Management In Health, MIH (National School of Public Health, Management, Romania)
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Management organizaţional - anchetă privind nivelul stresului într-o unitate
No full textAt an organisational level, stress management represents a central problem of the health systems.The study was performed by delivering a genuine 39 items questionaire to all public health authority employees, present at work throughout August 2006. The authority structure follows the norms and regulations for human resources management of the Public Health Ministry in Romania. The study goal was to identify the personnel stress factors: inappropriate communication, frequent law changes, low job security, lack of patient information regarding the healthcare delivery system, patient atitude, specific work overload. In order to avoid the raising of other suplementary stress factors within the working environment, the employees solutions consists of: correct duties allocation to avoid workplace overload or workplace monotony and personel underutilization, improve horizontal and vertical collaboration and communication at work, developing more objective staff evaluation chriteria, radical change in the process of deloping informal work relationships (relaxation techniques) within work teams. Keywords: study, stress, human resources managementContent available only in Romanian.At an organisational level, stress management represents a central problem of the health systems.The study was performed by delivering a genuine 39 items questionaire to all public health authority employees, present at work throughout August 2006. The authority structure follows the norms and regulations for human resources management of the Public Health Ministry in Romania. The study goal was to identify the personnel stress factors: inappropriate communication, frequent law changes, low job security, lack of patient information regarding the healthcare delivery system, patient atitude, specific work overload. In order to avoid the raising of other suplementary stress factors within the working environment, the employees solutions consists of: correct duties allocation to avoid workplace overload or workplace monotony and personel underutilization, improve horizontal and vertical collaboration and communication at work, developing more objective staff evaluation chriteria, radical change in the process of deloping informal work relationships (relaxation techniques) within work teams. Keywords: study, stress, human resources managementContent available only in Romanian
Sistemul de sănătate şi capacitatea de răspuns la aşteptările legitime ale populaţiei
No full textWHO has defined three pilllars for health system performance: improving health, responsiveness and equity in financial contribution. In this article we are looking at responsiveness with its two components respect for persons and client orientation. We argue that responsiveness is important for evaluating health system performance and we critically appraisse the difference between responsiveness and patient satisfaction, as indicators of the quality of health care delivery.Keywords: responsiveness, client orientation, patient satisfaction, dignity, confidentiality, autonomy, health careContent available only in Romanian
Cariera de cercetător în sănătate publică şi pregătirea în sănătatea publică
No full textIn the last decades it was obvious an increasing need for public health research expertise; but the preoccupation of the society for recruiting, motivating, keeping of the professionals in the public health research field was it in the same extent increasing? It is important to analyze in which extent the public health curriculum, the training process, the training and job opportunities, the freedom in deciding the themes offer a true support for developing the research career in public health and in which extent the public health researchers perceive the effectiveness of their profession or can advocate themselves and their work. Keywords: research career, public health, public health training, motivationContent available only in Romanian
O introducere în domeniul sintezelor sistematice
Get PDFThe quality of published research is highly variable. The use of inappropriate researchmethods, poor standard of statistical analysis or inadequate sample size often make research findings inconclusive or contradictory. This makes it difficult to know which studies should be used as the basis for clinical practice. As a result, reviews have become an increasingly important means by which research results are collected, sorted, appraised and summarised. Systematic reviews are summaries of all past research on a topic of interest. However, unlike the traditional approach to reviewing literature, they utilise the same principles and rigor that is expected of primary research. They are systematic in their approach and use methods that are pre-planned and documented in a systematic review protocol. This article presents the process of systematic review.Keywords: systematic reviews, protocol, review question, searching for studies, selecting studies, critical appraisal, collecting data, best evidence.Content available only in Romanian
Evaluarea managerilor de spital în anul 2008 şi cazuistica spitalului
