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Managerial processes and tools efficiency increasing in the field of hospital units

Author: Grigore Emil
Degree:doctor of economics
Speciality: 08.00.05 - Economy and Management (in branch)
Scientific adviser: Aliona Lîsîi
doctor, associate professor (docent)
Institution: University of European Political and Economic Studies "Constantin Stere"


The thesis was presented on the 21 January, 2023 at the meeting of the Scientific Council and now it is under consideration of the National Council.


Adobe PDF document2.02 Mb / in english
Adobe PDF document2.11 Mb / in romanian


CZU 005.7:614.2(043.3)

Adobe PDF document 14.15 Mb / in romanian
239 pages


managerial control, performance efficiency, leadership, population health, quality of life, managerial system, decision-communication subsystem, quality management, Six Sigma, controlling, strategic controlling, Balanced Scorecard, accreditation, quality, leadership, documentation, management


Thesis structure: three Chapters, preceded by an Introduction, followed by General conclusions and proposals, Bibliography which includes 124 sources, 140 pages of main text, 22 Tables, 32 Figures, 39 Annexes, 3 Acts concerning research results implementing and 2 Certificates of registration of copyright and related rights. The research results were published in 12 scientific papers (over 10 author’s sheet).

Research area: hospital unit’s management, applied management strategy. A conceptual and practical approach to the notions, processes and tools related to hospital management, as well as, new streamlined ways based on new principles, strategies and tools.

The purpose of research: the study of economic management in the field of health and the elaboration of processes and tools aimed to streamline hospital management, in accordance with European Union standards, as well as, research and evaluation of the manager’s contribution in the process of public hospital sector administration. Objectives: analysis of methodological elements, analysis of tools, methods and techniques of health management research at the hospital unit level, focused on the total quality management principles, in order to develop and implement the best strategic decisions.

The scientific novelty and originality of the research: mining and theoretical-scientific argumentation of the concepts concerning economic management and hospital management. Elaboration of the new guides aimed to improve the process of receiving and serving patients within the hospital units. Elaboration of a tool for hospital management efficiency evaluation, as well, as outlining new tools and ways to make it better planned, based on new principles, strategies and methods.

The realized scientific problem in the respective field: the ways to streamline the management in the Novaci City Hospital.

The theoretical significance of the work lies in the precise definitions, methods and techniques that can be applied by researchers and/or medical administrators, in the process of remodeling strategic decisions and improving the quality of provided medical services.

The applicative value of the paper consists in evaluating the effectiveness of the management of hospital units, with the support of the proposed methodology and the implementation of the provisions of the ISO 9000 series standards in hospital units, in accordance with international trends and EU standards. Implementation of scientific results: the tools developed and described in the paper were tested and implemented at the Sebeș Municipal Hospital (Romania) and PMSI Institute of Mother and Child (Republic of Moldova).