The emerging markets in CE, SE and Eastern Europe include Romania, Poland, Hungary, Turkey, Serbia.

The emerging markets in CE, SE and Eastern Europe include Romania, Poland, Hungary, Turkey, Serbia.
The emerging markets in CE, SE and Eastern Europe include Romania, Poland, Hungary, Turkey, Serbia, Lithuania.

Tuesday, 9 September 2014

The healthcare system in Romania

The budget assigned in Romania for the public healthcare system has recorded approximately 6.2 billion EUR in 2013, representing 4.4% of the GDP, up by 0.4% compared to 2012. 

The health care in Romania is organised in two different systems: the public system, which is financed mainly through the social health insurance contributions, and a smaller private system, where patients pay for health services.

The social health insurance system in Romania is the main financing system for the population’s healthcare that provides access to a basic package for the insured individuals: medical consultations, prescriptions or basic hospital care. 

The National Health Insurance House is the public, autonomous institution of national interest, with legal identity, whose main activity is to ensure consistent and coordinated operation of the social health insurance system in Romania.

The Romanian citizens pay mandatory contributions out of their salaries to the national social health insurance fund. The following categories are insured without having to pay any contribution: 
- children of 18 years and under; 
- individuals of 26 years and under if in higher education; 
- war veterans, widows and invalids; 
- disabled people without incomes; 
- pregnant women and women who have recently given birth, if they do not have incomes or their income is lower than the national gross minimum wage

The primary medical assistance in Romania is provided by the family doctors or the General Practitioners (GP) and by various practitioner partnerships, ordinary practices or clinics. The GPs provide medical services such as: first aid in medical and surgical emergency, assistance in emergency situations, monitoring chronic diseases or preventive medical care. There are approximately 11,400 GPs in Romania and the average list of registered patients is 1,600. The number of GP’s consultations is approximately 50 million per year with an additional 2.5 million home visits.

Citizens of other EU countries visiting Romania can access the public healthcare system if they hold a European Health Insurance Card from their home country.

The Romanian health sector is in an on-going process of reorganisation which targets the implementation of an integrated computer system and the introduction of the National Health Card and the Patient’s Electronic Record. 

Compulsory starting with January 2013, the electronic prescription represents a big step in the modernisation of the Romanian health sector. The implementation of the Electronic Prescription IT System, developed for the Romanian National Health Insurance House, improves the drug release process, provides a real-time monitoring of the domestic drug consumption and substantially reduces potential errors and fraud.

In Romania, the public health system development is supported by World Bank-sponsored projects. The Second Health Sector Reform Project - APL 2 has been approved for the period December 2004 - December 2013. Its objectives have been to provide more accessible services, of increased quality and with improved health outcomes for maternity and newborn care and emergency medical care and to provide support for the preparation of the primary health care strategy. The total project cost is estimated at 206.5 million USD.

The structural funds in the medical sector in Romania have been administrated through the Regional Operating Programme 2007 - 2013, the Priority Axis 3 (Improvement of the social infrastructure), the Key Area of Intervention 3.1 (Rehabilitation, modernisation and equipping of the health services’ infrastructure). Various public providers of medical services (such as Deva County Hospital, Sibiu County Hospital, Targoviste County Hospital etc) have made investments using funds from the Key Area of Intervention 3.1. 

In Romania, there are the following programmes financed from the public budget:

1. Community public health programme:

  • Supervision and control of HIV / AIDS – this is performed in the Institute for Infectious Diseases “Prof. Dr. Matei Bals” in Bucharest, the Hospital for Infectious Diseases and Tropical Diseases “Victor Babes” in Bucharest and medical units with departments able to treat HIV / AIDS patients
  • Supervision and control of tuberculosis – this is performed in the Institute for Pneumology “Prof. Dr. Marius Nasta” in Bucharest, the network of pneumology units and medical units belonging to ministries that have own medical network


2. Programme for prevention and control of non-contagious diseases:

  • Prevention and control of cardiovascular disease - this is performed in the Institute of Cardiovascular Diseases “Prof. Dr. C.C. Iliescu” in Bucharest, the Heart Institute “Prof. Dr. Niculae Stancioiu” in Cluj-Napoca, the Institute of Cardiovascular Diseases in Timisoara, the Institute of Cardiovascular Disease and Transplantation in Targu Mures, the County Clinical Emergency Hospital in Targu Mures, the Centre of Cardiology in Iasi, the Centre of Cardiology in Craiova, the Floreasca Emergency Hospital in Bucharest, the Bucharest University Clinical Hospital, the Clinical Hospital “Sf. Ioan” in Bucharest, the County Hospital in Baia Mare and the medical units belonging to ministries that have own medical network
  • Prevention and control of oncological pathology - this is performed in the Oncological Institute “Prof. Dr. Alexandru Trestioreanu” in Bucharest, the Oncological Institute “Prof. Dr. I. Chiricuta” in Cluj Napoca, the medical units with departments able to treat patients with oncological diseases and the medical units belonging to ministries that have own medical network
  • Prevention and early diagnosis in other neurological diseases- this is performed in the Bucharest University Clinical Hospital, the Emergency Central Military Hospital “Carol Davila” in Bucharest, the Colentina Clinical Hospital in Bucharest, the Emergency County Clinical Hospital in Targu Mures, the Emergency Clinical Hospital no. 1 “Sf. Spiridon” in Iasi, the Institute of Cerebrovascular Diseases “Prof. Dr. Vlad Voiculescu” in Bucharest
  • Prevention and control of diabetes and other nutrition diseases – this is performed in the Institute of Diabetes, Nutrition and Metabolic Diseases “Prof. Dr. N. Paulescu” in Bucharest, the medical units with departments able to treat patients with diabetes and the medical units belonging to ministries that have own medical network
  • Prevention in nephrology pathology and dialysis – this is performed in the specialised medical units, the pilot centres and the medical units belonging to ministries that have own medical network
  • Prevention and control of haemophilia and thalassemia – this is performed in the National Institute of Haematology Transfusion “Prof. Dr. C.T. Nicolau” in Bucharest, the Fundeni Hematology Clinic in Bucharest, the Pediatric Clinic Fundeni in Bucharest, the Institute for Mother and Child Health “Prof. Dr. Rusescu” in Bucharest, the medical units with paediatric and haematology departments and the medical units belonging to ministries that have own medical network
  • Prevention in endocrine pathology – this is performed in the Institute of Endocrinology “C.I. Parhon” in Bucharest, the Elias Clinical Emergency Hospital in Bucharest, the specialised medical units and the medical units belonging to ministries that have own medical network
  • Prevention in traumatology and orthopaedics – this is performed in the specialised medical units and the medical units belonging to ministries that have own medical network
  • Transplantation of organs and tissues – this is performed in the specialised medical units and the medical units belonging to ministries that have own medical network


In regards to the TB fight, in Romania there are operating 3 national plans:

  • National Strategy for Tuberculosis Control 2013 - 2017
  • National Plan for the Prevention and Management of Multidrug Resistant Tuberculosis 2012 - 2015
  • National Plan for Tuberculosis Transmission Control
More details in our DEMO report: http://www.frdcenter.ro/assets/Romania-Health-and-Pharma-market-2014-DEMO-by-FRD-Center.pdf


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