10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) A REVIEW OF THE HEALTH SYSTEM IN ROMANIA

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) HEALTH SYSTEM The major objective is represented by the improvement of life quality for Romanian people through increasing the population healt h.

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) The achievement of this desideratum will be governed by management principles established for the whole health system:  decentralization and decisional responsibility;  sustaining the competition in assuring the medical care;  general efficiency and transparency in administration and in spending the money of the tax payers. HEALTH SYSTEM

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) HEALTH SYSTEM Analyzing the pathology of the health system we can observe that the difficulties are based on:  the lack of reform  the overload with tasks  the centralization  the lack of a coherent vision.

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) The major issues of the health system are: 1.poor endowment of hospitals, bad and old apparatus; 2.high quality apparatus unused because the specialized personnel is missing from the medical unit 3.lack of the specialized personnel from certain areas considered not attractive: in primary medical care, in ambulatory care and hospitals, in the department for compensatory drugs, HEALTH SYSTEM

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) The Major Priorities are represented by actions:  for problems with immediate effect  for structural reform. HEALTH SYSTEM

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) It is necessary to ellaborate a strategy for a medicine policyAdvantages:  it will improve the accessibility to the essential drugs  it will allow the quick implementation of a social program without affecting the health security fund  the social program regarding the compensate drugs for pensioners is for those with incomes less than 600 lei, they will buy drugs 90% compensate in limits of 100 lei per person per year. HEALTH SYSTEM

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) It is necessary to ellaborate a strategy for a medicine policy Main actions:  to establish and  to update the prices at a unique yearly rate fixed in lei, correlated with the capacities purchased from the providers  generic prescription through generalization of the prescription based on International Nonproprietary Name (INN) in accordance with WHO  to improve the access to the medical services through developing a new health policy in rural areas. HEALTH SYSTEM

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) Achievment Mechanisms :  increasing the reward for the medical personnel from rural areas, areas were the health care is not present in this moment  new ways of primary assistance based on multidisciplinary teams to ensure the continuity in treatment HEALTH SYSTEM

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) Members of the primary care team :  family doctors GP  nurses, midwifes  social workers  physical-therapists. HEALTH SYSTEM

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) At local level the creation of the following is necessary : care centers, including the minor affections, with permanent personnel with average qualifications, allowing a range of activities without the need of a doctor. HEALTH SYSTEM

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) At macro-structural level organizational and decisional decentralization is needed. Means to achieve this objective: the hospitals will be subordinate to the local authorities, creating the conditions to be more responsible for those that take decisions in the field of health servicesthe hospitals will be subordinate to the local authorities, creating the conditions to be more responsible for those that take decisions in the field of health services regional hospitals, of national importance with emergency units will remain under the coordination of the Health Ministry.regional hospitals, of national importance with emergency units will remain under the coordination of the Health Ministry. HEALTH SYSTEM

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) It is necessary to develop guidelines and therapeutically protocols in collaboration with the specialists from the whole country and abroad for the most frequent affections in accordance with the international methodology. HEALTH SYSTEM

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) Guidelines and protocols will be developed for:  CV  Ischemic cardiopathy and myocardial infarction  high blood pressure  Chronic lung diseases  Breast cancer, uterine cancer, prostate cancer, col on cancer  Diabetes HEALTH SYSTEM

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) For the functioning of the informational system for family’s doctors:  to publish monthly the prescriptions on the health security site  to publish monthly the cost generated by the contract with the drug stores and medical laboratories on the health security site HEALTH SYSTEM

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) The goal of these actions is:  to increase the access to medical care and the quality of the health services through expanding the services in the rural areas  to increase the populations access to health products and services  to improve the process and costs within the system using the prevention in medical care  to increase the access to primary services that will lead to diminishing the overload with hospitals cases so the hospitals will be able to concentrate their medical, therapeutically and administrative efforts to patients that need hospital care in accordance with European medical norms, rules and proceedings HEALTH SYSTEM

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) After the dissection of the health system we can list the difficulties generated mainly by:  Lack of reform  Task overload  Centralization  Lack of a vision HEALTH SYSTEM

10/22/2015 AER Social Politics & Public Health Committee 2, Katowice ( Slaskie, PL ) Thank you for your attention! Cătălin TIUCH Timis County Council HEALTH SYSTEM