I Tl'HG QUAN & NGHIEN Cliu I Stf hai long do'i vdi cong viec cua can bo y te xa tai huyen Binh Luc va Kim Bang, tinh Ha Nam, nam 2012 Nguyen Hi?u Thing', Tran Thi Nga Nghiin cdu nhdm ddnh gid mdc dg hdi long vd xdc dinhrngtsdyeu id liin quan den sif hdi long ddi vdi cdng viic cia cdn bd y te (CBYT) xd, huyen Btnh Luc vd Kim Bdng tinh Hd Nam ndm 2012 Nghiin cdu sddung phuongphdp md id cdt ngang tren 201/227 (88,5%) CBYTxd bdng cdch trd ldi bg cdu hdi tff dien cia Paul E Speclor vdi cht so Cronbach's alpha = 0,76 Ki't qud: 56.9% CBYT xd cia huyfn Kim Bdng vd Binh Luc hdi long ddi vdi cdng viec vd sif hdi long dgt d mdc irung binh (2,83 diem) Nhiing yiu tdcd ty If cdn bd hdi long chua cao Id: quy chi ca quan thdng tien khen thudng vd phic lai ngodi luang Suhdi long cua CBYT liin quan cd v nghta thd'ng ki vdi cdc yiu to: trinh chuyin mdn cd ngffdi sd'ng phu thugc vaphdn logi lao dgng CBYT bien chi'hdi long gd'p 4.8 Idn cdn bg hap ddng CBYT cd ngffdi sd'ng phu thude hdi long gdp 3,2 Idn so vdi CBYT khdng cd ngffdi sd'ng phu thugc vd cdn bd li y si hdi long gdp ldn cdn bg Id bdc si Td khda: Sff hdi long, nhdn life y ti CBYTxd, TrgmYlexd Job satisfaction of health workers at commune health stations in Binh Luc and Kim Bang districts, Ha Nam province, 2012 Nguyen Huu Thang', Tran Thi Nga A cross-sectional study was conducted to measure job satisfaction, and to determine its associated factors among health workers in commune health stations (CHCsi Binh Luc and Kim Bang districts Ha Nam province in 2012 A total of 201/227 (88.5%) self-administered questionnaires of Paul E Spector Job Satisfaction Survey with Cronbach's Alpha = 0.76 were distributed Results: 56.9% of CHC staff in Kim Bang and Binh Luc districts satisfied with their work and job satisfaction level was moderate (2.83 points) Factors receiving satisfaction at low level from commune health workers (CHWs) are: institutional intemal regulations, promotion, rewards and extra-salary benefits There was a statistically significant relationship between professional qualifications, having dependants, employment status and health workers fob satisfaction Full-time/permanent CHWs have their level of job satisfaction as much as 4.8 times higher than thot of contracted CHWs Health workers who Tap chi Y (e Cong cOng, 9.2014, SS 33 my nM« bi,: 1.7.1014 Ngiy phi b,, 23.7.2014 Ngi, chhh rta; 30.7.2014 Ngiy M,c chip d,« iB.g: 22.8.2014 21 |TiNG|BIU(& have dependents have their level of job satisfaction as much as 3.2 limes higher than that of CHWs having no dependents: and assistant doctors have limes higher in job satisfaction level than doctors Keywords: job satisfaction; human resource: commune health station; commune health worker Tdc gia; Nguyin Hilu Tbiing, Bd mdn T6 chtfc va Quan IJ Y ti, Vi?n dao lao Y bgc dtf pbdng va Y le Cdng cdng, trtfdng Dai boc YHa Ndi Di^n thoai: 0915313175 E.mail: tbangtcyt@gmail.com D $ t vSi'n d l Nguon nhan Itfc 1^ yeu lo ccJ ban cho moi ttfu y rfi" [12] Stf hai long doi vdi cfing viec la yeu t6' quan irpng co anh htfdng tdi chS't Itfdng va hi?u suat cong vi^c [6], dSc biet doi vdi cong vi^c cua C B Y T vi dSy la cong viec nhay c a m cham soc siJc k h o e U€n quan den tinb mang ngtfdi Stf h^i long do'i vdi cong vi?c di cSp d^n "suy nghi va c a m nhan ciia nhan vign v l moi trtfdng v l d i l u kien l i m vi$c cua minh" [9] HiSn co nhieu c^c nghien ctfu vi siJ h