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Assisting the Romanian Ministry of Health in revising the content of the basic health care service package

In an ongoing project, NICE International - working with Dr Ruth Lopert, visiting Professor at George Washington University - has been assisting the Romanian Ministry of Health in its desire to revise the content of the basic health care service package, through a technical assistance project financed by the World Bank. NICE International was contracted by the Romanian authorities to deliver on a focused set of objectives, including the development of a non-exhaustive ‘negative list' (or rather, a framework that will capture recommendations for the exclusion from and/or restriction of coverage of certain products and services) based on an explicit rationale and with reference to practice in other countries including the UK and Australia. In addition NICE International was asked to review existing processes and methods for establishing the components of the health insurance package and make recommendations for their amendment.

Romania is a highly resource-limited environment and the health care system faces immense challenges in meeting the needs of the population. This makes the maximization of efficiency in resource allocation absolutely paramount. Consequently, NICE International will also highlight the importance of broader structural factors influencing the overall efficiency of the system, particularly where these appear likely to undermine efficiencies anticipated through the implementation of any 'negative list'. Addressing these structural factors has the potential to deliver a significantly greater contribution to the longer term sustainability and affordability of the overall system than the short term correction likely to be achieved through the construct of a negative list.

This page was last updated: 16 May 2013

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Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.