Posts Tagged ‘Hospitals’

Young Romanian Doctors – being sued by their hospitals

Wednesday, March 18th, 2015

According to the Romanian law, once a young doctors starts a residency program inside a Romanian hospital he is required by law to practice medicine inside the hospital for at least 5 years after becoming a specialist doctor.

Of course, we know that this is not always the case. Recently, hospitals have decided to take matters in their own hand in order to keep young doctors inside the public hospitals in Romania.

Some hospitals have considered being good employers and offering young doctors extra cash besides the 1000 Ron starting salary (225 Euros) and even accomodation, and some hospitals have decided to use the law, and sue if one decides to accept a position abroad or at another hospital within Romania, thus requiring the young doctor to pay back the hospital the equivalent of all salaries earned inside the hospital during the residency program.

But is it ok to “tie doctors to the land” or in this case to the hospital?!

Do you consider this action moral and ethical?!

What’s your oppinion on this subject?!

 

On the other hand, the article also comments on the fact that patients continue to “bribe” doctors and nurses. Patients in Romania consider that if they give the doctor or the nurse some extra cash, they will recieve better care and won’t be required to wait to long for a check-up.

Of course, this segment also underlines the fact that in the majority of cases doctors and nurses don’t ask for extra money from the patients. 

Patients consider that giving the doctors and nurses a “extra attention” they reward the specialists that are underpayed and keep them practicing medicine in Romanian hospital.

What’s your oppinion on this subject?

 

 

Patients and doctors are happy!

Thursday, January 24th, 2013

 

 

Berlin:  The mood of the medical profession has improved. 93% think that the German health care system is good or very good. Four years ago, only 80% had this opinion. Even with the current economic situation, physicians are increasingly satisfied. 95% of hospital doctors and 76% of General Practitioners consider the system good and very good.

Declining at the same rate is the skepticism. In recent years, not even one in five doctors believed in the long-term policy to ensure good health care for all. Now, two out of 5 doctors share that view. In general, the health policy of the government is increasingly rated better. In 2009, only 4% of the doctors considered the health policy a good idea. Last year the numbers indicated 18%.

At the same time the patient satisfaction is increased within the German health system. Since 2008 the proportion of patients that value the system as good or very good grew from 59% to 82%.

“Since the mid of the last decade there is a trend towards greater satisfaction with the health system,”
said Renate Kocher, director of the Institute of Allensbach. “This trend has now received again a significant boost”

 

Source of the article here

 

Choosing a German State

Thursday, October 4th, 2012

Recently, we held a short survey designed to better understand our candidates’ wishes and desires when it comes to moving abroad and starting a career as a foreign doctor in a foreign land.
The survey was relatively simple with just two separate questions.

  1. In which country would you rather see yourself working as a doctor?
  2. In which German state would you like to live and work as a doctor?

Although some candidates prefer different countries or areas, some not even in Europe most of them seem to be interested in Germany.

Although Germany is the most sought after destination, it has its own “hot spots”, such as the land Bayern.

This outcome can just raises the following question: “Why?”.

All German states have state of the art hospitals, all German states have great infrastructure, and some German states have even an easier dialect than Boarisch (the German dialect spoken in Bayern).

Of course some of you may have friends or family in some states and that would justify your decision when picking a specific region.
For some people of course the distance from their homeland plays a key role, so here is something you might not know.

As in antiquity all roads led to Rome, for the East-West medical highway all roads lead to Vienna, thus we invite you to take a closer look to the maps below and pinpoint the distance form your country and hometown to any German state and city.

 

The first map represents the map of Europe and all circles have Vienna as an epicenter. 

The second map is a close-up of the first map with focus on Germany so that you can see all German cities and states in the 300km, 450km, 600km, 750km and 900km distance radius of Vienna:

