Evolution of Public Health Expenditure Financed by the Romanian Social Health Insurance Scheme From 1999 to 2019

Radu, Ciprian-Paul; Pană, Bogdan; Pele, Daniel Traian; Costea, Radu

doi:10.3389/fpubh.2021.795869

Cited by 13 publications

(15 citation statements)

References 6 publications

(6 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…H1: The budgetary revenues from social assistance, under pandemic conditions, may be affected until the trend function changes in inverse proportion to budgetary revenues in the healthcare sector. This hypothesis is supported by a number of research studies ( 4 , 15 , 17 , 24 – 34 ) and is in line with Research Objective 1.…”

Section: Methodssupporting

confidence: 81%

“…Some authors ( 4 ) highlight the fact that the medical system in Romania is strongly supported from public sources, the private contribution being around 20%. The authors make a forecast of the Social Health Insurance budget, which turns out to be on a strong upward trend.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Preventive activities, emergency services and National Health Programmes are financed by the Ministry of Health from the state budget allocated to the Ministry and from the Ministry's own revenues. Infrastructure expenditure is provided through the budgets of ministries and other central authorities for their own healthcare networks ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

“…In this context, the financing of the healthcare system has gone through a continuous process of restructuring and improvement based on objectives proposed by the governing bodies. These objectives aimed at improving the management of the social healthcare insurance system, increasing the effectiveness of the National Health Insurance Fund (NHIF), improving access to healthcare services, increasing the coverage of services, improving the quality of medical care and legislative harmonisation in the healthcare segment in Romania ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Approaches related to the effects of Covid-19 pandemics on financing of the healthcare system in Romania

Antohi

Ionescu²,

Zlati³

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

BackgroundThe healthcare financial system faced a significant disturbance of the budget balance after the outbreak of the pandemic, amid government measures to combat the disease. These measures have led to shifts in funding weights within the income and expenditure budget structure, with a focus on prevention and treatment of patients infected with SARS-COV 2. The purpose of this research is to analyse the financial balance of the healthcare system and the related modelling to support decision-makers in adopting and implementing appropriate financing measures for the pandemic.MethodsThe working hypotheses of this study were tested using an econometric linear regression model based on the financing budgetary function, which matches funding to the specific need for each expenditure heading. SPSS 25 statistical software was used to define the model and to test the homogeneity of the data and their statistical relevance to the phenomenon under analysis.ResultsThe proposed model showed that there is a significant correlation of the dependent variable, Dynamics of budget revenues in the healthcare sector (TIM), with the regressors. We believe that a problem-solving rebalancing of allocations could help to eliminate the synergy in health. This redistribution should take into account the impact that economic and budgetary factors have on healthcare factors and vice versa, so that at some point after successive adjustments the minimum distance between forecast and realisation or between need and financing of need can be reached. The used data were analysed dynamically to assess changes in trend as absolute data do not allow the construction of an overall picture. Relative data captures changes in financing from year to year and can be linked to events such as pandemics, financial crises or inflation.ConclusionsIn relation to the objectives of the research, it emerges that, under the impact of pandemic stress, measures to improve healthcare management, increase performance and streamline financial allocation are vulnerable and cannot counteract the effects that the pandemic has on the healthcare of the population as reflected in the morbidity and mortality indicators collected during the pandemic. In this regard, it is necessary a rethinking of the strategic healthcare management, a better planning of the procurement of medicines and healthcare supplies, a rethinking of the partnerships with the European Commission and other global entities. This approach can effectively improve the impact of the pandemic on the healthcare status of the population, a rebalancing of the demand-supply balance in healthcare and a maintenance of the strategic programmes, according to the objectives assumed in the planning, given that these programmes protect categories of people already medically affected.

show abstract

Section: Methodssupporting

confidence: 81%

Section: Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Approaches related to the effects of Covid-19 pandemics on financing of the healthcare system in Romania

Antohi

Ionescu²,

Zlati³

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…A study in Romania exploring health expenditure during 2009–2019 revealed an almost 5–15-fold increase in 5 years (after 2015), except for dentistry and multifunctional medical centers expenditures, where the increase was about 1–2-fold [ 35 ]. High-income countries with a higher value of GDP per capita spend more on healthcare in absolute terms [ 36 ], thus covering expensive technology and treatment due to an ageing population [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Analysis of Healthcare Expenditures in Bulgaria

et al. 2022

View full text Add to dashboard Cite

The growth of public expenditure worldwide has set the priority on assessment of trends and establishment of factors which generate the most significant public costs. The goal of the current study is to review the tendencies in public healthcare expenditures in Bulgaria and to analyze the influence of the demographic, economic, and healthcare system capacity indicators on expenditures dynamics. A retrospective, top-down, financial analysis of the healthcare system expenditures was performed. Datasets of the National Statistical Institute (NSI), National Health Insurance Fund (NHIF), and National Center of Public Health and Analysis (NCPHA) were retrospectively reviewed from2014–2019 to collect the information in absolute units of healthcare expenditures, healthcare system performance, demographics, and economic indicators. The research showed that increasing GDP led to higher healthcare costs, and it was the main factor affecting the cost growth in Bulgaria. The number of hospitalized patients and citizens in retirement age remained constant, confirming that their impact on healthcare costs was negligible. In conclusion, the population aging, average life expectancy, patient morbidity, and hospitalization rate altogether impacted healthcare costs mainly due to the multimorbidity of older people and the rising need for outpatient hospital services and medications.

show abstract