Timofei Moșneaga Republican Clinical Hospital
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The Timofei Moșneaga Republican Clinical Hospital (SCR; ) is the oldest and largest medical institution in
Moldova Moldova, officially the Republic of Moldova, is a Landlocked country, landlocked country in Eastern Europe, with an area of and population of 2.42 million. Moldova is bordered by Romania to the west and Ukraine to the north, east, and south. ...
. The hospital is located in
Chișinău Chișinău ( , , ; formerly known as Kishinev) is the Capital city, capital and List of cities and towns in Moldova, largest city of Moldova. The city is Moldova's main industrial and commercial centre, and is located in the middle of the coun ...
and has 795 beds and 22 departments. It serves as the main clinical base for 15 departments and advanced courses of the
Nicolae Testemițanu State University of Medicine and Pharmacy The Nicolae Testemițanu State University of Medicine and Pharmacy (USMF; ) is a medical university located in Chișinău, Moldova. The institution began its activity in 1945. It is named after Nicolae Testemițanu. History The Chişinău Sta ...
. The hospital is named after its longest-serving director,
Timofei Moșneaga Timofei Moșneaga (; 6 March 1932 – 1 June 2014) was a Soviet Union, Soviet and Moldovan physician and politician who served as the Ministry of Health (Moldova), Minister of Health of Moldova from 1994 to 1997. He was the Director of the Timofei ...
, who led the institution for over forty years.


History

Initially, the facility had the status of a municipal hospital. It was the first medical institution in
Bessarabia Bessarabia () is a historical region in Eastern Europe, bounded by the Dniester river on the east and the Prut river on the west. About two thirds of Bessarabia lies within modern-day Moldova, with the Budjak region covering the southern coa ...
and was built with the support of sponsors and residents of
Chișinău Chișinău ( , , ; formerly known as Kishinev) is the Capital city, capital and List of cities and towns in Moldova, largest city of Moldova. The city is Moldova's main industrial and commercial centre, and is located in the middle of the coun ...
. The hospital opened on 26 December 1817. The first building had one and a half levels, housing five wards with 36 beds, where patients with therapeutic, surgical and gynaecological problems were treated. The medical staff provided
paramedicine In the United States, paramedicine is the physician-directed practice of medicine, often viewed as the intersection of health care, public health, and public safety. While discussed for many years, the concept of paramedicine was first formally desc ...
services. In 1842, another building was added. It had specialized units of therapy, surgery, ophthalmology and sexually transmissible diseases. In 1860, the staff consisted of one medical doctor (also the manager), a senior medical assistant, 3 junior medical assistants, 27 nurses, a linen mistress, a clerk, a copyist and a priest. A pharmacy operated on hospital premises. In 1870, the institution was transferred to the Gubernskoe Zemstvo (the provincial government) and its name changed to Gubernial Hospital. The facility then consisted of 100 beds, with a staff of 13 medical doctors and 40 medical assistants. The need for medical staff, especially medical assistants and midwives, became more and more pressing. In 1872 the School of Medical Assistants and Midwives was founded. The first class of 17 students finished school in 1873 and remained to work at the hospital. In 1876, special units for microscopy, morph-pathology and animal testing opened. In order to stop the spread of infectious diseases, a unit for vaccination against smallpox was formed. Over the years, the Gubernatorial Hospital was considered an important centre for the education and continuous training of doctors from the cities and districts of Bessarabia. The two World Wars gravely affected the activity of the Gubernial Hospital. Bombing left its buildings in ruins. It had to be rebuilt and re-equipped. Its name then became Republican Clinical Hospital. The institution eventually became the clinical base for the Chișinău Institute of Medicine. In 1961, the first successful heart surgery took place. By 1966, 10,000 patients had received medical care. In 1967, when the hospital was celebrating its 150th anniversary, it had 10 units for stationary treatment, a consulting polyclinic for the inhabitants of rural areas, an AVIASAN (sanitary aviation) department and numerous labs and diagnostic rooms, fitted with modern equipment. Units included
anaesthesiology Anesthesiology, anaesthesiology or anaesthesia is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, ...
,
endocrinology Endocrinology (from ''endocrine system, endocrine'' + ''wikt:-logy#Suffix, -ology'') is a branch of biology and medicine dealing with the endocrine system, its diseases, and its specific secretions known as hormones. It is also concerned with the ...
, cardiothoracic and
maxillofacial surgery Oral and maxillofacial surgery (OMFS) is a surgical specialty focusing on reconstructive surgery of the face, facial trauma surgery, the mouth, head and neck, and jaws, as well as facial plastic surgery including cleft lip and cleft palate ...
. The artificial kidney unit opened there and was among the first in the
Soviet Union The Union of Soviet Socialist Republics. (USSR), commonly known as the Soviet Union, was a List of former transcontinental countries#Since 1700, transcontinental country that spanned much of Eurasia from 1922 until Dissolution of the Soviet ...
. Clinical methods included
laparoscopy Laparoscopy () is an operation performed in the abdomen or pelvis using small incisions (usually 0.5–1.5 cm) with the aid of a camera. The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.Medli ...
, splenetic petrography, phlebography, electro-chemiography and others. Extracorporeal dialysis and cardiac defibrillation were applied, new methods of
anaesthesia Anesthesia (American English) or anaesthesia (British English) is a state of controlled, temporary loss of sensation or awareness that is induced for medical or veterinary purposes. It may include some or all of analgesia (relief from or prev ...
were added and the laboratory of
nuclear medicine Nuclear medicine (nuclear radiology, nucleology), is a medical specialty involving the application of radioactivity, radioactive substances in the diagnosis and treatment of disease. Nuclear imaging is, in a sense, ''radiology done inside out'', ...
was created. In 1977 the RCH moved to new premises. This facility permitted a significant rise in quality and efficiency, and helped to improve and diversify the diagnostic methods and activity of labs and specialized units. Over 200 new diagnostics and treatments were implemented.


