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| Romanian Public Health After the Reform 30/05/2011 |
| (2011-05-30) |
| Last updated: 2011-05-31 12:47 EET |
Referring to the restructuring and remodeling of the Romanian public health system, as well as to disbursing funds to hospitals according to their classification, Romanian Health Minister Attila Cseke says he has taken radical measures.
The much disputed restructuring of the Romanian public health system has sparked street protests of doctors and nurses, as well as people who fear the prospect of having to travel a long way to the nearest medical center. 67 hospitals were closed on April 1st during the first phase of the reform. As a solution, the ministry suggested a change in the profile of these institutions.
These were converted into nursing homes, while employees were relocated to other hospitals or instead chose to remain in their converted medical units. Several thousand people have been absorbed in the system and relocated to 217 medical centers following the restructuring. The ministry decided to redirect funding from health insurance schemes and from the state budget to cover the expenses.
Two months after the measures came into effect, Health Minister Attila Cseke reported the closure of 100 hospitals following the restructuring and conversion of hospitals. Some medical centers are on thin ice, as patients there are merely sorted out and redirected to other units, authorities claim. As of June 1st, more measures with a wide-reaching impact will come into effect. Classifying hospitals according to performance criteria will be tantamount to differentiated criteria for funding as well.
Following a thorough assessment, the Romanian Health Minister last week announced that many of these hospitals go into lower performance categories, while only 7 of the 352 public hospitals have a high performance rating, 9 in Bucharest and 1 in Timisoara, Cluj-Napoca, Targu Mures, Iasi and Constanta. Unless these hospitals tackle various problems by the end of the year, they face being reclassified as of January 2012.
As regards private hospitals, of the 94 medical centers in Romania, 66 have filed requests for classification, while 50 of them are incorporated into the last two performance categories. According to the Romanian Health Minister, the main reasons why Romanian hospitals fail to be consistent with upper performance categories are a lack of certain sectors of activity, as hospitals are not organized according to a standard structure.
On the other hand, Minister Cseke expects the Finance Ministry to sympathize with the problems in the public health system and thus make more funding available, not just for road-building, construction plans and other fields. The Romanian official has called on the Finance Ministry to support the building of regional public-private hospitals and the procurement of ambulances and emergency medical choppers.
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