Ana Cernega

Mrs. Ana Cernega

DOPLMDO, Carol Davila University of Medicine and Pharmacy, Bucharest, Bucureşti, Romania
orcid
Asist. Univ. PhD Department of Organization, Professional Le...

Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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2 April 2024 in Healthcare
Verified
Journal Article
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ACAna Cernega
Ana Cernega
DNDragoș Nicolae Nicolescu
Dragoș Nicolae Nicolescu
MIMarina Imre
Marina Imre
ARALEXANDRA RIPSZKY
ALEXANDRA RIPSZKY
Andreea Letitia ArseneAndreea Letitia Arsene
Andreea Letitia Arsene
SPSilviu Mirel Pițuru
Silviu Mirel Pițuru
Our professional activity is constantly under pressure from a multitude of elements and factors that can be classified into the four components of the VUCA phenomenon—volatility, uncertainty, complexity, and ambiguity—components that define the turbulence and challenges of the external environment. Considering the general elements of this phenomenon, we designed a new VUCA dimension specific to the healthcare field within which we have identified and analyzed all the factors that can influence the main actors of the doctor–patient relationship and the effects that can occur within the healthcare system in which this relationship is born. In this context, we generated the VUCA treatment in healthcare capable of mitigating the impact of this phenomenon; this treatment involves essential elements in overcoming possible crises and vulnerabilities of the medical profession. The VUCA treatment in healthcare requires combating volatility, uncertainty, complexity, and ambiguity through vision, understanding, clarity, and agility, which are grounded in the doctor’s need to acquire cross-functional competencies (soft skills). These competencies are applicable by using functional mechanisms and techniques that support the doctor in developing adaptability and anticipation skills, understanding the patient’s needs and addressing them, and ensuring the functionality and efficiency of the healthcare system by transferring these elements from micro-management to macro-management levels.

1 April 2023 in Healthcare
Verified
Journal Article
Open access
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ACAna Cernega
Ana Cernega
MIMarina Imre
Marina Imre
ARALEXANDRA RIPSZKY
ALEXANDRA RIPSZKY
Andreea Letitia ArseneAndreea Letitia Arsene
Andreea Letitia Arsene
Bogdan DimitriuBogdan Dimitriu
Bogdan Dimitriu
SPSilviu Mirel Pițuru
Silviu Mirel Pițuru
This paper analyzes the phenomenon of defensive medical practice, starting from the doctor–patient relationship, and the behavioral and professional factors that can influence the proper functioning of this relationship and the healthcare system. We analyze medical malpractice, given the increase in the number of accusations, as an essential factor in triggering the defensive behavior of doctors, together with other complementary factors that emphasize the need for protection and safety of doctors. The possible consequences for the doctor–patient relationship that defensive practice can generate are presented and identified by analyzing the determining role of the type of health system (fault and no-fault). At the same time, we investigate the context in which overspecialization of medical personnel can generate a form of defensive practice as a result of the limiting effect on the performance of a certain category of operations and procedures. The increase in the number of malpractice accusations impacts the medical community—“the stress syndrome induced by medical malpractice”—turning doctors into collateral victims who, under the pressure of diminishing their reputational safety, practice defensively to protect themselves from future accusations. This type of defensive behavior puts pressure on the entire healthcare system by continuously increasing costs and unresolved cases, which impact patients by limiting access to medical services in the public and private sectors.

14 January 2024 in Healthcare
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Journal Article
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Anca Cristina PerpeleaAnca Cristina Perpelea
Anca Cristina Perpelea
Ionela Ruxandra SfeatcuIonela Ruxandra Sfeatcu
Ionela Ruxandra Sfeatcu
MTMihaela Tanase
Mihaela Tanase
MIMarina Imre
Marina Imre
ARALEXANDRA RIPSZKY
ALEXANDRA RIPSZKY
SPSilviu Mirel Pițuru
Silviu Mirel Pițuru
This research analyzes the dental hygiene habits of schoolchildren from parents’ perspectives, using the STEPS approach recommended by the World Health Organization. The key points of oral health care in children include the role of the family in encouraging and maintaining proper oral hygiene practices. This study aimed to assess the oral hygiene practices of schoolchildren with on-site dentists in Romania. Additionally, it sought to establish correlations between these behaviors and the educational levels of the adults with whom they live with. The participants were selected from the zero grade to the eighth grade, totaling 3843students. Statistical analysis involved the application of Fisher’s Exact Test and Z-tests with Bonferroni correction. Multinominal and binominal logistic regression models were employed to predict the impact of parents’ education on children’s oral health status and behavior. The oral health status of children evaluated by parents as poor was more frequent in children whose parents had a primary or gymnasium education (p < 0.001). Female adults with a university education evaluated the gum health of their children as very good to a much greater extent (41.7%, p < 0.001). Regarding the use of auxiliary means, the majority of parents with a university education mentioned that their children use dental floss (26.4% females/27.4% males) (p < 0.001), compared to those with primary education, where the percentage was only (1.2% males/3.5% females) (p < 0.001). The results of this study highlight that the education level of the adults with whom the children live with influences the perception of the teeth and gums health status, the frequency of oral hygiene, the use of fluoride toothpaste, and auxiliary brushing aids.