  • 300km radius: 
    Part of Bayern, including cities such as Passau, Deggendorf, Bad Füssing.
  • 300-450km radius:
    Part of Bayern, including cities such as München, Augsburg, Ingolstadt, Regensburg, Nürnberg, Erlangen.
    Part of Thüringen, including cities such as Grea.
    Most of Sachsen, including cities such as Zwickau, Plauen, Chemnitz, Dresden, Leipzig, Radeberg, Görlitz.
    Part of the state Brandenburg, including cities such as Cottbus, Lüben.
  • 450-600km radius:
    Most of Baden-Württemberg, including cities such as Albstadt, Ulm, Stuttgart, Karlsruhe, Pforzheim, Heidelberg.
    Part of Bayern, including cities such as Würzburg and Schweinfurt.
    Part of Hessen, including cities such as Darmstadt, Frankfurt am Main, Kassel, Schlitz, Fulda.
    Part of Thüringen including cities such as Erfurt, Suhl, Weimar, Mühlhausen.
    Part of Niedersachsen, including cities such as Göttingen, Brunswick.
    Sachsen Anhalt, with cities such as Halle, Dessau, Magdeburg, Stendal.
    Part of Brandenburg, with cities such as Potsdam, Rathenow, Neuruppin, Schwedt.
    Berlin
    Part of Mecklenburg-Vorpommern, with cities such as Neustrelitz.
  • 600-750km radius:
    Part of Baden-Württemberg, with cities such as Freiburg.
    Saarland, with cities such as Saarbrucken.
    Rheinland-Pfalz, with cities such as Kaiserlautern, Worms, Trier, Koblenz.
    Part of Hessen, including cities such as Wiesbaden, Wetzlar.
    Part of Nordrhein-Westfalen, including Bonn, Köln, Siegen, Remschied, Dortmund, Münster, Bielfeld.
    Part of Nidersachsen, icluding cities such as Hanover, Celle, Verden, Soltau, Uelzen, Lüneburg.
    Bremen.
    Hamburg.
    Part of Schleswig-Holstein, with cities such as Ahrensburg, Lübeck.
    Part of Mecklenburg-Vorpommern, with cities such as Schwerin, Rostock, Greifswald, Stralsund, Barth, Bergen.
  • 750-900km radius:
    Part of Nordrhein-Westfalen, with cities such as Düsseldorf, Duisburg, Essen.
    Part of Niedersachsen, with cities such as Osnabruck, Oldenburg, Lingen, Cuxhaven.
    Part of Schleswig-Holstein, with cities such as Kiel, Schleswig, Flensburg.

 

We would be more than delighted if you would tell us your preferences regarding working as a doctor in Germany!

EGV Recruiting

20% of Hungarian physicians moved abroad

Wednesday, September 26th, 2012

 

It is estimated that 4-5 thousand Hungarian physicians, nearly 20% of Hungary’s doctors moved abroad in recent years with hope for better living conditions. Most of them are young specialists in which the Hungarian state invested tens of millions (UHF) for training and formation. Despite the initial investment in training and formation, wage policies and working conditions can’t match the conditions offered by recruitment agencies, so the government has a hard time trying to keep the professionals home.

“Swedish language courses for several weeks in a Spanish resort town, pre-rented housing, job for the spouse, a nursery, kindergarten and school for children…”

The 32-year-old Peter passed his specialist exam 2 years ago. He started working at a hospital and at a private practice. Besides work he also started a family. After visiting a Swedish hospital Peter accepted the generous offer. His story is not an isolated case.

There are more and more medical and non-medical professionals that undertake positions in Western Europe. In terms of medical migration, the current involves all types of specialists, from nurses, residents and specialists. This dangerous trend can lead to serious disruptions in the domestic health care. In the past decades Hungarian doctors were severely underpaid and the government failed to remedy this serious threat.

In August, the government tried to slow the alarming rate of migration by implementing new wage policies.

EGV Recruiting

 

Source of article

Estonia spends too little on health care

Monday, September 3rd, 2012

Health care spending in Estonia is significantly lower than the average in the OECD countries, writes LETA/Postimees Online.

Estonia only spends 6.3% of its GDP on health care costs while the average among OECD members states is 9.5%, is revealed by the organisation’s 2012 health care sector overview. Only Mexico and Turkey spent proportionately less than Estonia for health care.

According to the organization, spending on health care increases together with the increase in wealth and the countries, with higher GDP, also have greater health care spending. For example, the United States spent 17.6% of their GDP on health care, the Netherlands 12% and France 11.6%.

Estonia’s GDP is also that much smaller from the point of view of purchasing power. Estonia’s GDP per capita is estimated at around 1030 Euros, while the OECD average in 2012 was 2600 Euros.

In the year-on-year comparison, Estonia’s health care spending grew by an average of 6.9% between 2000 and 2009. In 2010 however, it suffered a severe decline of 7.3%. Health care spending also fell in several other OECD member state in 2010.

Source of the article

Souce of the photo

Why co-payment won’t be an issue this year!

Monday, August 13th, 2012

The introduction of co-payment in the Romanian health system was postponed by the Government till further notice. The co-payment was one of the agreements struck by the Romanian government with the IMF, the European Committee and the World Bank.

The postponement was adopted in consensus with the IMF. “The co-payment will be negotiated with the patients association and the professional associations. The law decrees that the co-payment will be set after negotiations. A majority of the patients association resist such a measure. The implementation of co-payment will probably take a long time.

Negotiations will begin next week. In earlier discussions, the co-payment measure was to be implemented in the fall, but now we can’t set a date until negotiations are made,” stated Health Minister Vasile Cepoi.

