong tu lien tich so 30/2003/TT-BGD&§T-BYT ve viec huong dan viec chuyen doi giua cac van bang va trinh do dao tao sau dai hoc trong linh vuc y te. Ha Noi.
7. Bo
Giao duc va Dao tao (2004), Quyet dinh so
38/2004/QD-BGD&DT cua Bo Truong Bo
Giao duc va Dao tao ve viec ban hanhQuy
dinh tam thoi ve kiem dinh chat luong truong dai hoc. Ha Noi.
8. Bo
Giao duc va Dao tao (24 thang 10 nam
2012), Quyet dinh so 44/2002/QD-BGD&DT cua Bo
Giao duc va Dao tao ve viec ban hanh danh
muc dao tao sau dai hoc (trong do co cac chuyen nganh Y Duoc). Ha Noi.
9. Bo Y te (23 thang 5 nam 1974), Quyet dinh so 213/BYT-QD ve viec quy dinh mot so che do dai
ngo voi hoc sinh duoc dao tao BSNT. Ha Noi
10. Bo Y te (29 thang 5 nam 1974), Thong tu so 15/BYT-TT ve viec quy dinh mot so che do dai ngo voi hoc sinh duoc dao tao BSNT. Ha Noi
11. Bo Y te (07 thang 5 nam 1984), Van ban so 2283/BYT/DT Bo Y te da gui cac Truong Dai hoc Y Bac Thai, Thai Binh, truong Dai hoc Y Duoc thanh pho Ho Chi Minh va Hoc vien Y Hue de trien
khai va chuan bi dao tao chuyen khoa cap 1, cap 2.
13. Bo Y te (3 thang 7 nam 1984), To trinh so 3364/BYT-DT ve dao tao bac sy noi tru benh vien. Ha Noi.
14. Bo Y te (25 thang 5 nam 2001), Quyet dinh so 1635/QD-BYT cua Bo truong Bo Y te ve viec ban
hanh quy che dao tao bac sy noi tru benh vien. Ha Noi.
15. Bo Y te (25 thang 5 nam 2001), Quyet dinh so 1636/QD-BYT cua Bo truong Bo Y te ve viec ban hanh quy che dao tao chuyen khoa
cap 1 sau dai hoc. Ha Noi.
16. Bo Y te (25 thang 5 nam 2001), Quyet dinh so 1637/QD-BYT cua Bo truong Bo Y te ve viec ban
hanh quy che dao tao chuyen khoa cap 2 sau dai hoc. Ha Noi.
17. Bo Y te (14 thang 8 nam 2003), Quyet dinh so 4306/QD-BYT cua Bo truong Bo Y te ve viec ban hanh bang tot nghiep chuyen khoa cap 1, bang tot nghiep chuyen khoa cap 2, bang tot nghiep noi tru benh vien trong linh vuc y te. Ha Noi.
18. Bo Y te (25 thang 02 nam 2005), Cong van so 1274/YT-K2DT Bo Y te ve viec chuong trinh, tai
lieu day/hoc va danh muc dao tao sau dai hoc. Ha Noi.
19. Bo Y te (04 thang 7 nam 2006), Quyet dinh so so 19/2006/QD-BYT ban hanh Quy che sua doi dao tao bac sy noi
tru. Ha Noi
20. Bo Y te-Bo Noi vu (05 thang 6 nam 2007), Thong tu lien tich so 08/2007/TTLT-BYT-BNV cua Bo Y te va Bo Noi vu ve viec huong dan dinh muc bien che su nghiep trong cac co so y te nha nuoc.
Ha Noi.
21. Bo Y te-Bo Noi vu (05 thang 6 nam 2007), Thong tu so 08/2007/TTLT-BYT-BNV cua Bo Y te va Bo Noi vu ve viec tuyen du nhan luc va trinh do chuyen mon de lam
viec theo dung dinh muc bien che su nghiep trong cac co so y te Nha nuoc. Ha
Noi.
22. Bo Y te-Bo Noi vu (9 thang 5 nam 2008), Thong tu so 03/2008/TTLT-BYT-BNV ve viec huong dan chuc nang, nhiem vu, quyen han va co cau to chuc cua So Y
te, Phong Y te thuoc Uy ban nhan dan cap tinh, cap huyen.
24. Bo Y te (2012), Danh gia thuc trang quy hoach phat trien nhan luc
Y te giai doan 2011-2020. Ha Noi.
26. Chinh phu (1998), Phap lenh cua Uy ban Thuong vu Quoc hoi so
01/1998/PL-UBTVQH10 ngay 26 thang 02 nam 1998
Cong chuc, Vien chuc.
