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Ï»¿How Effective Are The Hospitals In Romania? An Assessment Of Six Hospital Units In The West Of The Country

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  • Sebastian MEZEI

    ("Lucian Blaga" University of Sibiu)

Abstract

It is known that Romania allocates the lowest amounts for health each year, relative to GDP, relative to the other member countries of the European Union, and we can speak of a chronic underfunding of the health system. Even though the percentage of GDP allocated to health is low, over time, the amounts spent on health have increased substantially, influenced by the growth of gross domestic product. However, although the amounts spent on health have been increasing in the last 11 years, the population's perception towards the Romanian health system is unsatisfactory, and the population does not always have access to quality or high-performance medical services. Almost half of the health expenditures in Romania are consumed by hospital units, and a quarter of the allocated budget is directed to pharmaceutical units and other providers of medical goods. The present work carries out a qualitative and quantitative research of the indicators of six hospital units in the west of the country, over a period of 11 years (2012 - 2022), with the aim of analyzing how efficiently the financial resources allocated to the analyzed hospital units are used. The conclusions of the present study show us that the majority proportion of expenditures in hospital units is represented by personnel expenses, respectively operation, and the budget available for capital expenditures remains at a very low level, which leads to the impossibility of ensuring the investments necessary to increase the quality of the medical services offered.

Suggested Citation

  • Sebastian MEZEI, 2023. "Ï»¿How Effective Are The Hospitals In Romania? An Assessment Of Six Hospital Units In The West Of The Country," Annales Universitatis Apulensis Series Oeconomica, Faculty of Sciences, "1 Decembrie 1918" University, Alba Iulia, vol. 2(25), pages 1-3.
  • Handle: RePEc:alu:journl:v:2:y:2023:i:25:p:3
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    1. Endrei, Dóra & Zemplényi, Antal & Molics, Bálint & Ágoston, István & Boncz, Imre, 2014. "The effect of performance-volume limit on the DRG based acute care hospital financing in Hungary," Health Policy, Elsevier, vol. 115(2), pages 152-156.
    2. Clemens, Timo & Michelsen, Kai & Commers, Matt & Garel, Pascal & Dowdeswell, Barrie & Brand, Helmut, 2014. "European hospital reforms in times of crisis: Aligning cost containment needs with plans for structural redesign?," Health Policy, Elsevier, vol. 117(1), pages 6-14.
    3. Matthias Staat, 2006. "Efficiency of hospitals in Germany: a DEA-bootstrap approach," Applied Economics, Taylor & Francis Journals, vol. 38(19), pages 2255-2263.
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    More about this item

    Keywords

    health expenditure; financing of hospitals; efficiency of hospital units;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • P43 - Political Economy and Comparative Economic Systems - - Other Economic Systems - - - Finance; Public Finance

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