Management In Health, MIH (National School of Public Health, Management, Romania)
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O privire din exterior: Jurnal de leadership (partea a-II-a)
No full textIdeas, Vision, Values, Competitive Position & Product DevelopmentAbstract: Leadership is the exercise of those competencies, skills, knowledge, and behaviors which guide and motivate others to actively pursue their work toward accomplishing a set of goals or objectives, and, to work toward achieving the vision for their organization. Leadership produces “group performance”. The relative degree of the quality of the leadership demonstrated will result in a commensurate level of organizational performance. To that end, therefore, great leadership produces outstanding resultsA vision is characteristically defined as a desired future state or picture of what the leader’s team or organization could become in some future timeframe. A vision is different from a mission statement. Mission is about what the organization/team does, how it performs it work, to whom or for whom it does its work, and it represents the present function of the organization/team. A leader’s role is to define and articulate the vision for his/her organization/team and to help guide their efforts to work toward achieving the vision. Keywords: leadership, vision, values, competitive position, product developmentViziune, Valori, poziţionarea competitivă, dezvoltarea produsului“Leadership-ul” reprezintă exercitarea acelor competenţe, abilităţi, cunoştinţe şi comportamente care îi ghidează şi motivează pe alţii să urmărească activ munca lor în atingerea scopului şi obiectivelor şi de a munci pentru atingerea viziunii organizaţiei. Leadership-ul produce “performanţa grupului”. Gradul relativ al calităţii leadershipului demonstrat va duce la un nivel comensurabil al performanţei organizaţiei. Deci un leadership bun produce rezultate remarcabile. Viziunea este o caracteristică definită ca o stare de lucruri dorită sau o imagine a ceea ce echipa sau organizaţia liderului ar putea deveni în anumite perioade de timp în viitor. Viziunea este diferită de misiunea declarată. Misiunea este despre ceea ce organizaţia/echipa face, cum performează, cine sau ce face şi reprezintă funcţia actuală a organizaţiei/echipei. Rolul liderului este să definească şi să articuleze viziunea pentru organizaţia/echipa sa şi să contribuie la ghidarea eforturilor muncii spre îndeplinirea viziunii. Cuvinte cheie: leadership, viziune, valori, poziţionare competitivă, dezvoltarea produsului 
Variaţiile de practică medicală - o introducere în subiect
Get PDFWhat means “medical practice variations”? What causes them and why are they important? To what are they related? Who is responsible? Could they be measured and limited? Should Romania start a practice variations assessment process? Why is it necessary and what is needed to have for it? The article answers to a part of these questions, raising many others.Keywords: evidence-based medicine, medical practice variations.What means “medical practice variations”? What causes them and why are they important? To what are they related? Who is responsible? Could they be measured and limited? Should Romania start a practice variations assessment process? Why is it necessary and what is needed to have for it? The article answers to a part of these questions, raising many others. Keywords: evidence-based medicine, medical practice variations
"Management în sănătate" – un cap de pod...prea indepărtat?!
No full textThis editorial article is about our quaterly “Management in health” and the support provided in the last 10 years for disseminating relevant information and facilitating communication and connecting among the public health and health management professionals. Also emphasizes the need of evidence in the public health policy.Content available only in Romanian
Intervenţii educaţionale pentru pacienţii cu probleme de sănătate mintală aflaţi sub medicaţie psihotropă
Get PDFThis article is based on a systematic review of educational interventions for consumers receiving psychotropic medication, review conducted by the New South Wales Centre for Evidence Based Healthcare. All studies included were randomized controlled trials (RCTs) however the method of randomisation was reported in only 10 studies and overall the methods were poorly reported. Fortyeight percent (10) of the studies involved patients with schizophrenia specifically, while the remaining studies included patients with various mental disorders. The effects of various approaches to education on the level and retention of knowledge about the illness (including signs and symptoms) and adverse effects of the treatment in mental health patients were investigated.Compliance with therapy, follow up and medication (pill counts, urinalysis and selfreports) was measured in 13 trials at intervals ranging from 2 weeks to 2 years. Five studies assessed the number of patients who relapsed, an outcome that was measured by the number of patients who were rehospitalised and/or required an increase in medication dosage. Incidence of relapse was measured at 6 months, 8 months, 12 months, 18 months and 2 years. Current evidence indicates that verbal information is less effective than written information in increasing knowledge and improving compliance. Clarity, brevity and repetition of the written educational materials is vital to acquiring information and increasing compliance. In addition, the use of audio-visual aids assists in the learning process. Patients who received behavioural interventions as a method of education had greater knowledge and were more compliant to their treatment compared to those who received verbal or written information. Multiple education sessions has been demonstrated to be beneficial; however, the cost implications of establishing multiple education sessions could be significant. Keywords: systematic review, mental health, educational intervention, knowledge, medication, compliance, relaps, insightContent available only in Romanian
Clinici de cardiologie pentru adulţi conduse de către asistenţi
Get PDFThis Best Practice Information Sheet is based upon a systematic review of research, literature suggesting that nurse-led clinics can be distinguished by certain characteristics or features related to their structure or function. The objective of the systematic review was to ascertain whether or not nurse-led clinics would be an effective adjunct for patients to supplement general practitioner advice and care.Nurse-led clinics also provide an opportunity for increased development of professional autonomy amongst nurse practitioners. These are reported to include a focus on health rather than illness and an emphasis on life management rather than diagnosis and intervention.There were mentioned six studies investigating interventions related to education, assessment and consultations or follow-up. The interventions measured across all studies were primarily related to advice giving, referral, education and models of primary health care delivery. Keywords: nurse-led education, self help, education and motivational interview, audit and recall, secondary preventionContent available only in Romanian
