Efficiency and Transparency of the Healthcare System in the Republic of Moldova
Automatically translated summary. The full text is available in Romanian.
A policy analysis by the Independent Think Tank “Expert-Grup” assesses the efficiency, financial sustainability and transparency of the healthcare system in the Republic of Moldova. It finds that, despite 25 years of progress, the country still lags behind Eastern Europe, and it proposes reforms to financing, hospital management and data openness.
Moldova's gap with the Eastern European average on the Healthcare Access and Quality (HAQ) index rose from 13.6 points in 1995 to 13.7 in 2015. The system looks fairly efficient relative to spending, but informal private payments are underestimated, so the result needs caution. Financing is mostly private, while service provision and regulation remain largely public, with weak patient protection and little competition. Without reform, population ageing could create a revenue deficit of about 9% by 2030 and 26% by 2050.
The study recommends indexing the per-person transfer for state-insured people, making the Ministry of Health, Labour and Social Protection the founder of all public hospitals, and regionalising hospital services. Transparency stands at 36%, against 74% in Denmark, and over 10 thousand collected datasets are not public. Open data, a strategic approach, political will and a patient focus are needed, along with action on the unprecedented shortage of medical staff.
Recent publications from Public finance
See all
State-Owned Companies: Inquiry Committee Report Confirms a Worrying Diagnosis and Proposes an Action Plan That Can No Longer Be Postponed
Moldova must launch a broad fiscal consolidation reform to bring the budget deficit within manageable limits
Monitoring Report on the Implementation of the State Property Management Strategy for State-Owned Enterprises and Companies with Fully or Majority State Capital
