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The Romanian Health and Social Care System - Funding Arrangements and Approach to Social and Medical Care Delivery
Bertha SANDULEASA

Last modified: 2016-10-07

Abstract


Demographic ageing brings us opportunities, but it also affects important issues of social sustainable development such as social assistance system or medical care system [Wang, 2010]. As a European Union member state, Romania experiences a slow but steady demographic ageing process. According to Eurostat, 17% of the total population was represented by elderly (65 years and over) in 2015. Given the multitude of factors generating demographic ageing (the decline in birth rates, the rise of life expectancy, the external migration flow), this looks like an inevitable trend for which Romanian policy makers must take appropriate measures to promote sustainable development, knowing that the total need for elder care (both social and medical) increases with the number of older people. National statistics show that, among the eight social protection functions, disease and old age have the highest shares in GDP (gross domestic product). The paper describes the health and social care system in Romania in terms of public expenditure and relations developed between different providers of medical and social care services within the system, in the context of budgetary austerity generated by the global economic crisis. The analysis reveals a series of weaknesses concerning both the financial resource allocation within the system, and the relations developed between providers of social and medical care services in Romania.

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