People’s health does not have a political colour but it significantly influences our country’s future. Romania needs implementing a national healthcare strategy that considers healthcare spending as an investment in the coming generations.
The main approaches of the construction need to be evidence-based medicine and health in all public policies.
State guarantee of the access of healthcare services and therefore, their quality assurance, implies the responsibility of the state to efficiently spend the collected funds. Correspondingly there is also individual responsibility consisting of a healthy lifestyle in order to raise the quality of living and implicitly reduce stress on the healthcare system.
Investing in healthcare means investing in education for healthcare, in human resources and in the sanitary infrastructure. Romania needs a sanitary system freed of corruption and clearly regulated, that does not justify nor encourage corruption.
We need a healthcare system that rewards value, stimulates performance, we need well trained and well paid medical personnel to whom patients have the right to request honesty, integrity and quality service.
A healthy population is firstly an informed population. To achieve this, we need an increased level of awareness, motivation and education regarding the benefits of a healthy lifestyle, equal access to multi-annual Community programmes for healthcare and education for healthcare as well as inter-sector and inter-institution efficient collaboration.
Education for healthcare applies to the whole population with an emphasis on children and teenagers as it is necessary the earliest to start being aware of the importance of prevention and of a healthy behaviour. Correspondingly the underprivileged groups are to be focused on.
Our resolution to improve the global governance for healthcare and to develop efficient healthcare politics and programs is confirmed by our entering into the Agreement on Biannual Collaboration between World Health Organization, in the presence of Ms. Zsuzsanna Jakab, Director of the Regional Office for Europe, and the Romanian Healthcare Ministry during the event named “Health Promotion and Education for Healthcare – Dialogue on Politics”.
We are living in a global, interconnected society, with free information access and multiple informative sources, in a world in which health threats occur everywhere: nutrition, stress, pollution, unawareness of health risks associated to different types of lifestyle. Education is the only filter children have. This is their foremost protection against risks and uncertainties of their current living.
It is already widely known that the most common diseases of the modern society can be avoided through prevention. We must admit that more and more Romanians are aware of the importance of prevention, of a healthy lifestyle and of being informed so that to take greater responsibility for their own health. This rising awareness in the individual needs to be backed and encouraged by the authorities’ efforts.
I advance prevention as the healthcare politics top priority and I do believe that education in this respect, down to the earliest childhood, represents the path to a more prosperous society.
The possibility that the patients be involved in their own healthcare has evolved during the latest decades and the comprehension of this new role of the patient is one of the bases of healthcare system success. It is important that the patients be aware of their rights and the other participants in the medical act relate to them respectfully and responsibly.
Unfortunately, when comparing to other European countries, the Romanians state dissatisfaction as regards our sanitary system.
Throughout the years, the public authorities in charge have drawn up strategies and plans or attempted to take measures to improve the system. Unfortunately, as in the case of other fields, we didn’t and don’t lack in theories and plans but in connecting to reality, in persisting on putting them into practice and carrying them out.
A real reformation of the system cannot be fulfilled ignoring the patients or just formally consulting with the patient associations. On the contrary, the reform needs being started transparently from the patient’s needs and expectations.
The exodus of the medical personnel is one of the major Romania’s challenges at present taking into consideration that the human resource is a key component of any sanitary system. The fact that the medical personnel have been leaving the country reveals the vulnerabilities of the Romanian sanitary system which do not refer only to how the public budget, too little as it is, is spent but to the frequent changes in legislation, to organising and managing or to partial or circumstantial solutions for chronic problems. The sanitary system in fact reveals a multiple sided and differently true reality.
We cannot solve this system’s problems without a sanitary infrastructure, without a fair and efficient management of the public spending, without respect for the proficiency and without offering opportunities to the young doctors and nurses. A complex of factors and measures is to be worked out on every component mentioned above, in a rigorous planning by stages, starting from a long-term goal. And if, subsequently to such an approach, a part of the emigrant sanitary personnel come back to Romania enriched with knowledge, expertise, capital, it will be a great asset for the entire society.