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Health Policies in Romania to Reduce the Mortality Caused by Cardiovascular Diseases
Mihaela Simionescu1, Svitlana Bilan2, Beata Gavurova3
1Institute for Economic Forecasting of the Romanian Academy, 050711 Bucharest, Romania.
Insights
Increasing the number of cardiologists and healthcare spending can reduce cardiovascular disease (CVD) deaths in Romania. Public health policies should prioritize increased per capita expenditure and more hospitals and specialists, while retaining doctors.
Area of Science:
- Public Health
- Health Economics
- Cardiology
Background:
- Cardiovascular diseases (CVD) represent the leading cause of mortality in Romania.
- Understanding the determinants of CVD mortality is crucial for effective public health policy.
- Existing research may not fully capture the complex interplay between healthcare resources and CVD outcomes in Romania.
Purpose of the Study:
- To analyze the relationship between cardiovascular disease mortality and key healthcare system factors in Romania.
- To investigate the impact of health expenditures per capita, public hospital availability, and the number of cardiologists on CVD-related deaths.
- To provide evidence-based recommendations for public health policies aimed at reducing CVD mortality.
Main Methods:
- Utilized panel data models analyzing Romanian macro-regions from 1995-2016.
- Employed Bayesian linear models for national-level data analysis.
- Correlated mortality data with health expenditures, hospital numbers, and cardiologist counts.
Main Results:
- Panel data analysis indicated that a higher number of cardiologists is associated with reduced CVD mortality.
- Bayesian analysis revealed that increased per capita health expenditures correlate with a lower incidence of CVD deaths.
- The study highlights the importance of both resource allocation and healthcare professional availability.
Conclusions:
- Public health policies should advocate for increased per capita healthcare spending to mitigate CVD mortality.
- Investment in expanding the number of public hospitals and cardiology specialists is essential.
- Strategies to reduce the emigration of medical specialists are critical for improving cardiovascular care.
Abstract:
Cardiovascular diseases (CVDs) are the main cause of death in Romania. The objective of the paper is to explain the number of deaths caused by the diseases of circulatory system in relation to health expenditures per capita, the number of public hospitals with cardiology sections and the number of cardiologists. The analysis in the paper is based on panel data models and Bayesian linear models. A panel data approach for Romanian macro-regions in the period from 1995-2016 was used to show that an increase in the number of cardiologists would reduce the number of deaths caused by the diseases of circulatory system. The Bayesian approach to national data indicated that the increase in expenditures per capita would alleviate the incidence of deaths caused by CVD. The public health policies in relation to patients with CVD should focus on the future on higher expenditures per person, but the number of public hospitals and doctors treating these diseases should also continue to grow. Future healthcare policies should be also focused on reducing the number of specialists migrating to wealthier countries.
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