l i 16ng dd^i vdi c6ng viec cua CBYT, song hau het dtfdc tien hanh tai cac b$nh vien vdi cac doi ttfdng chuyen mon rieng biet nhtf b4c si, dieu dtfdng nhtfng c6n thi^u nhiJng nghien ci?u v l stf hai long doi vdi c6ng vi6c cda cdn b6 l i m viSc tai tram y t ^ xa Vi vSy chiSng tdi ti^n h l n h nghidn ctfu vdi m u c tieu: D a n h gi^ mtfc dp hai long d m vdi cdng viec va x a c dinh cdc yeu td h e n quan den sif bai ldng do'i vdi cdng vi$c cua CBYT xa, huyen Binb Luc v l Kim Bang, tinh Ha Nam nSm 2012 TiJf ket qua nghien cii'u dtfa mot s d k i e n ngbi n b a m nang cao mu'c dp hai long ddi vdi cdng vi$c cua can bd y te'xa huy$n B m h Lyc va Kim Bang 2.4 Cd mdu va cdch chgn mdu: Chpn t o i n bd CBYT hien dang cdng tac tai cac tram y te^ x a , huyen Binh Luc va Kim Bang, dnh Ha N a m Ty le can bp tham gia ngbien cii^i la 201/227, dal 88,5% 2.5 Phuongphdp, ky thudt thu thdp sd'lidu: S d lieu dtfdc thu thap qua bd cSu hoi ttf d i l n vd stf hai Idng cua Paul E Spector [9] dtfdi stf htfdng d i n va giam sat cua cac giang vien Vien D a o tao Y h p c dtf phdng va Y t d C d n g cdng, trtfdng Dai hpc Y Ha Ndi Bd c l u hoi ttf d i l n bao gdm yd'u td: t i l n ltfdng, stf thang tie'n, ddng nghidp-giam sat cua cS!'p tren, quy che cd quan, phdc ldi ngoai Itfdng, khen thtfdng, quy che cdng vide v l thdng tin ndi bd- Bd cau hoi dtfdc dich sang tie'ng Vidt [10] va thiJ nghiem vdi chi s d Cronbach's alpha = 0,76 Thang md'c dp h l i long dtfdc tham khao tbeo thang diem Likert, md'c dp "boan loan khdng ddng y", "khdng ddng y", "ddng y" va "hoan toan ddng y" cbo phii bdp vdi nghien cdu 2.6 Xdl^ vaphdn tich sd'lifu: S d l i g u sau l i m sach dtfdc nhap vao may tinh vdi phan m e m Epi Data 3.1 v l dtfdc xtf ly bang phan m e m Stata phidn ban 10.0 Phan loai hai ldng dtfdc tham khao theo Best W John [4] cbo thang d i e m Likert mtfc dp: PhuTcTng p h ^ p n g h i g n cihi 2.1 Bdi ti^mg nghien cdu: C B Y T hien dang cdng tac tai cac tram y td xa tflf thang de'n 30 t h i n g n a m 2012 2.2 Bia diem nghiin cdu: tl't ca 40 t r a m y te'xa: 21 tram y t d x a / t h i tra'n huyen Binh Luc v l 19 tram y te xa/thi Iran huygn Kim Bang, tinh H I N a m 2.3 Thii't ke nghien cdu: Nghien ctfu md ta cat ngang 22 T a p cM Y ti C6ng cSng, 9.2014, So 33 Bang I Phdn logi mdc dg hdi long doi vdi cong viec Biem Imng binh cac ye'u ti X^p loai hai long 1,00-2,00 Thap 2,01 - 3,00 Tmng binh 3,01 - 4,00 Cao |TllNGaiUIIIK* Cb K-bnRil» • 38,06 J 94 3.2 SIX hai long doi vdi cdng vi^c cOa CBYT xa sa hai long cua CBYT xa doi vdi cong vi6c d mtfc trung Mnh (2,83 diem) Trong dd, bon ySii to dat d mtfc hai long cao: giam sat, nhan xit cila cap tren, quy che cong viec, d&g nghiep vS thdng tin noi bo Nam yen to' dat d mtfc hai long tnmg binh la: yeu td' tien ltfdng, Sll thang tien, khen thtfdng, phtfc ldi ngoai ltfdng va quy che co quan GHJI JO - 65 ^7 NO" 57 2K.6 176 89 ^^ 73.1 '• ^-^^T"n •nnh irang hfln nhSn 94 87J 127 "; • H B ^ D w c »f/tluac li NOW sum - Di£ii dirang - Khac 33 »8 28 13 11.7 21 IK.9 II 490 30.5 " ' !