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My name is Stefan Savin. I am from the Republic of Moldova. After graduating from the State Medical University N. Testemitanu in 1996 I was trained as a surgeon in a three years Residency Program. Since 1999 I have been working as a general surgeon at the Chisinau Emergency Hospital. In 2001 I was employed in the Ministry of Health in the International Relations Department where I am still working as a Consultant. In 2004 I graduated from the Braun School of Public Health and Community Medicine in Jerusalem and acquired the qualification of Master of Public Health.
I am interested in Health System Reforms and Health Care Management, and I hope the Europhamili Program in Rennes will give me a good opportunity to get new knowledge and intercultural experiences.
Other biographical notes: I am 31 and I live in Chisinau, the capital city of Moldova. I like travelling, reading, sports, computers and fishing.
Publication(s)
Key success factors in implementing electronic medical records in University Hospital of Rennes
An electronic Medical Record (EMR) is not just the future of Health care; it is the solution for high efficiency Health care today. Evidence suggests that implementation and adoption of EMR in the health care organizations are considered prerequisites for the efficient delivery of high quality health care in hospitals, and a positive return on investment for the practice. Study Objectives: To describe the existent situation and experiences on EMRs in the world and in CHU Rennes; To identify the key success factors for the implementation of EMR in CHU Rennes; To make recommendations for a successful EMR implementation. Purpose of the study: To describe the existent situation regarding the initial steps for implementation of a common Electronic Patient Information System in University Hospital of Rennes, to identify the main challenges, and to recommend activities to be developed during the process of implementation of the project. Design and method: This professional study has employed a qualitative approach. It is based on collection of available data concerning implementation of EMR and critical analysis of semi-structured interviews with different health professionals. The method we used is a descriptive analysis of published literature and reports, and critical analysis of interviews. Conclusions: The benefits of implementation of an EMR system in CHU Rennes are obvious both for patients and health professionals. Access to the information, increased safety and quality of care are the main positive aspects of EMR from the prospective of patient health. With the implementation of an EMR the health professionals from CHU Rennes will gain from the possibility to share health information regarding the patient among departments and sites. Elimination of order duplication and implementation of electronic remainders will make health care provided more efficient and cost effective. Availability of data will help clinical researchers, quality assurance and clinic managers, as well as financial managers, in their activities, making their work more efficient and resources allocation more consistent with clinical decision.
Background
I?m economist, graduated with speciality in sociology from the University of Barcelona in 1993. For years I?ve been dedicated to health management in the international health cooperation sector, in Spain and overseas. That allowed me to know and work with people from different countries (so different than Belgium, Mozambique, Colombia or Georgia). And I really loved it.
In 1999 I started the ?coming back home travel? to Spain. I was coordinator of a social and healthcare service in Barcelona for near 3 years, and afterwards I moved to Granada to study a really interesting 1 year Masters Degree in PH & HM at EASP (Andalusian School of PH).
From 2003 till now I?m a external consultant of the EASP and I work for a healthcare consultancy company (Vincles) as head of project in information systems for hospitals, providing services for designing and implementation of integrated solutions and applying new technologies to health management.
I expect to continue developing my career in a mix of consultant and management activities, focusing on evaluation, information systems, new technologies and services management,. I think I will profit a lot from a training like Europhamili, sharing experiences and opinions with other professionals around health management solutions and challenges in Europe. Sincerely, I hope to have a nice time to.
Publication(s)
Key success factors in implementing electronic medical records in University Hospital of Rennes
An electronic Medical Record (EMR) is not just the future of Health care; it is the solution for high efficiency Health care today. Evidence suggests that implementation and adoption of EMR in the health care organizations are considered prerequisites for the efficient delivery of high quality health care in hospitals, and a positive return on investment for the practice. Study Objectives: To describe the existent situation and experiences on EMRs in the world and in CHU Rennes; To identify the key success factors for the implementation of EMR in CHU Rennes; To make recommendations for a successful EMR implementation. Purpose of the study: To describe the existent situation regarding the initial steps for implementation of a common Electronic Patient Information System in University Hospital of Rennes, to identify the main challenges, and to recommend activities to be developed during the process of implementation of the project. Design and method: This professional study has employed a qualitative approach. It is based on collection of available data concerning implementation of EMR and critical analysis of semi-structured interviews with different health professionals. The method we used is a descriptive analysis of published literature and reports, and critical analysis of interviews. Conclusions: The benefits of implementation of an EMR system in CHU Rennes are obvious both for patients and health professionals. Access to the information, increased safety and quality of care are the main positive aspects of EMR from the prospective of patient health. With the implementation of an EMR the health professionals from CHU Rennes will gain from the possibility to share health information regarding the patient among departments and sites. Elimination of order duplication and implementation of electronic remainders will make health care provided more efficient and cost effective. Availability of data will help clinical researchers, quality assurance and clinic managers, as well as financial managers, in their activities, making their work more efficient and resources allocation more consistent with clinical decision.
