Overview of the Health care system in Romania

1. Romanian Healthcare System
Center for Health Policy and Public Health
Babes-Bolyai University Cluj
Romania
Master Programs in Public Health and Social Care
511303- TEMPUS-1-2010-1-UK-TEMPUS-JPCR
Yerevan, Armenia - February 2011

2. Organizational structure
Romanian healthcare system
Source: Health Systems in Transition; vol. 10; no. 3; 2008. ROMANIA. Health System Review; p.24

3. Organizational structure
Romanian healthcare system
Minister of Health National Institute of Public Health
County Authorities Regional institutes of
of Public Health public health
Health services – inpatient & outpatient
Hospitals, physician practices, polyclinics
County National
County Colleges of Colleges of
Councils Insured / Patients Health Health
Professionals Professionals
County Health
Insurance Houses
National Health
Insurance House

4. Financing
Romanian healthcare
system
Source: Health Systems in Transition; vol. 10;
no. 3; 2008. ROMANIA. Health System
Review; p.40

5. Education system
Education of health Public medical universities - 11
professionals Private universities - 2
Physicians/dentists MD – 6 years
Residency – 3-7 years
Pharmacists 5 years
Nurses/midwives 4 years
Professional Academic Master – 2 years
Professional Master – 1 year
development
PhD – 1 year

6. Regulation and service providers
Healthcare Primary care Family doctors
Secondary care Hospitals, oupatient
departments, centers for
Public diagnosis and treatment,
office-based specialists
Tertiary care Teaching hospitals,
Public specialized hospitals
Private sector Private funding
Contracts with the
National Health Insurance
Fund

7. Ministry of Health
Legal framework for healthcare
providers
Number of hospital beds
Opening or closing of hospitals

8. Source: Health Systems in Transition;
vol. 10; no. 3; 2008. ROMANIA. Health
System Review; p.24
Main health care reforms

9. 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

10. 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)

11. Challenges
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

12. 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