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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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2011/05/17056888/romania-functional-review-health-sector http://hdl.handle.net/10986/12290 |
| id |
okr-10986-12290 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ACCESS TO SERVICES AGE GROUPS AGE STRUCTURE AGING AMBULATORY CARE AMBULATORY SERVICES BUDGET CEILING BUDGET INCREASE BURDEN OF DISEASE CAPITATION CARDIOVASCULAR DISEASES CARE PURCHASERS CENTER FOR HEALTH CERVICAL CANCER CHILD HEALTH CHRONIC CONDITIONS CHRONIC DISEASE CITIZENS CLEANLINESS CLINICAL GUIDELINES CLINICS COMMUNICABLE DISEASES CONTRACTUAL RELATIONS CONTRACTUAL RELATIONSHIPS CONTRIBUTION RATE COST STRUCTURE COST-EFFECTIVENESS DAY CARE DEATH RATE DEATHS DEBT DECISION MAKING DELIVERY OF HEALTH SERVICES DEMOCRACY DIABETES DOCTORS ECONOMIC GROWTH EMERGENCIES EQUITY IN ACCESS EXPENDITURES FAMILIES FEES FOR SERVICE FINANCIAL BARRIERS FINANCIAL CONTROLS FINANCIAL INCENTIVES FINANCIAL INFORMATION FINANCIAL MANAGEMENT FINANCIAL PROTECTION FINANCIAL RESOURCES FINANCIAL RISK FINANCING OF HEALTH CARE GENERAL PRACTITIONERS GROSS DOMESTIC PRODUCT GROSS NATIONAL PRODUCT HEALTH CARE INSTITUTIONS HEALTH CARE NEEDS HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SYSTEM HEALTH DATA HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FOR ALL HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURANCE CONTRIBUTIONS HEALTH INSURANCE FUNDS HEALTH INSURANCE SYSTEM HEALTH MANAGEMENT HEALTH MINISTRIES HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICIES HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH PROMOTION HEALTH PROVIDERS HEALTH PURCHASER HEALTH REFORM HEALTH REFORMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HIV HIV/AIDS HOLISTIC APPROACH HOME CARE HOSPITAL HOSPITAL ACCREDITATION HOSPITAL ADMINISTRATORS HOSPITAL ADMISSIONS HOSPITAL BEDS HOSPITAL CARE HOSPITAL PATIENTS HOSPITAL SECTOR HOSPITAL SERVICES HOSPITALIZATION HOSPITALS HR HUMAN IMMUNODEFICIENCY VIRUS HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES HYGIENE HYPERTENSION ILLNESS IMMUNIZATION IMMUNODEFICIENCY INCENTIVES FOR PROVIDERS INCOME INCOME COUNTRIES INCOME DISTRIBUTION INCOME GROUPS INFANT MORTALITY INFANT MORTALITY RATES INFECTIOUS DISEASES INFORMAL PAYMENTS INFORMAL SECTOR INFORMATION SYSTEM INFORMATION SYSTEMS INTEGRATION LIFE EXPECTANCY LIFE EXPECTANCY AT BIRTH LIVE BIRTHS LOCAL GOVERNMENTS LOW INCOME MALARIA MANAGEMENT OF HUMAN RESOURCES IN HEALTH MATERNAL DEATHS MATERNAL MORTALITY MEDICAL CARE MEDICAL DOCTORS MEDICAL EQUIPMENT MEDICAL SERVICES MEDICAL SPECIALTIES MEDICAL TECHNOLOGY MEDICINES MIGRATION MINISTRY OF HEALTH MORBIDITY MORTALITY NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH INSURANCE FUND NATIONAL HEALTH POLICIES NON-GOVERNMENTAL ORGANIZATIONS NURSE NURSING NURSING HOMES NUTRITION OLD SYSTEM OUTPATIENT SERVICES PALLIATIVE CARE PATIENT PATIENT RIGHTS PATIENTS PHARMACEUTICAL EXPENDITURE PHARMACIES PHARMACY PHYSICAL