The Health Sector - From Desideratum to Real Reform


  • Larisa Mihoreanu King's College London



health serviceable delivery, innovation, integrative partnering, medical business, policy-modelling, reform, reputation, resilience, returned added value, synergistic management.


The paper states the necessity to implement a new model of management in the health sector, based on a new concept, of synergetic satisfaction having an institutional relation between patient and medical entity in its centre.The present doctoral research finds its roots in the interdisciplinary approach linked to Health industry and market, as profitable businesses. The purpose encounters the anchor into a new concept, of synergetic satisfaction having the patient in its centre. The measurement centre resides in the societal performances’ rules linked to the real needs of a health status afterthought. Several constituents of the classical healthcare principles receive, exquisitely, shaped clarifications under the state, public and private health of public recognition. As the principles of humanism depict the governments’ obligation to guarantee their citizens fundamental rights to access health services, the international dimension of activities seed new designed health objectives. Hence the research maps a new model sustaining that the health management systems, differently recognized, can assume regular nudgers to better drive the understanding of the reality, close to financial interests and realistic resources. The implementation of the innovative and realistic reform would diminish the national burden, make people embrace the responsibility of active citizenship letting them to get involved in any process that protect the right development of a country and its citizens, far from partisan interests, only for their own future and comfort in life.


. Bergdahl, Mats, Manfred Ehling, Eva Elvers, Erika Foldesi, Thomas Korner, Andrea Kron, Peter Lohauss, Komelia Mag,Vera Morais, Anja Nimergut, Hans Vigo Saebo, Ulrike Timm and Maria Joao Zilhao, (2005), Handbook on Data Quality Assessment Methods and Tools, Manfred Ehling & Thomas Korner (ed.), European Commission Eurostat.

. Benisheva-Dimitrova Tatyana, Brborović Ognjen, Donev Doncho, Dyakova Mariana, Džakula Aleksandar, Eržen Ivan, Farkaš-Lainščak Jerneja, Fisk Malcolm, Folmer Herman R., Galan Adriana, Georgieva Lidia, Grujić Vera, Hristov Nikolay, Jakšić Želimir, Karadžinska-Bislimovska Jovanka, Karaslavova Emilia, Kirilov Kiril, Košnik Mitja, Kovačić Luka, Krajc Mateja, Lunder Urška, Martinov Cvejin Mirjana, Mijakoski Dragan, Milevska-Kostova Neda, Minov Jordan, Možina Miran, Pavlova Jasmine, Premik Marjan, Risteska-Kuc Snežana, Rudel Drago, Salchev Petko, Santrić-Miličević Milena, Scîntee Silvia Gabriela, Shipkovenska Elena, Sidjimova Dobriana, Stambolović Vuk, Stikova Elisaveta, Stoleski Sašo, Sušteršič Olga, Šogorić Selma, Švab Igor, Švab Vesna, Trendafilova Petya, Vodenicharov Tzekomir, Vončina Luka, Vukušić Rukavina Tea, Wenzel Helmut, Zaletel Marija & Zaletel-Kragelj Lijana, (2008), “Forum For Public Health in South Eastern Europe Programmes for Training and Research” in Doris Bardehle, Luka Kovačić, Ulrich Laaser & Oliver Razum - ed.,(2008), Public Health Management in Health Care practice A Handbook for Teachers, Researchers and Health Professionals, Kovačić Luka, Zaletel-Kragelj Lijana MetaNET & PH-SEE Project Coordinators, Publisher: Hans Jacobs Publishing Company, Medicinska Naklada, abrufbar.

. Bessant, John, and Joe, Tidd, (2015), Innovation and Entrepreneurship, 3rd Eds, John Wiley & Sons, ISBN: 978-1-118-99309-5.

. Björn-Sören Gigler, (2011), Informational capabilities-the missing link for the impact of ICT on development, E-Transform Knowledge Platform, Working Paper, Series 1, The World Bank, Currie, Janet, (2009), Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development, Journal of Economic Literature, 47, pp: 87–122.

. Cutler, David M., Adriana Lleras-Muney and Tom Vogl, (2012), "Socioeconomic Status and Health: Dimensions and Mechanisms”, in Sherry Glied & Peter C. Smith – ed., (2012), The Oxford Handbook of Health Economics, NY/Oxford Univ. Press.

. Dobrow, Marc J., (2004), Evidence-based health policy: context and utilization, Social Sciences & Medicine, Vol. 58(1), Jan., pp: 207-217, Elsevier.

. Douglas, Angela E., (2010), The Symbiotic Habit, Princeton University Press, USA.

. Douglas, Frank L., (2012), Innovation and value-driven engineering, editorial, Nature Reviews Drug Discovery, 11, 335, (May), doi: 10.1038/nrd3725, pp: 333-419.

