Measuring Patients’ Perception and Satisfaction with the Romanian Healthcare System

Cosma, Smaranda; Bota, Marius; Fleșeriu, Cristina; Morgovan, Claudiu; Văleanu, Mădălina; Cosma, Dan

doi:10.3390/su12041612

Cited by 29 publications

(29 citation statements)

References 35 publications

(51 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Improving the provided services quality of the healthcare system in Romania (including increased system financing) will generate higher patients' satisfaction and implicitly their improving treatment adherence [51].…”

Section: Discussionmentioning

confidence: 99%

An Exploratory Research of 18 Years on the Economic Burden of Diabetes for the Romanian National Health Insurance System

Morgovan

Cosma

Văleanu

et al. 2020

IJERPH

Self Cite

View full text Add to dashboard Cite

The prevalence of diabetes mellitus (DM) rises constantly each year worldwide. Because of that, the funds allocated for the DM treatment have increased over time. Regarding the number of DM cases, Romania is among the top ten countries in Europe. Based on the National Diabetes Programme (NDP), antidiabetic drugs and other expenditures (Self-monitoring blood glucose (SMBG) test, HbA1c, insulin pumps/insulin pumps supplies) are free of charge. This programme has undergone many changes in drugs supply, in the last two decades: re-organizing the NDP, authorization of new molecules with high prices (e.g., SGLT-2 inhibitors, etc.) or new devices (e.g., insulin pumps, etc.) The main purpose of this study is to identify and analyse the impact of the DM costs on the Romanian health budget and to highlight the evolution of these costs. A retrospective longitudinal research on the official data regarding the DM costs from 2000 to 2017 was performed. The DM funds (DMF) were adjusted with the inflation rate. In this period, the average share of DMF in the total funds allocated for health programmes was 21.3 ± 3.4%, and DMF average growth rate was 25.4% (r = 0.488, p = 0.047). On the other hand, the DMF increased more than 14 times, in spite of the patients’ number having increased only about 2.5 times. Referring to the structure of DMF, the mean value of the antidiabetic drugs cost was of 96,045 ± 67,889 thousand EUR while for other expenditures it was of 11,530 ± 7922 thousand EUR (r = 0.945, p < 0.001). Between 2008 and 2017, the total DMF was 181,252 ± 74,278 thousand EUR/year. Moreover, the average patients’ number was 667,384 ± 94,938 (r = 0.73, p = 0.016), and the cost of treatment was 215 ± 36 EUR/patient/year. Even if the cost is rising, the correct and optimal treatment is a main condition for the diabetic patient’s health and for the prevention of its complications, which have multiple socio-economic repercussions.

show abstract

Section: Discussionmentioning

confidence: 99%

An Exploratory Research of 18 Years on the Economic Burden of Diabetes for the Romanian National Health Insurance System

Morgovan

Cosma

Văleanu

et al. 2020

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…At the time of publication there were no studies in Romania investigating communication between healthcare practitioners and families of children with obesity in relation to clinical studies. However, studies investigating patient's satisfaction with the Romanian healthcare system, showed high levels of dissatisfaction, and lack of trust in medical services and healthcare professionals (32,33). Patient dissatisfaction was related to communication barriers with healthcare professionals, as well as low quality accommodation, food and hygiene in hospitals, which thus failed to provide patients with a sense of security (32)(33)(34).…”

Section: Discussionmentioning

confidence: 99%

“…However, studies investigating patient's satisfaction with the Romanian healthcare system, showed high levels of dissatisfaction, and lack of trust in medical services and healthcare professionals (32,33). Patient dissatisfaction was related to communication barriers with healthcare professionals, as well as low quality accommodation, food and hygiene in hospitals, which thus failed to provide patients with a sense of security (32)(33)(34). Distrust toward medical services might lead to distrust toward medical studies.…”

Section: Discussionmentioning

confidence: 99%

Making Childhood Obesity a Priority: A Qualitative Study of Healthcare Professionals' Perspectives on Facilitating Communication and Improving Treatment