No full textSince 2007, all Romanian hospital discharges are validated based on the clinical data sent by hospitals. Consequently, the Ministry of Health developed a set of indicators, in order to evaluate the hospital management performance. This evaluation was first done in 2008, based on the new legal regulations that introduced Hospital Management Contracts between hospital managers and Ministry of Health starting with 2007. The evaluation process is based on quantitative indicators and qualitative indicators for general management of hospital. The utilization of the minimum basic data set and case-mix for the evaluation of hospital management performance was done for the first time in Romania in 2008, but there are some problems that we have to consider in future. The main benefit of this evaluation is the idea of transparency and objectivity because the process of evaluation is based mostly on the hospital data. The things to be improved are related with: selection of indicators for evaluation, data accuracy, sources for hospital reporting and competency of personnel involved in the evaluation process.Keywords: hospital management, case-mix, management evaluation.Începând cu anul 2007, externările din toate spitalele din România sunt validate pe baza datelor clinice transmise de către spitale. În consecinţă, Ministerul Sănătăţii a elaborat un set de indicatori, pentru a evalua performanţa managementului spitalicesc. Această evaluare a fost efectuată pentru prima dată în anul 2008, pe baza noilor reglementări legale care au introdus Contractele de Management al Spitalului; aceste contracte se încheie între managerii de spital şi Ministerul Sănătăţii începând cu anul 2007. Procesul de evaluare se bazează pe indicatori cantitativi şi calitativi privind managementul general al spitalului.Utilizarea setului minim de date la nivel de pacient şi caz-mix-ului pentru evaluarea performanţei managementului spitalicesc a fost făcut pentru prima dată în România în 2008, dar există câteva probleme care trebuie considerate în viitor. Deoarece procesul de evaluare se bazează în principal pe date cu privire la spital, principalele beneficii ale acestei evaluări sunt reprezentate de transparenţă şi obiectivitate. Aspectele care trebuie îmbunătăţite sunt legate de: selectia indicatorilor de evaluare, acurateţea datelor, sursele pentru raportarea datelor şi competenţa personalului implicat în procesul de evaluare.Cuvinte cheie: managementul spitalului, case-mix, evaluarea managementului
Principalele rezultate ale studiului naţional ESPAD privind consumul de tutun, alcool şi droguri – România 2007
No full textThe ESPAD study - composed by many national surveys targeting the European adolescents - provides the participating nations with a realistic perspective about the important problem of illegal drug, alcohol, tobacco use. For nearly 2 decades, the study brought a clearer understanding of the temporal trend of the consumption patterns, and a better understanding of some of their consequences. It has also given policymakers important evidence for intervention.Keywords: Lifetime prevalence, prevalence during the last 12 months, prevalence during the last 30 days, tobacco, alcohol, drugsStudiul ESPAD (compus din mai multe anchete naţionale în rândul adolescenţilor europeni) furnizează ţărilor participante o perspectivă realistă asupra importanţei probleme privind consumul de droguri ilicite, alcool sau tutun. De aproape 2 decenii, studiul a contribuit la o mai clară înţelegere privind evoluţia temporală a modelelelor de consum, dinamica factorilor ce le determină, precum şi o mai bună înţelegere a unora dintre consecinţele acestora. De asemenea, a furnizat decidenţilor politici evidenţe importante pentru intervenţie.Cuvinte-cheie: prevalenţa consumului de tutun, alcool şi droguri în timpul vieţii, în ultimele 12 luni, în ultimele 30 de zil
Violenţa domestică şi consecinţele asupra sănătăţii
No full textFamily violence are at the origin of many physical and mental illnesses, of frequent consultations, hospitalizations and disabilities of temporary work, as well as of a high consumption of medication and other health services. In other words, the consequences of domestic violence can persist for a long time after the actual act of violence and the long time the repercussions of various types and of the multiple episodes of violence are cumulative.Key words: emotional violence, physical violence, sexual violence, social violence, invalidity.Violenţa domestică se află la originea a numeroase boli fizice şi mentale, consultaţii, spitalizări şi incapacitate temporară de muncă, precum şi a unui consum ridicat de medicamente şi de alte servicii de sănătate. Cu alte cuvinte, consecinţele violenţei domestice pot persista pentru o lungă perioadă de timp după actul efectiv de violenţă, iar repercusiunile pe termen lung a diferitelor tipuri şi multiplelor episoade de violenţă sunt cumulative.Cuvinte cheie: violenţă emoţională, violenţa fizică, violenţa sexuală, violenţa socială, invaliditate
Balanced scorecard, management tool in hospitals reform
No full textThe Balanced Score Card (BSC) is a very useful tool for the private companies around the world. The goal of this paper is to introduce this concept in the health literature, in order to innovate the hospital management. Thus, there is a theoretical basis for solving the many complex aspects of the hospital activities. Despite some tensions and compromises, the interplay between the four quarters of the BSC demonstrates the ability to solve many problems of a hospital. The next step will be to apply effectively this tool in hospital management. Keywords: balanced score card, hospital managementThe Balanced Score Card (BSC) is a very useful tool for the private companies around the world. The goal of this paper is to introduce this concept in the health literature, in order to innovate the hospital management. Thus, there is a theoretical basis for solving the many complex aspects of the hospital activities. Despite some tensions and compromises, the interplay between the four quarters of the BSC demonstrates the ability to solve many problems of a hospital. The next step will be to apply effectively this tool in hospital management. Keywords: balanced score card, hospital management Content available only in Romania
Încrederea în organizaţiile sănătăţii
No full textThe present study offers some basic information about a new concept in the domain of organizational psychology: the concept of organizational trust. In the literature a great interest was focused on trust dimensions, behaviours that build trust, and management implication. Also, the autors revealed the results of some research made in USA and challenge of trust in Romanian healthcare system.Keywords: organizational trust, organizational psychology, organizational behaviours, organizational managementContent available only in Romanian