1. University of Medicine and Pharmacy of Târgu Mure First author: Claudiu Neagu Coordinator: Corneliu Florin Buicu

2.  Public health indicators displayed the true efficiency and state of healthcare systems.  Comparison of the healthcare system in Romania and other 12 EU Member States (Austria, Denmark, Estonia, Finland, France, Hungary, Malta, The Netherlands, Slovenia, Spain, Sweden, UK)

3.  We used the comparison of various indicators for the system financing, performance indicators and indicators of the workforce for Romania and 12 EU Member States, using international databases or reports of Romanian indicators to various international institutions.

4.  During the studied period Romania was the last place at financing, with an increase of the co-payments percentage in 2004 ( 2nd place) but with a return to the initial value (6th place).  Total health expenditure as % of GDP 2000200420082010 U. E. Average 7.83%8.68%8.67%9.54% Romania 4.30%5.46%5.44%5.95%

5.  Total health expenditure, PPP$ per capita.  Percentage of public sector health expenditure on total health expenditure. 2000200420082010 U. E. Average 1946255530313253 Romania 248479.1814.7881.3 2000200420082010 U. E. Average 75.25%75.36%77.89%77.26% Romania 81.20%74.60%82%80.33%

6.  Total expenditure on inpatient care as % of total health expenditure.  Pharmaceutical expenditure, PPP$ per capita.  Private households’out-of-pocket payment on health as % of total health expenditure. 2000200420082010 U. E. Average 35.42%33.00%35%34.83% Romania 37.60%35.50%40.40% 2000200420082010 U. E. Average 290.7376.4457.3443.5 Romania 32.2481.5135.2 2000200420082010 U. E. Average 17.66%17%16.43%17.28% Romania 18.80%24.20%17.65%19.24%

7.  Performance indicators are maintained in plateau with elevated values for the number of acute care admissions, acute care hospital beds and average length of stay for acute care (bed-days).  Acute care hospital beds per 100,000 inhabitants. 2000200420082010 U. E. Average 392.35354.71324.90313.09 Romania 537.90443.50451.00433.03

8.  Acute care admissions/discharges per 100 inhabitants.  Average length of stay per acute care hospitals (bed-days). 2000200420082010 U. E. Average 16.3616.0915.8715.76 Romania 22.4024.50 2000200420082010 U. E. Average 6.415.985.725.52 Romania 8.808.107.60

9.  It can be observed a maintaining in plateau of the number of physicians and nurses throughout the period ( the last respectively penultimate place) and the number of graduated physicians and graduated nurses ( 2nd place) followed by a decrease in 2008 (4th place).

10.  Physicians per 100,000 inhabitants.  Physicians graduated per 100,000 inhabitants. 2000200420082010 U. E. Average 286.83309.74322.08331.11 Romania 192.80208.10221.50238.50 2000200420082010 U. E. Average 10.0810.2611.4212.11 Romania 14.6015.5611.8213.53

11.  Nurses per 100,000 inhabitants.  Nurses graduated per 100,000 inhabitants. 2000200420082010 U. E. Average 742.23795.38861.12856.61 Romania 543.60560.30573.30545.60 2000200420082010 U. E. Average 38.9040.7139.5237.46 Romania 57.9057.9753.4460.55

12.  Although the financing of healthcare services increased, it can be observed a continuing attempt to reduce the expenses for the medical and pharmaceutical services at EU level. It is necessary a reduction of the acute care hospital beds and a policy to maintain the healthcare professionals in Romania for a better coverage of the population with health services

13.  Questions?  Thank you for your patience!