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    STUDIA SOCIOLOGIA - Ediţia nr.2 din 2008  
         
  Articol:   THE ROLE OF HOSPITALS IN COUNTY-LEVEL SECONDARY ASSISTANCE. A CASE STUDY OF BISTRITA MUNICIPAL HOSPITAL.

Autori:  GABRIELA GAFTONIE. 		 
       
         
  Rezumat:   The organization of secondary medical assistance and the management of hospitals have crucial impact on the access of the population to quality medical services. This paper offers insight into the role of hospitals in secondary assistance in Romania through the in-depth analysis of the particular case of the Bistriţa County Emergency Hospital. The hospital is defined as a legal entity which provides, for the population of the county and transitory persons, a whole range of medical services: preventive, curative, recovery and palliative, as well as assistance in case of pregnancy, maternity, and newborn care. From a functionalist point of view, hospitals need to adopt to the changing health status and health care needs of the population, as well as to the constraints of the re-organisation of the health care system. The paper provides a detailed analysis of this adaptation process, which is considered illustrative and helpful for a better understanding of recent evolutions in the Romanian secondary assistance.

Keywords: secondary medical assistance; hospital management; access to health care services 		 
         
     
         
         
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