 

How much will the patients have to pay:

In the beginning of August, the Health Officials left open to public discussions a project stating that the ensured population will have to accept a co-payment for medical services provided in hospitals. So, for medical services provided in a hospital category I the co-payment would be 60Ron per day, 50Ron for a II category hospital, 40 Ron for a III category hospital, 30 for the IV category hospital and 20 for a V category hospital and for unclassifiable hospitals.
 

The minimum co-payment per consultation performed by a medic without a professional rank and with specialist professional rank is 4 Ron and the highest per consultation for a consultant is 5 Ron.

 
In the case of ambulatory medical assistance, co-payment taxes for medical consultations range between 5-7 Ron. For high investigations such as the co-payment prices are as follow: MRI – 150Ron, MRI with contrast substances 250Ron, CT’s 100 Ron, CT’s with contrast substances 150 Ron.

 

Social Categories exempt from co-payment:

Exempt from co-payment are children under 18, children between 18-26 if they are students, the sick people included in the national health programs established by the Health Ministry, the unemployed, the retired with pensions under 740 Ron/Month, pregnant women.

 

Source of the article

Numbers don’t lie

Monday, August 6th, 2012

The Romanian news portal “Stirile ProTV” published an article with the following title: “The Romanian doctor factory can’t keep up with the high number of doctors that choose to leave the country. Since 2007, 8200 doctors left the country.” 

Because of no significant changes in the Romanian health system, future doctors choose to leave the country. Candidates that get accepted by the Medical Universities state that nothing good awaits them in Romania once they graduate.

These sincere words come at a time when the Romanian health system has great needs for doctors and nurses.

The best of them seek jobs abroad, mostly for financial and technical reasons.

Fresh medical students with high and low grades alike choose to practice abroad once they finish their studies.

In the last 5 years the Romanian “doctor factory” couldn’t keep up with the massive exports. 7800 doctors graduated and 8200 left the country.

The Romanian health system searches for new solutions to resolve the personnel problems. One of these solutions is attracting foreign doctors to practice in the Romanian health care system. For now, doctors from the Republic of Moldova are most likely to be attracted by this possibility.

Source of the article

 

Romanian Healthcare Reform – the introduction of private insurers – the first info’s about the new healthcare law.

Wednesday, June 27th, 2012

The Romanian Minister of Health, Vasile Cepoi, explained during an interview, what the new health law will bring to the table. Probably one of the most notable things of this reform is the introduction of private insurers.

“As far as insurance goes, we would like to introduce in the market the competition between private and public insurers, thus giving the ensured individual the option of choice without paying more for the healthcare coverage.

Another implementation regards the reorganization of the mandatory insurance system, which will permit the insured individual to have some control over how the money is spent, and thus bringing the downfall of the monopoly that the National Health Insurance Agency now has.

The National Health Insurance Agency will be reorganized and will have the more of a supervision role”, stated Cepoi in the interview.”

On a more personal side, I can’t wait to hear the full content of the reform. Till then we can only speculate on behalf of its impact on the current system.

What do you think?

 

 

 

Source of the article

Consider starting work as a doctor in France?

Tuesday, June 26th, 2012

Before starting the actual work, here are some general facts about France’s healthcare system!

The French healthcare system was considered in the year 2000 “the best overall health care provider” by the World Health Organization, and in 2005 France spent almost 12% of its GDP on healthcare.


History:

The current system has undergone several changes since its foundation in 1945, though the basis of the system remains state planned and operated.

Jean de Kervasdoue, a health economist, believes that French medicine is of great quality and is “the only credible alternative to the Americanization of world medicine.” According to him, France’s surgeons, clinicians’ psychiatrists, and its emergency care system are an example for the world.

The health care system:

The entire population must pay health insurance. The insurers are non-profit agencies that annually participate in negotiations with the state regarding the overall funding of health care in France. There are three main funds, the largest of which covers 84% of the population and the other two a further 12%. A premium is deduced from all employees’ pay automatically. The 2001 Social Security Act, set the rates for health insurance covering the statutory health care plan at 5.25% on earned income, capital and winnings from gambling and at 3.95% on benefits (pensions and allowances).

After paying the doctor’s or dentist’s fee, a proportion is reimbursed. This is around 75-80%, but can be as much as 85% The balance is effectively a co-payment paid by the patient but it can also be recovered it the patient pays a regular premium to a voluntary health insurance scheme.

Under recent rules, general practitioners are required to act as “gate keepers” who refer patients to a specialist or a hospital when necessary.
About 65% of hospital beds in France are provided by public hospitals, around 15% by private non-profit organizations, and 20% by for-profit companies.

 

Doctors:


While French doctors only earn about 60% of what American doctors make, their expenses are reduced because they pay no tuition for medical school and malpractice insurance is less costly compared with the United States. The French National Insurance system also pays for a part of social security taxes owed by doctors that agree to charge the government-approved fees.
Médecin generaliste /General practitioner

The médecin généraliste (commonly called docteur) is responsible for patient long-term care. This implies prevention, education, care of diseases and traumas that do not require a specialist. They also follow severe diseases day-to-day (between acute crises that may require a specialist).

