Publication: Romania - Functional Review : Health Sector
Date
2011-05-11
ISSN
Published
2011-05-11
Author(s)
World Bank
Abstract
This Functional Review was carried by a
Bank team upon request by the Government of Romania. As a
starting point, it shows that: (i) health outcomes in
Romania lag behind those of the EU; (ii) users are not
satisfied with its lack of responsiveness - long lines,
informal payments, discourteous handling of patients, poor
cleanliness, lack of maintenance, and breach of safety
measures; (iii) the poor and other vulnerable groups (for
example Roma communities) suffer from a significant lack of
access to services; and (iv) the fiscal contraction of
2008-2010 exposed the weakness of financial controls in the
health sector. The Review examines four health functions in
depth: service delivery, financing, stewardship and
resources (including pharmaceuticals). Based on our
findings, we present recommendations categorized by the
three set of challenges that the sector is facing: (i)
improving governance and management; (ii) streamlining the
health service network and re-launching quality control
systems; and (iii) increasing preventive services and
equity. For any expansion of the sector to be sustainable, a
number of pre-requisites will need to be in place, including
a private sector development strategy, stronger fiscal
controls, a system of health technology assessment, and
stronger management in key agencies.
Citation
“World Bank. 2011. Romania - Functional Review : Health Sector. © Washington, DC. http://openknowledge.worldbank.org/entities/publication/337ee22b-26d7-551e-b059-a2a087a39753 License: CC BY 3.0 IGO.”