Rezumate Sociologie Românescă
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Sociologie Românească (Romanian Sociology), Vol. XI, no. 3/2013, pp. 43-57.
Finanţarea şi serviciile de îngrijire ale sistemului de sănătate albanez, 2000-2011
Financing and Services in Albanian Health Care System, 2000-2011
Ermelinda Durmishi*
*Planetar University, 5th May Street, Tirana, Albania. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it..
Abstract: In the past decade, Albania has launched a series of reforms aimed at improving health care system, which in its turn should be more comprehensively given public health situation and in general the quality of services within the health system, diagnostic and curative services that are organized on three levels:primary services, secondary and tertiary hospital services. Today, one of the most important indicators of the health system is the financing, which is one of the main challenges for the edification of a sustainable and comprehensive health. Aspects of health system of finances and funding sources, and the destination of these funding sources are analyzed in detail in this introductory study of the presentation of the health system in Albania. Are analyzed the indicators regarding the efficiency of the allocation of funds, through secondary analysis of quantitative data, with the goal of the implementation of social policies which comply with national targets and European Union for the inclusion of the population health insurance schemes and the development of a health system into a more comprehensive and rich service.
Keywords: health insurance; welfare; health system; primary health services; secondary and tertiary hospital services.
Cuvinte-cheie: asigurare de sănătate; bunăstare; sistem de sănătate; servicii primare; servicii spitaliceşti secundare şi terţiare.
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Sociologie Românească (Romanian Sociology), Vol. XI, no. 3/2013, pp. 58-69.
Non Conventional Medicines (NCM): Italy’s Health Systems and the New Health Paradigms
Mara Tognetti*
*via Bicocca degli Arciboldi, no. 8, Milano, Italia. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it..
Abstract: After analysing the factors behind the mounting demand for Non Conventional Medicine (NCM) worldwide, paralleling loss of ascendancy on the part of western biomedicine and its increasingly unsustainable cost, we focus on the new paradigm of Person-Centred Medicine, and how NCM holds pride of place within that paradigm. Our article goes on to analyse the Italian scenario in the light of the ever-greater insistence by individuals on personally-tailored treatment and the new health paradigms. Although legislatively Italy (2013) is one of the most backward countries on the European scene where NCM is concerned, the regional health systems are nonetheless responding to NCM. In order to show to what extent that is so, we focus on three major regions each typical of a health system approach and a geographical area: Lombardy, Tuscany and Campania. We show that Italy is indeed still in the first stages of including NCM or Person-Centred Medicine, and that the process varies widely across the independent regional health systems. Policy here is often dictated by factors in the local background.
Keywords: Non Conventional Medicine; Person-Centred Medicine; Regional health systems; Sociology of health.
Cuvinte-cheie: medicină neconvenţională; medicină centrată pe persoană; sisteme de sănătate regionale; sociologia sănătăţii.
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Sociologie Românească (Romanian Sociology), Vol. XI, no. 3/2013, pp. 85-98.
Burnout Among Romanian Healthcare Professionals: The Role of Work – Home Interference
Mara Bria; Florina Spânu; Adriana Băban; Dan Dumitraşcu*
*Department of Psychology, 37 Republicii Street, 400015, Cluj-Napoca, Romania. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.; Babeş-Bolyai University, Department of Psychology, 37 Republicii Street, 400015, Cluj-Napoca, Romania. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.; Babeş-Bolyai University, Department of Psychology, 37 Republicii Street, 400015, Cluj-Napoca, Romania. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.; University of Medicine and Pharmacy “Iuliu Haţieganu”, Cluj-Napoca, Romania. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it..
Abstract: In a healthcare system decayed by inconsistent legislative changes we propose an investigation into the role of occupational factors in burnout development among a sample of Romanian healthcare professionals. Moreover, we aim to test the role of the negative influence of work upon private life in burnout development. Cross-sectional data was collected during April 2012 from a sample of 327 physicians and nurses in one county emergency hospital from Transylvania. Participants filled out 1) the MBI-GS, 2) the Questionnaire on the Experience and Evaluation of Work, and 3) the corresponding negative work-home interference scale from the Survey Work-Home Interaction Nijmegen. All scales had good psychometric properties. Structural equation modeling with Bootstrapping analysis was used to test the hypothesised relations. Multigroup analyses were computed to test model’s invariance. Results indicate that the model obtained an overall good fit: χ² (11) = 47.21, CFI = .95, NFI = .93, GFI = .96, and RMSEA = .10. Job demands predict both burnout (β=.59, p < .001) and work-home interference (β=.64, p < .001). Work-home interference partially mediates the job demands–burnout relation. Multigroup analyses confirmed that the model is invariant across age, medical speciality, and number of children under care. The present study brings evidence for the salient role of workhome interference in burnout development among healthcare professionals. Our results have implications in designing interventions focused on both reducing and preventing burnout in Romanian healthcare professionals.
