Romania - Functional Review : Health Sector
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...
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| Format: | Health Sector Review |
| Language: | English en_US |
| Published: |
Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2011/05/17056888/romania-functional-review-health-sector http://hdl.handle.net/10986/12290 |
| Summary: | 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. |
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