Republic of Moldova: health system review
AbstractThe Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. The reform of health financing in the Republic of Moldova began in earnest in 2004 with the introduction of a mandatory health insurance (MHI) system. Since then, MHI has become a sustainable financing mechanism that has improved the technical and allocative efficiency of the system as well as overall transparency. This has helped to further consolidate the prioritization of primary care in the system, which has been bas ed on a family medicine model since the 1990s. Hospital stock in the country has been reduced since independence as the country inherited a Semashko health system with excessive infrastructure, but there is still room for efficiency gains, particularly through the consolidation of specialist services in the capital city. The rationalization of duplicated specialized services, therefore, remains a key challenge facing the Moldovan health system. Other challenges include health workforce shortages (particularly in rural areas) and improving equity in financing and access to care by reducing out-of-pocket (OOP) payments. OOP spending on health is dominated by the cost of pharmaceuticals and this is currently a core focus of reform efforts.
Turcanu, G; Domente, S; Buga, M and Richardson, E & European Observatory on Health Systems and Policies. (2012). Republic of Moldova: health system review. World Health Organization. Regional Office for Europe. https://apps.who.int/iris/handle/10665/330316
Health Systems in Transition;vol. 14, n. 7
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World Health Organization. Regional Office for Europe; European Observatory on Health Care Systems (Copenhagen : WHO Regional Office for Europe, 1996)
Health care systems in transition : Republic of Moldova / written by Laura MacLehose and edited by Martin McKee MacLehose, Laura; McKee, Martin; World Health Organization. Regional Office for Europe; European Observatory on Health Care Systems (Copenhagen : WHO Regional Office for Europe, 2002)