^" 11 11 n 34 TG«10ram - TG^IOnllm 4"S - BISD 56.2 13 SO S6.2 113 i6.2 82 171 R5,5 88 tiii 11.7 13 00 118 43,8 63 14.5 IS.0 16 Tu6i trung binh cua CBYT xa la 39 tiong tha'p nh^t la 21 va cao nha't lii 60 tudi Ty le ni! gidi chiem tren 70% Hau hei cic CBYT xa cd gia dinh (89,3%) Cin bO cd trlnh d0 y sJ chie'm tJ 1$ cao nhat d cJ hai huyen (30,5%), dieu dtfdng (22,5%), bic sy chi cd 10,8% Tuy nhien, phan bd trlnh chuyen mdn cua hai huyen cd stf khic nhau, ty le CBYT la y sT van chidm nhidu nha't, nhtfng dtfng Ihtf hai huydn Binh Luc la didu dtfdng (26,1%) d Kim Bang 14 dtfcic si trung hoc/duac ti (23,6%) Sd CBYT cd thdi gian cdng tic tren 10 nam chidm ty Id cao (56,2%) va hSu het cin bg ttong bidn che (88,3%) Bdng Miic hdi long cua CBYTxd huy^n Binh Luc va Kim Bang 9i«oiir Tliu iWng SiTlhinglrfn C i i n i kit nhfn i f i c u j D i ^ tnmg Mdl DtKchdufn M d t ai> U i lAug 2,68 0.*2 Trung binh 2.60 065 TnmpWnh 20.0 30J) «l^ S30 6t wa 700 Ty \i can bp hai Idng vdi cong vi#c chi flat 56,9%, dd nhUng nhom yen to' cd ty 1? cdn b6 hai long chtfa cao la: quy che cd quan, thang ti6'n, khen thtfdng va phiic ldi ngoii Itfdng 3.3 Md'i lien quan giiia cdc ddc diem cd nhdn va sif hai long chung dd'i vdi cdng vi$c cua CBYTxd Bdng Mdi lien quan gida dgc diem cd nhdn vd sff hdi long ddi vdi cong vifC Y^u 1^ v^ XB h^l va Dhfln khiu/ OR Phin lo^i lui long KfaOng bai long Hk\ long (9S?t CI) NgifM s^ng phif t h u ^ C6 15 144 Khang 21 14 38 3,2 11.2-8-81 Trinh ri^ rhiivfn rafin Bacsy 22 •V^> 3.16 0J4 Cao 237 067 Tnjng Bnh Khcnihiidtig 2.59 59 Trung hlnh Ouicwrcaiuii 2J6 O.W Tnmg bmh D«ng nghiep 3.1 < 0.52 Coo Quictrfc6njn»t ••.14 OM Can l.r)ai hnAlfnf^ Thpng un nfti W 1.07 0.14 Cao Hdp flong va 0J9 Bien che Tnuigblnh lO.D Bieu I Ty If hdi ldng cua can bg trgm y tixd Phdc Itf ngoli tutnig Uatctat 49 •• 32 18.0 29 ThSi g»ii cBng He: • ! 13.5 12 ^ • ^ 1 Tilnh no chuyin man - ! 10.7 7.9 DUi^c sy/difijc t^ Nif hO sinh Didu dilSng 3.0 (1.1-8.3) 3J ' 16 ta 20 1.9 (0.7-5.7) 22 30 2,4 (0,9-6.7) 13 10 38 139 4.8 [1.9-11.7) (1.0-11.8) Tap chi Y te Cdng cdng, 9.2014, So 33 ITfiNSQDUaNGHIlNCirUi KS't qua cho thay, sif hai long doi vdi cong viec cua CBYT xa c6 moi lien quan vdi mdt stf yeii to: co ngrfdi sd'ng phu thupc, trinh dd chuySn mdn va phan loai lao ddng trang hdn nhan, thdi gian cdng tic, thu nh|p trung binh/thIng, drfdc tap huS^n nam qua Trong nghien crfu ciia tac gia Tran Quy cho thS'y srf hai long dd'i vdi nghe nghidp cua can bd dilu drfdng co CBYT bien che* hai ldng gap 4,8 lan cin mtfi hdn quan theo chieu hrfdng tang dan tutfi cang tang [3] Md'i lidn quan cd J nghia thtfng ke bo hdp dong, CBYT cd ngrfdi stfng phu thupc hai giffa srf bii ldng dd'i vdi cdng viec ciia CBYT xa ldng ga'p 3,2 tan can bd khong cd ngrfdi stfng phu thude vl cdn b0 la y sT hli ldng ga'p lan c^n bp la drfdc tim tbS'y vdi mpt sd' ye'u ttf nhrf: trinh dp chuyen mdn, ngrfdi sd'ng phu thupc va phin loai lao bac Sl ddng CBYT bien che hai long gap 4,8 lan can bo hdp dong, CBYT cd ngrfdi stfng phu thupc hai Ban lu^n Idng g^p 3,2 lln can b$ khdng cd ngrfdi stfng phu tbudc va cln bd la y si hli Idng gap lan cln bd 11 4.1 Suhdi long do'i vdi cdng vifc cua CBYT bac Sl Nghien cdu ciia tic gia Le Thanh Nhuan cho xa huyfn Binh Luc va Kim Bdng thay srf hai long doi vdi cdng viec cua CBYT cd mtfi Srf hai long dd'i vdi cdng vi^c cua nhan vien y Uen quan dd'i vdi lrfdng vl phdc ldi, cd s6 v§t chat, te la mpt cau tnic da chieu gdm nhieu yeu to: srf hd trd ciia dong nghiep va lanh dao, ddi hinh lim vi$c kitfn thrfc, ky ning vl kd't qua cdng vide, mtfi lien quan vdi lanh dao, md'i lidn quan vdi ddng nghidp vl trao ddi thdng tin, yen cau cdng viec va quyen [2] Dieu cho thay Nha nrfdc va Bd Y td'cin cd quyet dinh, dac di^m ciSa cd quan/to chiJc, cham sdc benh nhan, lrfdng vl phiic \