Strengthening governance mechanisms for public hospitals in the Republic of Moldova


A roundtable on hospital governance was held in the Republic of Moldova on 18 April 2012. The approximately 80 participants included representatives of the Ministry of Health, National Centre of Health Management, National Health Insurance Company, State Medical and Pharmaceutical University, international organizations and hospital managers from across the country. The event was organized by the Ministry of Health with the support of the WHO Country Office and was part of a WHO mission on hospital governance visiting the country on 17−20 April with the aim of analysing the situation and providing recommendations in this specific area. The roundtable included presentations by the WHO consultants and representatives of the Ministry of Health, as well as plenary discussions.

Building on recent progress

"We started broad dialogue on hospital sector reform a year ago when a similar policy dialogue was organized with WHO's support," said Dr Gheorghe Turcanu, Deputy Minister of Health. "Many changes have taken place since then, including approval of new strategic documents, implementation of certain investment projects, introduction of new payment mechanisms for hospitals, as well as some mergers of hospital care institutions in the capital city. It is the right time now to evaluate the progress and explore new avenues, more specifically in the governance area."

Inputs were provided by international experts and local hospital managers on autonomy and accountability in the hospital sector of the country. Specific examples of governance mechanisms that proved to work in certain countries and regions were also presented and discussed, along with possible effective models for the Republic of Moldova. 

The roundtable on hospital governance was undertaken as part of the European Union funded technical assistance programme under WHO coordination. The objectives of the programme include strengthening stewardship of health sector investments, better performance monitoring, and ensuring greater use of evidence for policy decisions.