ACTIVITY PHYSICIAN PHYSICIANS PLASTIC SURGERY POLICY DOCUMENT POLICY FORMULATION PRESCRIPTION DRUGS PRIMARY CARE PRIMARY CARE DOCTORS PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIVATE FINANCING PRIVATE INSURANCE PRIVATE SECTOR PRIVATE SERVICES PROBABILITY PROFESSIONAL ASSOCIATIONS PROGRESS PROVISION OF SERVICES PUBLIC ADMINISTRATION PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC POLICIES PUBLIC SECTOR PUBLIC SPENDING QUALITY CONTROL QUALITY OF LIFE RADIOLOGY REHABILITATION RESPECT RISK FACTORS SAFETY MEASURES SCREENING SERVICE PROVISION SMOKING SOCIAL HEALTH INSURANCE SURGERY TB CONTROL TUBERCULOSIS USE OF HEALTH SERVICES VACCINATION VACCINATIONS VULNERABLE GROUPS WORKERS WORLD HEALTH ORGANIZATION |
| spellingShingle |
ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ACCESS TO SERVICES AGE GROUPS AGE STRUCTURE AGING AMBULATORY CARE AMBULATORY SERVICES BUDGET CEILING BUDGET INCREASE BURDEN OF DISEASE CAPITATION CARDIOVASCULAR DISEASES CARE PURCHASERS CENTER FOR HEALTH CERVICAL CANCER CHILD HEALTH CHRONIC CONDITIONS CHRONIC DISEASE CITIZENS CLEANLINESS CLINICAL GUIDELINES CLINICS COMMUNICABLE DISEASES CONTRACTUAL RELATIONS CONTRACTUAL RELATIONSHIPS CONTRIBUTION RATE COST STRUCTURE COST-EFFECTIVENESS DAY CARE DEATH RATE DEATHS DEBT DECISION MAKING DELIVERY OF HEALTH SERVICES DEMOCRACY DIABETES DOCTORS ECONOMIC GROWTH EMERGENCIES EQUITY IN ACCESS EXPENDITURES FAMILIES FEES FOR SERVICE FINANCIAL BARRIERS FINANCIAL CONTROLS FINANCIAL INCENTIVES FINANCIAL INFORMATION FINANCIAL MANAGEMENT FINANCIAL PROTECTION FINANCIAL RESOURCES FINANCIAL RISK FINANCING OF HEALTH CARE GENERAL PRACTITIONERS GROSS DOMESTIC PRODUCT GROSS NATIONAL PRODUCT HEALTH CARE INSTITUTIONS HEALTH CARE NEEDS HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SYSTEM HEALTH DATA HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FOR ALL HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURANCE CONTRIBUTIONS HEALTH INSURANCE FUNDS HEALTH INSURANCE SYSTEM HEALTH MANAGEMENT HEALTH MINISTRIES HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICIES HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH PROMOTION HEALTH PROVIDERS HEALTH PURCHASER HEALTH REFORM HEALTH REFORMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HIV HIV/AIDS HOLISTIC APPROACH HOME CARE HOSPITAL HOSPITAL ACCREDITATION HOSPITAL ADMINISTRATORS HOSPITAL ADMISSIONS HOSPITAL BEDS HOSPITAL CARE HOSPITAL PATIENTS HOSPITAL SECTOR HOSPITAL SERVICES HOSPITALIZATION HOSPITALS HR HUMAN IMMUNODEFICIENCY VIRUS HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES HYGIENE HYPERTENSION ILLNESS IMMUNIZATION IMMUNODEFICIENCY INCENTIVES FOR PROVIDERS INCOME INCOME COUNTRIES INCOME DISTRIBUTION INCOME GROUPS INFANT MORTALITY INFANT MORTALITY RATES INFECTIOUS DISEASES INFORMAL PAYMENTS INFORMAL SECTOR INFORMATION SYSTEM INFORMATION SYSTEMS INTEGRATION LIFE EXPECTANCY LIFE EXPECTANCY AT BIRTH LIVE BIRTHS LOCAL GOVERNMENTS LOW INCOME MALARIA MANAGEMENT OF HUMAN RESOURCES IN HEALTH MATERNAL DEATHS MATERNAL