Francis ABIHANNA

• Country : FRANCE
• fabihanna@yahoo.com
• Occupation : Medical doctor
• EUROPHAMILI Training centre : Rennes - France
• Promotion : 2005

Background

As a physician, I practice the obstetrics and gynecology specialty in a community-based hospital fifty miles north of Rennes in Avranches. I went to medical school in Bordeaux and used to pass by the Château Haut-Brion vineyards everyday I walked from my student room to the university compound. Following my MD degree in 1985, I rotated in university of Bordeaux affiliated hospitals for the Ob-Gyn specialty training, mainly in Périgueux, Dordogne. Then came the time of practice: I chose to move to Paris suburb area where the academic and hospital environment looked more challenging for a fresh graduate. In 1991, I had the opportunity to travel to the USA for the purpose of doing some research and training at the university of yale affiliate hospitals. Once this period ended, I was recruited by the French Ministry of Cooperation to "manage" a cooperation program funded by the government of France for the English-speaking eastern Caribbean countries. The project goal was to equip, train the departments of Ob-Gyn and establish academic links between these departments and the ones in Martinique and Guadeloupe. This was a good experience in management and politics since many non-tehnical and non-medical factors affected the program s policy and implementation. At the end of the "mission", I re-integrated the body of the full-time hospital practioners in France.



A brief biographical note: I am 46 years old, a French citizen with Lebanese origin. I am married and the father of three boys. My hobbies are: sport, reading, and joining "fraternities" for discussions and exchanging ideas.

Publication(s)

Managing Controversies on Electronic Patient Record Among a Physicians Group in a Community-based Hospital

The hospital of Avranches-Granville is a community-based hospital in the process of implementing Electronic Patient Recording within its institution. There are controversies among physicians with regard to the recording procedure of medical data and to the level of sharing information among health care providers. The issues are related to the confidentiality and security of medical data and to providing the best patient care. The author, a Europhamili trainee, is a physician member of the institution. With the knowledge acquired through the teaching units, the author attempts to apply the management principles on the physicians organizational form in order to reach a consensus on EPR in the hospital. He tries to deal with the motives that drive individuals and define group dynamics interaction with leadership. This is an essay to tie knots between the practice of medicine and the exercise of management.

Omolade ALAO

• Country : FRANCE
• galao@nordnet.fr
• Occupation : Medical doctor
• EUROPHAMILI Training centre : Nottingham - UK
• Promotion : 2003

Background

I was born in Reading (UK), to Nigerian parents in 1966. My parents later went back to Nigeria, where I studied medicine at the Obafemi Awolowo University, Ile-Ife.



After leaving medical school in 1989, I had an interesting experience working as a housedoctor in a missionary hospital in Ogbomosho, a semi-rural area of Nigeria. The hospital was deeply involved in community based health projects (nutrition rehabilitation, leprosy care, health education, ...) When I later found myself in France for family reasons, I opted to specialise in public health medicine. I felt this was most relevant to the situation in developing countries like in Africa, where existing health care resources could gain considerably in efficiency with a bit of management and planning.



The training was interesting, I completed my residency in 1998, and am currently engaged as a public health physician with a regional organisation representing doctors in the private health care sector (Northern France). Health care management and planning are relevant everywhere, and sometimes I find that the developing countries may even be ahead of developed countries on some issues.



In my present job, I participate in designing and implementing health care projects such as breast cancer screening programs, and also get involved in health service management issues such as health care networks, emergency care organisation, and the like.



While I miss no longer doing any clinical medicine whatsoever, I find public health practice particularly stimulating and challenging. Coupled with my multi-cultural background, the peculiar location of Lille, where I work, as a crossroads between several european capitals ( London, Brussels and Amsterdam are pretty close by), has increased my consciousness of the need to capitalise on transcultural experiences in the area of health care management. I look forward to the Europhamili session in Nottingham from that point of view.



I am a happy mother of three children, Kashope (boy, 10 years old), Bamishe (girl, 9 years old) and Omowumi (girl, 7 years old). I enjoy reading, would like to improve on my swimming skills, and hope to learn spanish in the near future.

Publication(s)

The TRAC programme: promoting access and making choice a reality for patients

The British National Health Service Plan aims to achieve a major reduction in the time patients wait before gaining access to care in the secondary sector, and to establish systems that give patients greater influence over their own care.

This report describes a pilot project for cataract surgery referral management in ophthalmology. It was part of the Trent Access and Choice scheme (TRAC), a fast-track regional project initiated in the East Midlands in October 2002.

TRAC intends to improve access and offer choice to patients at the point of referral from the primary care sector. The traditional system of referral management is described, and a new pathway via a call centre proposed. The public policy, clinical and management perspectives of key stakeholders in patient referral management are reviewed, and issues relating to access and choice as factors of patient empowerment highlighted.

Ara AMIRJANYAN

• Country : ARMENIA
• ara_amirjanyan@yahoo.co.uk
• Occupation :
• EUROPHAMILI Training centre : Rennes - France
• Promotion : 2005

Background

My name is Ara Amirjanyan. I am from Armenia. I was born in 26 Aug 1971.



In 1990 I entered the Yerevan State Medical University, department of Pharmacy. After graduation, I worked for 6 years and established 2 drug stores in Yerevan city. As a local Pharmacist, I could see the problems related to poor management of Health Care System in general and Pharmaceutical area in particular, which, in turn, was due to complexities of the transitional period that Armenia was passing through that time. Learning about the School of Health Sciences at the American University of Armenia (AUA) inspired me to go further in my higher education and acquire such a specialty that would definitely be relevant to and of great use to the needs of Health Care Management in its all aspects.



