MECHANISMS OF STEWARDSHIP IN THE ROMANIAN HEALTH SYSTEM IN THE DECENTRALIZATION CONTEXT
Abstract:
In 2010, on the background of the economical crisis, the Romanian health policy focused on
decentralizing hospitals. The present study is based on a literature review and has as aim to present the
term of “stewardship” and to the possible influences of the decentralization process on this vital
function of the health systems. The stewardship mechanisms are shown by specific field and some
considerations are done in relation to the Romanian health system. The decentralization of the hospitals
management could have a favorable impact on reaching the consensus and on self-regulating
mechanisms, but it raise questions related to the capacity to implement or enforce the regulation, the
local planning capacity and the “intelligent” use of information. The monitoring of the inputs, processes
and outputs at hospitals’ level is necessary in order to insure the equity, the access and the quality of the
health services for all the citizens.
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