摘要：Difficulties of Romanian healthcare system generated by “Semasko inheritance”, a decision making process not properly substantiated, inadequate administration of resources, continuous change of regulations, health reform discontinuity, poor endowment of many health facilities and migration of medical personnel, within the low economic development in comparison with EU and country potential, have a significant impact on health services utilization and consequently, on population health status. Although social health insurance fund increased 10 times during 1999 to 2008, its positive effects on health system and health status can hardly be noticed. Within this context, our research questionnaire-based, aims to investigate the opinion of key persons from all relevant actors, regarding Romanian system capacity to respond to healthcare needs of population. Although population perception on healthcare has been studied many times in Romania, there was a lack of research among key professionals in order to produce skilful opinions and competent recommendations. This study started with a synthesis of main approaches and findings published on this subject. Most respondents reasoned the limited responsiveness of Romanian healthcare system to specific needs by: poor achievement of system functions, relative adequacy of reforms to necessities, under-financing, excessive politicization, poor management, inefficient use of resources, improper health infrastructure, medical personnel dissatisfaction, etc. Respondents identified areas for priority action and proposed alternative solutions to currents problems, shaping a new managerial model for the health system. We think that grading the Romanian healthcare system with a six in average by key respondents, confirms the discrepancy in structure and quality between the health services demand and supply, representing a useful tool for redefinition of reforms according to real needs and expectations.