27. Chinh phu (17 thang 11 nam 1998), Nghi dinh so 95/1998/ND-CP ve tuyen dung, su dung va quan
ly cong chuc.
28. Chinh phu (30 thang 8 nam 2000), Nghi dinh so 43/2000/ND-CP quy dinh chi tiet va huong dan thi hanh mot so luat giao duc.
29. Chinh phu (10 thang 10 nam 2003,) Nghi dinh so 116/2003/ND-CP ve viec tuyen dung, su dung va quan ly can bo, cong chuc trong cac don vi su nghiep Nha nuoc.
30. Chinh phu (29 thang 4 nam 2003), Phap lenh cua Uy ban Thuong vu Quoc
hoi so 11/2003/PL-UBTVQH11 ve viec sua doi, bo sung mot so dieu cua Phap lenh
Can bo, Cong chuc.
31. Chinh phu (5 thang 10 nam 2005), Quyet dinh so 243/2005/QD-TTg cua Chinh phu ve viec ban hanh chuong trinh hanh dong cua chinh phu thuc nghien nghi quyet so 46-NQ/TW.
32. Chinh phu (30 thang 6 nam 2006), Quyet dinh so 153/2006/QD-TTg cua Thu tuong Chinh phu Phe duyet quy hoach tong the phat trien he thong y te Viet
Nam giai doan den nam 2010 va tam nhin den nam 2020. Ha Noi.
33. Chinh phu (23 thang 10 nam 2006), Nghi dinh so 121/2006/ND-CP cua Chinh phu sua doi, bo sung mot so dieu cua nghi dinh so 116/2003/ND-CP cua Chinh phu ve viec tuyen dung, su dung va quan ly can bo, cong chuc trong cac don vi su nghiep cua Nha nuoc. Ha Noi.
34. Chinh phu (25 thang 4 nam 2006), Nghi dinh so 43/ND-CP cua Chinh phu ve viec Quy dinh quyen tu chu, tu chiu trach nhiem ve thuc
hien nhiem vu, to chuc bo may, bien che va tai chinh doi voi don vi su nghiep
cong lap. Ha Noi.
35. Chinh phu (02 thang 4 nam 2008), Quyet dinh so 47/2008/QD-TTg cua Thu tuong Chinh phu phe duyet De an dau tu xay dung, cai tao, nang cap benh
vien da khoa huyen va benh vien da khoa khu vuc lien huyen su dung von trai
phieu Chinh phu va cac nguon von hop phap khac giai doan 2008-2010. Ha
Noi.
36. Chinh phu (30 thang 7 nam 2009): Nghi dinh so 64/2009/ND-CP ve chinh sach doi voi can bo, vien chuc y te cong tac o vung co dieu kien kinh te-xa hoi dac biet
kho khan. Ha Noi
37. Chinh phu (30 thang 6 nam 2009), Quyet dinh 930/QD-TTg cua
Thu tuong Chinh phu ve viec phe duyet De an Dau tu xay dung, cai tao, nang cap
cac benh vien chuyen khoa lao, tam than, ung buou, chuyen khoa nhi va mot so
benh vien da khoa tinh thuoc vung mien nui, kho khan su dung von trai phieu Chinh phu va cac nguon von hop phap khac giai doan 2009 – 2013. Ha
Noi.
38. Chinh phu (05 thang 3 nam 2010), Nghi dinh so 18/2010/ND-CP cua Chinh phu ve viec dao tao,
boi duong cong chuc. Ha Noi.
39. Chinh phu (04 thang 7 nam 2011), Nghi dinh so 56/2011/ND-CP ve quy dinh che do phu cap uu dai theo nghe doi voi cong chuc, vien chuc cong tac tai cac co so y te cong lap.
40. Chinh phu (08 thang 11 nam 2011), Nghi quyet so 30c/NQ-CP ngay ban hanh chuong trinh tong the
cai cach hanh chinh nha nuoc giai doan 2011-2020.
41. Chinh phu (31 thang 8 nam 2012), Nghi dinh so 63/2012/ND-CP cua Chinh phu ve viec quy dinh chuc nang, nhiem vu, quyen han va co cau to chuc cua Bo Y te.
42. Chinh phu (10 thang 10 nam 2012), Nghi dinh so 116/2003/ND-CP cua Chinh phu ve viec tuyen dung, su dung va quan ly can bo, cong chuc trong cac don vi su nghiep Nha nuoc.
43. Chinh phu (20 thang 02 nam 2013), Quyet dinh 14/2013/QD-TTg thuc hien che do luan phien co
thoi han doi voi nguoi hanh nghe tai co so kham, chua benh.
44. Dai hoc Hue-Truong Dai hoc Y Duoc (11/032011), Bao cao so 362/DHYD-SDH ve viec bao cao cong tac dao tao bac sy noi tru tai cac truong dai hoc Y. Thua Thien Hue.
