MINITRY OF EDUCATION AND TRAINING NATIONAL ECONOMIC UNIVERSITY PHẠM VŨ HOÀNG PHAM VU HOANG Human Administration Ergonomics 62340404 DOCTORAL THESIS ON ECONOMICS Hanoi, 2013... THE THE
Trang 1MINITRY OF EDUCATION AND TRAINING NATIONAL ECONOMIC UNIVERSITY
PHẠM VŨ HOÀNG PHAM VU HOANG
Human Administration (Ergonomics)
62340404
DOCTORAL THESIS ON ECONOMICS
Hanoi, 2013
Trang 2THE THESIS HAS BEEN DONE IN THE
NATIONAL ECONOMIC UNIVERSITY
1 Assoc Prof, PhD Tran Xuan Cau
2 PhD Nguyen Ba Thuy
Assoc Prof, PhD Mai Quoc Chanh
PhD Bui Sy Loi Assoc Prof, PhD Mac Van Tien
The thesis will be presented under the assessment of the Council for
thesis evaluation at university level
Meeting at the National Economics University
At day months in 2013
The thesis is available at:
National Library Library of the National Economics University
LIST OF RESEARCH PROJECTS MADE PUBLIC
BY THE AUTHOR
! " # $" ! %& %''(&
'2%'
Trang 3INTRODUCTION
1 The Rationale
4 " " * + ! *" " " " 556 " ! )
" !! " +! *"! " ! * *" " * ! * * *" "! *$ !" * *"
" " " ! * ! * ! ! "" " " " ! " *$ +
++ " * > " " ++ " " * ) * " ! !? + ! "
" * A *" " ) ! ) " " ! " ! *" + " " !
$ $ * " ! " ! * ! " ! "* ! * ! ** ** * " ! * " " *
*$ ! " & " " ! * "* " " * * " * " $! " !
2.The research purpose
3 The approaches and hypothesis
* " " - ! * )B "* " $ * " &" $! " +
& ! " *? + " " * ! * " ! *"
%& > " " " " !! " " ! A " + " " *
! * *" " ! "
4 Object and scope of research
*"
* " * " %'%'
5 Methods of study
" " *" * * * " " * * ** ** "* $ ! * # * " "
6 Overview
6" * " " 9'* + " 55 " ! " " " ! $ $ " ! * !
* $ "" " " ) " * " ! " ! D " * , !*" "
"
7 The scientific contributions of the Thesis New academic and theoretical contributions
Trang 4- 3
" H $ " ) " " * $$ !"
! A ! * " " * " + ! ! + " *" " "
! + " ! $ $ J %&# ! ! * ! *J -& "! " ! + * D J 3&
* *" ) " + * * ! " * *" J 9& ! " ' ! " ! ! $! $ *
New proposals from research results
H > " * * ! " * *" * + * * $$ !" $ !" + "
"! ) " * + ! " D * " " * ? " *"! "
" " " + " *" ! D + " * ! * $!
8 Conclusion
*" + ! + ! " " * * * - $" !*F
Chapter 1 RATIONALE AND THE QUALITY OF CARE FOR THE
ELDERLY
* * * !
! " + "* " ! ! * * " $ $ " *"! " ! " ! "
1.1.2 Characteristics of the elderly
"#"#$#"# % &' ( ( ' ' ! ! ) ( '
" ! " + " ! $ $ " " " ! ! $* " + *" ! " ) !
"#"#$#$# ( ' ' ! ! '%! ) ( (
"#"#$#*# ( ' ' ! ! ) ( ' ! + %
Trang 59 1
% # E< ,GE < < <E L
1.2.2 Care for the elderly
, + ! " ! " $$ ** " * + +
" !! " " *
Diagram 1.1.Maslow needs pyramid
""$F22 ) * **) * 2 * "
1.2.2 Contents, resources and forms of care for the elderly
Contents of care: & " ! + ! " ! " ) $ * "
" ! * + ! * ! " $$! $! " B )*J -& $ ! " !
"! ) " " " + " " " ! ++ ! " ;$ ! *
Resources of care for the elderly: 6 "! * " ! "
" " $ ) * ! * " !
! " * " !
Diagram 1.3 Resources of care for the elderly
Form of care for the elderly:
! " * " J
" !
Table 1.3 Model of care Resources
Content
"
.
" /
" !
" ! !
! F " !=* ! * !
"!
# E< ,GE < < <E L <G <
1.3.1 The quality of care for the elderly people
! " *
" " *
" ! 2 NG*
!? "2
! "
* " !
Model
of care
Trang 6( 7
" + " !
1.3.2 Standards to assess the care quality for the elderly people
# !! " " * " * *" + ! " ! " ** ** " A " +
& " + " ! " ! ** ** " " ! A "
" ! + ! " $ $
%& " + ! " ! + ! ** ** " A " + " ! + ! + ! " !
