Author:
Radu Ciprian-Paul,Pana Bogdan Cristian,Pele Daniel Traian,Costea Radu Virgil
Abstract
The Romanian health system is mainly public financed (80.45%) through the following sources: Social Health Insurance (65%), State and Local Authorities Budget (15.45%), while the private sources (voluntary health insurance and out of pocket) adds an additional 19.55% to the public funds. The shares of the types of expenditure reflect the importance of each sector in the overall health system, and trends in expenditure show the impact of financing on the health sector's structural changes. We analyzed the 20-year trend of the Social Health Insurance budget, from 1999 to 2019. The influences of the different allocations, subcategories, and new budget categories appearing over time were adjusted to reveal relevant trends. Of the 14 medical service categories and the stand-alone Administrative expenditure category, six expenditure categories including Hospital services, Total drugs, and Primary care showed stationary 20-year trends; five including Medical devices, Dialysis, and Homecare services showed ascendant trends; and four including Dentistry and Emergency services showed descendant trends. Stationary trends imply no structural changes in the health sector of relevant magnitude to impact the financing shares of major categories: hospitals, drugs, or primary care. Emerging trends related to the impact of different reforms were revealed only in the low share of expenditures categories. The allocation methodology and statistical analysis of the trends reveal a new perspective on the evolution of health sector in Romania.
Subject
Public Health, Environmental and Occupational Health
Reference18 articles.
1. The Evolution of FNUASS Expenses 1999-2019
2. Romania: health system review1172
VlădescuC
ScînteeG
OlsavszkyV
AllinS
MladovskyP
Health Syst Transit.102008
3. The Health Systems and Policy Monitor, Country Page/Romania
4. Romanian Generic Drugs Association Asks for an Increase in the Drugs Budget
Cited by
9 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献