Sănătatea publică în strategiile de dezvoltare durabilă
No full textPublic health is recognised today as an integral part of the concept of sustainable development. This paper argues why the achievement of enhanced good and better health within the population is as an integral part of the sustainable development agenda at the global level, and is one of the main priority areas of the European Sustainable Development Strategy. Special attention is paid to the new European public health strategy – in course to working out - to ensure broader understanding of the agenda and synergies through combining drivers for action in the light of one option like choosing health in all activities and in all policies as there is mentioned, at present, in international and EU sustainable development strategies.Keywords: public health, sustainable development strategy, health determinants, risks factorsContent available only in Romania
Particularităţi privind utilizarea spitalelor de urgenţă - România 2007
No full textHospital is the focal point of the health care system. Within the hospital sector, emergency hospital is a major component, and we can provide statistical evidence useful for health planning policy by highlighting territorial particularities. The level of hospital utilization can be appreciated by measuring the activity, and also, the population accessibility to hospital care services can be indirectly estimated through measuring the solicited healthcare services by population. In Romania, the hospital system meet an older territorial layout, which largely covers the needs of population, but which should take into account the current Romanian context characterized by the need of a European standards harmonization and by regional development.Keywords: emergency hospital utilization, addressability to emergency healthcare services, territorial particularities.Sectorul spitalicesc reprezintă pivotul sistemului de îngrijiri de sănătate. În cadrul sectorului spitalicesc, spitalele de urgenţă reprezintă o componentă majoră , iar evidenţierea particularităţilor teritoriale poate furniza dovezi statistice utile pentru proiectarea politicilor de planificare sanitară. Nivelul utilizării spitalelor poate fi apreciat prin nivelul activităţii, iar accesibilitatea populaţiei la acest tip de servicii se poate măsura, indirect, prin măsurarea nivelului solicitărilor acestor servicii de către populaţie. În România, sistemul spitalicesc respectă o mai veche arondare teritorială, care acoperă în mare măsură nevoile populaţiei, dar care ar trebui să ţină seama şi de contextul actual caracterizat de nevoia armonizării la standardele europene şi dezvoltării regionale.Cuvinte cheie: utilizarea spitalelor de urgenţă, adresabilitatea populaţiei la serviciile de urgenţă, particularităţi teritoriale
Legea reformei în domeniul sănătăţii - abordare analitică în corelaţie cu reglementările din domeniu
No full textThe 95/2006 Health Reform Law is the 'spinal cord' of the health system reform legislative cluster. This paper was inspired both by the letter and spirit of the law besides the practical issues experienced by the authors as local health decisionmakers. The main trend of this work is the interplay between law 95 and other eleven laws, including public employee’s issues. This article also highlights some european ideas implemented for the first time in our national legislation. Key words: health reform, legislation, national health programmes, public clerkContent available only in RomanianThe 95/2006 Health Reform Law is the 'spinal cord' of the health system reform legislative cluster. This paper was inspired both by the letter and spirit of the law besides the practical issues experienced by the authors as local health decisionmakers. The main trend of this work is the interplay between law 95 and other eleven laws, including public employee’s issues. This article also highlights some european ideas implemented for the first time in our national legislation. Key words: health reform, legislation, national health programmes, public cler
Influenţa laserului de joasă frecvenţă asupra funcţionalităţii fizice şi a durerii, în cazul entorselor la copii
Get PDFThis study presents aspects resulted from a project „FOTOLAS” (Photophysicalmethods of posttraumatic therapy on children, adults, aged persons and sportsmen).The goal of this study – to prove that the laser therapy could be more efficient than theclassical therapy with non-steroid antiinflammatory drugs in the evolution of minorinvalidant trauma , such as children sprain.Type of study – clinical experimental quasi randomizedMeasurable results – physical pain, degree of physical functionality (mobility), thepatient’ satisfaction related to received treatment.Finally conclusion – both treatments offer a decrease of body pains in a significantstatistical manner between the two moments of analised time (arriving to doctor andending of the treatment). There are no statistical significant differences between the twogroups of patients that followed laser therapy and non-steroid antiinflammatory therapy.Keywords: low level laser therapy, children sprain, non-steroidal antiinflamatory drugsContent available only in Romanian. This study presents aspects resulted from a project „FOTOLAS” (Photophysicalmethods of posttraumatic therapy on children, adults, aged persons and sportsmen).The goal of this study – to prove that the laser therapy could be more efficient than theclassical therapy with non-steroid antiinflammatory drugs in the evolution of minorinvalidant trauma , such as children sprain.Type of study – clinical experimental quasi randomizedMeasurable results – physical pain, degree of physical functionality (mobility), thepatient’ satisfaction related to received treatment.Finally conclusion – both treatments offer a decrease of body pains in a significantstatistical manner between the two moments of analised time (arriving to doctor andending of the treatment). There are no statistical significant differences between the twogroups of patients that followed laser therapy and non-steroid antiinflammatory therapy.Keywords: low level laser therapy, children sprain, non-steroidal antiinflamatory drug
Plăţile informale şi asigurările voluntare de sănătate în România
No full textContent available only in Romanian.Content available only in Romanian