Development of primary care based on family medicine in the Republic of Moldova and determinants of effectiveness: Summary of the thesis of habilitated doctor in medical sciences: 331.03 – Social medicine and management

Abstract

The actuality and importance of the addressed topic. The level of contemporary medical care in many countries of the world has been transformed by the development and implementation of a series of national acts and practical actions, aimed at the essential reform of the health system in accordance with the World Health Organization’s Alma-Ata Declaration (1978). The purpose of the reforms in the Republic of Moldova consisted in trying out the health system development strategy under new economic conditions, and according to I. Ababii and co-authors (2006) - "in the energic implementation of family medicine as a practical, scientific and academic specialty, on which the primary healthcare sector is based" [1]. Despite a precarious financing level and the lack of necessary resources, Moldova managed to take important steps in "[...] creating a favourable environment for family medicine and for the reforms taking place in this segment". According to the current situation of primary healthcare, as described in the Health System Development Strategy for the 2008-2017 period, "family medicine has become a specialty by law, and primary care is considered a priority and represents the outpost of the health system" [19]. Family medicine is considered the most efficient and effective form of primary care regarding cost and impact on health indicators, offering accessibility, continuity and solving up to 80% of population requests. However, the health system responsiveness to the needs of the population remains a pending problem.[...]