The lessons of a medical cooperation 1995-1998: Emergency training for young teams in two pediatric hospitals in Romania

A cooperation programme, aimed at improving the running of pediatric hospit als in Bucharest (Romania) was conducted by a team of Assistance Publique-H opitaux de Paris from 1995 to 1998. Material and methods. - The introduction mentions the context of the health care system in order to help to follow the role of emergency services. The method to improve the child health services was based on an initial evalua tion of emergency structures and procedures. A questionnaire was filled in after a four-year programme to test the impact of the counselling concernin g the organization of the casualties and emergency division, the medical an d nursing training and the use of equipment. Results. - The results show: a centralization of the emergencies and the im plementation of an intensive care unit in one out of the two hospitals. The discussion points out the criteria of efficacy for cooperation programmes and gives examples of medical cooperation in eastern countries. Conclusion. - The conclusion insists on the multidisciplinary approach of m edical programmes, with training of young teams. (C) 2001 Editions scientif iques et medicales Elsevier SAS.