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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 Hanne Ourř Jensen. I am 43 years old and educated as a nurse in 1884. In 1991 I specialised as a health visitor and in 2001 I finished the first year of ?Master of Public Health? at the university of Copenhagen.
As a health visitor you visit parents and children in their homes advising them about healthy lifestyle. Many advices suffer from lack of evidence and therefore I decided to catch up science and started the Master education. After finishing the first year I have got a new job concerning a new way of organising the health work among asylum seekers in the Danish Red Cross. In shortly my job has been to reduce the staff with 2/3 and still give the refugees a possibility to seek doctor if they get ill. I am so busy doing daily work that it is difficult to find time to study, therefore I look forward to the training course in Nottingham.
In my carrier I have worked many places, among them Norway and Guinea Bissau, Africa. I love to work with people from different cultures and I am interested in the social inequalities in health. I am married and have three children. I spend my spare time with my family. I love reading, canoeing and I do some jogging ? after I have learned that it is healthy!
Publication(s)
Increasing duration rates for breastfeeding - A case study in Gedling
The present case study has been carried out by a Danish EUROPHAMILI trainee, doing a 3-month stay in Nottingham, United Kingdom. It describes and analyses the promotion of breastfeeding support in a local Primary Care Trust (PCT) called Gedling. The National Health Service (NHS) has set a target for the next 3 years to increase the initiation of breastfeeding by an annual 2 per cent for disadvantaged groups. How to influence the duration of breastfeeding positively - particularly for the disadvantaged groups in Gedling area - constitutes the main issue of the present report.
The case study explores the breastfeeding support made on 3 different levels:
- The European level
- The United Kingdom level
- The Gedling PCT level
Background
In June 1994 I was graduated as an engineer in the field of industrial project management. Then I joined a French medical NGO (non governmental organisation) called ?Médecins du Monde?. I was send as logistic and administrative officer to Rwanda where I stayed 3 months and a half. I was in charge of the co-ordination of transportation of staff and goods such as drugs and medical equipment, of every-day life of the expatriates and of the general administration meaning basically managing money and accounting.
Then I moved to Vietnam as the country representative for « Médecins du Monde ». I lived there a bite more than three years and I really liked it. I managed with our partner different development programmes mainly in the field of health education. I was also in charge of institutional relationships with national bodies (ministries and local organisations) and international organisations.
In 1998 I went back to France and I worked at the head office of ?La Chaîne de l?Espoir? which is also a medical NGO. I was in charge of the co-ordination the project that aimed to build two paediatric hospitals, one in Cambodia, one in Mozambique. In the same time I went back to university to undergo a French master in Health Economics. Then I took this opportunity to attempt the competition to become hospital Manager in Public Hospital in France. I succeed and I am for two years of training in the National School of Public Health.
My background is internationally oriented, but I missed Europe so I follow Europhamili programme !
Publication(s)
Co-operation between private and public providers in the field of haemodialysis treatment - Perspective for alternative management scheme
The object of this work was to study an innovative project which was set up in Laval's hospital (70km far from Rennes). This project aims to develop an ambulatory dialysis centre with tow units : one managed by a private non for profit association while the second unit is run by a public hospital. The framework of management plans to have common strategies but also plans to have a number of shared resources such as ; the medical team, the biomedical team, the production of filtered water and services like cooking and laundry.
This project is the result of a long and sinuous history. On one hand since the 70s the prevalence of renal incapacity has been growing faster and faster. In France the very
powerful regulation system in terms of medical equipment did not succeed in coping with this stream at the national level as well as the local level of Laval. On the other hand, the choice for such a model of organisation –co-operation between a private and a public institutions- is the result of long and numerous discussions and negotiations between the partners.
The development of the project and its implementation will push the partners in a process of organisational and cultural change at the managerial level as well as at the professional
level. The more or less strong professional identity built by the actors will be then confronted with other identities, and we can wonder about the results of this confrontation.