$ ! " + + " !
% ' , #
"#*#*#" % ' , % ) ' - ) ' ( '
! A " $! " *" * " " "! " " ! *" * )
"!
"#*#*#$ ( !! % ' , ( ' /! ' -.
" " + * " * " $! " A " + ! + ! " !
<G <
* *" ) " + * * ! " * *"
) + "* # ) ) " * $$ !" " " * D " + " " " *
" ! *"* + " ! $ $
< 6< < < < <E L <G <
2.1.1 The demographic characteristics of the Vietnamese elderly
" " ! * " + # * * $ $ " *" $! %' " ! " + "
Trang 70 '
$ $ " *"! " ! 9 !* ! ! " + ! *" " " " $ $ "
" " 4 " " * ! $ !" %''7 " $ $ " + " * !
%1 38&
5
+! %' 1'H13 ! $& " %0' 7': ! $&
2.1.2 Health Characteristics of the Vietnamese elderly
! ** 6" " ? * 3H9 " * - " * ! + ! " ! $ $
2.1.3 Economic and social characteristics of the Vietnamese Elderly people
$$ * " - 918 %( 18& ! *$ "
2.1.4 Role of the Vietnamese elderly people
* " " " ! ! * $$ !" + " $ !" *" " * "
$ " *" "* " $ *" $! * " + ! % "
! *" $ !" $ " " * " + ! * !
< <E L
2.2.1 Annalysis of the actua care policy for the Vietnamese elderly
89:! 889 +:; ,* ! * " * " $ + ! "
" ?* + ! " ! ! * *" $ " * $! ! "
* $$ !" "* " " ) " ! "
! " "!
$ ;;; & + ,* * *" " ;$ !
" " + " ! $ $ =* $ * " $! * " F
+ , % $ * *" + *
Trang 8+ , 1 ! $ $ $! ! " "
" ! " " ! $ $ " *$ " ! "! * *$ " *" "
" ! I ! + ! " ! " *" " " * *"
+ ,
" * *" ) " " " * ! * A " * ++ "
* * " " " !" P* " ! *" " " ! + " ! $ $ =* $ *
! * *" " " * ++ " " " " $$! $! " " "
$ !" " * " " *$ + J " ! + ! ! **! "* * " ++ " *
2.2.2 Analysis of the real state of the quality of care for the elderly
$#$#$#"# ( ! ! ) ( ' ! ) ' - ) ' ( '
" " ) "" ! *"! + ! * * *
Table 2.2 Forms of health care for the elderly people
# " "
"
+ ! * +
+ ! " !
H 6 + ! " 2
" !
* " "
H *$ " 2N ! "!"!
*$ " 2 *" " *
*2 "
H ! " *$ "
H < ! !
" !
" )
$! "
H " ! + "
!
"
" !*
H " !
! F " !=* ! * !
(0 ! ! ) ( '
! " !) * ) "" ! " - " *& " " ! !
('8& " * " A ? ! * ! "
( ' % !0( ( ' ! ', ! ) ' ( '
"! " " " ! * ? ! B ! 1 " " - " * ! " " !
" " *" " =* *$ " " " *"! " $! " * -' (8&
*" " =* *$ " * " $! " * " ! " " ! 2 ! + !
"$ " "* ! *$ " 6 * + $ " " "! " " " ! * *" "
! " < " * ! $ $ "
" ! * ? " ! *" +" ) * * ) " * * " " " !=*
$! * ! $"
? *" + * * * " $! + " ! * ? $ ! "* 0 %8& " ! " !
Trang 9- 3
!
$ " +! " "! ! " " " " * " ! * " A "
*" " + ! " " ! I " * *" + ! " ! $ $
6 " *" " " * *" $ !" +! " " N ! "! *$ " " !
*"! " ! ) " " ! " A $$ " *$ A $ " " $! * "
6 " $! " * " ! $! " *$ " * " ? $ !" " ? + !
$! ! * 6" " ? * " " " " " " ! " "
!
" A " * $ !
"! " " + ! " ! $ $ ) " " A " + " ! * " * ! "
! $ $ =* * " *+ " * + ! ! " ! " + ! * F
$#$#$#$# ( ! ! ) ( - ) ) ' ( % ' ) ' ) ( '
" " * + " ! $ $ " * * +! " * $$ !" + + ) !* "
1 $#2# ( )) ' ) '%! ) ( ! ' ) ' ( '
# " "
/
) ' ( '
H
H * ! "
H " ) + ! "
+ ! " ! $ $ F
+ ! " $ $
! " "
! " !
" " *
" ! " ! + ! " !
* 2 ** " *
! "
! D " *
H +H ! ) "
+ * $$ !"
! F " !=* ! * !