. Drysdale, Carla, (2017), World Economic Situation and Prospects 2017, United Nations Department of Economic and Social Affairs, NY,[1]Albert-László Barabási, Mark Newman, & Duncan J. Watts (ed.), (2006), The Structure and Dynamics of Networks, Princeton Univ. Press, Princeton and Oxford.

. Fletcher, Harold D., and Darlene Brannigan-Smith, (2004), Managing for value: Developing a performance measurement system integrating economic value added and the balanced scorecard in strategic planning, Journal of Business Strategies, Vol. 21(1), (spring), Huntsville, pp:1-17.

. Hauser, John, Gerard J. Tellis and Abbie Griffin, (2006), Research on Innovation: A Review and Agenda for "Marketing Science" Marketing Science, Vol. 25, No. 6, 25th Sp. Issue, (Nov.-Dec.), pp: 687-717, INFORMS.

. Heeks, R. and A. Molla, A. (2009), Impact Assessment of ICT-for-Development Projects: A Compendium of Approaches, (IDPM Development Informatics Working Papers; No. 36), Manchester.

. Kalinichenko Olena, Amado Carla A. F. & Sérgio P. Santos, (2013), Performance Assessment in Primary Health Care: A Systematic Literature Review, University of Algarve, EFAGE-UE Working Paper, March, Lancaster, Jeanette and Marcia, Stanhope, (2011), Public Health Nursing Pageburst on Kno Retail Access Code: Population-Centered Health Care in the Community, 8th eds., Elsevier Science Health Science Division, eBook ISBN: 9780323294096. The complete definition dares since 2001 in the following shape: “Health care delivery system refers to the totality of resources that a population or society distributes in the organization and delivery of health services. It also includes all personal and public services performed by individuals or institutions for the purpose of maintaining or restoring health. It implies the organization of the people, institution and resources to deliver health care services according to different demands - by demographic aims and health directions”.

. McKenzie Brian and Mukesh Sud, (2009), Prolegomena to a new econological perspective in entrepreneurship, Academy of Entrepreneurship Journal, Vol.15, Issue 1/2, pp: 43-60, Arden.

. Monkerud Lars C and Ytterhus Bjarne, (2013), Adoption of environmental management systems and standards in Norwegian education and nursing, Baltic Journal of Management, Vol. 8, Issue 2, pp: 124-141, Murray C.J.L. and A.D. Lopez, (1996b), The global burden of a Disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020: summary.

. World Health Organization, Geneva.

. Murray C.J.L. and AD Lopez, (1996a), Evidence-based health policy: Lessons from the Global Burden of Disease Study, Science, 274 (5288), pp: 740-743.

. OECD Directorate for Science, Technology and Innovation, Innovation in Science, Technology and Industry, (2005), Oslo Manual: Guidelines for Collecting and Interpreting Innovation Data, 3rd eds., pp: 13-18,

. Pässilä Anne, Tuija Oikarinen, Satu Parjanen,Vesa Harmaakorpi,(2013),Interpretative dimension of user-driven service innovation Baltic Journal of Management, Publication ID: 28348

. Smith, James P, (1999), Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status, Journal of Economic Perspectives, 13, pp: 145–166.

. Vasile, Adrian, Larisa Mihoreanu and A. Bondrea, (2013), “An Insight into the Rationality of Economic Entities: Emerging from Crises with New Approaches to Social Sciences”, in D.Vrontis, Y.Weber, E.Tsoukatos, (ed.), Confronting Contemporary Business Challenges through Management Innovation 6th Annual EuroMed Academy of Business Conference, EuroMed Press, pp: 2853-2858, ISBN: 978-9963-711-16-1, Viciu,Tania, Larisa Mihoreanu and Laura Goran, (2013), “The contemporary Homo-economicus defining wellbeing at the Crossroads of Economic Growth and Business Ethics” in D.Vrontis, Y.Weber, E.Tsoukatos, (ed.), Confronting Contemporary Business Challenges through Management Innovation 6th Annual EuroMed Academy of Business Conference, Euro MedPress, pp: 2860—2865, ISBN: 978-9963-711-16-1, ISI Proceedings, Wolfe, Richard A., (1994), Organizational Innovation: Review, Critique and Suggested Research Directions, Journal of Management Studies, Vol., Issue 3, May, pp: 405-431, World Health Organization - WHO, (2013), Research for Universal Health Coverage: 2013 World Health Report, ISBN: 9789241564595.

. World Health Organization, (2007), Everybody business: strengthening health systems to improve health outcomes: WHO’s framework for action, ISBN 978 92 4 159607 7.

. Young, Pauline V., (1960), Scientific Social Surveys and Research, 3rd eds., NY, Prentice-Hall, p: 30.






PhD Thesis Resumes