45. Dai hoc Quoc gia Ha Noi (2001), 10 tieu chi danh gia chat luong va dieu
kien dam bao chat luong dao tao, Trung tam dam bao chat luong dao tao va nghien cuu phat trien giao duc. Ha Noi.
46. Dai hoc Y Duoc thanh pho Ho Chi Minh (2011), Danh sach bac sy noi tru tot nghiep tu nam 1978-2011. TP. Ho Chi Minh.
48. Dai hoc Y Ha Noi (14 thang 3 nam 2011), Bao cao so 199/DHYHN-SDH ve viec bao cao cong tac dao tao
bac si noi tru, Ha Noi.
49. Do
Van Nhuong (2012), “Tinh hieu qua khoa hoc – kinh te-xa hoi cua nhung luan an
tien sy y hoc du phong giai doan 1998-2012”.
52.
Pham Van Tac (2003), Nang cao nang luc can bo, cong chuc trong linh vuc quan ly
du an vien tro nganh y te.
53.
Pham Van Tac (2011), Ket qua thuc hien de an luan phien can bo y te tu tuyen
tren ho tro cho tuyen duoi, To chuc nha nuoc, so 10/2011.
54.
Pham Van Tac (2012), Tang cuong quan ly nha nuoc cac bac sy noi tru trong linh
vuc y te, Y hoc thuc hanh, (824) So 6/2012.
55.
Pham Van Tac (2012), Ve dao tao, su dung va che do dai ngo doi voi bac sy tai
Vuong quoc Anh, To chuc nha nuoc, so 7/2012.
56.
Ton That Tung cuoc doi va su nghiep (2007), NXB Y hoc.
57.
Tong cuc Thong ke (2009), Niem giam Thong ke. Nha xuat ban Thong ke.
58. To
chuc Y te the gioi (2001), Nhung huong dan cua WHO ve dam bao chat luong giao duc y
hoc co ban trong khu vuc tay Thai Binh Duong. Manila-Philippines.
59.
Vien Nghien cuu Hanh chinh, Hoc vien Hanh chinh quoc gia (2000), Mot so thuat ngu hanh chinh The gioi. Ha Noi.
60. Luat can bo cong chuc so 22/2008/QH12 ban hanh ngay 13
thang 11 nam 2008, co hieu luc 01 thang
01 nam 2010.
61. Nghi dinh so 06/2010/ND-CP ngay 25 thang 01 nam 2010 cua chinh phu quy dinh nhung nguoi la cong chuc.
62. Thong tu so 08/2011/TT-BNV huong dan mot so dieu nghi dinh 06/2010/ND-CP ngay 25 thang
01 nam 2010 cua chinh phu quy dinh nhung nguoi la cong chuc.
64. Nghi dinh so 21/2010/ND-CP ngay 08 thang
3 nam 2010 cua chinh phu ve quan ly bien che cong chuc.
65. Thong tu so 07/2010/TT-BNV huong dan thuc hien mot so dieu quy dinh tai Nghi dinh so 21/2010/ND-CP ngay 08 thang 3 nam 2010.
66. Nghi dinh so 24/2010/ND-CP ngay 15 thang
3 nam 2010 cua chinh phu quy dinh ve tuyen dung, su dung va quan ly cong chuc.
67. Nghi dinh so 46/2010/ND-CP ngay 27 thang 4 nam 2010 cua chinh phu, quy dinh ve thoi viec va thu tuc nghi huu doi voi cong chuc
68. Nghi dinh 34/2011/ND-CP
ngay 17 thang 5 nam 2011
cua chinh phu ve xu ly ky luat doi voi cong chuc.
69. Luat vien chuc so 58/2010/QH12 ban hanh ngay ban hanh ngay ban hanh ngay 15 thang
11 nam 2010 hieu luc 01 thang
01 nam 2012.
70. Nghi dinh so 27/2012/ND-CP ngay 06 thang
4 nam 2012 quy dinh xu ly ky luat vien chuc va trach nhiem boi thuong, hoan tra cua vien chuc.
71. Nghi dinh so 29/2012/ND-CP ve tuyen dung, su dung va quan ly vien chuc ban hanh ngay 12 thang
4 nam 2012.
72. Nghi dinh so 41/2012/ND-CP ngay 08 thang
5 nam 2012 quy dinh ve vi tri
viec lam trong don vi su nghiep cong lap.
TAI
LIEU TIENG ANH
73.
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Academic Medicine, Vol. 85, No. 9, S2-S18.
74.
Cao Zeyi (2011), Physicians Training and Continuing Medical Education in China,
America-China Health Summit, Harvard University, The United States.
