Marius CIUTAN

• Country : ROMANIA
• marciu26@yahoo.com
• Occupation : Medical doctor
• EUROPHAMILI Training centre : Rennes - France
• Promotion : 2007

Background

Hello, My name is Marius Ciutan and I am from Romania.

I am a medical doctor and I have been working as a specialist degree in public health and health management for the last four year. Since 2004,  I have been working in the Public Health Research Department of The National School of Public Health and Health Services Management of Bucharest where I have a lot of responsibilities related with teaching activities, especially epidemiology and biostatistics topics and with coordinating and managing the phases of research studies. Specially I have been involved in sampling and statistical analysis phases of the research studies realized in our institute. I want to develop my career step by step. Because I am at the beginning of my career, I propose to not jump any main step of my professional training. In this order, I have a competition with myself: I propose to become by the age of 40, a senior specialist in Public Health and to become more confident in applying as a… and obtaining a position of principal investigator of ones of the Cross-border or European programmes and researches.
I consider that it is very useful to be in touch with all news in the field of public health in order to upgrade my knowledge and would be more efficiently to be in touch with colleges from different countries and disciplines, in order to improve my practice and my communication skills. My interest is in the wider field of public health: epidemiology, demographics, biostatistics - especially statistical analysis, but also health services management, public health promotion and sanitary economy. My other interests are painting, photo and surfing on Internet.

Publication(s)

External evaluation as a new perspective in the evolution of health networks - Example on diabetes health networks

In a European dimension, health networking is guided through a trend of high decentralization and empowerment of local initiatives. The current trend is towards new innovator approaches and new organizations to improve continuity of care and coordination of care in a multidisciplinary context. In UK, the primary care trusts model is supported by a coherent health policy; the networking has more informal characters in other countries (Spain) or is limited to local initiatives in some cities (Italy); in East-European countries (inclusive Romania) the level of local initiative is very low but there are real premises to shift from informal to formal local health networks.
The French model of health networks emerged from the spontaneous aggregation of patient and health professional around specific public health issues (AIDS).
The year 2006 seemed to mark a further step in the end of the health networks first cycle: in particular in experimentations and maybe 2007 could be a new period toward regulations that miss to healthcare system. The experimentation level is continuing in both term of financing and evaluation process. Nevertheless there is a political pressure to introduce an external evaluation approach for French health networks governed by principles such as institutionalisation, refinancing, rationalisation.

In this context the present study’s purpose is to provide evidences on the French health networks evaluation system in a perspective regarding the introducing external evaluation and to identify the position of the external evaluation in the life’s cycle of health network.

The methodology is to analyse the current evaluation system combining both theoretical and practical approaches; it focuses on collecting and analysing the experts’ opinions about legal frameworks, obstacles, added values in order to understand what would be its roles and the perspectives induced in the life’s cycle of health network.  

By comparing both approaches (theoretical and practical) external evaluation seems to lead to new perspectives in consolidating self evaluations, providing professional tools and methodologies, therefore ensuring helpful support for promoters thanks to high level of expertises and neutrality. Their specialisations will strengthen the experiences shared and therefore the learning process.  To guarantee a successful implementation every actor have to keep in mind the fact that evaluation is more a support than a sanction to overpass this common confusion’s feeling regarding this topic in France. The methodology has to be simple, coherent and adaptive regarding these complex and dynamics organisations such as health networks.
External evaluation and more widely evaluation shall not be considered as a tool but a way to shift health networks from experimental step to a regulation function.