Romanian Health Care
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Transcript of Romanian Health Care
Romanian Healthcare System
Center for Health Policy and Public HealthBabes-Bolyai University Cluj
Romania
Master Programs in Public Health and Social Care 511303- TEMPUS-1-2010-1-UK-TEMPUS-JPCR
Yerevan, Armenia - February 2011
Source: Health Systems in Transition; vol. 10; no. 3; 2008. ROMANIA. Health System Review; p.24
Organizational structureRomanian healthcare system
Minister of Health National Institute of Public Health
County Authorities of Public Health
Regional institutes of public health
National Colleges of
Health Professionals
County Councils
Health services – inpatient & outpatientHospitals, physician practices, polyclinics
County Colleges of
Health Professionals
Insured / Patients
County Health Insurance Houses
National Health Insurance House
Organizational structureRomanian healthcare system
FinancingRomanian healthcare system
Source: Health Systems in Transition; vol. 10; no. 3; 2008. ROMANIA. Health System Review; p.40
Education systemEducation of health professionals
Public medical universities - 11
Private universities - 2
Physicians/dentists MD – 6 yearsResidency – 3-7 years
Pharmacists 5 yearsNurses/midwives 4 years
Professional development
Academic Master – 2 yearsProfessional Master – 1 yearPhD – 1 year
Regulation and service providersHealthcare Primary care Family doctors
Secondary carePublic
Hospitals, oupatient departments, centers for diagnosis and treatment, office-based specialists
Tertiary carePublic
Teaching hospitals, specialized hospitals
Private sector Private fundingContracts with the National Health Insurance Fund
Legal framework for healthcare providers
Number of hospital beds Opening or closing of hospitals
Ministry of Health
Main health care reformsSource
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Recent reforms - 2010
Introduction of co-payments Excluded: people under the age of 18 (or 26 if
they are students); retired people (if their pension is below 700 RON); people without any income
Regulations regarding the hospital managers’ selection process
National strategy for hospital rationalization Administrative organization / Financing / Hospital
management / Human resources / Informal payments and corruption / Malpraxis / Quality assurance
Coverage with health professionals
1.4 doctors/1000 - Romania
3.2 doctors/1000 - EU average*
2,779 doctors solicited in 2010 certificates of good-standing, in order to practice outside Romania**
*WHO Regional Office for Europe(2004)**Romanian College of Physicians (January 2011)
Migration of resident and specialist doctors (Germany, France and UK)
Low motivation - low level of salaries;Lack of long-term strategy for human resources recruitment
Challenges
Conclusions
The Romanian healthcare system is undergoing a series of profound changes and reforms
Human resources in any system should be of a particular concern