They survey epidemics, fulfill a legal role (consultation of traumas that can bring compensation, certificates for the practice of a sport, death certificates, certificates for hospitalization without consent in case of mental incapacity), and a role in emergency care (they can be called by the SAMU, the emergency medical service). They often go to a patient’s home if the patient cannot come to the consulting room (especially in case of children or old people) and they must also perform night and week-end duty.

 

Emergency medicine

Ambulatory care includes care by general practitioners who are largely self employed and mostly work alone, although about a third of all GPs work in a group practice. GPs do not exercise gatekeeper functions in the French medical system and people can see any registered medical practitioner of choice including specialists. Thus ambulatory care can take place in many settings.

 

Quality

A government body, ANAES, Agence Nationale d’Accréditation et d’Evaluation en Santé (The National Agency for Accreditation and Health Care Evaluation) is responsible for issuing recommendations and practice guidelines. There are recommendations on clinical practice (RPC), relating to the diagnosis, treatment and supervision of certain conditions, and in some cases, to the evaluation of reimbursement arrangements. ANAES also publishes practice guidelines which are recommendations on good practice that doctors are required to follow according to the terms of agreements signed between their professional representatives and the health insurance funds. There are also recommendations regarding drug prescriptions, and to a lesser extent, the prescription or provision of medical examination. By law, doctors must maintain their professional knowledge with ongoing professional education.

 

If you would want to become part of the French health care system, feel free to read more about France on our website see our current job vacancies and apply!

EGV Recruiting

Gaming technology implemented in surgery

Wednesday, June 6th, 2012

 

Doctors in London are currently trialing “touchless” technology often used in TV games, to help them carry out delicate keyhole surgery.

The link between this:

and this:

The system allows them to manipulate images with their voice and hand-gestures rather than using a keyboard and a mouse. The surgeons currently working on perfecting the procedure state that these means of control helps them avoid disruption.

For now the forecast is outstanding. The doctors working on this project believe this can become a standard procedure over the next 10-15 years. The new wave media technology such as 3D imaging has already become a reliant tool to carry out complex procedures.

Manipulate images

Surgeons at St. Thomas hospital in London are trialling gesture-based gaming technologies to access and manipulate images.

This system will be familiar to anyone who has used Kinect interactive games at home.

This has been adapted to respond to surgeons voice commands and arm-movements during operations.

The initial trial at St. Thomas hospital is in vascular surgery, for procedures such as inserting a graft to repair a damaged aorta, the main blood vessel running through the body.

Standing straight, arms raised like an conductor, the surgeon, Tom Carrell, issues commands to a Kinect sensor perched beneath a monitor displaying a 3D image of the patient’s damaged aorta.

With hand gestures he can pan across, zoom in and out, and rotate images. He can then lock the image and make markers to help ensure the graft is in exactly the right place.

“Easy to use”

He says this direct control helps him to focus on the technical aspects of the operation

“Until recently, I was shouting out across the operating theatre to tell someone to go up, down, left right. But with the Kinect I’m able to get the position that I want quickly – and also without me having to handle non-sterile things like a keyboard or mouse during the procedure.”

Mr. Carrell says the technology is easy to use.

“The sensitivity is the main thing, but it’s very simple gestures, like on a smart-phone. Once you know the gestures it’s very intuitive.”

This is one of the first trials of its kind in the world. Some of the features such as the voice control and gestures tailored to vascular surgery – are unique.

“Constrained area”

The refinements from gaming technology to complex surgery have been developed by Microsoft Research, with support from Lancaster University. Helena Mentis from Microsoft Research says the operating theatre presents particular challenges.

“In something like a surgical theatre we’re interested in a very constrained area. You have surgeons and scrub nurses that are all very close to one another. You have a patient in front of you. You don’t have the ability to reach up and reach out as far because you’re sterile. You can’t touch anything that’s not already sterile.”

Early days

This trial will soon be extended to other centers and other types of surgery. John Brennan, who is president of the British Society for Endovascular Therapy, says the procedure is still in its early days but the potential is great.

“I think these sort of advances in image manipulation which is an integral part of the a lot of the minimally invasive stuff that is done nowadays – inevitably it’s going to become more refined and available. I would find it difficult to think about operating rooms in ten or 15 years time where these were just not the norm”

Dr. Mark Rouncefield from the School of Computing and Communications at Lancaster University welcomed the trial.

“This is a lovely example of a successful interdisciplinary research project, combining the technical skills of computer scientists with a social scientific and medical expertise that ensures the new technology resonates with the way in which surgeons actually do their work.”

 

Source of the article here