|dc.contributor.author||Vlădescu, C; Scîntee, S; Olsavszky, V; Hernández-Quevedo, C and Sagan, A||en_US
|dc.contributor.author||European Observatory on Health Systems and Policies||en_US
|dc.description.abstract||This analysis of the Romanian health system reviews recent developments
in organization and governance, health financing, health care provision,
health reforms and health system performance.
The Romanian health care system is a social health insurance system that
has remained highly centralized despite recent efforts to decentralize some
regulatory functions. It provides a comprehensive benefits package to the 85%
of the population that is covered, with the remaining population having access
to a minimum package of benefits. While every insured person has access
to the same health care benefits regardless of their socioeconomic situation,
there are inequities in access to health care across many dimensions, such as
rural versus urban, and health outcomes also differ across these dimensions.
The Romanian population has seen increasing life expectancy and declining
mortality rates but both remain among the worst in the European Union (EU).
Some unfavourable trends have been observed, including increasing numbers
of new HIV/AIDS diagnoses and falling immunization rates.
Public sources account for over 80% of total health financing. However,
that leaves considerable out-of-pocket payments covering almost a fifth
of total expenditure. The share of informal payments also seems to be
substantial, but precise figures are unknown. In 2014, Romania had the lowest
health expenditure as a share of gross domestic product (GDP) among the
EU Member States.
In line with the government’s objective of strengthening the role of primary
care, the total number of hospital beds has been decreasing. However, health
care provision remains characterized by underprovision of primary and
community care and inappropriate use of inpatient and specialized outpatient
care, including care in hospital emergency departments. The numbers of
physicians and nurses are relatively low in Romania compared to EU averages.
This has mainly been attributed to the high rates of workers emigrating abroad
over the past decade, exacerbated by Romania’s EU accession and the reduction
of public sector salaries due to the economic crisis.
Reform in the Romanian health system has been both constant and yet
frequently ineffective, due in part to the high degree of political instability.
Recent reforms have focused mainly on introducing cost-saving measures,
for example, by attempting to shift some of the health care costs to drug
manufacturers (by claw-back) and to the population (through co-payments),
and on improving the monitoring of health care expenditure.||en_US
|dc.publisher||World Health Organization. Regional Office for Europe||en_US
|dc.relation.ispartofseries||Health Systems in Transition;Vol. 18. n. 4||
|dc.subject.mesh||Delivery of Health Care||en_US
|dc.subject.mesh||Health Care Reform||en_US
|dc.subject.mesh||Health Systems Plans||en_US
|dc.title||Health system review: Romania||en_US
|dc.subject.meshqualifier||organization and administration||en_US