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This Database provides information on crossborder cooperation as well as many different sorts of partnership between individuals and institutions of different European countries.
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My name is Maria Creciun, I am 34 years old, was born in Western part of The Ukraine but since 1988 I have been living in Chisinau, Moldova.
I graduated from The State Medical University N. Testemitanu in 1994 and after one year of internship I decided that my professional life will be focused on Intensive care as a physician. Due to the political and economical challenges in the country and within health care system, at the end of 90?s I became particularly interested in broader aspects of health. In 2003 I graduated from The Braun School of Public Health and Community Medicine, Jerusalem Israel, where I obtained MPH degree. Currently I am working at National Scientific and Practical Department of Public Health and Sanitary Management under MOH, as a researcher, and with EU funded ?Health Promotion and Disease Prevention? Project.
I am interested in Health Policy and Health System Management, and have the hope that EUROPHAMILI will greatly contribute to my knowledge and practice. I have the expectation to gain the experience within international cooperation both Western and Eastern Part of the Europe, in order to assist the Government in the developments of Health System.
Other biographical notes: I am a mother of 13 years old lovely girl. I like discovering new places, meeting new people, as well as swimming, jogging and bicycling.
Publication(s)
Economic evaluation of preventive programme
The aim of the study is the estimation of the role of economic appraisals in decision making within health sector and assessment of “worthwhileness” of preventive programs. Health Economics can greatly contribute to the decision making by using related economic evaluation methods, which has expended markedly in the past few years. This involves the appraisals of health care alternatives through the calculation of the amount by which the benefits generated exceed the costs incurred. An understanding of cost-benefit analysis can also ensure that appropriate costs are identified and valued.
Material and Methods:
From the economic and medical literature we have gotten familiar with health economics, as the important bases for any decision making process on disease prevention or patient treatment programs within health systems. We studied smoking and related burden in many countries and societies, as an example for possible intervention. Based on the available information on the topic from Internet, medical libraries, National and local Institutions and from the field practices, we calculated possible benefits of perspective smoking cessation program. The programme is supposed to last for two years in Lodz, Poland and middle age population with smoking habits in considered as a target group. For the analysis, we estimated separately the expected costs to be spent for the smoking cessation program and benefits form it in monetary terms, taking into account its diminishing values in time. To simplify the calculation we decided to deal with lung cancer as the most frequent, but not the only, disease cased by smoking. Prevention of the development of such disease would save the recourses usually needed for cancer treatment, it’s pre- and post-operation diagnosis and follow ups
Results:
The results of our calculation showed that benefits from the cessation programme were much higher compared to the costs spent for it even though, they would be seen in the future. Sensitivity analysis proved the proposed programme to be robust and marginal analysis provided information on ineffectiveness of prolongation the programme up to thee years, as well as shortening to one year, due to high rate probability of relapses in the latter.
Conclusion:
Cost-benefit analysis can substantially contribute to the medical appraisals. The model was concerned with smoking related issues in Poland, as one of the important public health problems, but the techniques tend to have universal applicability to other countries and to any other topics within health systems.
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.
Background
My name is Vanessa Delgado Nunes, I am 22 years old and I was born in Canada, although I have been living in Portugal since I was nine.
I finished my nuclear medicine degree in July 2002 at the Escola Superior de Tecnologia da Saúde de Lisboa, and after my one year apprenticeship I decided that my professional life would be focused on health management. After the EUROPHAMILI course in Nottingham, I will be undertaking my Master degree in Health Studies & Management at the University of Brighton, starting in October.
I collaborate in a political periodical related to health matters, and recently two newspapers have published articles of my authorship regarding both nuclear medicine and health management.
Besides my professional requirements, I devote myself to music, literature, cinema, and art. I am also very fond of politics and travelling. I have practised a considerable variety of sports, but at the time being I only jog.
I speak Portuguese, English, French, Spanish, and I started to learn Russian.
Publication(s)
An overview of QMC's Coronary Care Unit approach to assessing patients with myocardial infarction
In the perspective of the EUROPHAMILI project, the portrayal of the National Health Service (NHS) and a brief characterisation of Queen’s Medical Centre (QMC) and coronary care unit (CCU) premises are prepared. The assessment and initial delivery of hospital care among patients with myocardial infarction is presented in European, international, national and local guidelines.
The implementation of a new framework like the National Service Framework carries a number of innovative features that have to be implemented and may cause reluctance. Thus, in this scope, the internal organisation of the CCU is presented in four different dimensions: tasks and individuals; formal organisational arrangements and informal culture; shared vision and leadership.
In final considerations, the authors perceived QMC as a NHS hospital which follows world-wide accepted standards. The implementation of standards brought up changes in working practices and in some professional roles. The perceptions towards these changes vary among the different professional classes.
Background
My name is Liliana Dudek-Tuliszka. I was born in Poland in 1976.
I graduated from the Medical University of Lodz, Faculty of Medicine in 2001.
After my postgraduate internship I started a 5-year Speciality training in ?Medical Rehabilitation?, working as a medical doctor for Rehabilitation and Orthopaedic Centre for Children in Trzebnica, Poland. To offer a complete treatment to my patients and to be able to improve the quality of their lives as well as their physical appearance I started a 2 year Postgraduate Study of Aesthetic Medicine. My intention is to learn to combine medical and managerial knowledge and become a complete health care professional able to contribute significantly to the reform processes in the Polish Health Care and the popularization of aesthetic medicine in Poland.
I am very enthusiastic about traveling, meeting new people, challenges that enable my ongoing development.
In my work, I take care of peoples? physical health, so in my spare time I have to do as I preach. Together with my husband we jog, swim, walk our two German Shepherds ? at least one activity a day.
Feedback
"This course gives a great and rare opportunity to learn about different cultural points of view on the same issue; moreover, we learned that in spite of differences we can be creative, find compromise and cooperate while making our projects and presentations. Analytical thinking, organized way of presenting opinions or reports, courage and belief in our own abilities to solve problems – these are main practical skills that we gained or improved during the course. I strongly appreciate also new friendship; real atmosphere of supportiveness, serious and funny discussions we had among students and tutors; meeting fantastic people and discovering France was a very enriching aspect of participating in EUROPHAMILI.Liliana Dudek Tuliszka (Poland), trainee on the 2005 Rennes (France) course"
Publication(s)
Health providers: views of at-home chemiotherapy in Rennes: a qualitative approach
In the last decades, socio-demographic, technological and consumer trends have promoted the development of Hospital at Home (HAH) as an adequate complement to conventional hospital care in France, particularly for palliative patients. More recently, national authorities have removed some of the regulatory and budgetary barriers that were hampering the growth of HAH services to other profiles of patients. However, clinical concerns, normative barriers, and hospital specialists’ prevailing attitudes towards home care, seem to limit the further development of at-home chemotherapy in France.
Departing from this general context, this study explores the particular situation evolving in Hospital at Home Pays de Rennes, a non-profit organization created in January 2004 in Ille et Vilaine. After one year of activity, when a majority of interventions have been focused on palliative care, the organization is planning the expansion of services towards chemotherapy patients. Based on the interviews conducted with local hospital and home care providers, this study explores current opportunities, as well as the main threats and obstacles for advancing towards this goal.
Background
Attending physician (in the field of the family medicine and pediatrics), MD.
From 1988 to 1998 - Assistant in the Department of Children Hematology and Oncology, Wroclaw, Poland.
In 1992 and 1997 - The French Government Fellowship holder, 2 years spent in the Department of Children Oncology, Institut Gustave Roussy, Villejuif, France.
In 1996/1997 - postgraduate studies: Pediatric Oncology (University of Paris XI) and Statistic Analysis & Clinical Researches (CESAM- University of Paris VI).
From 1998 to 2001 -Head of the Department of Pulmonary Diseases in The Regional Center of Pulmonology and Tuberculosis, Istebna, Poland.
Since 2000 - Head of the local center of the family medecine in Ustron, Poland.
Since 2001 - Assistant-Consultant of Pediatrics, Department of Pediatric Surgery, Bielsko-Biala, Poland.
Since 1988 - Deputy to the local City Council in Ustron, head of the Public Health Commision.
Publication(s)
Service and site co-operation between private health care centres as possible response to emerging economic and medical issues
Health policy in Europe becomes increasingly concerned with the problem of growing costs of care. A growing perception is that there are more cost-effective methods of hospital care and hospital management than currently provided. During three months, from April to June 2002, we studied the activity and co-operation of Private Associated Clinics (CPA) in Rennes and in the Brittany Region, France. The study was a part of the EUROPHAMILI training programme for health care professionals. We intended to know the organisation of the French hospital care system, the functional organisation of private clinics and to understand the reasons for co-operation between private hospitals. The objective of our study was to make the reference of French experiences to our home countries and to the European Union. The research was based on interviews, bibliographic studies and observations on the field. The co-operation revealed to be related to new medical, economic, marketing, legislative, demographic, strategic and patients’ exigencies. The co-operation between private clinics and the phenomenon of grouping together seems to be a general tendency in all European countries. We discuss the role and the place of private initiatives for public services in the last part of our report.