The general objective of this report is to present elements of analysis of this project in the perspective of this confrontation of culture and identity. It aims to give evidences to the project managers to conduct the project as much as possible respecting the social reality.
Background
I am actually a student in the National School for Public Health in Rennes (Bretagne), to become a hospital manager in 2005. I have just started my second year in school.
At university, I have studied political science, specialised in international relations, as I have always thought of working in partnership with foreign countries. In that purpose, I studied as well english, russian and spanish.
For 15 years, I have been the manager of a ?convalescent home?, a rather small unit in which people were coming to rest for a month or two after a heavy disease, surgery, or even a mental disease. Before I started to work in hospital, I have been running a hotel-restaurant for five years.
I have always been a conviced european, and my objective is to work in international relations, more particularly in Europe.
The Europhamili program will give me the best opportunity of knowing more about european public health policies. I am sure that collaboration between hospitals is going to increase to be able to harmonize a european project. It is a major stake in the enlarged Europe. I am very interested as well by visiting Poland, one of the most important new countries coming in Europe.
I also wish to meet other students from different countries and learn more about their functionning, to be able to work with them and create a network.
Apart from the work, I also like travelling and discovering new cultures : I must admit that I am very curious on that subject. I am as well very fond of cinema, theatre and litterature.
Feedback
"My three month EUROPHAMILI session in Lodz was a fantastic experience, on both personal and professional sides. The teaching units allowed me to learn about health management and the different European systems.On a personal point of view, this training was very rich for me: meeting a lot of different people, trainees and trainers, from Western and Eastern Europe helped me to develop a useful network.I feel now able to start and build a transnational cooperation in the hospital where I am working.Christine Manez (France), trainee on the 2004 Lodz (Poland) course "
Publication(s)
Crisis management in Lödz : a new department in the Centre for Health Promotion
The study takes place in the frame of Europhamili session in the “Centre for Health Improvement”, situated in the centre of Lödz, Poland. It is divided in two parts, tobacco addiction and crisis intervention – this second part having started its activity on 2004 April 1st .
The main goal of our study is to analyze the management of health promotion and intervention in individual crisis in the community ( Lödz area).
Through meetings, interviews and analysis of datas, we established the background of health promotion and crisis intervention related to real situations in Poland and Lödz. We used case studies of psychological intervention in crisis situation according to the reasons.
Our study of management of the Centre for Health Improvement is focused on three different levels : professional, institutional and community. The results allow us to compare the experience between a different organisation (the crisis intervention centre in Krakow) and the way it is realized in both Moldova and France.
From an external point of view, we analyze the managerial organisation and the quality of psychological services provided in the centre and make some suggestions for the future.
Background
I have been working for local departments of the ministry of health and social care for 7 years.
I am currently working as the head manager of the Dependence & Disability Branch of the Paris department (60 people), responsible for the implementation of facilities dedicated to disabled or elderly people. This represents an annual budget of ?200M.
My former occupations were dedicated to disability and poor and homeless communities as well.
From 1998 to 1999, I have been working as an assistant manager of the Social Care Branch, as a project manager for implementing a health care system dedicated to low income people (especially fighting against drug addiction, alcoholism and HIV).
After 2 years at the National School of Public Health in Rennes (France) I also spent 2 years (from 1996 to 1998) in the Paris area, as a civil servant (which is still my current formal position). During that period, I was in charge of the disability department with a leading role in inspection delegations controlling health and social care institutions.
Now I intend to gain more experience in international cooperation, especially with Eastern Europe countries, by assisting their governments in their efforts to implement health and social care system adapted to their local needs.
This is the reason why I?m interested in sharing experiences in management of health care system in Europe. I also wish to strengthen my own competencies in this field.
The EUROPHAMILI program provides me with these opportunities.
Furthermore, I hope that by living in Nottingham I also will be able to improve my performance as a swimmer. This is indeed one of my hobbies, which include also antic cars (especially the 60?s and 70?s ones).
Other biographical notes: I am 34 year old, I am a French citizen and I have been living in Paris for 12 years.
