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

The Romanian health system is mainly public financed (80.45%) through the following sources: Social Health Insurance (65%), State and Local Authorities Budget (15.45%), while the private sources (voluntary health insurance and out of pocket) adds an additional 19.55% to the public funds. The shares...

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Autores principales:	Ciprian-Paul Radu, Bogdan Cristian Pana, Daniel Traian Pele, Radu Virgil Costea
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	financing trends health system health budget hospital budget drug expenditure Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/49ae92b681d8451082a75d3a2a71b717
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id	oai:doaj.org-article:49ae92b681d8451082a75d3a2a71b717
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spelling	oai:doaj.org-article:49ae92b681d8451082a75d3a2a71b7172021-12-01T22:50:01ZEvolution of Public Health Expenditure Financed by the Romanian Social Health Insurance Scheme From 1999 to 20192296-256510.3389/fpubh.2021.795869https://doaj.org/article/49ae92b681d8451082a75d3a2a71b7172021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.795869/fullhttps://doaj.org/toc/2296-2565The Romanian health system is mainly public financed (80.45%) through the following sources: Social Health Insurance (65%), State and Local Authorities Budget (15.45%), while the private sources (voluntary health insurance and out of pocket) adds an additional 19.55% to the public funds. The shares of the types of expenditure reflect the importance of each sector in the overall health system, and trends in expenditure show the impact of financing on the health sector's structural changes. We analyzed the 20-year trend of the Social Health Insurance budget, from 1999 to 2019. The influences of the different allocations, subcategories, and new budget categories appearing over time were adjusted to reveal relevant trends. Of the 14 medical service categories and the stand-alone Administrative expenditure category, six expenditure categories including Hospital services, Total drugs, and Primary care showed stationary 20-year trends; five including Medical devices, Dialysis, and Homecare services showed ascendant trends; and four including Dentistry and Emergency services showed descendant trends. Stationary trends imply no structural changes in the health sector of relevant magnitude to impact the financing shares of major categories: hospitals, drugs, or primary care. Emerging trends related to the impact of different reforms were revealed only in the low share of expenditures categories. The allocation methodology and statistical analysis of the trends reveal a new perspective on the evolution of health sector in Romania.Ciprian-Paul RaduCiprian-Paul RaduBogdan Cristian PanaDaniel Traian PeleRadu Virgil CosteaFrontiers Media S.A.articlefinancingtrendshealth systemhealth budgethospital budgetdrug expenditurePublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	financing trends health system health budget hospital budget drug expenditure Public aspects of medicine RA1-1270
spellingShingle	financing trends health system health budget hospital budget drug expenditure Public aspects of medicine RA1-1270 Ciprian-Paul Radu Ciprian-Paul Radu Bogdan Cristian Pana Daniel Traian Pele Radu Virgil Costea Evolution of Public Health Expenditure Financed by the Romanian Social Health Insurance Scheme From 1999 to 2019
description	The Romanian health system is mainly public financed (80.45%) through the following sources: Social Health Insurance (65%), State and Local Authorities Budget (15.45%), while the private sources (voluntary health insurance and out of pocket) adds an additional 19.55% to the public funds. The shares of the types of expenditure reflect the importance of each sector in the overall health system, and trends in expenditure show the impact of financing on the health sector's structural changes. We analyzed the 20-year trend of the Social Health Insurance budget, from 1999 to 2019. The influences of the different allocations, subcategories, and new budget categories appearing over time were adjusted to reveal relevant trends. Of the 14 medical service categories and the stand-alone Administrative expenditure category, six expenditure categories including Hospital services, Total drugs, and Primary care showed stationary 20-year trends; five including Medical devices, Dialysis, and Homecare services showed ascendant trends; and four including Dentistry and Emergency services showed descendant trends. Stationary trends imply no structural changes in the health sector of relevant magnitude to impact the financing shares of major categories: hospitals, drugs, or primary care. Emerging trends related to the impact of different reforms were revealed only in the low share of expenditures categories. The allocation methodology and statistical analysis of the trends reveal a new perspective on the evolution of health sector in Romania.
format	article
author	Ciprian-Paul Radu Ciprian-Paul Radu Bogdan Cristian Pana Daniel Traian Pele Radu Virgil Costea
author_facet	Ciprian-Paul Radu Ciprian-Paul Radu Bogdan Cristian Pana Daniel Traian Pele Radu Virgil Costea
author_sort	Ciprian-Paul Radu
title	Evolution of Public Health Expenditure Financed by the Romanian Social Health Insurance Scheme From 1999 to 2019
title_short	Evolution of Public Health Expenditure Financed by the Romanian Social Health Insurance Scheme From 1999 to 2019
title_full	Evolution of Public Health Expenditure Financed by the Romanian Social Health Insurance Scheme From 1999 to 2019
title_fullStr	Evolution of Public Health Expenditure Financed by the Romanian Social Health Insurance Scheme From 1999 to 2019
title_full_unstemmed	Evolution of Public Health Expenditure Financed by the Romanian Social Health Insurance Scheme From 1999 to 2019
title_sort	evolution of public health expenditure financed by the romanian social health insurance scheme from 1999 to 2019
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/49ae92b681d8451082a75d3a2a71b717
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Evolution of Public Health Expenditure Financed by the Romanian Social Health Insurance Scheme From 1999 to 2019

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