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The reform of the Romanian health care system: a comparative study of regional health directorates during 1990’s
Department of Economics, Göteborg University, Göteborg, Sweden. (nationalekonomi)ORCID iD: 0000-0003-4570-7504
2002 (English)In: The European Journal of Health Economics: Fourth European Conference on Health Economics: Book of Abstracts, 2002, Vol. 3 suppl, 57-57 p.Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

This paper analyses the development of the Romanian health care system at regional health directorate level since the transition in 1989. First, we outline the development of the Romanian economy and especially the reform of the health care system. Basically, the Ministry of Health coordinates the health care system through 42 regional health directorates and health care is delivered free of charge to all inhabitants in Romania, with very few exceptions (some small and private clinics). Second, we analyze the effects of the reforms in health care sector during 1990’s by exploring the variations of health care expenditures at regional health directorate level, controlling for differences in expenditures, which can be grouped into demographic and health care organization characteristics. We use health data from databases at regional health directorate level of the National Institute of Statistics. The differences between regional health directorates were analyzed by a stochastic frontier panel cost function. The results indicate significant differences in efficiency across regions, and especially between urban and rural areas. This can mainly be explained by (i) an input-oriented funding system related to the number of inhabitants, wherein the parliament set minimum levels of health service budget for each district until 1996, and (ii) the primary health care reform with a new way of financing health care in addition to the introduction of contracts between district health directorates and general practitioners (as individuals or groups), which shifted the responsibility from hospitals to the district health directorates,  and this was only piloted in 8 regional health directorates (out of 41) in 1994. 

Place, publisher, year, edition, pages
2002. Vol. 3 suppl, 57-57 p.
Keyword [en]
reform, health care system, comparative study, regional health directorates, Romania
National Category
Economics
Research subject
Economics
Identifiers
URN: urn:nbn:se:oru:diva-45648OAI: oai:DiVA.org:oru-45648DiVA: diva2:848903
Conference
Fourth European Conference on Health Economics, Paris, France, July 7-10, 2002
Available from: 2015-08-26 Created: 2015-08-26 Last updated: 2017-10-17Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf