April 14, 2010
Suna frumos...situatia e grava...oamenii vorbesc vin cu solutii si critici constructive...insa nimeni nu asculta!
" Dacă soarta nu te face să râzi, înseamnă că nu eşti în stare să te prinzi de poantă."
July 14, 2009
Romanian health system is in crisis as doctors leave for better working life
BMJ 2014; 348 doi: http://dx.doi.org/10.1136/bmj.g430 (Published 22 January 2014)
Cite this as: BMJ 2014;348:g430
Thousands of doctors have left Romania in recent years, triggering a healthcare crisis that will worsen unless the government takes action to improve conditions for remaining doctors, says Vasile Astarastoae, head of the Romanian College of Physicians.
In an interview with the BMJ Astarastoae said that in 2013 the number of public hospital doctors fell to about 14 500, down from about 20 000 in 2011.
“Romanian doctors are deciding to leave and work abroad to be able to do their jobs as they learnt, to be respected, and to earn more money,” he said. “In addition, they are requested by EU countries because they easily integrate into the culture of those countries. Most of them speak at least one foreign language.”
He added that new doctors were not being trained quickly enough in Romania to replace those leaving, with the 10 state medical schools and two private schools in Romania producing about 2600 new doctors each year.
The United Kingdom, Germany, and France were key destinations for Romanian doctors, he said, adding that doctors who stayed behind in Romania often worked “exhausting schedules and overtime hours, which are not paid.”
Astarastoae said that “great inequalities” existed in Romania’s healthcare: larger cities had “centres of excellence” with working conditions similar to those in centres in western Europe; but in other areas conditions were difficult, with a lack of drugs and modern technology. He added, “Doctors are often forced to improvise, and they can’t follow guidelines and protocols.”
Astarastoae said that it was essential for the Romanian government to act “to eliminate the causes of migration” among doctors. He said that this action would include “proper financing of the health system,” increased respect for doctors from “politicians and society,” and improved salaries.
Mihaela Carmaciu, a native of Romania who qualified there in 1986 but who has practised medicine in the UK for nearly 20 years, said, “Brilliant young Romanian doctors are practically being forced to leave the country.” She added that salaries were “very low by European standards,” at about €200 a month, and that training was unsatisfactory.
“The system in general is affected by poverty, corruption, and nepotism,” said Carmaciu, a board member of the Romanian Medical Society UK.
Carmaciu is one of 2140 doctors who qualified in Romania and are registered in the UK with the General Medical Council. She said that she and other Romanian doctors in the UK were closely following events in their native country and hoping for changes.
In addition to higher salaries for doctors in Romania, Carmaciu said that “the human aspect of the Romanian healthcare system” had to be improved.
“Promotions should be based on real value and not based on bribes or nepotism,” she added. “Creating opportunities for the younger medical professionals needs to become a priority.”
Cite this as: BMJ 2014;348:g430
© 2014 BMJ Publishing Group Ltd
Most Users Ever Online: 98
Currently Browsing this Page:
Guest Posters: 347
Administrators: admin: 73