A health system focused on citizen’s needs. Romania. Financing, organization and drug policy. Solutions (II)

Cristian Vlădescu, Vasile Astărăstoae, Silvia Gabriela Scîntee

Abstract


The solutions recommended by the Presidential Commission for the improvement of the healthcare system financing are focused on three main directions: increasing the level of funding for the Romanian healthcare sector; development of a healthcare resource allocation system based on transparent criteria and medical evidence; introduction and support of payment mechanisms based on efficiency and quality of care. To rectify the deficiencies related to the organization of the health system the Commission recommended the following: reorganization of the health care system with organizational and decisional decentralization; development of the quality assurance system in the healthcare field; redesign of the healthcare information system. The interventions proposed by the Commission for the rationalization of drug consumption and the improvement of the cost-efficiency in this field are: improvement of the process of establishing the content of the reimbursed medicines list; adjustment of the reimbursement and pricing rules in order to ensure a cost-efficient use of public resources; development of a monitoring system for medicines prescribing and dispensing, correlated with incentives for rational use of medicines.

References


Casa Naţională de Asigurări Sociale de Sănătate, Raport de Activitate pentru anul 2009, Disponibil pe: http://www.cnas.ro/informatii-publice/rapoarte-de-activitate [Accessed on 05.08.2010]

Commission of the European Communities, WHITE PAPER Together for Health: A Strategic Approach for the EU 2008 – 2013, Brussels, 23.10.2007 COM(2007) 630 final Available at: http://ec.europa.eu/health-eu/doc/whitepaper_en.pdf [Accessed on 26.07.2010]

The Council of the European Union, Council Conclusions on Common values and principles in European Union Health Systems, Official Journal of the European Union, (2006/C 146/01), Available at: http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:

C:2006:146:0001:0003:EN:PDF [Accessed on 26.07.2010]

The European Parlament and the Council of the European Union, DECISION No 1350/2007/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 23 October 2007 establishing a second programme of Community action in the field of health (2008-13), Official Journal of the European Union, (2007/L 301/3), Available at: http://eur-ex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2007:301:0003:0013:EN:PDF

[Accessed on 26.07.2010]

Saltman R., Bankauskaite V., Vrangbaek K. (eds.), Decentralization in Health Care: Strategies and Outcomes, European Observatory on Health Systems and Policies, 2007 Available at: http://www.euro.who.int/__data/assets /pdf_file/0004/98275/E89891.pdf [Accessed on 04.08.2010]

Vlădescu C., Astărăstoae V., Scîntee S. G., Un sistem sanitar centrat pe nevoile cetăeanului. România. Analiză de situaăie (I), Revista Română de Bioetică, vol. 8, nr. 2, aprilie-iunie, 2010, Available at: http://www.bioetica.ro/bioetica/ie2/navigation.jsp?node=

[Accessed on 28.07.2010]

Vlădescu C., Pascu O., Astărăstoae V. şi colab., Raportul Comisiei Prezidenăiale pentru Analiza şi Elaborarea Politicilor din Domeniul Sănătăţii Publice din România, Bucureşti, Available at: http://www.presidency.ro/static/ordine/COMISIASANATATE/

UN_SISTEM_SANITAR_CENTRAT_PE_NEVOILE_CETATEANULUI.pdf, 2008 [Accessed on 23.07.2010]

World Health Organization (WHO), The World Health Report 2000 - Health Systems: Improving Performance, Geneva, 2000.


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