The management of contemporary health systems is a problem of many countries, which consists not only of issues related to the establishment of the roles of institutions involved in their functioning, the allocation of funds, asymmetry of information, or access to health services. Problems of the all system often result from faulty management of particular health institutions, and more specifically from the lack of agreement between the management staff, medical staff and patients.
The proposed study is an attempt to systematize the roles assigned recently to physicians and patients on the one hand, on the other – a presentation of non-standard solutions in this area, which are the existing cooperatives in health care in the world. The issue of jointly implemented by both groups of objectives and adaptation of the idea of cooperatives to the management process was justified by the theory of common pool resources and the game theory.
.) Health Enhancing Physical Activity (pp 29-95). Oxford: Meyer & Meyer Sport (UK) Ltd. World Heath Organisation (1948). Preamble to the Constitution of the World HealthOrganization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World HealthOrganization, no. 2, p. 100) and entered into force on 7 April 1948. World HealthOrganisation (2002). Myths about physical activity. Online. Available HTTP: http://www.who.int/docstore/world-health-day/2002/fact
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Myelodysplastic syndromes (MDS) are a group of diverse clonal hematopoietic disorders characterized by ineffective hematopoiesis, manifested by morphologic dysplasia in hematopoietic cells and by bone marrow failure, refractory peripheral cytopenia(s) and by a risk of progression to acute myeloid leukemia (AML). The World HealthOrganization (WHO) Classification of MDS was last updated in 2008.[ 1 , 2 ] The recently identified molecular features by next generation sequencing (NGS) has provided novel insights for the understanding of pathobiology of MDS, and
Based on the situational leadership theory (Hersey&Blanchard), our study aimed to analyze the leadership style in managers of different health facilities from Romania.
We included 41 persons with key positions (general manager, medical director, chief of section/department, nursing director, chief – nurse). All these persons filled the LEADself questionnaire (Leader Effectiveness and Adaptability Description Instrument, Center for Leadership Studies, Hersey and Blanchard). The tool measures three dimensions: the dominant (and secondary) leadership style, the style range (flexibility) and the style adaptability (the leader effectiveness).
We found a dominance of “Selling/Coaching” style, followed by the “Telling/directing” style. The managers were found to have a high relationship supportive behavior. Only three cases of low relationship dominance were found. Also almost all the managers were found as mostly group centered (only 5 cases were more leader centered). The flexibility of the managers was high, only one persons having the style range<2; the effectiveness score varied from 12 o 25, most of the responders having a low or moderate level of adaptability.
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