Publication:
Romania - Functional Review : Health Sector

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dc.contributor.authorWorld Bank
dc.date.accessioned2013-02-11T17:45:18Z
dc.date.available2013-02-11T17:45:18Z
dc.date.issued2011-05-11
dc.description.abstractThis 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.en
dc.identifierhttp://documents.worldbank.org/curated/en/2011/05/17056888/romania-functional-review-health-sector
dc.identifier.doi10.1596/12290
dc.identifier.urihttps://hdl.handle.net/10986/12290
dc.languageEnglish
dc.language.isoen_US
dc.publisherWashington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO HEALTH CARE
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectACCESS TO SERVICES
dc.subjectAGE GROUPS
dc.subjectAGE STRUCTURE
dc.subjectAGING
dc.subjectAMBULATORY CARE
dc.subjectAMBULATORY SERVICES
dc.subjectBUDGET CEILING
dc.subjectBUDGET INCREASE
dc.subjectBURDEN OF DISEASE
dc.subjectCAPITATION
dc.subjectCARDIOVASCULAR DISEASES
dc.subjectCARE PURCHASERS
dc.subjectCENTER FOR HEALTH
dc.subjectCERVICAL CANCER
dc.subjectCHILD HEALTH
dc.subjectCHRONIC CONDITIONS
dc.subjectCHRONIC DISEASE
dc.subjectCITIZENS
dc.subjectCLEANLINESS
dc.subjectCLINICAL GUIDELINES
dc.subjectCLINICS
dc.subjectCOMMUNICABLE DISEASES
dc.subjectCONTRACTUAL RELATIONS
dc.subjectCONTRACTUAL RELATIONSHIPS
dc.subjectCONTRIBUTION RATE
dc.subjectCOST STRUCTURE
dc.subjectCOST-EFFECTIVENESS
dc.subjectDAY CARE
dc.subjectDEATH RATE
dc.subjectDEATHS
dc.subjectDEBT
dc.subjectDECISION MAKING
dc.subjectDELIVERY OF HEALTH SERVICES
dc.subjectDEMOCRACY
dc.subjectDIABETES
dc.subjectDOCTORS
dc.subjectECONOMIC GROWTH
dc.subjectEMERGENCIES
dc.subjectEQUITY IN ACCESS
dc.subjectEXPENDITURES
dc.subjectFAMILIES
dc.subjectFEES FOR SERVICE
dc.subjectFINANCIAL BARRIERS
dc.subjectFINANCIAL CONTROLS
dc.subjectFINANCIAL INCENTIVES
dc.subjectFINANCIAL INFORMATION
dc.subjectFINANCIAL MANAGEMENT
dc.subjectFINANCIAL PROTECTION
dc.subjectFINANCIAL RESOURCES
dc.subjectFINANCIAL RISK
dc.subjectFINANCING OF HEALTH CARE
dc.subjectGENERAL PRACTITIONERS
dc.subjectGROSS DOMESTIC PRODUCT
dc.subjectGROSS NATIONAL PRODUCT
dc.subjectHEALTH CARE INSTITUTIONS
dc.subjectHEALTH CARE NEEDS
dc.subjectHEALTH CARE PROVIDER
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH DATA
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH FOR ALL
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE CONTRIBUTIONS
dc.subjectHEALTH INSURANCE FUNDS
dc.subjectHEALTH INSURANCE SYSTEM
dc.subjectHEALTH MANAGEMENT
dc.subjectHEALTH MINISTRIES
dc.subjectHEALTH NEEDS
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH POLICIES
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROFESSIONALS
dc.subjectHEALTH PROGRAMS
dc.subjectHEALTH PROMOTION
dc.subjectHEALTH PROVIDERS
dc.subjectHEALTH PURCHASER
dc.subjectHEALTH REFORM
dc.subjectHEALTH REFORMS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SPENDING
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEM PERFORMANCE
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH WORKERS
dc.subjectHEALTH WORKFORCE
dc.subjectHIV
dc.subjectHIV/AIDS
dc.subjectHOLISTIC APPROACH
dc.subjectHOME CARE
dc.subjectHOSPITAL
dc.subjectHOSPITAL ACCREDITATION
dc.subjectHOSPITAL ADMINISTRATORS
dc.subjectHOSPITAL ADMISSIONS
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITAL CARE
dc.subjectHOSPITAL PATIENTS
dc.subjectHOSPITAL SECTOR
dc.subjectHOSPITAL SERVICES
dc.subjectHOSPITALIZATION
dc.subjectHOSPITALS
dc.subjectHR
dc.subjectHUMAN IMMUNODEFICIENCY VIRUS
dc.subjectHUMAN RESOURCE MANAGEMENT
dc.subjectHUMAN RESOURCES
dc.subjectHYGIENE
dc.subjectHYPERTENSION
dc.subjectILLNESS
dc.subjectIMMUNIZATION
dc.subjectIMMUNODEFICIENCY
dc.subjectINCENTIVES FOR PROVIDERS
dc.subjectINCOME
dc.subjectINCOME COUNTRIES
dc.subjectINCOME DISTRIBUTION
dc.subjectINCOME GROUPS
dc.subjectINFANT MORTALITY