MORTALITY MEDICAL CARE MEDICAL DOCTORS MEDICAL EQUIPMENT MEDICAL SERVICES MEDICAL SPECIALTIES MEDICAL TECHNOLOGY MEDICINES MIGRATION MINISTRY OF HEALTH MORBIDITY MORTALITY NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH INSURANCE FUND NATIONAL HEALTH POLICIES NON-GOVERNMENTAL ORGANIZATIONS NURSE NURSING NURSING HOMES NUTRITION OLD SYSTEM OUTPATIENT SERVICES PALLIATIVE CARE PATIENT PATIENT RIGHTS PATIENTS PHARMACEUTICAL EXPENDITURE PHARMACIES PHARMACY PHYSICAL ACTIVITY PHYSICIAN PHYSICIANS PLASTIC SURGERY POLICY DOCUMENT POLICY FORMULATION PRESCRIPTION DRUGS PRIMARY CARE PRIMARY CARE DOCTORS PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIVATE FINANCING PRIVATE INSURANCE PRIVATE SECTOR PRIVATE SERVICES PROBABILITY PROFESSIONAL ASSOCIATIONS PROGRESS PROVISION OF SERVICES PUBLIC ADMINISTRATION PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC POLICIES PUBLIC SECTOR PUBLIC SPENDING QUALITY CONTROL QUALITY OF LIFE RADIOLOGY REHABILITATION RESPECT RISK FACTORS SAFETY MEASURES SCREENING SERVICE PROVISION SMOKING SOCIAL HEALTH INSURANCE SURGERY TB CONTROL TUBERCULOSIS USE OF HEALTH SERVICES VACCINATION VACCINATIONS VULNERABLE GROUPS WORKERS WORLD HEALTH ORGANIZATION World Bank Romania - Functional Review : Health Sector |
| geographic_facet |
Europe and Central Asia Romania |
| description |
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. |
| format |
Economic & Sector Work :: Health Sector Review |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Romania - Functional Review : Health Sector |
| title_short |
Romania - Functional Review : Health Sector |
| title_full |
Romania - Functional Review : Health Sector |
| title_fullStr |
Romania - Functional Review : Health Sector |
| title_full_unstemmed |
Romania - Functional Review : Health Sector |
| title_sort |
romania - functional review : health sector |
| publisher |
Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2011/05/17056888/romania-functional-review-health-sector http://hdl.handle.net/10986/12290 |
| _version_ |
1764419399853277184 |
| spelling |
okr-10986-122902021-04-23T14:03:00Z Romania - Functional Review : Health Sector World Bank ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ACCESS TO SERVICES AGE GROUPS AGE STRUCTURE AGING AMBULATORY CARE AMBULATORY SERVICES BUDGET CEILING BUDGET INCREASE BURDEN OF DISEASE CAPITATION CARDIOVASCULAR DISEASES CARE PURCHASERS CENTER FOR HEALTH CERVICAL CANCER CHILD HEALTH CHRONIC CONDITIONS CHRONIC DISEASE CITIZENS CLEANLINESS CLINICAL GUIDELINES CLINICS COMMUNICABLE DISEASES CONTRACTUAL RELATIONS CONTRACTUAL RELATIONSHIPS CONTRIBUTION RATE COST STRUCTURE COST-EFFECTIVENESS DAY CARE DEATH RATE DEATHS DEBT DECISION MAKING DELIVERY OF HEALTH SERVICES DEMOCRACY DIABETES DOCTORS ECONOMIC GROWTH EMERGENCIES EQUITY IN ACCESS EXPENDITURES FAMILIES FEES FOR SERVICE FINANCIAL BARRIERS FINANCIAL CONTROLS FINANCIAL INCENTIVES FINANCIAL INFORMATION FINANCIAL MANAGEMENT FINANCIAL PROTECTION FINANCIAL RESOURCES FINANCIAL RISK FINANCING