Background
My name is Otilia Scutelniciuc and I live in Chisinau, Moldova. I was graduated ?N.Testemitanu? State University of Medicine and Pharmacy in July 1998, Chisinau, Moldova with University Degree in General Medicine, Speciality: General Practitioner. After that, I continued the post graduate studies obtaining a Residency curriculum in Ophthalmology in 2001.
Counting of my ambitions, highly demanding environment and my abilities I have decided to make a change in my professional orientation, to the Health Management, which are more closely to me. In this context, in July 2002, I was graduated Academy of Economical Studies, Chisinau, Moldova with License in Management of Enterprises.
In March 2003, I was graduated IFAG, Bulgaria and the Management Institute of Nantes, France with Master?s Degree in Administration and Management of Enterprises, French State Diploma (DESS).
Since February 2004 I work as Chief Division Monitoring & Evaluation of National Programs at Scientific Practical Center for Public Health and Sanitary Management.
I am looking for developing my analytical skills and professional experience on a sufficiently high level to be able to make genuine contributions to my country. My interest is to work in organized, clearly defined activities, requiring accuracy and attention to details, being particularly keen to work in the field of international project which keeps to my working profile of Monitoring&Evaluation of Health National Programs.
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.
Background
My name is Wojciech. I am a 27-year-old doctor from Poznan, Poland. I graduated from University of Medical Sciences in Poznan, Faculty of Medicine in 2001. In October 2002 I started the postgraduate studies in cardiology in the 1st Department of Cardiology as a candidate for academic doctor degree.
My interest in medical management started in 1997, when as a student of medicine I received a TEMPUS scholarship in Universita degli Studi di Perugia (Italy). There I had a chance to take part in the European Module of ?Health Care Europe, a Transcultural Prospective? program, where I studied the organization of Italian health care system. Inspired by my studies, in 2000 I started the studies on the management in health system in the Faculty of Public Health at the University of Medical Sciences in Poznan. I am going to finish these studies in this academic year.
A brief biographical note: I live in Poznan, a old city in the west part of Poland, with population of about 700 000 people. I am married but I do not have any children yet. I am keen on jogging, swimming and yachting. I like going to cinema, especially for European films. I am also interested in theatre and opera (Verdi is my favourite composer).
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
I am a medical doctor specialized in endocrinology: I have graduated from the Yerevan State Medical University and fulfilled two-year clinical training course on endocrinology.
I started my professional carrier as a practicing physician (endocrinologist) and teaching assistant at the Faculty of Internal Medicine of the University. After a year, I was invited to join a newly organized "Diagnostica" Medical Center which has became one of the leading innovative medical organizations of Armenia. About 4 years I have been appointed as a Director of the Clinic of General Medicine of the ?Diagnostica?, and till now continue to consult/treat patients with endocrine disorders.
Strong interest in public health have led me to the College of Health Sciences of the American University of Armenia (AUA): simultaneously with clinical work I became a student of AUA?s Master of Public Health Program and in 1999 successfully graduated it. Since that time I have participated in many interesting public health programs and researches. One of the programs I have been actively involved in and highly proud about is the on-line educational course ?Basics of Health Planning?. Currently at the AUA I coordinate the project related to the establishment of the AUA Ethical Committee on Clinical Research as well as development of the on-line training course on ethics in biomedical research in three languages: Armenian, English and Russian.
I have had opportunity to participate in several International conferences, congresses and training courses on clinical medicine and public health, and strongly believe that multidisciplinary and multicultural approach is one of the most effective and efficient ways of solving questions in health care system.
Other interests: I highly enjoy reading, nature, traveling and art.
Publication(s)
Stress among farmers in Brittany (France): myth or reality ? An exploratory study
Multiple studies worldwide have recognized farming as one of the most stressful occupations. This qualitative study done in Brittany (France) have had the aim to find out are local farmers experiencing socio-emotional stress, and if yes, what factors are perceived by local professionals and farmers as main stressors. During May-June, 2005 six face-to-face interviews with key members of the Regional Chamber of Agriculture of Brittany as well as six phone interviews with the farmers practicing conventional farming in the region were conducted. The findings indicated that farming in Brittany is perceived by local professionals and farmers as a stressful occupation. The main changes happened during last 15 years in terms of new legislations and regulations, global changes in the market led to financial constrains were among the most severe stressors added pressure to life of local farmers. The need to find out new mechanisms to support farmers in Brittany to cope with existing difficulties was recognized.