Recommendation Report Moldova VII

1. Introduction
   Objective
2. General
3. Children's Hospital I
4. Outpatient Clinic Medical School
5. St. Michael Hospital (Municipal Clinical Spitalul Saint Arhanghel Mihail)
6. Children's Hospital II
7. Trinity Hospital (Spitalul Clinic Municipal Sfanta Treime)
8. Summary
9. Recommendations

Trinity Hospital: Spitalul Clinic Municipal Sfanta Treime

Director: Dr. Semion P. Terente
Address: str. A. Roso nr 11, Chisinau, MD-2068
Tel: 373-22-441282
Fax: 373-22-443148
(int. access code not included)

The Trinity Hospital was established in 1973. In those days it was known as a modern hospital. It is a University Hospital and is the only hospital in the city of Chisinau with almost every medical specialty. The hospital consists of the following departments:

1. Endocrinology
2. Gastroenterology
3. Rheumatology
4. Cardiology
5. Gynecology
6. Toxicology
7. ENS
8. Physiotherapy
9. Ophthalmology
10. Neurology
11. Surgery
12. Proctology
13. Lung diseases
14. Urology
15. Nephrology
16. Resuscitation

The Nephrology department had to be closed due to the poor state of the dialysis equipment. There is a great need for dialysis in the city of Chisinau!

The hospital has a capacity of 550 beds. Since opening in 1973, no maintenance has been carried out at all. A lot of departments are affiliated with Chisinau's Medical School.

Each year, 23,000 patients are being treated in this hospital. That's more than the government hospital (22,000 in 2004). Since 1973, a total of 600,000 patients have been treated during an average stay of at least 21 days.

7,000 Operations per year are being performed in the 10 available operating rooms. All operating rooms are located on the second floor, well fitted and have enough space. Each medical specialty has its own operating room.

The average treatment stay has been cut back to 8 days. This has been accomplished by releasing the patients sooner. In the old days, patients were only released after they were declared completely healthy. Nowadays, patients heal further at home, under supervision of the family doctor. The average patient is still not used to this system.

The most severe cases, from all over the country, come to this hospital for treatment. There is a Toxicology ICU which exists of 6 beds. The total ICU capacity is 24 beds.

A business plan has been drawn up for the year 2005. The total budget is 1.5 million euro, from which 90% is financed by the insurer. Between 7% and 8% is used for maintenance of the hospital. The local government should provide some money too, but it can't afford it. The rest of the budget is spent on salaries, medicines, food, drinks, water, gas and electricity. There is no funding for bedding, furniture etc.

There's a total of 1,000 FTE and 750 employees. This means, a number of employees have 2 jobs. The hospital staff consists of 150 physicians, between 200 and 300 nurses, 250 nursing assistants and approximately 100 facilitary employees. There is a 4,000 euro/year contract with an external firm for maintenance of medical equipment.

Additionally, there is an ambulance entrance and an emergency unit. Two so-called filter units are located there to check incoming patients for hygiene. Sometimes, patients have to be cleaned up a bit before admission. The emergency unit lacks a functioning medical gasses system. There is also a resuscitation department with a completely outdated ward.

There's hardly any medical equipment, let alone of western standards. There is a central medical gasses system, but it's been out of order for ages.

The laboratory is in a deplorable state and has virtually no functional equipment at its disposal. All rooms of the wards are minimally furnished and very small. On average, 5 beds per 25m². The boiler room, which should supply the hospital with warm water and heat, is completely out of order. The hospital depends on district heating, which costs a lot more.

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