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. Yilmaz, N. and R. Erdem. 2015. “Balanced Scorecard Applications in Health Care.” Journal of International Health Science and Management 1(1), 53 – 59. Vitezić, N., Šegota, A., Setnikar Cankar, S. 2016. Measuring the Efficiency of Public Health Services. by DEA, International Public Administration Review , 14(4), 27 – 47. Zrinščak, S. 2007. “Zdravstvena politika Hrvatske: U vrtlogu reformi i suvremenih društvenih izazova.” Revija za socijalnu politiku 14(2), 193 – 220.


Nowadays customers become more concerned about private health services, as performance, innovation and creativity overspread into our lives. Digital health services development in Romania has grown gradually through the acquisition of state-of-the-art equipment as RMN Siemens Magnetom Essenza machine, CT Optima 520 available in Romanian health private clinics. Is the e-health the future of health services in Romania? The answer will be a strong yes. Immunotherapy has revolutionized cancer treatment by leveraging the immune system to fight tumors. The hope is that someday immunotherapy options will exist for all types of tumors. On the other hand, 3-D printing allows the user to create health products specific to the patient, including prosthetics, implants, and airway stents. More than that, Virtual reality/mixed reality applications have become popular in Romanian medical education. Robotic approaches to surgery are less invasive and faster, and are often associated with improved clinical outcomes, such as decreased recovery time and reduced pain. For example, the da Vinci Surgical System translates the surgeon’s hand movements to smaller movements made by the robot inside the body, all visualized via laparoscopy. The da Vinci System has been used on more than 3 million patients globally. The present paper researched the Romanian customers’ satisfactions regarding private health services. The sample size was 400 people, of which 168 males and 232 females, with an average age of 40 years old, all from the urban area, developed standard of living with an average income of 1,500 euro per month. The results have shown that Romanian customers are willing to pay for private health services more than 500 euro per year. Romanian customers had declared in proportion of 68% that are satisfied with the prices of private healthcare networks, in proportion of 79% that are satisfied with the medical services offered by the private healthcare networks. In what it concerns the surgery performed by robots instead of doctors, only 45% customers had declared in the robots favor. Further insights will be discussed in the research paper and concussions will be drawn reflecting the assessment of the Romanian customers’ satisfaction regarding private health services.

. Examining the perceived service value of health services in an emerging economy makes sense from the scientific, as well as from the professional point of view. Customer behaviour in general, as well as perceived service value, has been studied mainly from a rational perspective. Nowadays, especially in the services` context, increasing attention is being paid to emotional components. From that point of view, it is necessary to incorporate not only a cognitive variable, but also affective variables into the research of perceived service value ( 8 ). Furthermore, in health


In the simplest definition, multi-local living means that a person or family have more than one residence or place to stay. In Finland, multi-locality has become a common phenomenon in recent decades, but the effects of it are not yet considered in decision-making or planning. This is because the “invisible population” created by multi-locality is not reflected in traditional population statistics. The assumption in this article is that multi-locality would provide opportunities to improve accessibility of health and social services in rural areas. The assumption is tested in the North Kymenlaakso region, Finland. The results point to that one-stop services and mobile services are cost-efficient and flexible provision models for rural areas. The results call for making the increasing multi-locality in society more visible and to utilize it better than at present as a resource for the development of rural areas.

References Andersen, R. (1968). Behavioral model of families’ use of health services. Research Series No. 25. Chicago, IL: Center for Health Administration Studies, University of Chicago. Andersen, R. (1995). Revisiting the behavorial model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1-10. Andersen, R., & Newman, J. F. (1973). Societal and individual determinants of medical care utilization in the United States. The Milbank Memorial Fund Quarterly. Health and Society, 51(1), 95-124. Börsch-Supan, A. (2015). Survey of

työterveyshuollossa [Health Education in Occupational Health Services; in Finnish]. [Master's thesis]. Jyväskylä: Faculty of Sport and Health Science, University of Jyväskylä; 2000. Palmgren H, Jalonen P, Kaleva S, Leino T, Romppanen V. Tietojen antaminen, neuvonta ja ohjaus (TANO) työterveyshuollossa - tapaustutkimus TANO-toiminnasta nuorten terveyden edistämiseksi [Informing, counselling and advising (ICA) in Occupational Health Services - a case study of ICA practices in promoting the health of young employees; in Finnish]. Työ ja ihminen Tutkimusraportti 33. Helsinki: Ministry