75.
Chew C. H., Chee Y. C. (2005), Postgraduate Medical Education and Specialist Training in
Singapore, Annals Academy of Medicine-Singapore; 34: 182CU189C.
76.
Chee Y. C. (2008), Specialist Training in Singapore, Singapore Medical
Association News, Vol 40 (01), 16-17.
77. Dy
P. L., Strauss R. W., Rinnert S. (2002), Systems-based practice: The sixth core competency. Academic Emergency Medicine, 9 (11): 1270 –1207.
78. Friedman
Ben David M., Davis M. H., Harden R. M., (2001), AMEE Medical Education Guide No. 24: Portfolios as a method of student assessment, Medical
Teacher, 23 (6): 535–51.
79.
Glenn Matfin (1998), Specialty training in the United States, British Medical
Journal, 317: S2-S5.
80.
Howard S. Teitelbaum (2005), Osteopathic Medical Education in the United States
Improving the Future of Medicine, American Association of Colleges of
Osteopathic Medicine and the American Osteopathic Association.
81.
Harden R. M. (2006). Trends and the future of postgraduate medical education,
Emergency Medicine Journal, 23: 798-802.
83.
Harden R. M., Crosby J. R., Davis M. H., et al (1999), AMEE Education Guide No.
14: Outcome-based education, part 5-from competency to meta-competency: A model
for the specification of learning outcomes, Medical Teacher, 21 (6): 546–552.
85.
Issenberg S. B., Gordon M. S., Gordon D. L., et al (2001), Simulation and new learning technologies, Medical Teacher,
23: 16–23.
86.
John Roberts (1998), Specialists in the United States: What lessons? British
Medical Journal, 310: 724-727.
87.
John Tooke (2008), Aspiring to excellence-Findings and final recommendations
of the independent inquyry into modernising medical careers.
88.
Kew S. T. (2010), Postgraduate Medical Education-Malaysia, Newsletter of the
Academy of Medicine of Malaysia, Vol. 18,
No 1,12-21.
89.
Lam T. P., Wan X. H., Ip M. S. (2006), Current perspectives on medical education in China, Medical
Education, 40 (10): 940-949.
90.
Lyn N. Henderson, Jim Tulloch (2008), Incentives for retainin g and motivating health workers in
Pacific and Asian countries, Human Resources for Health 2008.
91.
Michener W. M. (1989), Graduate Medical Education in the United States, Singapore
Medical Journal, 30,124-126.
92.
Peh W. C. G (2005), the second century of medical education in Singapore:
Reflecting on the past and looking to the future, Singapore Medical Journal, 46
(8): 370-371.
93.
Roy Schwarz M., Andrzej Wojtczak, Tongfu Zhou (2004), Medical education in China’ s leading medical schools,
Medical Teacher, 26: 215 –222.
94.
Sarah E. Brotherton, Paul H. Rockey, Sylvia I. Etzel, (2005) US Graduate
Medical Education, 2004 Trends in Primary Care Specialties, The journal of the
American Medical Association, Vol 294, No. 9, pp. 1075-1081.
95.
Tahir Azhar Md (2008), Medical Specializations – The Rationale And Need For New
Perspectives, Newsletter of the Academy of Medicine of Malaysia, Vol. 7, No. 2,
p. 7.
96.
Teri A. Reynolds, Lawrence M. Tierney, (2004), Medical Education in Modern China, Journal of Americal
Medical Association, 291 (17): 2141.
97.
The American Medical Association (2010), the Graduate Medical Education Directory (the Green Book).
98.
Tongqiang Gao, Kuninori Shiwaku, Tetsuhito Fukushima, Akio Isobe1, Yosuke
Yamane (1999), Medical education in China for the 21st century, Medical
Education, 33: 768-773.
99.
The American Educational Commission for Foreign Medical Graduates (2011), The ECFMG 2011 Information Booklet.
102.
UK Health Departments (2010), A Reference Guide for Postgraduate Specialty Training in
the UK (The Gold Guide), Fourth Edition, 2010.
103.
UK Health Departments (2010), Applicant Guide for application and recruitment to medical
specialty training in England in 2011.
104.
University of Copenhagen Denmark (2003), Postgraduate Medical Education-World federation for Medical
Education Blobal Standards for Quality Improvement.
105.
Victor Lim (2010), Postgraduate medical education and training, Newsletter of
the Academy of Medicine of Malaysia, Vol.
19, No 3,1-2.
106.
The World Federation for Medical Education (2003), Basic Medical Education-WFME Global Standards for Quality Improvement.
107.
The World Federation for Medical Education (2003), Postgraduate Medical Education-WFME Global Standards for
Quality Improvement.
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