Upload
others
View
6
Download
0
Embed Size (px)
Citation preview
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
HS: Macrostructure
Catedra de Sanatate Publica si Management,
UMF "Carol Davila" Bucureşti
2
HS: Financing Social insurance based
How well?
University of medicine and Pharmacy Carol Davila 3
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
GDP allocation for health, EU
MS, 2014
Catedra de Sanatate Publica si Management,
UMF "Carol Davila" Bucureşti
5
Health expenditure /inhabitant,
EU members 2014
Catedra de Sanatate Publica si Management,
UMF "Carol Davila" Bucureşti
6
Who are the clients?
Catedra de Sanatate Publica si Management,
UMF "Carol Davila" Bucureşti
7
Clients (2)
Catedra de Sanatate Publica si Management,
UMF "Carol Davila" Bucureşti
8
- 51% +
- 45% rural
Regulatory Framework
Catedra de Sanatate Publica si Management,
UMF "Carol Davila" Bucureşti
9
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
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
National Health Strategy
Catedra de Sanatate Publica si Management,
UMF "Carol Davila" Bucureşti
12
Thank you for your [email protected]
Catedra de Sanatate Publica si Management,
UMF "Carol Davila" Bucureşti
13