The level of transparency in the national health system stands at 36%. This places Moldova among the countries with an unsatisfactory transparency level, such as India, Saudi Arabia and South Africa. Among the countries with the best results are Denmark (74%), Finland (73%) and Sweden (71%). The analysis of the results of Moldova’s health system for 1990 – 2015, carried out by the independent think tank “Expert-Grup”, shows that the situation is rather sad compared with that in the Western European countries or even the former Socialist countries of the region, IPN reports.
The improvement of transparency can be ensured by publishing the data that are used by institutions at internal level. During the past 25 years, Moldova has made progress in its health system, but still lags behind the Eastern European countries. The high death rate among children under five and life expectancy at birth continue to be major concerns for Moldova.
According to the Healthcare Access and Quality Index (HAQ), which measures the performance of the health system, Moldova achieved unsatisfactory results. The most serious fact is that Moldova during 25 years didn’t manage to come closer to the Eastern European average and even widened the gap.
The provision of financial resources is one of the most serious constraints faced by the national health system. When the population is aging and the demand for medical services increases, the sustainability of the system is in danger. Statistics show that morbidity during the last few years has increased simultaneously with the decline in the total population and this is confirmed by the demographic pyramid for the next few years. If the trend is not reversed in the nearest future, the number of elderly people will exceed that of young people and this will have a direct influence on the rise in the number of requests for medical services and on the necessity of financing.
The regional labor force market for medical workers became more accessible. As a result, the national health system faces an unprecedented shortage of human resources. This phenomenon affected especially the primary medical assistance segment and this impacts the ensuring of access to essential medical services. The working conditions and remuneration are among the most frequent reasons for which the health professionals leave the public health system. It is practically impossible to remedy the situation without increasing the efficiency of healthcare at the non-personnel level and the share of personnel-related costs.