OF HEALTH CARE GENERAL PRACTITIONERS GROSS DOMESTIC PRODUCT GROSS NATIONAL PRODUCT HEALTH CARE INSTITUTIONS HEALTH CARE NEEDS HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SYSTEM HEALTH DATA HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FOR ALL HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURANCE CONTRIBUTIONS HEALTH INSURANCE FUNDS HEALTH INSURANCE SYSTEM HEALTH MANAGEMENT HEALTH MINISTRIES HEALTH NEEDS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICIES HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH PROMOTION HEALTH PROVIDERS HEALTH PURCHASER HEALTH REFORM HEALTH REFORMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HIV HIV/AIDS HOLISTIC APPROACH HOME CARE HOSPITAL HOSPITAL ACCREDITATION HOSPITAL ADMINISTRATORS HOSPITAL ADMISSIONS HOSPITAL BEDS HOSPITAL CARE HOSPITAL PATIENTS HOSPITAL SECTOR HOSPITAL SERVICES HOSPITALIZATION HOSPITALS HR HUMAN IMMUNODEFICIENCY VIRUS HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES HYGIENE HYPERTENSION ILLNESS IMMUNIZATION IMMUNODEFICIENCY INCENTIVES FOR PROVIDERS INCOME INCOME COUNTRIES INCOME DISTRIBUTION INCOME GROUPS INFANT MORTALITY INFANT MORTALITY RATES INFECTIOUS DISEASES INFORMAL PAYMENTS INFORMAL SECTOR INFORMATION SYSTEM INFORMATION SYSTEMS INTEGRATION LIFE EXPECTANCY LIFE EXPECTANCY AT BIRTH LIVE BIRTHS LOCAL GOVERNMENTS LOW INCOME MALARIA MANAGEMENT OF HUMAN RESOURCES IN HEALTH MATERNAL DEATHS MATERNAL MORTALITY MEDICAL CARE MEDICAL DOCTORS MEDICAL EQUIPMENT MEDICAL SERVICES MEDICAL SPECIALTIES MEDICAL TECHNOLOGY MEDICINES MIGRATION MINISTRY OF HEALTH MORBIDITY MORTALITY NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH INSURANCE FUND NATIONAL HEALTH POLICIES NON-GOVERNMENTAL ORGANIZATIONS NURSE NURSING NURSING HOMES NUTRITION OLD SYSTEM OUTPATIENT SERVICES PALLIATIVE CARE PATIENT PATIENT RIGHTS PATIENTS PHARMACEUTICAL EXPENDITURE PHARMACIES PHARMACY PHYSICAL ACTIVITY PHYSICIAN PHYSICIANS PLASTIC SURGERY POLICY DOCUMENT POLICY FORMULATION PRESCRIPTION DRUGS PRIMARY CARE PRIMARY CARE DOCTORS PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIVATE FINANCING PRIVATE INSURANCE PRIVATE SECTOR PRIVATE SERVICES PROBABILITY PROFESSIONAL ASSOCIATIONS PROGRESS PROVISION OF SERVICES PUBLIC ADMINISTRATION PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC POLICIES PUBLIC SECTOR PUBLIC SPENDING QUALITY CONTROL QUALITY OF LIFE RADIOLOGY REHABILITATION RESPECT RISK FACTORS SAFETY MEASURES SCREENING SERVICE PROVISION SMOKING SOCIAL HEALTH INSURANCE SURGERY TB CONTROL TUBERCULOSIS USE OF HEALTH SERVICES VACCINATION VACCINATIONS VULNERABLE GROUPS WORKERS WORLD HEALTH ORGANIZATION 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. 2013-02-11T17:45:18Z 2013-02-11T17:45:18Z 2011-05-11 http://documents.worldbank.org/curated/en/2011/05/17056888/romania-functional-review-health-sector http://hdl.handle.net/10986/12290 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work :: Health Sector Review Economic & Sector Work Europe and Central Asia Romania |