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Primary Health Care in Romania after 20 Years of Reforms

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Health Reforms in South East Europe

Abstract

The trigger that set Romania on the path to health reform was the political change that took place in December 1989. The main legacies of the health system from the communist period were underfinancing, a rigid hierarchical command and control structure, a demotivated workforce, growing inequity, and the poor health status of the population. No matter how much pressure these factors put on the system, the changes that took place would not have been possible in the absence of general societal change.

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References

  • Casa Nationala de Asigurari de Sanatate (2010) Raport de activitate pe anul 2009 http://www.cnas.ro/informatii-publice/rapoarte-de-activitate [Accessed on 24 January 2011].

  • OECD (2010) Health at a Glance: Europe 2010, OECD Publishing. http://dx.doi.org/10.1787/health_glance-2010-en [Accessed on 24 January 2011].

  • Scîntee, G. and Traistaru, T. (1998) ‘Implementing Primary Health Care Reform in Romania: An Experiment in Eight Districts’, in Z. Feachem, M. Hensher, and L. Rose (eds) Implementing Health Sector Reform in Central Asia. Papers from an EDI Health Policy Seminar held in Ashgabat, Turkmenistan, June 1996, Economic Development Institute of the World Bank, Learning Resources Series, Washington DC, pp. 131–6.

    Google Scholar 

  • Scoala Nationala de Sanatate Publica si Management Sanitar (2008) ‘Propunere de elaborare a unei strategii tinta pentru un program de stat focalizat pe imbunatatirea accesului la serviciile de sanatate de baza, in zonele slab deservite’, Raport final – Proiectul de Reforma a Sectorului de Sanatate al Ministerului Sanatatii Publice finantat de Banca Mondiala si Banca Europeana de Investitii (unpublished report).

    Google Scholar 

  • Vlădescu, C., Astǎrǎstoae, V., and Scîntee, S. G. (2010) ‘A Health System Focused on Citizen’s Needs. Romania. Hospital Services, Primary Health Care and Human Resources. Solutions (III)’, Romanian Journal of Bioethics, 8(4): 89–99 http://eng.bioetica.ro/atdoc/RRBv8n4_2010_Vladescu_EN.pdf.

  • Vlădescu, C., Scîntee, G., Olsavszky, V., Allin, S., and Mladovsky, P. (2008a) ‘Romania: Health System Review’, Health Systems in Transition, 10(3): 1–172. http://www.euro.who.int/__data/assets/pdf_file/0008/95165/E91689.pdf.

    Google Scholar 

  • Vlădescu, C., Pascu, O., Astarastoae, V., si colab (2008b) ‘Un sistem sanitar centrat pe nevoile cetateanului’, Raportul Comisiei Prezidenţiale pentru Analiza şi Elaborarea Politicilor din Domeniul Sǎnǎtǎţii Publice din România, Bucuresti, Administratia Prezidentiala http://www.presidency.ro/static/ordine/COMISIASANATATE/UN_SISTEM_SANITAR_CENTRAT_PE_NEVOILE_CETATEANULUI.pdf [Accesed on 24 January 2011].

  • Vlădescu, C., Radulescu, S., and Cace, S. (2005) ‘The Romanian Health Care System: Between Bismark and Semashko’, in G. Shakarishvili (ed.) Decentralization in Healthcare: Analyses and Experiences in Central and Eastern Europe in the 1990s. Budapest Open Society Institute, pp. 437–85 http://lgi.osi.hu/publications/2005/274/9Health_Romania.pdf [Accessed on 11 January 2011].

  • Vlădescu, C. and Radulescu, S. (2001) ‘Improving Primary Health Care: Output-Based Contracting in Romania’, in P. J. Brook and S. M. Smith (eds) Contracting for Public Services: Output-Based Aid and its Applications. Washington, DC: World Bank and International Finance Corporation, pp. 73–9.

    Google Scholar 

  • World Health Organization (2008) The World Health Report 2008: Primary Health Care Now More Than Ever. Geneva, Switzerland http://www.who.int/whr/2008/whr08_en.pdf [Accessed on 19 January 2011].

  • World Health Organization (2011) European Health for All Database, Copenhagen: World Health Organization Regional Office for Europe.

    Google Scholar 

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© 2012 Silvia Gabriela Scîntee and Cristian Vlădescu

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Scîntee, S., VlĎdescu, C. (2012). Primary Health Care in Romania after 20 Years of Reforms. In: Bartlett, W., Božikov, J., Rechel, B. (eds) Health Reforms in South East Europe. New Perspectives on South-East Europe Series. Palgrave Macmillan, London. https://doi.org/10.1057/9781137264770_7

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