Community nursing system in Romania: Perspectives from past to present

Centralised health and social services existed in Romania from 1930 to the early 1990s. After 1990, an intense process of health system structural reform began in Romania. The shift from a centralized medical system to a social and health insurance system led to a greater role of the family physician, separation between providers and payers, mixed financing from employees and employers, a more disorganised system and, last but not least, limited access to health services for socio-economically marginalised populations.