Zilvinas DARULIS

• Country : LITHUANIA
• zilda@one.lt
• Occupation : Physician
• EUROPHAMILI Training centre : Rennes - France
• Promotion : 2005

Background

In 2000 I have graduated bachelor studies at the Faculty of Public Health, Kaunas University of Medicine. In the year 2002 I was awarded with the Diploma of Master of Management of Public Health and in 2003 with the Diploma of Public Health at the Nordic School of Public Health, Gothenburg, Sweden. In the meantime I?m the doctoral candidate at the Department of Philosophy and Social Sciences, Faculty of Public Health, Kaunas University of Medicine and employed as assistant professor of management and sociology of health and medicine since 2001.



The main areas of interest are the E-health and it?s development, new technologies in health care, globalization and sociocultural values, management in health care. For couple of years I?ve been employed in Clinics of Kaunas University of Medicine as health care manager, so the skills and understanding about health care as institution came mainly from this position.



I have participated in the postgraduate courses for specialists of Public Health and health care managers in Sweden, Poland, Finland, and Estonia. Studying as MPH student I?ve prepared MPH dissertation at the Nordic School of Public Health, Gothenburg, Sweden.



Since the international and intercultural factors are very much influencing whatever area in the state development, I expect from EUROPHAMILI to gain more skills and abilities to work in contemporary and changing European society, especially with issues related to health care and management of it. Since international teaching and studying methods are commonly accepted and used I see EUROPHAMILI courses as the transferring bridge between the countries in sharing their experience.

Feedback

"I am really happy having the opportunity to experience the program of EUROPHAMILI for many reasons. First, it is the possibility to get in touch with different people from various European countries and share the ideas, skills, attitudes, proposing some collaboration perspectives for the future. Then, we all faced the challenge of Interculturality which was probably as important as the challenge of acquiring new knowledge. We experienced facing the problems and decision-making within the health area in Europe, which was a really big issue and nice experience, since the participants and teachers in the course had different backgrounds and skills. Analysing and understanding the common health problems and seeking the best solution was one of the main issues for me, and we did it quite well tackling all the “hot” questions during the course. Despite different cultures, ways of thinking, various attitudes, beliefs and values, we all developed important skills in intercultural communication and tolerance which I think is vital for international cooperation within the enlarged Europe. I think that the program is really very important and necessary for the future health managers and decision-makers in health areas particularly.Zilvinas Darulis (Lithuania), trainee on the 2005 Rennes (France) course"

Publication(s)

Fable of the Bees, Tragedy of the Commons

Early discharge program applied in the maternity hospitals in order to reduce the number of days after the delivery. It has become accepted practice among the world. France comes to that idea with reluctance.

La Sagesse has created the Flexible Discharge Program based on voluntary adhesion and principle of “flexibility”: the possibility to stay as long as women want; possibility to leave the program at every moment.

We try to initiate some recommendations to increase the number of women who participate in that scheme. Hypothesis were confronting to the opinion of 47 women in questionnaires and interview.

We found that improvement of information and the coordination between professionals is important which only leaves cultural aspects a limitation.

We suggest that it is possible to ensure patients’ choice and to increase alternative choice to hospitalisation, by making women conscious of impact of their choices on the care proposed to the community.