dc.subjectINFANT MORTALITY RATES
dc.subjectINFECTIOUS DISEASES
dc.subjectINFORMAL PAYMENTS
dc.subjectINFORMAL SECTOR
dc.subjectINFORMATION SYSTEM
dc.subjectINFORMATION SYSTEMS
dc.subjectINTEGRATION
dc.subjectLIFE EXPECTANCY
dc.subjectLIFE EXPECTANCY AT BIRTH
dc.subjectLIVE BIRTHS
dc.subjectLOCAL GOVERNMENTS
dc.subjectLOW INCOME
dc.subjectMALARIA
dc.subjectMANAGEMENT OF HUMAN RESOURCES IN HEALTH
dc.subjectMATERNAL DEATHS
dc.subjectMATERNAL MORTALITY
dc.subjectMEDICAL CARE
dc.subjectMEDICAL DOCTORS
dc.subjectMEDICAL EQUIPMENT
dc.subjectMEDICAL SERVICES
dc.subjectMEDICAL SPECIALTIES
dc.subjectMEDICAL TECHNOLOGY
dc.subjectMEDICINES
dc.subjectMIGRATION
dc.subjectMINISTRY OF HEALTH
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH INSURANCE
dc.subjectNATIONAL HEALTH INSURANCE FUND
dc.subjectNATIONAL HEALTH POLICIES
dc.subjectNON-GOVERNMENTAL ORGANIZATIONS
dc.subjectNURSE
dc.subjectNURSING
dc.subjectNURSING HOMES
dc.subjectNUTRITION
dc.subjectOLD SYSTEM
dc.subjectOUTPATIENT SERVICES
dc.subjectPALLIATIVE CARE
dc.subjectPATIENT
dc.subjectPATIENT RIGHTS
dc.subjectPATIENTS
dc.subjectPHARMACEUTICAL EXPENDITURE
dc.subjectPHARMACIES
dc.subjectPHARMACY
dc.subjectPHYSICAL ACTIVITY
dc.subjectPHYSICIAN
dc.subjectPHYSICIANS
dc.subjectPLASTIC SURGERY
dc.subjectPOLICY DOCUMENT
dc.subjectPOLICY FORMULATION
dc.subjectPRESCRIPTION DRUGS
dc.subjectPRIMARY CARE
dc.subjectPRIMARY CARE DOCTORS
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIMARY HEALTH CARE SERVICES
dc.subjectPRIVATE FINANCING
dc.subjectPRIVATE INSURANCE
dc.subjectPRIVATE SECTOR
dc.subjectPRIVATE SERVICES
dc.subjectPROBABILITY
dc.subjectPROFESSIONAL ASSOCIATIONS
dc.subjectPROGRESS
dc.subjectPROVISION OF SERVICES
dc.subjectPUBLIC ADMINISTRATION
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC POLICIES
dc.subjectPUBLIC SECTOR
dc.subjectPUBLIC SPENDING
dc.subjectQUALITY CONTROL
dc.subjectQUALITY OF LIFE
dc.subjectRADIOLOGY
dc.subjectREHABILITATION
dc.subjectRESPECT
dc.subjectRISK FACTORS
dc.subjectSAFETY MEASURES
dc.subjectSCREENING
dc.subjectSERVICE PROVISION
dc.subjectSMOKING
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSURGERY
dc.subjectTB CONTROL
dc.subjectTUBERCULOSIS
dc.subjectUSE OF HEALTH SERVICES
dc.subjectVACCINATION
dc.subjectVACCINATIONS
dc.subjectVULNERABLE GROUPS
dc.subjectWORKERS
dc.subjectWORLD HEALTH ORGANIZATION
dc.titleRomania - Functional Review : Health Sectoren
dspace.entity.typePublication
okr.date.disclosure2012-12-10
okr.date.doiregistration2025-05-07T09:03:13.288182Z
okr.doctypeEconomic & Sector Work::Health Sector Review
okr.doctypeEconomic & Sector Work
okr.docurlhttp://documents.worldbank.org/curated/en/2011/05/17056888/romania-functional-review-health-sector
okr.globalpracticeHealth, Nutrition, and Population
okr.guid310301468297587288
okr.identifier.externaldocumentum000425962_20121210160554
okr.identifier.internaldocumentum17056888
okr.identifier.report74290
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2012/12/10/000425962_20121210160554/Rendered/PDF/NonAsciiFileName0.pdfen
okr.region.administrativeEurope and Central Asia
okr.region.countryRomania
okr.sectorHealth and other social services :: Health
okr.sectorPublic Administration, Law, and Justice :: Central government administration
okr.themePublic sector governance :: Administrative and civil service reform
okr.themePublic sector governance :: Managing for development results
okr.themePublic sector governance :: Public expenditure, financial management and procurement
okr.topicHealth Economics and Finance
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicHealth Monitoring and Evaluation
okr.topicHealth Systems Development and Reform
okr.topicDisease Control and Prevention
okr.topicHealth, Nutrition and Population
okr.unitPSIR (ECSP4)
okr.volume1 of 1
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