External cooperation for the professional management of health services in Romania

Political change in Romania in 1989 played a crucial part in new health system leadership in the country. However, this new leadership had limited managerial experience and knowledge, with trainers using outdated cultural models. External assistance and cooperation from officials in Western Europe and the United States was needed to train a new leadership and reject the socialist system of health care. This article details Romania's external cooperation experience, including descriptions of the need for such training, development of the training project, work with universities in Europe and North America, critical review of the project and realization of external cooperation for the professional training of managers.