Keywords: burnout; job demands; negative work-home interference; healthcare professionals.
Cuvinte-cheie: sindromul burnout; solicitări ocupaţionale; interferenţa negativă muncă – viaţă personală; personal medical.
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Sociologie Românească (Romanian Sociology), Vol. XI, no. 3/2013, pp. 70-84.
Learning from Errors in Hospitals: Implications for Performance and Suboptimal Care in Medical Departments
Florina Spânu, Adriana Băban, Mara Bria*
*Department of Psychology, Babeş-Bolyai University, 400015, Republicii 37 Street, Cluj-Napoca, Romania. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.; Department of Psychology, Babes-Bolyai University, 37, Republicii Street, Cluj-Napoca, Romania. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.; Department of Psychology, Babes-Bolyai University, 37, Republicii Street, Cluj-Napoca, Romania. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it..
Abstract: Over the last twenty years, the Romanian health care system has been struggling with a never-ending reform process aiming at improving its performance as a whole. A way to improve organizational performance is through collective learning – by exploiting organizations past experiences as learning opportunities. This study investigates the relationship between collective learning practices, namely, communication and analysis of errors, and performance, and suboptimal care in medical departments. Survey data were collected from a sample of 946 health professionals in two county hospitals in Transylvania. The mean age of the participants is 38.91 (σ = 9.93), and most of participants are nurses (68%). Results indicate that communication and analysis of errors in medical departments is positively associated with performance (β = .365, p< .01) and negatively associated with suboptimal care behaviours (B = -.245, p<.01), after controlling for the effect of age, sex, organizational position and job demands. Results have implications for initiatives aiming at improving the performance of medical organizations, by stressing the role of human resources development and teamwork as important assets for success. They also stress the role of bottom-up, as opposed to top-down interventions, in improving medical performance and the quality of the medical care provided to patients.
Keywords: hospitals; health professionals; collective learning; performance; suboptimal care.
Cuvinte-cheie: spital; personal medical; învăţare colectivă; performanţă; îngrijire suboptimă.
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Sociologie Românească (Romanian Sociology), Vol. XI, no. 3/2013, pp.99-122.
Types of Internet Usage among Higher Education Students in the Romanian-Hungarian Cross-border Area
Raluca Buhaş, Sergiu Bălţătescu*
*University of Oradea, Faculty of Social Humanistic Sciences, University Street no. 1, 410087, Oradea, Romania. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.; University of Oradea, Faculty of Social Humanistic Sciences, University Street no. 1, 410087, Oradea, Romania. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it..
Abstract: The present study aims to fill the existing gaps in the Eastern European empirical analyses, providing a descriptive and explanatory image of the university students’ Internet usage patterns. We used the data collected within an international research project on higher education students in the Romanian (n=1,323) – Hungarians (n=1,295) cross-border area. Overall, Hungarian students spend more time online daily (a median of 120 minutes/day) than their Romanian counterparts from the same region (a median of 100 minutes/day). We found that university students’ Internet consumption patterns are differently affected at country level by gender, residence, financial situation and parents’ education level. Based on a factorial analysis, we differentiate three types of online activities of the students: for academic purpose, for entertainment and consumption, and for information and communication. Subsequently we examined the socio-demographical correlates of the amount of these types of activities. Overall, we found that Hungarian students use more the Internet for academic purpose than Romanian students. For the last subsample, the academic usage of the Internet is the less frequent online activity. Romanian students tend to be involved in entertainment, communication and leisure online activities in a larger measure than the Hungarian in the investigated area. This was explained by students’ residence, marital status, and by their parents’ educational level and financial situation.
Keywords: Internet usage; students; online activities; socio-demographic determinants; educational determinants.
Cuvinte-cheie: consum de Internet; studenţi; activităţi online; determinanţi socio-demografici; determinanţi educaţionali.