The European Committee of the Regions (CoR) the Romanian National Delegation to CoR, the European Commission Representation in Romania and the media platform CaleaEuropeană.ro organise, with the support of Bacău City Hall, a local event on tackling youth unemployment and reducing social and economic gaps, designed as a platform of dialogue solutions oriented between all the involved stakeholders – such as local, national and European institutional actors and youth local and national organisations.
The debate, entitled “Future of European Youth – local event on tackling youth unemployment and reducing social and economic gaps”, will take place on Wednesday 18 of April at the “Mircea Cancicov” Business and Exhibition Center in Bacau, at 12:00. The event will be broadcast live on CaleaEuropeană.ro.
The event will be attended, in speaking order, by: Robert Negoiță (President of the Romanian National Delegation to the European Committee of the Regions), Cosmin Necula (Mayor of Bacău, Member of the Romanian National Delegation to the European Committee of the Regions), Prof. univ. dr. ing. Carol Schnakovszky (Rector of ”Vasile Alecsandri” University in Bacău), Angela Cristea (Head of the European Commisssion Representation to Romania), Victor Negrescu (Minister Delegate of European Affairs, Ministry of Foreign Affairs), Ioana Bran (Minister, Ministry of Youth and Sports), Marius Deaconu (President, National Alliance of Student Organizations in Romania – ANOSR). The dialogue will be moderated by Dan Cărbunaru (journalist and director of CaleaEuropeană.ro).
It will be the first debate held in Romania of its kind after our country has been chosen to host the European Summit of Regions and Cities that will take place in 14-15 of March 2019.
Our event is underpinned on the idea that we have the future of Europe in our own hands, the hands of citizens that debate, dialogue, express concerns and decide upon their future.
This concept is a support of what the CoR calls “Europe of the citizens is Europe of the future”, a key idea for the ”Reflecting on Europe” initiative. Also, the European Committee of the Regions is a key player in promoting the Alliance of Cohesion, a European effort focused on the importance of European funds and regional policy in order to reduce the development gaps between EU regions.
Furthermore, the event follows the ”Citizens’ Dialogues” public debates on the future of Europe with European Commissioners and other EU decision-makers, such as members of the European Parliament, national, regional and local politicians.
After the successful launch of “Agora – Future of Europe” citizens dialogue events, co-organized last year in Romania with the European Commission Representation in Romania, CaleaEuropeană.ro has seized the opportunity of a local event in Bacău, Romania, as a platform for dialogue on youth’s insertion on the labor market and their development opportunities at a local, national and European level.
Therefore, bringing together in Bacău (a representative city of the North-East development region – on of the least developed regions in Europe) different type of actors (decision-makers, experts, academics, young people) and citizens we will facilitate an open and genuine local and regional dialogue.
Reflecting on Europe online survey: Romania’s case
Moreover, in the context of the “Reflecting on Europe” initiative, the European Committee of the Regions launched a survey in 2016 on the main issues that people identify in the city or the region they live in.
At both European Union and Romanian level, unemployment, youth policies and mobility and public transport are considered the three main issues at local and regional level.
In Romania, the three mentioned problems have been classified by citizens as followed: 29% of them consider that mobility and public transportation is the main problem at local and regional level, while for 25% the main challenge is represented by youth policies, as for the 22% unemployment.
The North-East Region, the least developed in Romania. Bacău, among the top ten counties on youth unemployment
According to the latest Eurostat data on youth unemployment aged 15-29 from across EU, 13.1% of young Romanians were registered as unemployed, placing Romania in the 13th place among the EU countries with the highest unemployment rate among young people. At the same time, Bacău, the National Youth Capital in Romania 2017, is part of one of the poorest 20 regions in Europe – the North-East Region.
As a part of the 276 regions in the EU, the North-East Region from Romania has a GDP per capita of 36% of the EU-28 average, being also the least developed region in the country and the fifth least developed region in the EU.
