Download - Romanian Health Care
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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
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Source: Health Systems in Transition; vol. 10; no. 3; 2008. ROMANIA. Health System Review; p.24
Organizational structureRomanian healthcare system
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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
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FinancingRomanian healthcare system
Source: Health Systems in Transition; vol. 10; no. 3; 2008. ROMANIA. Health System Review; p.40
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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
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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
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Legal framework for healthcare providers
Number of hospital beds Opening or closing of hospitals
Ministry of Health
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Main health care reformsSource
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ealth
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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
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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)
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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
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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