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Florentina Furtunescu Elimination of Viral Hepatitis in Romania: lessons learnt and the way forward Bucharest, 17 May 2018 University of Medicine and Pharmacy Carol Davila 1 Introduction in the health care system of Romania

Introduction in the health care system of Romania...UMF "Carol Davila" Bucureşti 4 • Children • Disabled • Retired • Unemployed • Prisoners • Pregnant + , no income GDP

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Page 1: Introduction in the health care system of Romania...UMF "Carol Davila" Bucureşti 4 • Children • Disabled • Retired • Unemployed • Prisoners • Pregnant + , no income GDP

Florentina Furtunescu

Elimination of Viral Hepatitis in Romania:

lessons learnt and the way forward

Bucharest, 17 May 2018

University of Medicine and Pharmacy Carol

Davila

1

Introduction in the health

care system of Romania

Page 2: Introduction in the health care system of Romania...UMF "Carol Davila" Bucureşti 4 • Children • Disabled • Retired • Unemployed • Prisoners • Pregnant + , no income GDP

HS: Macrostructure

Catedra de Sanatate Publica si Management,

UMF "Carol Davila" Bucureşti

2

Page 3: Introduction in the health care system of Romania...UMF "Carol Davila" Bucureşti 4 • Children • Disabled • Retired • Unemployed • Prisoners • Pregnant + , no income GDP

HS: Financing Social insurance based

How well?

University of medicine and Pharmacy Carol Davila 3

Page 4: Introduction in the health care system of Romania...UMF "Carol Davila" Bucureşti 4 • Children • Disabled • Retired • Unemployed • Prisoners • Pregnant + , no income GDP

Who is paying?

Active adults

Gross monthly income

5-6 mil.

Catedra de Sanatate Publica si Management,

UMF "Carol Davila" Bucureşti

4

• Children

• Disabled

• Retired

• Unemployed

• Prisoners

• Pregnant + , no

income

Page 5: Introduction in the health care system of Romania...UMF "Carol Davila" Bucureşti 4 • Children • Disabled • Retired • Unemployed • Prisoners • Pregnant + , no income GDP

GDP allocation for health, EU

MS, 2014

Catedra de Sanatate Publica si Management,

UMF "Carol Davila" Bucureşti

5

Page 6: Introduction in the health care system of Romania...UMF "Carol Davila" Bucureşti 4 • Children • Disabled • Retired • Unemployed • Prisoners • Pregnant + , no income GDP

Health expenditure /inhabitant,

EU members 2014

Catedra de Sanatate Publica si Management,

UMF "Carol Davila" Bucureşti

6

Page 7: Introduction in the health care system of Romania...UMF "Carol Davila" Bucureşti 4 • Children • Disabled • Retired • Unemployed • Prisoners • Pregnant + , no income GDP

Who are the clients?

Catedra de Sanatate Publica si Management,

UMF "Carol Davila" Bucureşti

7

Page 8: Introduction in the health care system of Romania...UMF "Carol Davila" Bucureşti 4 • Children • Disabled • Retired • Unemployed • Prisoners • Pregnant + , no income GDP

Clients (2)

Catedra de Sanatate Publica si Management,

UMF "Carol Davila" Bucureşti

8

- 51% +

- 45% rural

Page 9: Introduction in the health care system of Romania...UMF "Carol Davila" Bucureşti 4 • Children • Disabled • Retired • Unemployed • Prisoners • Pregnant + , no income GDP

Regulatory Framework

Catedra de Sanatate Publica si Management,

UMF "Carol Davila" Bucureşti

9

Page 10: Introduction in the health care system of Romania...UMF "Carol Davila" Bucureşti 4 • Children • Disabled • Retired • Unemployed • Prisoners • Pregnant + , no income GDP

What the clients get?

Catedra de Sanatate Publica si Management,

UMF "Carol Davila" Bucureşti

10

INSURED NON-INSURED

BASIC PACKAGE OF

SERVICES:

• PREVENTION

• DIAGNOSIS

• TREATMENT

• REHABILITATION

• EMERGENCY CARE

MINIMUM PACKAGE OF

SERVICES:

• PREVENTION (SOME)

• DIAGNOSIS &

TREATMENT FOR

CDs, PREGNANCY

• EMERGENCY CARE

NATIONAL HEALTH PROGRAMS

Page 11: Introduction in the health care system of Romania...UMF "Carol Davila" Bucureşti 4 • Children • Disabled • Retired • Unemployed • Prisoners • Pregnant + , no income GDP

Who are the providers?

Catedra de Sanatate Publica si Management,

UMF "Carol Davila" Bucureşti

11

UHC: FAMILY DOCTORS – 12000

- COMMUNITY NURSES

- HEALTH MEDIATORS

OUTPATIENT SPECIALIZED

CLINICS

HOSPITALS

ACUTE

Chronic (LT)

Emergency

care

Page 12: Introduction in the health care system of Romania...UMF "Carol Davila" Bucureşti 4 • Children • Disabled • Retired • Unemployed • Prisoners • Pregnant + , no income GDP

National Health Strategy

Catedra de Sanatate Publica si Management,

UMF "Carol Davila" Bucureşti

12

Page 13: Introduction in the health care system of Romania...UMF "Carol Davila" Bucureşti 4 • Children • Disabled • Retired • Unemployed • Prisoners • Pregnant + , no income GDP

Thank you for your [email protected]

Catedra de Sanatate Publica si Management,

UMF "Carol Davila" Bucureşti

13