At the regional level, Bacău is the second county with the highest unemployment rate (6,67%), after Vaslui county, above the region’s average of 5.8%, according to the data provided by the National Agency for Employment (ANOFM). With this percentage, Bacău county is among the 10 counties (9th place) with the highest level of unemployment at national level.
However, the North-East Region is surpassed nationally only by South-West Region (7,13%) in terms of unemployment.
MEP Vasile Blaga: Firm decisions are needed to boost vaccination in Romania. We cannot afford new pressure on the health system
MEP Vasile Blaga (PNL, EPP) believes that “firm decisions are needed to stimulate vaccination in Romania”, stressing that “we cannot afford a new pressure on the health system like in wave 4”.
“The year 2021 ends primarily under the sign of the pandemic generated by COVID 19. We all know the effects of wave 4 in Romania. Even if at the moment the figures are in reasonable ranges, what is happening in countries with high vaccination rates is a warning signal for the new wave of the pandemic. Authorities in Bucharest need to take firm decisions to increase vaccination rates. There is no time for hesitation. Sceptics should take a closer look at the fact that despite high infection figures, the number of deaths and serious cases is low in countries with high vaccination rates. This is where the effectiveness of vaccines can be seen,” said Blaga.
He said that the Romanian health system can no longer afford an over-supply such as in wave 4, which had a major and totally unfair impact on all sick people in Romania.
“We must activate the community spirit in Romania and realise that the fact that we vaccinate helps our neighbours, including the fact that a potential infection with Covid 19 does not deny access to hospital to a patient with a chronic disease,” the MEP added.
“The decision of each of us on vaccination has knock-on effects”, concluded Vasile Blaga.
MEP Vasile Blaga: Eliminating gender gaps in the European labour market – a priority for the European Parliament
Closing the gender gap in the European labour market was at the top of last week’s plenary agenda, said MEP Vasile Blaga (PNL, EPP) on Monday.
The European Parliament’s last plenary session this year put gender inequality in the European labour market on the agenda. Statistics show that at EU level there is still a pay gap of more than 14 percentage points (14.1%) between men and women and a wider pension gap of almost 30 percentage points, both to the disadvantage of women. Moreover, the report voted on at the last plenary session of the European Parliament also notes that women face a precarious situation in the labour market.
“Together with the EPP Group in the European Parliament, I voted in favour of the report on gender equality to draw attention once again to the fact that Member States must come up with concrete proposals to minimise gender inequalities and to strongly support women’s rights in the European Union”, said the EPP MEP for CaleaEuropeană.ro.
The report adopted in the European Parliament also focuses on eradicating violence against women, a phenomenon which has increased significantly during the pandemic.
“Abuse against women must be vigorously prosecuted and the perpetrators must be investigated and punished without hesitation. Moreover, monitoring and protection programmes for victims of domestic violence need to be improved in order to minimise this phenomenon”, added Vasile Blaga.
In a non-legislative report adopted last Wednesday by 500 votes to 105 with 87 abstentions, MEPs reiterated that equal pay and equal treatment are an essential prerequisite for women to enjoy equal rights, economic independence and professional fulfilment.
They call on Member States to take practical measures to ensure that women have equal access to the labour market and jobs and that they enjoy equal pay and equal rights as workers. For example, to achieve this, sanctions should be imposed on companies that do not comply with labour law. In this respect, MEPs welcome the Commission’s proposal for mandatory pay transparency measures. However, they stress that pay transparency alone will not be enough to address deep-rooted gender inequalities.
A government project to digitise healthcare is needed. More calls from Romanian experts at national and European level
The COVID-19 pandemic has highlighted the need for a health system that can cope with paradigm shifts in remote healthcare, and telemedicine has been a great help to patients as well as doctors over the past two years. Thus, the digitalisation of the health system and health services is a topic of interest at European and national level. However, there is an uneven development of digitisation and e-Health solutions in EU countries in Central and Eastern Europe, according to a report by PricewaterhouseCoopers, for the European Federation of Pharmaceutical Industries and Associations (EFPIA).
National authorities, European decision-makers, representatives of the pharmaceutical industry responded to the initiative launched by www.CaleaEuropeana.ro and the Romanian Association of International Pharmaceutical Manufacturers (ARPIM) and held an open dialogue on the European opportunities for digitisation of the healthcare system in Romania, but also on the steps that our country needs to go through in the digital transition so that Romanian patients can benefit in the coming years from easy access to healthcare and telemedicine.
The main lessons learned by the European Union since the beginning of the pandemic and until now were discussed, as well as the need to accelerate the digital transition in the European Union’s health systems, but especially the importance for the Romanian authorities, regardless of political colour, to establish a unitary strategy for the digitisation of health, a strategy that coordinates the institutions in the field and is connected to European directives.
The digitisation of the Romanian health system must allow transparent access to reliable data which must be published in formats suitable for secondary use, for epidemiological or health policy analysis.
Topics of interest for Romania in the field of digitisation of health can be (non-exhaustive list): European Cancer Knowledge Database; European Cancer Imaging Initiative; Cancer Management Inequalities Registry in Member States; Connecting e-prescribing and electronic patient record systems between Member States; Connecting and exchanging information between reference centres for rare diseases; Participation in transnational registries in the field of chronic diseases; National/transnational remote medical consultations and second opinion in imaging or pathology; Evaluation of health apps for reimbursement, etc.
Develop a government project covering the key issues for digitisation in health, needed
Prof. Dr. Adrian Streinu-Cercel, President of the Health Committee of the Romanian Senate, calls for a government project covering the key aspects of digitisation in health: “To be an integrated system it has to start from one head, i.e. the Romanian Government. If we don’t decide what we want this digitisation to look like, it will be everyone with their own database, everyone with their own application.”
- We have the opportunity to do a very good job from the beginning and for that we all have to sit around the same table, regardless of political colours, and discuss how we want this national digitisation programme to look like and how to integrate with other countries, if we want that.
Romania needs to establish a National Contact Point to align our country with European directives
Ștefan Busnatu, advisor for digitisation to the Minister of Health, set up a digitisation strategy for the health system a year ago, which unfortunately has not been integrated into the NRDP.
- We need to establish a National Contact Point, which will deal with the whole digitisation component in order to be aligned with the Brussels directives and all the European reforms. The National Contact Point is a three million euro project, which theoretically has to be taken on by someone. At the moment the CNAS have sent the assumption from a coordination point of view. It is important to decide where it would be most coherent to create the National Contact Point in Romania for digitisation and digital transformation.
The time has come for telemedicine to offer patients a better quality of life, while giving doctors new tools
Adela Cojan, President of the National Health Insurance House, reviewed the latest national milestones for the digital transformation of Romania’s healthcare system. A Memorandum has been signed at governmental level for tripartite participation to access European funds for the development of the project “IT systems for connecting to the electronic health record the providers of paraclinical services, specialist outpatient, rehabilitation, home care, providers of clinical services, palliative, medical devices or emergency consultations at home”, being basically an extension of the electronic health record, which was initially designed only on family medicine and hospitals.
- The societal and economic benefits of the widespread use of telemedicine are practically enormous. At the moment we are far from being fully in the middle of their use, but I believe the time has come for telemedicine to offer patients a better quality of life, while giving doctors new tools. It is a challenge, there have been reservations, but now in the areas where we have introduced remote consultations they have been widely accepted, which is why we have also extended them in the regulations for next year.
Lack of interoperability of databases in the healthcare system, one of the critical issues
Adrian Hatos, Chairman of the Committee for Science, Innovation and Technology in the Romanian Senate, says that one of the critical problems facing the entire public system in Romania, not only the medical system, but also the administration and education, is the interoperability of databases or the interoperability of data in general in the medical system, which makes it impossible to access and use data: “We have the possibility of datafication, big data techniques and remote communication in education or medicine. The problem in Romania is primarily institutional and human rather than technical.”
