Yekaterina TAIRYAN

• Country : ARMENIA
• ktairyan@yahoo.com
• Occupation :
• EUROPHAMILI Training centre : Rennes - France
• Promotion : 2005

Background

After graduation from the Medical University and two-year residency program at School of Health Care Management and Administration (SHCMA) I have joined the SHCMA as an assistant teacher since 2000. Than, in 2002 I started collaboration with the Ministry of Health (MOH) as a Leading specialist first in the Department of Health Policy, and then in the Department of International Affairs. Currently I am involved in the activities of the task force group for developing The National Health Policy.

After the collapse of Soviet Union, like many Newly Independent States, Armenia as well turned to the transition in almost all areas of the life. This requires a critical mass of specialists trained appropriately, to support the sustainable transition process. I attempted to adapt my experience and practice to new conditions and requirements. For that purpose, I have taken active part in many international partnership programs, seminars and workshops in NIS countries, Europe and USA.

My overall expectation of this course is to gain conceptual tools and the practical skills enabling to formulate and critically evaluate health policy programs and strategic plans at different levels of health system. Upon completion, I hope to get back to my respective field with new missionary capacities, such as ?agent of change?, health management professional with updated vision that is able to contribute in the process of a new mindset creation for national healthcare planners and health policy makers other than a ?one-size-fits-all? approach.

It is my strong belief that key players with the capabilities to bring changes into the health system development have to be identified as follows:

- Those who can - have political power
- Those who know - have knowledge and skills
- Those who care - have direct interest in bringing change

I have courage to consider myself as a person who really cares, who always tries to know and who will not spare efforts to become a professional who care, who know and who can.

Publication(s)

Organization of Palliative Care in Brittany : Lessons learned for Armenia and Republic of Moldova

Palliative care is a complex, active and intensive type of care, promoting the quality of life of the terminally ill patients and their families. The development of palliative care services in France has been slower than in other European countries. Palliative care is provided in France by variety of types and models of care in hospital and at home: palliative care units, mobile teams, identified beds and palliative care team home services. The beneficiaries of palliative care services are patients with advanced progressive chronic diseases and limited life expectancy, with uncontrolled symptoms and psycho-social needs. The institutional line restricts the palliative care for last three months of life. The lack of identification of the terminal phase is an obstacle to transfer patients to more appropriate care in health facility or at home. The palliative care service has a transversal cooperation without vertical hierarchy. Furthermore palliative care as a new domain is not yet far and widely recognized. Thus the creation of networks with coordination and collaboration between care delivering units and professionals working outside of care services, and the medico-social service in each sanitary sector is considered as a priority. Low motivation of GPs due to insufficient financial remuneration is another limitation to develop palliative care at home. The SROS III covers many aspects of palliative care organization in the region, it doesn’t provide any recommendations concerning the organization of the activity of networks, mobile teams and HAH structures. The message of palliative care is that whatever the disease, however advanced it is, whatever treatments have already been given, there is always something which can be done to improve the quality of life remaining to the patient. Recommendations given to develop palliative care in Armenia and Republic of Moldova are drawn based on assumption to avoid obstacles and problems faced in France.