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EPMA Journal

, Volume 2, Issue 4, pp 341–350

First Online: 21 December 2011Received: 24 November 2011Accepted: 24 November 2011DOI: 10.1007-s13167-011-0135-5

Cite this article as: Spiru, L., Traşcu, R.I., Turcu, I. et al. EPMA Journal 2011 2: 341. doi:10.1007-s13167-011-0135-5


Although Romania has a long-lasting tradition in organized medical healthcare, in the last two decades the Romanian healthcare system has been undergoing a perpetual transition with negative effects on all parties involved. The lack of long-term strategic vision, the implementation of initiatives without any impact studies, hence the constant short-term approach from the policy makers, combined with the -inherited- low allocation from GDP to the healthcare system have contributed significantly to its current evolution. Currently, most measures taken are of the -fire-fighting- type, rather than looking to the broader, long time perspective. There should be no wonder then, that predictive and preventive services do not get the proper attention and support. Patient and physicians should step in and take action in regulating a system that was originally designed for them. But until this happens, the organizations with leadership skills and vision need to take action—and this has already started.

KeywordsHealthcare system Predictive diagnostics Prevention Personalized medicine Brain aging Public health AbbreviationsGDPGross domestic product

NHIHNational health insurance house

MoHMinistry of health

PPPMPredictive, preventive and personalized medicine

RCoPRomanian college of physicians

PNESSThe national program for evaluating the health status of Romanians Programul National de Evaluare a Starii de Sanatate

FNUASSThe national fund for social and health insurance Fondul National Unitar de Asigurari Sociale si de Sanatate

CVDCardiovascular diseases

HPVHuman papilloma virus

L. Spiru is National Representative of EPMA in Romania

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Autor: Luiza Spiru - Răzvan Ioan Traşcu - Ileana Turcu - Mircea Mărzan


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