- So far there have been public and European financial resources for digitisation. We need to look at the problem of working with so many database systems that cannot communicate with each other. We have the opportunity of RRF funding, but also the implementation of a governmental Cloud to force the creation or implementation of a data infrastructure that is unitary, standardised at national level, so that we can communicate in the various structures and take advantage of the opportunities that telemedicine offers.
- The digital transition must also include changing the attitude of doctors and patients towards technology.
- The Committee on Science, Innovation and Technology of the Romanian Senate can initiate legislation and support legislation in this area. It can initiate debates in the Senate on digitisation in health.
Patient registers, the most important thing today when it comes to digitising health
Felicia Ciulu Costinescu, Director, Medical Technologies Evaluation Directorate, National Agency for Medicines and Medical Devices of Romania (ANMDMR), says that digitisation of healthcare has become a necessity for facilitating the patient pathway in the healthcare system and has become more important in the context of the pandemic.
- ANMDMR experts are active and present in Brussels working groups of the European Medicines Agency (EMA) or the European Commission, including in task forces dedicated to digital transformation: “This concern comes from the need to provide EU patients with innovative solutions and emerging technologies. All this can only be achieved by transforming and optimising regulatory processes, improving centres of expertise, providing digital solutions and building an e-learning ecosystem. All of this requires investment over time, but the process has been started and will bring the benefits it was designed to deliver.
- The digitisation paradigm is a complex one. Patient registries are the most important thing at the moment when we talk about digitising health. The need for these registries is even greater as very high-cost personalised therapies are knocking at the door. These registries will be useful when we want to have access to some data. Interconnecting them with both national and existing European health platforms. The main aim is to develop a common dataset to support the reimbursement decision as well as to support technicians to have easy access to medical data.
- Digital technologies, intelligent data collection and integration are the present and the future for patient access to personalised, effective and safe treatments.
The leadership of the Romanian Digitisation Authority (ADR) gave details of the objectives of the RegInterMed project in its message to the expert meeting on 14 December. According to the ADR, in October the Ministry of Health put the specifications of the RegInterMed project out to public consultation.
- The project will implement 100 disease registers for 18 specialities. These will be established separately during the implementation period. In addition, 4 specific registers will be implemented for the INSP (Register “reporting biocidal substances”, Drinking water quality register (RECAP), National operational computerised register of occupational diseases, Register on the management of waste resulting from medical activity).
- It will have a working meeting on Wednesday 15 December with the new management delegated by the Ministry of Health for this project.
The European Commission is exploring the possibility of European patient registers, but the condition is that national registers exist in all EU countries
Cristian Bușoi MEP, Chair of the Industry and Research Committee of the European Parliament’s ITRE Committee, as the European Parliament’s rapporteur for the EU health programme, EU4Health, insisted that one of the priorities of this programme is digitisation in health at European level and the creation of the EU Health Data Space, which is an initiative of the European Commission that he supports.
- We also advocated that money from this programme should fund interoperability between different e-health systems at national level, such as electronic patient registers to be interconnected and prescription, which is an e-health solution found in most European countries and this needs to be interconnected.
- The European Commission is looking at the possibility of European patient registries, but the condition is that there should be national registries in all EU countries, at least for cancer and rare diseases where the number of patients is not so large, it would be easier to manage these patients. At European level, digitisation in health is an essential component. EU4Health can only give a general outline, just as the EU Health Data Space will create some rules for governance, for interoperability.
- Romania needs to prioritise these projects in order to be able to use European funding.
Romania has all the necessary tools to digitise its health system and to offer Romanian patients European and quality conditions in terms of health and telemedicine. It is essential that decision-makers and politicians have forward-looking projects adapted to European requirements so that Romanian patients can benefit from the opportunities of the digital transition.
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