Page 29 - THE ROMANIAN HEALTH CARE
P. 29

T. Popa University has for example students from around 40 countries. The inflow of foreign


















               students     can result in capacity problems in the faculties. Romanian medical faculties hardly










               receive     income from research grants, hence teaching is their main source of income and the













                     of




               focus       the faculties. This is different to Dutch medical faculties, where research and


               obtaining     research grants are a major source of income.







               Many     universities that provide medical education, also offer education in related fields, such














               as     nursing, midwifery, laboratory technician, dental hygienist, bioengineering, physiotherapy,





               nutrition     and dietetics etc.




               4.2     Bio-medical scientific research




               Bio-medical     scientific research is done at universities, hospitals, research institutes,





               companies     and clusters (companies and clusters will be discussed in the next paragraph). At




















               universities     scientific research is of a very limited scope especially compared to the






               Netherlands.     The focus of universities is on teaching because of their funding structure, the

















               income     earned from teaching is a lot higher as from research. Education funding is a more











               stable     source of income as research funding, which is project based. Romanian - non-EU or





               other       - funding is limited in available budget and timing. The granting process is slow, the




















               award       grants can be postponed and budgets reduced, all for budgetary reasons. There is





                      of
               hardly     structural funding.










               Government     grants are open for application by universities, research institutes and












               companies.     For a limited number of grants and a limited grant amount there is a lot of


               competition     (up to 90 contestants for 3 grants). Which makes writing the often large



















               proposals     not very interesting as many resources must be used to have a slim chance for a













               grant.     EU research funding (Horizon 2020 etc.) subsidises research in fields that are not









               relevant       Romania. The subjects are not the health problems and diseases that Romania is

                        to








               facing     and Romania has no institutes and researchers in requested fields. Romanian









               universities     are sometimes minor contributors to a limited number of (small) international




















               research     projects. The quality of institutes and companies differs a lot, some have 1970’s
               equipment     others have a state of the art equipment. Procurement is for researchers a













               cumbersome      task, tender limits can be lower as the official public sector limits, as low as 600













               euro.     The electronic tendering does not give freedom in the choice of equipment. There is no














               freedom       buy equipment of the same brand that is already installed in a laboratory.










                        to

                                  university must be listed a year in advance. That does not work with research
               Purchases   in a






               where     decisions are made halfway a research project and actual use of materials is hard to








                             advance. Researchers are afraid to meet sales representatives out of fears of

               estimate   in






               being     accused of corruption. Many university rules hinder scientific research and do not





                            an
                                environment where research can thrive.
               contribute to

                                                                                                        27
   24   25   26   27   28   29   30   31   32   33   34