Trang 109 1
" $ " ! 7 0$ ! " * " * " ! "! *
! *" " ) ! " +
3 & ' ) ( % ' ) ) ' ( '
" $! $ !" * 3 78& ! " * + ! * * " " "
* + ! * " " " * ++ " + ! " " ** " $! ! "
*" ) * " +
" * * $ ! " " + " ++ " * ) " " ! * * $ !" +
" ! *" $ !" $ " " " * " ++ ! " * 6 %' " !
*" + " ! $ $ 138& * " " " " " ++ " * "
" ! + * *" "
( ! ' ) ) ( '
? + " " ** " *" " " + " "* ) " "
" " $! * " "
" + "
3 & ' ) ( ' 4! ! ' )
Trang 11( 7
.
" * "! " * " ) " + ! *$ "+ " ! * ! $ ! "*
$ ! "* ! " " " + " *"! + # " ! $ !"*
$! " ! * * $$ !" " "
* $$ !"* +! " ! " " " ! $ $ ! " ! *$ * ) " "
$ $ =* ** " # " !* + " ! " *$ !"* " !" " + !
5 % 6 & ( ' 4! '
$ !" $ " " " " * " )
" $ !" $ " " " *"! " " " * *$
* " ) $! $ ! * ! " " $ !" ! " ! * *" "! " "
" + " ! $ $
" $ "" " " " ! $ $ =* *$ ! " +
2.2.3 Analysis of the care quality status in the elderly people’s care models
*
$#$#*#"# ) ( % 1 ! ' ) ' ( '
! ! & ( ( ' ) ' ( ' * "
' % % ) ' 8 ( ' , ' ' 1.
!! ! & !0 '& 6 !0 ( ' '& 6 !
( ' , % & '! & ' 0 ' '! ) ( '
Trang 120 %'
$!
2.2.4 Factors affecting the quality of care for the elderly people
' ! &F "! *+ ! " + * * $ "" ! * * * * )
( & ! ' ' ! ' ! ) ' ( ' 6 " " ;" +
( & ! % ! ) % ! ' .' ! * ! ? + "
" " "
( !.! 1 ) ! 8 ) ' ! ! % * + " *
*" $ ) " ? " * ! * *" ) " + " * + ! * *"
! *$ * " " A " + ! + ! " ! $ $
( - 3 ' ) & & " * ) ? " ! *"! "
" * " * *" * * * ! " * " + *" $ $ "
Chapter 3B SOLUTIONS AND RECOMMENDATIONS TO IMPROVE QUALITY OF CARE FOR THE ELDERLY PEOPLE IN VIETNAM
,GE < < <E L <G < 6 6<
3.1.1 Viewpoints on care for the Vietnamese elderly people
" ! " * *"H ! " !? " *" ) " ! ) "
" * ) * $ "*
6" * " ! *$ * ) " + " !" $ $ * " " ! + ! " !
" "
3.1.2 How to enhance the quality of care for the elderly people in Vietnam
* " ** * ! " " " * !
H "! " *" " " + $ $ =* "" !* $! " " ! "
Trang 13% %%
< <E L <G < 6 6<
3.2.1 These sets of solutions related to the media to promote the change of
behavior, awareness, attitude and care about the elderly people and care for
the elderly people
3.2.2 Set of solutions related to finalizing the policy and policy
implementation about the elderly people and care of the elderly people
Support the empowerment the care policy for the elderly people
! $ $ =* ** * +! " "! " ! **! "*
3.2.3 Set of group solutions to improve the health care quality for the elderly
people
) " " ! "! " " + ! " ! $ $ " "
! " " * D " $ + " $ !" *" "
; " "! " " + ! " ! $ $
3.2.4 Set of group solutions to improve the quality of material care of the elderly people
$ $ " $! " " $ " " + * $! " " + ! " ! $ $
#! " " B )* * " ) + ! " ! $ $
3.2.5 Set of group solutions to improve the quality of spiritual care and promote the role of the elderly people
*$ ! " +
$ $ " " ! **! "* *
3.2.6 Diversifying forms to support the elderly people, promote development
of care models for the elderly people in community
* !" " ! !
3.2.7 Work out a system of assessment criteria in quality care of the elderly people in the community based care model
Trang 14%- %3
- * "*F
+ ,
*
3.2.8 Develop of basic research as well as professional research on the
elderly people in Vietnam
$! " A " + " ! !
3.3.1 To the National Assembly
! "" " " " ! $ $ =* ** * " !
$! $ ! + ! " ! F *" $ " ! " ! " + " * " + *" ++ *$
3.3.2 To the Government and relevant Ministries
" ! *"*
3.3.3 To the Local Authority
GENERAL CONCLUSION
% ! ' 9 > * $ " ! * ! + " "
" * * ! + * " " ! " * *" + " ! $ $ " !
" * * * ++ !* " ! * "* + ! " * " " " ** ) "