Knowledge is data, information, skills, not only the issues learned in books but also the issues that occur in practice. Knowledge is divided into 2 types: Specialized knowledge and general knowledge.
In the recruitment and selection exams, the examination council always sets out a test with full general knowledge and specialized knowledge to be able to recruit suitable people to work at the organization. For health officials, general knowledge is demonstrated in the level of education, political theory level, computer level, foreign language level and ethnic language level. Specialized knowledge must be appropriate to each specific title in the job position of public service units. This knowledge is a necessary and sufficient condition for each official to absorb and perform well his/her work in specific job positions.
First, educational level: The system of knowledge learned from education through a specific process at each level aims to provide knowledge about nature and society to perfect each person. If a person has limited educational level, it will limit the ability to develop the level of medical staff in the process of studying to improve professional qualifications and perfect work. Educational level is the level of learning of an individual including the levels: Primary, Secondary, High School. Currently, medical staff are required to have a high school education level.
Second, professional qualifications: The highest level of training in a specific profession or field such as: Doctor, nurse, pharmacist, technician, midwife, etc. This is the knowledge that medical staff must have to perform their functions and tasks well according to the requirements of the approved job position. Professional qualifications are considered through diplomas, certificates of professional expertise and the ability to apply professional knowledge in practice. Currently, the requirements for professional qualifications
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Medical staff must have a high school diploma or higher with a major appropriate to the position being recruited.
Third, political theory level: There are 3 levels: elementary, intermediate and advanced, this level shows the understanding of the political field, the basic issues of Marxism-Leninism, Ho Chi Minh thought. Understanding and having a level of political theory helps professional activities to be more oriented, helping the Party's propaganda and education process to be consistent and highly effective. Currently, there is no mandatory requirement for political theory level for civil servants in general and medical civil servants in particular. Only some important management and leadership positions have specific requirements for political theory level.
Fourth, computer literacy: Nowadays, in the integrated economy, information technology is becoming more and more popular, equipping medical staff with computer literacy is becoming more and more necessary because tasks from medical examination registration, treatment, testing, X-rays... all apply computers. Not to mention specialized machines such as: Endoscopes, ultrasound machines, testing machines, monitoring machines, ventilators, oxygen generators, heart defibrillators... Most medical machines come with computers for use in entering patient information and reviewing and printing results.
Fifth, foreign language and ethnic language proficiency: This is a knowledge that meets the communication requirements for local people and foreigners. To meet the requirements of the job position, an official needs to have a foreign language certificate with a level appropriate to the professional level. Currently, there is no mandatory regulation on ethnic language proficiency, however, with the characteristics of the majority of the population in the Central Highlands being the Ede ethnic group, understanding and speaking the ethnic language is indispensable.
1.3.1.2. Professional skills of civil servants
Professional skills are understood as the abilities and certain professional qualifications that health workers have to complete well the assigned work tasks. People with good professional skills often perform their work with higher productivity, quality and efficiency than people with low professional skills.
These skills reflect the professionalism of the health worker.
Skills required of health workers include:
First, information collection and processing skills: Information is data that medical staff need to use for the process of examination, treatment, work resolution, and decision making. For medical staff, information collection and processing skills are extremely important because they can affect the health and life of patients. This skill requires staff to fully collect, understand, and consider and select the right information to serve the task implementation process.
Second, analytical and problem-solving skills: Medical staff have to deal with a lot of work every day, from medical examination and treatment to administrative work. Analysis is the process of clarifying and specifying large and complex problems to simplify them by making decisions based on available information. Accurate analysis of information will help medical staff solve their work easily, quickly, scientifically and correctly.
Third, coordination skills at work: Medical staff often have to coordinate with other colleagues to promptly take care of patients' health, coordinate with civil servants of superior agencies to implement the public service provision plan of the agency or unit. This coordination is both mandatory and mutually supportive. For example, coordination in daily examinations, nurses dispensing medicine to patients after being prescribed by doctors, coordination in cesarean sections, surgery on patient's body parts... However, each individual has different perspectives, personalities, ways of perceiving and solving problems. For medical examination and treatment activities
To be effective, in addition to complying with regulations, health workers need to have coordination skills such as sharing, supporting, helping, motivating, and encouraging others in their relationships to support each other in the process of performing their duties. Effective coordination not only helps health workers perform well their functions and tasks of medical examination and treatment for the people, but also improves the overall efficiency of the unit's operations in providing public services.
Fourth, communication skills: The ability to use spoken language or body language to express thoughts, opinions, and feelings clearly and convincingly, while promoting two-way communication to serve effective medical examination and treatment. Medical staff need to have standard communication skills. First of all, the skill of "listening" to encourage patients to speak to understand and grasp their thoughts and wishes fully and thoroughly; next is the skill of "speaking" to express accurately, clearly, easily understood and convincingly; third is the "behavior" to be polite, respectful, close, and friendly to create the best relationships in the workplace, contributing to building a democratic working environment; increasing the trust and satisfaction of patients; bringing about health and civilization in communication; building and perfecting each individual medical staff with qualities and abilities, meeting the requirements of building and developing the country.
1.3.1.3. Attitude and behavior of civil servants
Attitude is an emotional state expressed in each person's behavior. It is expressed through gestures, words, actions, movements and facial expressions to reflect one's feelings about events that occur during the performance of tasks.
Behavior is the conduct and actions of an official in a specific situation to solve professional work.
