Romania : Health Sector Policy Note
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Washington, DC
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Many of Romania's basic health
indicators have shown steady improvement since the 1970s.
Both male and female life expectancy has gone up, and infant
and maternal mortality have declined. Despite this progress,
Romania still faces considerable challenges in improving the
overall health status of its population. The overarching
challenge for the next Romanian government is how to improve
equity in access to better quality health care services in a
financially sustainable manner. To achieve this goal, the
government will need to consider not only overall funding
levels, but also further changes to the composition of
health sector funding, the distribution and organization of
service delivery, accountability and decisions regarding who
pays for what services, and incentive mechanisms to improve
service quality. The likelihood of an economic slowdown and
corresponding pressure on government budgets means that
containing health care costs while simultaneously seeking
ways to improve the equity, quality and efficiency of care
will be paramount. The report ends with several policy
options or recommendations.
Palabras clave
ABUSE, ACCESS TO HEALTH CARE, ACCESS TO HEALTH SERVICES, ACUTE CARE, ACUTE CARE HOSPITALS, AGED, AMBULATORY CARE, ANESTHESIA, BANDAGES, BEDS, BLOCK CONTRACTS, BUDGET ALLOCATION, BUDGET CONSTRAINTS, CANCER, CAPITATION, CAPITATION SYSTEM, CHRONIC DISEASES, CLINICAL PATHWAYS, COMPETITION BETWEEN HOSPITALS, DEMAND FOR HEALTH, DIABETES, DISABILITY, DOCTORS, DOCTORS IN CHARGE, DRUG LIST, DRUGS, ECONOMIC GROWTH, EMERGENCIES, EPIDEMIOLOGICAL TRANSITION, EQUITY IN ACCESS, EXISTING INEQUITIES, EXPENDITURES, FEE FOR SERVICE, FEE-FOR-SERVICE, FEMALE LIFE EXPECTANCY, FINANCIAL CONSTRAINTS, FINANCIAL IMPACT, FINANCIAL INCENTIVES, FINANCIAL MANAGEMENT, FIXED COSTS, GENERIC DRUGS, HEALTH ACT, HEALTH CARE, HEALTH CARE COSTS, HEALTH CARE DELIVERY, HEALTH CARE PROVIDERS, HEALTH CARE SERVICES, HEALTH CARE SYSTEM, HEALTH EXPENDITURES, HEALTH FACILITIES, HEALTH FOR ALL, HEALTH INDICATORS, HEALTH INSURANCE, HEALTH INSURANCE FUND, HEALTH INSURANCE SYSTEM, HEALTH INSURERS, HEALTH LAWS, HEALTH OUTCOMES, HEALTH PROFESSIONALS, HEALTH PROFESSIONS, HEALTH PROGRAMS, HEALTH REFORMS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICES, HEALTH SPENDING, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEM FINANCING, HEALTH SYSTEMS, HEALTHCARE, HOSPITAL, HOSPITAL BEDS, HOSPITAL CARE, HOSPITAL SECTOR, HOSPITAL SERVICES, HOSPITAL SPENDING, HOSPITALS, HUMAN RESOURCES, HYGIENE, IMMIGRATION, INCOME, INCOME GROUPS, INDUCED DEMAND, INEQUITIES, INFANT, INFANT MORTALITY, INFANT MORTALITY RATE, INFECTIOUS DISEASES, INFORMAL PAYMENTS, INPATIENT CARE, INTEGRATION, INTERVENTION, LABOR MARKET, LAWS, LEGAL FRAMEWORK, LEVEL OF HEALTH SPENDING, LIFE EXPECTANCY, LIVE BIRTHS, LOCAL AUTHORITIES, LOCAL ECONOMY, LOW INCOME, MALPRACTICE, MANAGEMENT SYSTEMS, MATERNAL MORTALITY, MEDIA ATTENTION, MEDICAL EDUCATION, MEDICAL EQUIPMENT, MEDICAL FACILITIES, MEDICAL FACILITY, MEDICAL PROFESSIONALS, MEDICAL SUPPLIES, MINISTRY OF HEALTH, MORBIDITY, MORTALITY, NATIONAL HEALTH, NATIONAL HEALTH INSURANCE, NATIONAL HEALTH INSURANCE FUND, NATIONAL POLICIES, NEONATAL MORTALITY, NURSES, NUTRITION, OUTPATIENT CARE, PATIENT, PATIENT RIGHTS, PATIENTS, PHARMACEUTICAL COMPANIES, PHARMACEUTICAL SECTOR, PHARMACEUTICAL SERVICES, PHARMACIES, PHARMACY, PHYSICIANS, POCKET PAYMENTS, PRACTITIONERS, PRIMARY CARE, PRIMARY HEALTH CARE, PRIVATE HEALTH INSURANCE, PRIVATE HEALTH INSURERS, PRIVATE INSURERS, PROGRESS, PUBLIC AWARENESS, PUBLIC HEALTH, PUBLIC HEALTH INSURANCE, PUBLIC SPENDING, QUALITY ASSURANCE, QUALITY IMPROVEMENT, QUALITY OF CARE, QUALITY OF SERVICES, RACIAL DISCRIMINATION, REGIONAL HOSPITAL, REIMBURSABLE DRUG, REIMBURSABLE DRUGS, RESPECT, RURAL AREAS, SAFE WATER, SANITATION, SERVICE DELIVERY, SERVICE QUALITY, SUPPLY OF DOCTORS, SURGERY, TRANSPORTATION, TREATMENTS, UNEMPLOYMENT, URBAN AREAS, USE OF RESOURCES, VACCINATION, VACCINATIONS, VULNERABLE GROUPS, WASTE, WORKFORCE