Romania Regional Hospital Analysis Study
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World Bank, Washington, DC
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Romania lags behind other European Union
(EU) countries in many health outcomes. The government of
Romania plans to build three new regional hospitals in the
North-West (NW), North-East (NE), and South-West (SW)
regions. These are envisaged to be tertiary referral
hospitals providing highly complex care to their region.
Five or six further regional hospitals may follow this first
batch. Regional hospitals are not just bricks and mortar,
but the apex of a complex regional health system. As
flagship public hospitals, regional hospitals are planned to
be the hub of each regional health system. Work to date,
however, has focused on design and construction rather than
how regional hospitals will interact and coordinate with
other facilities. To highlight factors in the wider health
system that are crucial to the role of regional hospitals,
the World Bank undertook a comprehensive assessment of
regional referral networks in Romania. This report drew on
available hospital activity data, stakeholder interviews,
and literature review to assess the extent to which these
factors are in place using tracer conditions, such as total
knee replacements and stroke. In conclusion, without as much
attention to coordination of care within regional health
networks as construction of regional hospitals, the
hospitals will not be able to fulfil their promise as
flagship providers of complex care.
Palabras clave
REGIONAL HOSPITAL, SERVICE DELIVERY, HEALTH CARE SERVICES, CLINICAL PATHWAYS, REFERRAL CAPACITY, HEALTH INSURANCE, TRANSPORT, LONG-TERM HEALTHCARE, TELEMEDICINE