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 Moldovan health care system has undergone significant reform since the country declared independence from the Soviet Union in 1991, although the health reform programme was delayed for a number of years owing to the severe fiscal difficulties faced as Moldova embarked on political, economic and social transition. However, despite the limited resource base, real progress has been made in rationalizing the health care system and reducing the dominance of inpatient care through the restructuring of hospital stock; stabilizing health care financing through the successful introduction of mandatory social health insurance, which was also successful in reducing the level of informal payments in the system; and developing primary health care based on family medicine. Focus for future reform is on improving the quality of health services available to the population and improving overall population health status. The key challenges in achieving this involve strengthening the stewardship function of the Ministry of Health (particularly in the area of human resources planning) and ensuring broad access to health care services for the whole population. Involving all stakeholders in the development of further reform planning will be key to its success.
Atun, R; Richardson, E; Shishkin, S; Kacevicius, G; Ciocanu, M; Sava, V and Ancker, S & European Observatory on Health Systems and Policies. (2008). Moldova: health system review. World Health Organization. Regional Office for Europe. https://apps.who.int/iris/handle/10665/330341
Health Systems in Transition;vol. 10, n. 5
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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)