Performance Management of Health Care System in Romania: Realities and Perspectives
Performance Management of Health Care System in Romania: Realities and Perspectives

Summary/Abstract: Nowadays, in the context of the economic and financial crisis, the public sector must tackle new challenges by changing its traditional “bureaucratic” behavior and designing new strategies and tools in order to accomplish its mission: delivering high quality public services while lowering the volume of public spending. Thus, the search for performance is high on the agenda of public authorities and the pace at which the context changes implies that performance, even when acquired, must be managed in order to preserve the results. As a consequence, the management of performance in the public sector is a stringent question for both scholars and practitioners – public managers. Our paper addresses the problem of the management of performance in the Romanian health system. We have chosen this particular sector as its reform was subject to conditionality from the part of several international financial institutions (International Monetary Fund, World Bank, and the European Commission) for approving the financial Agreements with the Romanian Government. The question addressed is whether there is an institutional and legal framework for managing performance in the Romanian health system or there are only ad-hocmeasures adopted by the public central authorities to address the requirements of international institutions.

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