Description (EN): Common territorial challenges on the Romanian-Hungarian cross-border are: reduced health care spendings (under Eu average 8,5%) in both countries, obsolete medical equipment, old and improper buildings, lack of interconnected emergency response service and discrepancies between the quality of health-care services from Hungary and Romania, resulting in health-care migration.
Timiș County Council identified a high necessity for a new clinic of obstetrics-gynecology and neonatology in Timisoara, the existing one being old and improper.
University of Szeged, as health-infrastructure administration, identified also the need to modernize two medical departments: to rehabilitate/modernize the built-spaces of obstetrics-gynecology and to install an electronic patient records system for intensive care of the Pediatric Clinic.
In both cases, there is a high need to replace the old medical equipment.
All these conditions determined the physicians/administrators of the Timiș County Council, Emergency Clinical County Hospital Pius Brinzeu Timisoara (Obstetrics Gynecology Clinic with its health departments "compartimente medicale de specialitate") and University of Szeged (Clinic of Obstetrics-Gynecology and Intensive health Care Pediatric Unit) to unite their efforts in order to support each other.
Romanian and Hungarian physicians have specialized competencies in the same fields but complement each other so they considered that through this project they would improve their knowledge by exchanging experience in the medical field and the related legal framework, thus being able to develop common professional recommendations and guidances elaborated by the medics.
The new knowledge acquired through this project will be applied to improve the medical services offered and will be transferred to doctors of other specialties, including family doctors. The purpose is to raise awareness of the need for access to preventive and treatment medical services through dissemination actions (based on the results of exchanges of experience), both in the communities in Timis County and in the two clinics from Szeged.
Therefore, the joint proposed actions will tackle the improvement of medical infrastructure, purchase of new medical equipment and soft elements ensuring the exchange of experience, knowledge and information for common medical guidances and also information of the population.
Though Romania and Hungary share a common past in the region, there is no common approach in the field of gynecology.
Overall objective is to IMPROVE PREVENTION AND HEALTH-CARE SERVICES IN THE OBSTETRICS-GYNECOLOGY AND NEONATOLOGY FIELD FROM HUNGARIAN-ROMANIAN CROSS BORDER AREA, THROUGH A STRATEGIC APPROACH BY INVESTING IN MEDICAL INFRASTRUCTURE, INCLUDING EQUIPMENT AND IMPLEMENTING SOFT MEASURES RESULTED FROM COLLABORATION AND KNOW-HOW EXCHANGE IN ORDER TO REDUCE HEALTH INEQUALITIES AMONG POPULATION.
Project specific objectives are:
1. Ensure preventive and curative health care services across the eligible area: in Timisoara, by building and equipping a new obstetrics–gynecology Clinic; in Szeged, by reconstructing and endowing of the Department of Obstetrics and Gynecology and by installing of an electronic patient records system for intensive care of the Pediatric Clinic and endowing with medical equipment;
2. Harmonization and improvement of cross-border medical staff capacity through experience exchange (know-how) in order to provide better health care services (preventive and curative in Timis and Csongrad with impact in all eligible area;
3. Increase accessibility to specialized health care services by providing transparent information and involving a wider range of population.
New and reconstructed/rehabilitated infrastructure, modernized equipment improved knowledge base and networking between the Clinics of Timisoara and Szeged, are needed in order to improve the treatment results for women and babies. Informing the population through the dissemination of project results will help increase access to medical services.
The expected changes after the successful implementation of the project activities will result in improved infrastructure and better medical expertise and finally in improved health care services in the field of obsterics-gynecology and neonatalogy in the cross-border area.
Main outputs and main beneficiaries: Through the analysis of the problems and needs in the border region we proposed an integrated set of activities/main outputs to be undertaken in order to reach the formulated objectives:
- construction works and endowment with medical equipment for the Emergency Clinical County Hospital "Pius Brinzeu" in Timisoara
- reconstruction and endowment of Department of Obstetrics-Gynecology of the University of Szeged
- installation of electronic patient records system for intensive care of the Pediatric Clinic of the University of Szeged
- procurement and installation of new medical equipment and furniture
- exchanges of experiences (know-how) through specialized medical conferences (videoconferences and workshops)
- harmonization of the therapeutic guidances and recomandations from RO and HU in the obstetrics-gynecology and neonatology field, in order to develop the common cooperation framework
- awareness campaigns for rural population from communities in Timis County (prevention, new born care, pregnancy care) and professional meetings in Szeged
- promotion and publicity
Target groups of the project: local public authorities, regional public authorities, national public authority, infrastructure and (public) service provider, higher education and research, General public.
Approach taken and why is needed the cross-border approach: the health of women and newborns, including increased mortality infant rate compared to other EU countries are problems facing both countries.
What is new/original about the project: New O-G clinic in Timisoara, with FIV health department (compartiment medical de specialitate); common medical recomandations and guidances; information and education of population, through awareness raising campaigns (strategic approach: prevention, pregnancy care, new-born care)
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Expected Outputs (EN): 1. Construction works for the new Clinic in Timisoara with 13 health departments (compartimente medicale de specialitate)
2. Reconstruction and endowment of Department of Obstetrics-Gynecology of the University of Szeged and installation of electronic patient records system for intensive care of the Pediatric Clinic of the University of Szeged
3.New and specialized medical equipment and furniture for the two medical clinics from Timisoara and Szeged
4. Joint exchanges of knowledge between medical staf from Timisoara and Szeged (workshops and regullary video-conferences) - doctors and nurses specialized in obstetrics - gynecology and neonatology, family doctors, others will learn from each other and will commonly approach specialized medical themes in the context of the Directive 2011/24/EU on patient’s rights in CB healthcare.
Conclusions will be drawn up and common medical recommandations and guidances will be available up for policy makers, as first steps for elaboration of medical protocols in the context of Directive 2011/24/UE, according to national legislation. The frequency of certain pathologies with high incidence will be jointly analysed by physicians from Timisoara and Szeged. Conclusions will be drawn up to be communicated between family doctors and used for information of the population.
5. Educational activities for population: information will be disseminated with population in the cross-border area.
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