Attitude and behavior have a great influence on the professional activities of civil servants, especially the process of examining and treating people. If there is an inappropriate attitude and behavior, it will cause harsh reactions, anger, arguments and affect the ability to judge patients. When there is a good attitude and behavior, all work will go more smoothly and easily.
The attitude and behavior of civil servants are summarized through the following basic issues: First, the spirit of serving the people: Serving the people is both the responsibility and obligation of medical civil servants towards patients and also a way of repaying gratitude to the people. Wholeheartedly serving patients is an ethical standard of medical civil servants. This is a necessary condition for medical civil servants to contribute to building people's trust in the Party and the State and is one of the basic goals for developing the public service sector.
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Second, sense of responsibility for work: A health official can only complete his/her tasks well when he/she is aware of his/her responsibilities for the work he/she undertakes, not relying on others, pushing others away, and taking advantage of others. Sense of responsibility for work is the fulfillment of duties and obligations towards himself/herself and the unit. When health officials have a sense of responsibility for taking care of people's health, it will stimulate training, learning, improving knowledge, professional qualifications, and readiness to perform tasks.
Third, the art of communicating and behaving with patients: Each patient entering the hospital is not only for physical care and treatment but also for psychological care. Patients and their families when entering the medical environment are all anxious, sad, and depressed, so each medical staff member needs to be gentle, unhurried, and communicate politely. Communication skills are an important part, whether the patient cooperates or not depends on this skill. This is a factor that promotes trust, so that patients can trust and communicate.
Network for medical staff to treat, relieve some of the anxiety about illness, create sympathy and harmony between medical staff and patients.
Through the above analysis, we see that the factors that make up the capacity of health officials are mainly qualitative criteria, which are difficult to consider and evaluate specifically. Therefore, to properly assess the capacity of officials, specifically health officials, the unit's leaders must have the right perspective, create channels to grasp the general situation, and have tools and methods to evaluate diverse staff capacity.
1.3.2. Assessing the capacity of health workers through task performance results
Assessing the capacity of civil servants helps managers and leaders promptly grasp the shortcomings and develop the strengths of civil servants in agencies and units. Raising awareness, responsibility, professional activities of medical officials and the quality and efficiency of operations of medical career units. This is the basis for arranging, using, training, fostering and improving the capacity of medical officials. Currently, assessing the capacity of civil servants through the results of performing tasks is a form of assessment applied according to the provisions of current law in general for all professions, medical officials are also applied according to this provision.
The assessment of civil servants' capacity must be based on the actual performance of assigned duties, tasks and work to closely follow the volume and progress of work of each job position. Work assessment is based on the general criteria of the Government, Ministries, and sectors and based on the direct supervision of the work of the collective and the head of the unit. The assessment of civil servants' capacity must be carried out in a democratic, fair, transparent and public manner to avoid repression and unfairness within the agency or unit. This is an annual task for units, but there are still some shortcomings in this work such as:
Inconsistent in evaluation viewpoint, still being fussy, superficial in deference, evaluation criteria are not realistic...
Specific criteria for assessing civil servant capacity help units assess more clearly and realistically the capacity of civil servants. It is the backbone for reviewing and planning training, fostering, and improving civil servant capacity. It clarifies and points out the volume of ineffective civil servants, forms a system of standard job position lists, and contributes to improving the work efficiency and quality of the medical staff in general.
1.4. Factors affecting civil servant capacity
1.4.1. Objective factors
1.4.1.1. Working conditions and environment
Conditions of facilities, means and working environment have a great influence on the ability to perform the duties of civil servants in general and medical officers in particular. Medical officers who are responsible for direct contact to examine and perform professional tasks related to the health of patients need the support of machinery and medical equipment. If they are not equipped with adequate working conditions, it will cause difficulties and errors in diagnosing diseases. The working environment is also an important factor in the working capacity of medical officers because it will affect their style, attitude, and mood, which will affect many other factors while performing their duties.
1.4.1.2. Recruitment
Recruitment and use of medical staff must go hand in hand with job positions, closely follow professional duties, and follow the correct procedures and regulations in the selection process. Follow the principles of transparency, objectivity and compliance with the law, ensure competitiveness, and select the right people to meet the requirements of the job and position. If the recruitment mechanism
Being carried out in a transparent manner will create a friendly and objective environment to attract many talented people to join the industry.
Currently, recruitment is being carried out in accordance with state regulations, with strict terms. However, many localities are also entangled in scandals, profiteering, arrangements and are only formalities when recruiting, which has caused the phenomenon of having to spend money to enter the health sector, while also recruiting people with weak capacity while missing out on a number of highly capable people. This promotes the need for sanctions to optimize recruitment, create a competitive and transparent environment to attract many good human resources to join the health sector.
1.4.1.3. Benefits and salary policy
The medical sector is a specialized sector and plays an important role in medical examination and treatment, affecting people's health. The human resources of the medical sector are qualified, knowledgeable officials who have been trained through prestigious domestic and international schools. During their work, the medical staff must both complete their professional qualifications and study to improve their qualifications. Salaries for civil servants are calculated based on degrees, qualifications and according to the general rank of the whole country, so the current salary level is still not enough to attract and retain high-quality human resources to contribute to the sector. In the context of a raging epidemic, the country must work hard to fight the epidemic, the highest responsibility belongs to the medical staff and doctors working at all levels. Salary policy is an extremely important tool of the Government, contributing to creating motivation and enhancing the spirit of dedication of the medical staff in the work of taking care of people's health. Salary is the source of income used to cover living expenses, maintain family activities and has a direct impact on the lives of most health workers.