The ambulatory was the beautiful forgotten of the Romanian medicine, a problem divided in the medical system, and the public hospital is the last place in this system regarding the services offered in this area, said Dr. Cosmin-Dinu Alexandrescu, primary radiology and medical imaging, founding president of the Professional Association of Ambulatory Doctors (APMA), a member of the CMR & PHAM. Summit 2025, day II. The medical system. «Not the Public Hospital offers the most outpatient services. It is the last place. Most services are offered by small offices, doctors with a liberal practice, which provide more than half of the outpatient services. In second place are the big networks, and only the last place are hospitals.» Cosmin-Dinu Alexandrescu says that the medical system should be made up of pre-hospital and hospital. The pre-hospital area is made up of family medicine and the ambulatory doctor, which would be a filter to stop the hospitalizations that are not needed. «Day hospitalizations tend to be over-evaluated and over-used. There are 2-3 procedures that can be done in the outpatient, without hospitalization. The money for family medicine, salaries in the hospital, but not in the outpatient, have increased. Although there were promises and a state of tension.»What Dr. Cosmin-Dinu Alexandrescu said:
We are still one of the main suppliers of medical brains for Europe. This year we have no contracting from the county houses. Young doctors who finish residency do not always find places in the hospital. So he leaves. Other problems related to the flexibility of the norm. No contract with CNAS on the part of the norm could be made. A new doctor is not known enough to cover his entire norm from the beginning. A contract with CNAS cannot be suspended over a period of more than a month. But what do we do with doctors who have post-natal leave? But with doctors suffering from a disease that forces them to suspend the activity for a longer period. They must terminate the contract with the house. The ceilings are not enough. The patient gets to be admitted to the day to do a radiological analysis. And we spend more money than if I gave more money to the paraclinic.
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