摘要

Equity in having access to healthcare services is an essential reason to explain equity in health as appropriate redistribution mechanism, focused on the need of health. Equal access involves services available for everyone and fair distribution in territory, based on the needs of healthcare and removal of barriers, as access is only one of the health determinants. Based on the rights of the insured, the principles of social health insurance and the access as determinant of health, we aim to answer the following question: -Does the current legal framework actually protect the vulnerable population groups in terms of the rights of the insured by providing access to medical services to the same standards of quality, or on the contrary, does it generate sources of vulnerability? The lack of knowledge of the insured persons related to their rights as insured of the health insurance system is one of the problems of the Romanian system. From a practical perspective, the insured living in rural areas have less choice than those in urban areas, not only because the number of doctors serving in a rural town is naturally smaller, but because they lack the means by which, if they are not satisfied, they may choose better services offered by another doctor in another town. In the context of the Romanian system, the inequality in the use of services also lies in the citizens' failure to fulfill their legal obligation to have insurance in the public health insurance system, not in the discrimination of certain categories of vulnerable people.

  • 出版日期2013-6