MANAGEMENT EDUCATION FOR IMPROVED HEALTH CARE DELIVERY CASE-STUDY - ONE MORE TRAINING TOOL - ROMANIAN EXPERIENCE - CARM

1. MANAGEMENT EDUCATION FOR IMPROVED HEALTH CARE DELIVERY CASE-STUDY - ONE MORE TRAINING TOOL - ROMANIAN EXPERIENCE - CARMEN MOGA, MD AIHA PARTNERSHIP CONFERENCE APRIL 9-11, 2001

2. A SYSTEMS MODEL FOR THE DEVELOPMENT OF A PROGRAM FOR THE EDUCATION OF HEALTH WORKERS (adapt from WHO) CONTEXT TARGET GROUP LEARNERS INPUT PROGRAMME DEFINITION PREPARATION AND PRODUCTION OF MATERIALS PROCESS EVALUATION & FEEDBACK UTILIZATION OF MATERIALS HEALTH WORKERS ON-THE-JOB OUTPUT CONTEXT

3. CONTEXT  increase expertise and in-depth knowledge of health management and policy  improve management teaching methods and materials  provides practical experiences for students (problem based learning)  developing training programs to give existing staff new skills and knowledge required to enable them to do their jobs more efficiently and effectively Case-study, one more training tool - Romanian experience

4. PROGRAM DEFINITION WHY WE CHOSE CASE-STUDIES?  support of students in developing assessment, analytical and conceptual skills  assistance to students to synthesize and integrate theory and application  encouragement of dynamic and interactive discussion among students; establish shared experience  enhance decision making skills as a group process  change attitudes Case-study, one more training tool - Romanian experience

5. TARGET GROUP / LEARNERS  decision-makers from: The Ministry of Health and Family; District Health Authorities; Health Insurance Houses  medical graduates (primary care physicians, other specialists…)  managers from NGO’s  graduates from other fields (economists, nurses, …)  undergraduate students Case-study, one more training tool - Romanian experience

6. PREPARATION AND PRODUCTION OF CASE STUDIES Romanian case-studies developed in the previous AIHA Partnership with The University of Chicago The impact of introduction of a new information system on the structure of the district hospital Sibiu(decision-forcing, policy- making) The health system reform in a district health authority(decision-forcing, policy-making, illustrative) The evaluation of would infections in a surgery department(problem defining, decision- making, illustrative) Family Planning case study (concept aplication, policy-making) Foundation of a new NGO College of Physicians - Bucharest (organizational development)

7. UTILIZATION OF CASE - STUDIES small groups activity general discussion involving all students role - play individual study Teaching notes content: abstract teaching objectives prerequisites assignment questions class plan case writer’s coment Case-study, one more training tool - Romanian experience

8. UTILIZATION OF CASE - STUDIES in our programme  Demography  Epidemiology  Management of information system  Health promotion and health education  Health Services Management  Quality management Economics and finance management  Ethics and legislation Project management in Public Health Comparative analysis of health systems Health planning  Human resources management Case-study, one more training tool - Romanian experience

9. EVALUATION OF THE BENEFITS  improve the dialog with the students  stimulate interest and curiosity  participants in the courses discovered that learning increase and does not diminish hierarchical authority and experience  students learned there is also a different approach to problem solving, things can be done in different ways and uncertainly or doubts are acceptable  no single approach to education, including the case-study approach serves all purposes or fills all needs  cases are helpful when used in combination with other methods and tools  The primary benefits of the case study method lie not in the identification of specific answer but in the development of insights and in the simulated application of principles (Charles R. McConnell, 1998) Case-study, one more training tool - Romanian experience