Staff

Between 1966 and 1996, 50 medical doctors were awarded PhDs in medicine, while 5 earned a M.D. degree. These specialists took part in international congresses, symposia and conferences. During the first period of transition to a free market economy, the hospital faced a difficult situation, which improved with the 2004 implementation of medical insurance.


Operation

The hospital operates on the basis of a contract with the National Company for Medical Insurance (NCMI), which provides regular financing. The contract protects drug supply, provides modern medical equipment, new medical services and treatment methods. Rural inhabitants represent more than 85% of the patients. The Timofei Moșneaga Republican Clinical Hospital now has 795 beds and 22 units, cared for by 1800 qualified specialists. It is the clinical base of 15 departments of the
Nicolae Testemițanu State University of Medicine and Pharmacy The Nicolae Testemițanu State University of Medicine and Pharmacy (USMF; ) is a medical university located in Chișinău, Moldova. The institution began its activity in 1945. It is named after Nicolae Testemițanu. History The Chişinău Sta ...
and of its training program.


Directors

*
Nicolae Testemițanu Nicolae Testemițanu (1 August 1927 – 20 September 1986) was a Moldovan and Soviet Union, Soviet surgeon, Hygiene, hygienist, and politician. Political career Upon graduating, he worked at the District Hospital in Riscani as a surgeon. He wa ...
(1955–1958) * Iulian Kaspersky (1958–1960) *
Timofei Moșneaga Timofei Moșneaga (; 6 March 1932 – 1 June 2014) was a Soviet Union, Soviet and Moldovan physician and politician who served as the Ministry of Health (Moldova), Minister of Health of Moldova from 1994 to 1997. He was the Director of the Timofei ...
(1960–1994; 1997–2003) * Dumitru Doneț (acting) (1994–1997) * Mihai Ouș (2003–2010) *
Andrei Usatîi Andrei Usatîi (born 12 December 1950) is a Moldovan politician who served as the Minister of Health in Second Filat Cabinet since January 2011 to 18 February 2015. Before being appointed minister, he served as the director of the Republican ...
(2010–2011) * Serghei Popa (acting) (2011–2015) * Anatol Ciubotaru (2015–2020) * Andrei Uncuța (2020–present)


Awards

* Order of the Republic – 26 December 2017


References


Further reading

* {{DEFAULTSORT:Timofei Moșneaga Republican Clinical Hospital Hospitals in Moldova