Luminita Avornic
Under the new regulations, primary health care will be coordinated by district health centers, which will directly manage regional programs and the allocation of resources. The document maintains free access to basic services (family medicine, pediatrics, obstetrics and gynecology, psychiatry, and pulmonology for socially determined diseases), and also introduces mandatory home visits for vulnerable patient groups, pregnant women, and individuals with severe disabilities.
The pilot model has already been implemented in the Orhei district, where Health Center No. 1 has legally and financially absorbed nine health centers. The new centralized structure now manages 32 family physician offices and 16 health centers.
From an operational standpoint, the reorganization has not affected staffing levels or employee salaries. The procedure for serving rural patients has changed: family doctors are required to visit each local office twice a week to conduct consultations, and laboratory samples are now collected directly in the villages. Blood samples are delivered daily by official transport to the central district laboratory, and the results are returned to local doctors within 24 hours. Currently, health system officials are conducting a survey of rural offices to identify needs for repairs and technical equipment, which will be funded by the National Health Insurance Company and district councils.
“Primary health care facilities—health centers, family doctor offices, and health offices—continue to operate in communities. Any administrative changes are aimed solely at improving the efficiency of health care organization and management. “The Ministry of Health continues to work on developing a network of accessible, modern, and population-centered healthcare services,” said Luminita Avornic, head of the Department of Primary and Community Healthcare Policies at the Ministry of Health, during a press conference.