Serban

Putnoky

et al. 2021

Front. Public Health

View full text Add to dashboard Cite

In Romania, one in four children has excess weight. Because childhood obesity is a sensitive topic, many healthcare professionals find it difficult to discuss children's excess weight with parents. This study aims to identify barriers and facilitators in childhood obesity-related communication, as perceived by healthcare professionals in Romania. As part of the STOP project, healthcare professionals (family physicians, pediatricians, and dieticians) who treat children with excess weight were invited to a telephone interview. The semi-structured questions were translated from a questionnaire previously used at the Swedish study site of the STOP project. Interviews were transcribed and then used for thematic analysis. Fifteen doctors and three dieticians (16 females and 2 males), with average 18.2 ± 10.1 years of experience, were interviewed. Four main themes were identified. Professionals reported that when children began experiencing obesity-related stigma or comorbidities, this became the tipping point of weight excess, where parents felt motivated to begin treatment. Barriers in communication were part of several layers of distrust, recognized as tension between professionals and caregivers due to conflicting beliefs about excess weight, as well as lack of trust in medical studies. Most respondents felt confident using models of good practice, consisting of a gentle approach and patient-centered care. Nonetheless, professionals noted systemic barriers due to a referral system and allocation of clinical time that hinder obesity treatment. They suggested that lack of specialized centers and inadequate education of healthcare professional conveys the system does not prioritize obesity treatment and prevention. The interviewed Romanian doctors and dieticians identified patient-centered care as key to treating children with obesity and building trust with their caregivers. Howevertheir efforts are hindered by healthcare system barriers, including the lack of specialized centers, training, and a referral system. The findings therefore suggest that, to improve childhood obesity prevention and treatment, systemic barriers should be addressed.Trial Registration:ClinicalTrials.gov, NCT03800823; 11 Jan 2019.

show abstract

“…Contrastingly, Myburgh, Solanki, Smith, and Lalloo, (2005) stated that socioeconomic status were significant predictors of levels of satisfaction with the services of health care providers. Supported by Cosma, et al (2020) who found a statistically significant relationship between patients' satisfaction and income. Other reports revealed that lower-income respondents were more satisfied and was significantly associated with level of satisfaction (Afzal et al, 2011;Vidhya & Rajakumar, 2014;Okeke et al, 2019;Jovanovic, et al, 2020)…”

Section: Association Of Patients' Satisfaction and Socio-demographic mentioning

confidence: 96%

Sociodemographic Determinants of Patients’ Satisfaction with the Quality of Care in the General Hospitals in Ebonyi State, Nigeria

Umoke¹,

Umoke²,

Eyo³

et al. 2020

GJHS

View full text Add to dashboard Cite

INTRODUCTION: The purpose of the study was to assess sociodemographic determinants of patients' satisfaction with the quality of care in the General Hospitals in Ebonyi State. Four hypotheses were formulated for the study. Demographic characteristics of age, level of education, marital status, and income level on patients' satisfaction were ascertained. METHODS: A cross-sectional survey research design was used for the study. The population of the study comprised 1, 363, 633 (18 years and above) who attended general out-patient clinics in the General Hospitals using a sample of 400. Data were analyzed using mean ( ), t-test, and analysis of variance (ANOVA) were used to answer the hypothesis at 0.05 level of significance. The SPSS version 20 was employed for the analysis. RESULTS: Findings showed that patients who were 40–60 years ( = 2.96), had tertiary education ( = 2.97), earned income of N40, 000 – N59, 000 ( = 2.96) and were married ( = 3.09) were most satisfied. Besides, age, marital status, and income were not significantly associated (p>0.05) with patients’ satisfaction while the level of education was significant (p<0.05). CONCLUSION: The study revealed that older age, more educated, middle-class income earners, being married were more satisfied with the quality of care received. Efforts should be made by Health workers to ensure that all patients are satisfied irrespective of their demographic characteristics.

show abstract

Measuring Patients’ Perception and Satisfaction with the Romanian Healthcare System

Cited by 29 publications

References 35 publications

An Exploratory Research of 18 Years on the Economic Burden of Diabetes for the Romanian National Health Insurance System

An Exploratory Research of 18 Years on the Economic Burden of Diabetes for the Romanian National Health Insurance System

Making Childhood Obesity a Priority: A Qualitative Study of Healthcare Professionals' Perspectives on Facilitating Communication and Improving Treatment

Sociodemographic Determinants of Patients’ Satisfaction with the Quality of Care in the General Hospitals in Ebonyi State, Nigeria

Contact Info

Product

Resources

About