Publication(s)
The organisation, financing and quality monitoring in general practice - A comparative study between England, France and Poland
A comparative study between England, France and Poland
The study took place during the second pilot EUROPHAMILI training session in Nottingham, England. It was carried out while staying at Rushcliffe Primary Care Trust, the basic body of new English health care system. The data was obtained from Rushcliffe PCT documents, different meetings and interviews we had with various professionals, internet sources and wide range of lectures and professional documents concerning the subject.
On the one hand, the primary care sector (and general practice in particular) is considered as a key sector for the quality of the HCS as a whole. On the other hand, most of the European countries have to face both an increase of the health care expenditures related to this sector and concerns about the quality of the coordination of care.
The aim of the study is to present an overview of these issues at a European level by comparing the organisation of general practice in health care system of France, Poland, and the UK. Taking into consideration especially the ways of funding and tools that are used to monitor GP performance, we intended to find out similarities and differences between the countries in those aspects so as to draw some guidelines adapted to local circumstances.
Background
My name is Sabina and I am 40 years old. After studying economics (business) for three years I spend two years specializing in marketing at the University of Aalborg. Since that time I have worked in the management of a machine factory and a transportation company (road). Early during the Internet \"boom\" I decided to start up my own online company. I put all my savings into this company along with money loaned from the bank as well. For three years everyone in the company worked very hard and it was extremely interesting and challenging experience. During those years not a single day was lost through illness in our company workforce. Everyone worked diligently on various tasks and assignments of special interest to themselves. However as a result of problems with our outside software and its inability to run the website efficiently, our company suffered a loss of business and was not able to continue to operate profitably and was subsequently shut down. Still, I consider the experience worthwhile and overall very profitable from a learning perspective.
After this venture, I decided to put my efforts into something different and in 2002 I began studying for my Master of Public Health. It is a very interesting and rewarding programme, however it might benefit from a little more attention being paid to the subjects of organization and management in my humble opinion. So I truly look forward to attending the course in Nottingham.
My children Malou (8), and Tanni (5) and I are living on a small farm in the northern part of Jutland (the peninsula connecting to Germany). We have a wonderful view of an inlet and it is a solace to us in having so many wonderful animals , etc, horses, hens, rabbits, guinea pigs and cats, on our farm to care for. Most of my spare time is spent working the farm and it never seems to end but we love it and it is very rewarding and fulfilling and brings a great deal of joy to our
Feedback
"The course has indeed opened my eyes for different ways of doing things. It made me realise that there is a strong cross-border culture in healthcare (what we have is basically good, we just need some adjustments). I would recommend the programme to new students. To me it seems like one of the ways to remove ineffective barriers in managing healthcare. It simply opens one’s eyes. It may not seem so in the short term but I am positive that everyone will benefit from it in the long term.Sabina Moll (Denmark), trainee on the 2003 Nottingham (United Kingdom) course"
Publication(s)
Assessing the impact of public health skills on the key responsibilities of Primary Care Trusts health improvement through provision of care, commissioning of services and partnership engagement
Primary Care Trusts health improvement through provision of care, commissioning of services and partnership engagement. How does a Strategic Health Authority know if public health skills have been used to underpin these responsibilities?
The aim of the survey is to assess the impact of public health skills on the key responsibilities of PCTs.
A questionnaire for Assessment of Organisational Effectiveness was adapted from Quinn and sent to five PCTs, Trent SHA and Finance Directors of NHS Trusts. Due to insufficient responses only Erewash PCT and Nottingham City PCT were included in the assessment. Received data was computed and pointed out on radar graphs.
The profiles of the graphs for front line staff were held up against the national health improvement indicators. The results did not show up a link between the cultural graphs for front-line staff and the health improvement indicators. The framework was not able to show a connection between organizational culture and health improvement indicators. However,
- The number of questionnaires sent out and returned have been low.
- The selection of respondents biased.
- The number of indicators comparable low.
- The number of years comparable few and the differences between the 2002 and 2003 indicators for Erwash PCT and Nottingham PCT to weak.