References Clarke, V. (2017, January 6). Health service was not ‘adequately prepared’, says Harris. Retrieved from [17 January 2017]. Department of Health. (2016). Creating a better future together: National maternity strategy 2016-2026. Dublin: Department of Health. HSE. (2016). Health in Ireland: Key trends. Retrieved from [17 January 2017].

References Amnesty International. (2015). She is not a criminal. The impact of Ireland’s abortion law. Dublin: Amnesty International. Curry, J. (2014). Health services [Review of developments, structure and management in the public sector 2013]. Administration, 61 (4), 41-56. Curry, J. (2015). Health services [Review of developments, structure and management in the public sector 2014]. Administration, 62 (4), 27-43. Dáil Éireann. (2015a). Briefing note for Select Committee on Health on 2015 supplementary estimate for vote 38 health. 8 December. Dáil Debates. Dáil

Administration, vol. 66, no. 1 (2018), pp. 25–30 doi: 10.2478/admin-2018-0004 Health services, 2017 Joanna O’Riordan Institute of Public Administration, Ireland Overcrowding and waiting lists The year began like the start of 2016, with concern over the number of people on trolleys in the accident and emergency departments of Ireland’s hospitals. In early January the Irish Nurses and Midwives Organisation (INMO) reported a record-breaking figure of 612 patients who had been admitted to hospitals and were awaiting beds. By the end of the year the INMO had reported


Introduction. As these define the status of the patient during the provision of health services, patients' rights are a very important component of Poland's medical law. The observance of these rights is a prerequisite for the proper performance of the nursing profession. Theoretical and practical preparation in this area is thus already a necessity in the students' education process.

Aim. The aim of the study was to analyze the opinions and attitudes of nursing students with respect to problems in the field of the observance of the rights of patients in Poland.

Material and methods. The study was built upon the opinions expressed by 375 students (362 women and 13 men) of the first and second year. These were full-time and part-time students in master's studies in nursing, of the Faculty of Health Science, Medical University of Warsaw. The study employed a qualitative and quantitative analysis of the content of essays.

Results. The results of the study indicate that 59 percent of the respondents report being frequent witnesses of violation of patient's rights. In particular, that which noted were the rights to privacy and dignity (98%), to receive sought-after information (91%) and to suitable health-care (85%). Another right seen to have been violated in the respondents' workplace was the patient's right to the maintenance of the confidentiality of patient-related information by medical personnel (77%). The respondents, while seeing violation of the patient's rights by other employees, declared their own adherence to these rights in their own professional practice.

Conclusions. 1. The majority of the study group repeatedly witnessed violation of patients' rights. It would, therefore, be advisable to monitor the observance of the rights of patients by medical personnel, and to see to the professional liability of those who flagrantly breaking the law. 2. Research findings indicate that ethics should be given more emphasis in teaching future health professionals in the course of their medical studies. 3. The analysis of the available literature and our own study show that the share of medical personnel in providing information about the patients' rights is minimal. It would be advisable for medical personnel to be given an opportunity to acquire new skills and competences in this field. 4. Awareness of the existence and knowledge of the patient's rights, not only among medical students and health professionals, but also among patients, is crucial to their observance by the former and their exercise by the latter. It should, therefore, be spread and raised. 5. Training and thematic courses in patient's rights should be provided in order to enable medical personnel to acquire new skills and competences in this field, with the end result of improving their observance of patient's rights. 6. A qualitative analysis constitutes an innovative and effective way of carrying out research and interpreting research findings, being a valuable and reasonable method of conducting a survey, and in exploring the attitudes of students and health-care workers towards patient's rights.