A Health System Focused on Citizen's Needs. Romania Situation Analysis (I) (original) (raw)
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Revista Romana De Bioetica, 2013
The Presidential Commission for Romanian Public Health Policies Analysis and Development established in 2007 by the President of Romania has performed an analysis of the population health status and the health system in the view of making policy recommendations for the improvement of health system performance. The driving forces that lead to the need for change are: the poor health status of the population, the discontent of both health workers and the population, and the low rating of health system performance, as they are revealed in the international statistics. The Commission has identified 6 major intervention areas in order to address the dysfunctions of the health system: health system financing, health system organization, hospital care, drug policy, primary care, and human resources. The dysfunctions identified within the 6 areas lead to the violation of one of the most elementary patient rights: the right to quality care and medical treatment in accordance to their needs, including preventive and health promotion services.
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To meet the shortfalls caused by the economic crisis, the Romanian medical system needed an objective analysis of the quality of medical care as a whole, of the entire package of health services as well as accountable joint efforts to identify system problems and, especially, firm action without compromising resolution, regardless of any limitations or emotional picture. In addition, last but not least, the judicious use of available resources.
Dysfunctions and Challenges of the Romanian Medical System
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Analysis of the Healthcare System in Romania: A Brief Review
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Romanian healthcare system capacity of responding to population needs as perceived by key persons
Difficulties of Romanian healthcare system generated by "Semasko inheritance", a decision making process not properly substantiated, inadequate administration of resources, continuous change of regulations, health reform discontinuity, poor endowment of many health facilities and migration of medical personnel, within the low economic development in comparison with EU and country potential, have a significant impact on health services utilization and consequently, on population health status. Although social health insurance fund increased 10 times during 1999 to 2008, its positive effects on health system and health status can hardly be noticed. Within this context, our research questionnairebased, aims to investigate the opinion of key persons from all relevant actors, regarding Romanian system capacity to respond to healthcare needs of population. Although population perception on healthcare has been studied many times in Romania, there was a lack of research among key professionals in order to produce skilful opinions and competent recommendations. This study started with a synthesis of main approaches and findings published on this subject. Most respondents reasoned the limited responsiveness of Romanian healthcare system to specific needs by: poor achievement of system functions, relative adequacy of reforms to necessities, under-financing, excessive politicization, poor management, inefficient use of resources, improper health infrastructure, medical personnel dissatisfaction, etc. Respondents identified areas for priority action and proposed alternative solutions to currents problems, shaping a new managerial model for the health system. We think that grading the Romanian healthcare system with a six in average by key respondents, confirms the discrepancy in structure and quality between the health services demand and supply, representing a useful tool for redefinition of reforms according to real needs and expectations.
Overview of the main incremental health care reforms introduced between 2014 and 2020 in Romania
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Aim: On 2014 the Government of Romania has committed to improving health and health system through the implementation of the 2014–2020 National Health Strategy: Health for Prosperity. An official evaluation of the strategy implementation is not publicly available yet. This paper aims to provide an overview of the main incremental reforms taken during this period in Romania and to analyse the results from the perspective of the main Strategy goals. Methods: Information was collected from legislative documents, statistical and scientific publications. The main implemented or initiated incremental reforms, during the assessed period, were assigned to five main clusters: ”governance”, “resources for health”, “coverage and access”, “organization of health care”, “quality of care” and were analysed in accordance with the aim, the type, the implementation stage and the corresponding objectives of the Strategy. Results: The 2014–2020 National Health Strategy has definitely not reached all i...
Romanian Health Care Reform in the Context of Economic Crisis
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The effects of financial crisis are strongly felt in Romania, which already face with a significant slowdown in economic growth or even economic recession. The current and international situation remains still difficult, and requires high budget constraints. Under these conditions, the health system in Romania has become one of the most inefficient in Europe, mainly characterized by lack of transparency
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The paper aims to establish the principal correlations and positions of the tertiary sector in the Romanian economy, for realistic assessment of the actions, decisions and developments in this field. The research starts from the statistical analysis regarding the current condition and the importance of services, calculating dynamics and relevant percentages. It is also detailed the situation of health services in the western region. Its being inventoried some of the latest developments and of most impact, within them. The effects of government policies are viewed from the angle of influence on economic activity, being performed a SWOT analysis adequate to the current situation. Attention is paid both to the direct impact, in the field, and the indirect one, in the economic life ensemble and society as a whole, short and long term. The research results highlight the economic situation of Romania and the way in which economic activity is in close contact with the health system.