I graduated from AUA in 2003 and I am currently working as a Drug Stock Manager at MSF-Belgium in a Primary Health Care Project, Vardenis region Armenia. Through the course provided by EUROPHAMILI I plan to get a broader view of the influence of the cultural specificities in Health Care Management. I do believe, upon completion of the course, I will bring a new stream into Armenian Health Care Management.

Desislava ATANASOVA

• Country : BULGARIA
• desislava_aa@yahoo.com
• Occupation : Student
• EUROPHAMILI Training centre : Lodz - Poland
• Promotion : 2004

Background

I graduated Medical University of Varna - Prof. Paraskev Stoyanov in 2002 with a Master\'s Degree in Health Care Management.



Now I\'m a full time PhD student at the Department of Social Medicine at the Medical University. My major responsibility is the preparation of some of the Social medicine classes for the students in Health Care Management, as well as for the medical students.



Till now I have participated at the First National Conference for Dealing with the Stress in Bulgaria (September, 2003) and in the Student\'s Scientific Session at the Medical University of Varna (May, 2003). At the National Conference I presented a report on Stress Management among the British General Practitioners. My participation at the Student\'s Scientific Session was on the topic Time Management in the General Practice, where I presented the results from a study among the GP\'s in the City of Varna.



My special fields of interest are the Primary Care and the Management of the General Practice.

Publication(s)

Analysis of current contracting system and its outcomes in Lodz region, with special emphasis on preventive cardiological services

Poland as many other European countries experienced the action of reforming health care system. In 1999 the Semashko model was replaced with a compulsory health insurance system. There were many reforms after 1999 whose goal was to improve the functioning of health care system. Between 1999 and the 1st of April 2003, the health care system was decentralised. The financing and administration tasks were transferred from the Ministry of Health to the sixteenth Regional Offices, which negotiated and purchased health services on behalf of the insured. The lack of central control over the national health policy and exaggerated independence of the Regional Offices led to putting into force of a new legislation after the 1st of April 2003, on whose basis was implemented re–centralisation of the whole system. But financial constraints constituted an important factor of the failure of the new health care reform. The organisation of the health care in Poland since 2003 has experienced some difficulties. The health services were provided to the insured according to the financial resources commanded by the Regional Offices of the NHF. The main problem faced by all regional offices was the scarcity of resources, which were not enough to satisfy the unlimited health demands of population. One of the biggest needs of population in Poland and particularly in Lodz is represented by services for prevention and treatment of cardiovascular diseases. Between the years 2000 and 2002 the Lodz Regional Sickness Fund realised the cardiological preventive programme recognising the need connected with the risk of circulatory system diseases. In 2003 the programme for prevention of cardiovascular diseases was not initiated in Lodz. Because the cardiovascular diseases are the main cause of premature deaths (most of them being preventable) in the whole Poland means that the National Health Fund has to make a decision regarding the financing of preventive services for heart diseases in order to lower the expenditure in the health care system. More preventive services mean more money saved for curative services, which would be necessary to be offered.

Jean-Pierre AUGUSTE

• Country : FRANCE
• diauguste@aol.fr
• Occupation : Hospital manager
• EUROPHAMILI Training centre : Rennes - France
• Promotion : 2002

Background

My name is Jean-Pierre Auguste. I was born in 1957 in Lille (North of France) where I lived until 1982. I am divorced and have two children, one son and one daughter.



I studied law and in 1978 started a career in public hospitals for which I have been working for twenty three years.



-I have been working as a hospital manager for 20 years. My first post (1982-1991) was as purchasing and logistics manager, then financial manager with a staff of 250 and an annual budget of ?13,800,000 (actual value).



-My second post (1991-1992) was as manager of a cost analysis and computer department with a staff of 650 and an annual budget of ?33,540,000 (actual value).



-My third post (1992-1996) was as personnel manager with a staff of 600 and an annual budget of ?30,500,000 (actual value).



-My current post (from 1996 until now) is as director of a hospital in the « Département des Vosges » (East of France) which comprises a small medical ward, a convalescent ward and a large nursing home of more than 300 beds with a staff of 180 and an annual budget of ?11,500,000. Among other things, I have set up a network of partners involved in looking after old people at home, particularly designed to prepare for patients returning home after a stay in hospital. I am also responsible for the coordination of a purchasing group which brings together all the hospitals of the « département ».



In addition to that, I took up English again five years ago. Since then I have had evening lessons and passed three Cambridge examinations.

Feedback

"The education of EUROPHAMILI is very rich and complete. I believe that the Teaching Units related to law and ethics were for me the most profitable. Legislations are often very different from one country to another and to know the subtleties allowed me to move faster in my work of collaboration with my foreign partners. I appreciated to confront my own methods of management with those of my European colleagues."

Publication(s)

The Assessment of Rennes Cancer Institute

In the wake of the 1991 hospitalisation law and 1996 hospitalisation and health expenditure legislation, Cancer Centre Eugène Marquis, like any other hospital, has been pushed on co-operation on grounds of both rationalisation and quality improvement. In July 2000, in the frame of its “projet d’établissement”, it embarked on a new form of partnership “communauté d’établissements” with the teaching hospital (CHU) and a non profit-making hospital, “Clinique de la Sagesse” in order to be recognised as a reference centre in cancer care for the whole region.

The main operational objectives of this joint enterprise notably included the promotion of multidisciplinary teamwork and medical complementarity, the creation of a common medical file in cancerology and of a regional network.< br>
Beyond its first concrete achievements, the Rennes Cancer Institute seems to have eased relations between stakeholders, more inclined to develop patient-centred projects -by sharing resources- than to compete with one another.