THE PHYSICIAN – PATIENT RELATION IN THE ACTUAL ECONOMICOSYSTEMIC CONTEXT (CRISIS OF THE SANITARY SYSTEM)

Abstract

In România, the crisis of the sanitary system is a component of the generalized economic-social crisis manifested in the 90’s, concomitantly with the sudden demolition of the centralized production system. The opportunities of public health, determined in relation with the “health market”, on the basis of the demand-supply intercourse, have been either ignored by the political factors or managed asymmetrically to the basic principles of the new system, most frequently in the absence of minimal financing. In this way, the quality of the therapeutical action becomes uncertain, insufficient, quantitatively and qualitatively regressing, reflecting, in a structural way, the losses caused by the ever-increasing migration of the Romanian medical specialists. The present diagnosis of the health status in Romania reveals severe, inconsistent realities, that can be systemically controlled only by a modulated, appropriate and effective management, and by a suitably-sized financing of capital expenditure and staff