26 January 2025 in Healthcare
Verified
Journal Article
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ACAna Cernega
Ana Cernega
DMDana Galieta Minca
Dana Galieta Minca
FFFlorentina Ligia Furtunescu
Florentina Ligia Furtunescu
CRCiprian Paul Radu
Ciprian Paul Radu
SPSimona Pârvu
Simona Pârvu
SPSilviu Mirel Pițuru
Silviu Mirel Pițuru
Background/Objectives: This paper brings to light the results of extensive research on the dimension of dental care in Romania in terms of priorities and policies defined at the governmental level for a 25-year period (1999–2023). This research aims to present both individual and ecosystem perspectives on the influence of the way oral health strategies are shaped in Romania. Methods: The data collected are analyzed through the prism of the “iron triangle of healthcare”, focusing on the evolution of dental care from the perspective of the interrelationship of three important components: cost, quality, and access to healthcare services. Results: The paper provides insight and clarity into the context in which the doctor–patient relationship is constructed and developed, as well as a vision of how oral health policies should be designed to meet the individual needs of the patient, which will have an impact on the health and quality of life of the whole community. Conclusions: This study emphasizes the need to reconfigure oral health policies in Romania. Despite some input achievements like a considerable number of dentists, the systemic challenges that developed over these 25 years (such as insufficient funding, the reduced reimbursed procedures, and the limited dentists contracting with NHIH) have significantly contributed to a stagnation or decline of the oral health outcomes at the societal level.

27 August 2025 in Dentistry Journal
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ACAlin Flavius Cozmescu
Alin Flavius Cozmescu
ACAna Cernega
Ana Cernega
DMDana Galieta Minca
Dana Galieta Minca
Andreea DidilescuAndreea Didilescu
Andreea Didilescu
MIMarina Imre
Marina Imre
SPSilviu Mirel Pițuru
Silviu Mirel Pițuru
Background/Objectives: Standard dental practice is being reshaped by digital technologies, and artificial intelligence (AI) is emerging as one of the most challenging recent innovations. Methods: The present study assessed the interest of Romanian dentists in the integration of AI into their current practice through an anonymous questionnaire distributed to 200 respondents. The questionnaire addressed the integration of AI in dentistry by analyzing the following areas of intervention: stages of patient care, perceived impact on the doctor–patient relationship, data security, implementation costs, and the legislative framework. Results: The results showed that 53.6% of dentists reported low difficulties, 37.3% reported moderate difficulties, and 9.1% reported high difficulties with using digital tools. Dentists’ reported willingness to adopt AI-based solutions was as follows: 58.6% were very willing, 30% were moderately willing, and only 11.4% were not very willing. Currently, 80.5% already use digital techniques in their daily practice. The participants emphasized the need to maintain a strong doctor–patient relationship while recognizing the benefits of increased efficiency. They were aware of the risk of diminishing human connection and trust. Also, data security and the financial stress associated with implementing and maintaining new systems were seen as major obstacles. Conclusions: The dentists surveyed showed an increased interest in modern digital technologies, provided that there is a clear legal framework, a strong data protection system, and the preservation of the doctor–patient relationship based on trust and confidentiality that defines the medical profession.

13 December 2025 in Ceramics International
Verified
Journal Article
Open access
MBMihai Butucescu
Mihai Butucescu
BBBianca Voicu Balasea
Bianca Voicu Balasea
MIMarina Imre
Marina Imre
Iulian PanaIulian Pana
Iulian Pana
RRRadu Radulescu
Radu Radulescu
SPSilviu Pituru
Silviu Pituru