COMPARISON OF THE EVOLUTION OF HEALTHCARE SYSTEMS IN THE CASE

OF SOME EU COUNTRIES AND ROMANIA DURING THE ECONOMIC

AND FINANCIAL CRISIS

University of Medicine and Pharmacy of Târgu MureșFirst author: Claudiu NeaguCoordinator: Corneliu Florin Buicu

Background Public health indicators displayed the true

efficiency and state of healthcare systems.

Comparison of the healthcare system in Romania and other 12 EU Member States (Austria, Denmark, Estonia, Finland, France, Hungary, Malta, The Netherlands, Slovenia, Spain, Sweden, UK)

Objective

Material and Method

We used the comparison of various indicators for the system financing, performance indicators and indicators of the workforce for Romania and 12 EU Member States, using international databases or reports of Romanian indicators to various international institutions.

Results

During the studied period Romania was the last place at financing, with an increase of the co-payments percentage in 2004 ( 2nd place) but with a return to the initial value (6th place).

Total health expenditure as % of GDP 2000 2004 2008 2010

U. E. Average 7.83% 8.68% 8.67% 9.54%

Romania 4.30% 5.46% 5.44% 5.95%

Results Total health expenditure, PPP$ per capita.

Percentage of public sector health expenditure on total health expenditure.

2000 2004 2008 2010

U. E. Average 1946 2555 3031 3253

Romania 248 479.1 814.7 881.3

2000 2004 2008 2010

U. E. Average 75.25% 75.36% 77.89% 77.26%

Romania 81.20% 74.60% 82% 80.33%

Results Total expenditure on inpatient care as %

of total health expenditure.

Pharmaceutical expenditure, PPP$ per capita.

Private households’out-of-pocket payment on health as % of total health expenditure.

2000 2004 2008 2010U. E. Average 35.42% 33.00% 35% 34.83%Romania   37.60% 35.50% 40.40%

2000 2004 2008 2010U. E. Average 290.7 376.4 457.3 443.5Romania 32.24 81.5 135.2  

2000 2004 2008 2010

U. E. Average 17.66% 17% 16.43% 17.28%

Romania 18.80% 24.20% 17.65% 19.24%

Results Performance indicators are maintained in

plateau with elevated values for the number of  acute care admissions, acute care hospital beds and average length of stay for acute care (bed-days).

Acute care hospital beds per 100,000 inhabitants.

2000 2004 2008 2010

U. E. Average 392.35 354.71 324.90 313.09

Romania 537.90 443.50 451.00 433.03

Results

Acute care admissions/discharges per 100 inhabitants.

Average length of stay per acute care hospitals (bed-days).

2000 2004 2008 2010

U. E. Average 16.36 16.09 15.87 15.76

Romania 22.40 24.50    

2000 2004 2008 2010

U. E. Average 6.41 5.98 5.72 5.52

Romania 8.80 8.10 7.60  

Results

It can be observed a maintaining in plateau of the number of physicians and nurses throughout the period ( the last respectively penultimate place) and the number of graduated physicians and graduated nurses ( 2nd  place) followed by a decrease in 2008 (4th place).

Results

Physicians per 100,000 inhabitants.

Physicians graduated per 100,000 inhabitants.

2000 2004 2008 2010

U. E. Average 286.83 309.74 322.08 331.11

Romania 192.80 208.10 221.50 238.50

2000 2004 2008 2010

U. E. Average 10.08 10.26 11.42 12.11

Romania 14.60 15.56 11.82 13.53

Results

Nurses per 100,000 inhabitants.

Nurses graduated per 100,000 inhabitants.

2000 2004 2008 2010

U. E. Average 742.23 795.38 861.12 856.61

Romania 543.60 560.30 573.30 545.60

2000 2004 2008 2010

U. E. Average 38.90 40.71 39.52 37.46

Romania 57.90 57.97 53.44 60.55

Conclusions

Although the financing of healthcare services increased, it can be observed a continuing attempt to reduce  the expenses for the medical and pharmaceutical services at EU level. It is necessary a reduction of the acute care hospital beds and a policy to maintain the healthcare professionals in Romania for a better coverage of the population with health services

The End!

Questions? Thank you for your

patience!