THE ROLE OF FAMILY MEDICINE IN STRENGTHENING PUBLIC HEALTH AND SUSTAINABLE DEVELOPMENT

Authors

DOI:

https://doi.org/10.52326/jss.utm.2026.9(2).09

Keywords:

public health, primary healthcare, family medicine, sustainability, health policies

Abstract

Access to primary healthcare services is a key indicator of health system performance, reflecting both their efficiency and equity. The study analyzes the evolution of access to family medicine in the Republic of Moldova during the period 2019–2024, under the influence of the crisis generated by the COVID-19 pandemic, and compares recent data (2023) with the situation in Romania, Poland, and Ukraine. The methodology included an analysis of national and international statistical sources [1], as well as graphical representations of trends. The results show that in the Republic of Moldova, overall access declined significantly between 2020 and 2021, reaching a level of approximately 75–80%, but gradually recovered in the following years, reaching 83% in 2023. However, disparities persist between urban (88%) and rural (77%) areas, more pronounced than in Romania or Poland, where the differences are under 5%. By comparison, Ukraine has a lower overall level of access (78%), exacerbated by the context of multiple crises. The conclusions highlight the need to strengthen primary healthcare infrastructure, expand telemedicine, and implement support programs for rural areas as solutions to reduce inequalities and align with European standards.

References

National Bureau of Statistics (NBS) (2023) Statistical Yearbook of the Republic of Moldova 2023. NBS, Chișinău

Kaushan K, Gorobievschi S (2023) Optimization of financing and insurance mechanisms in the healthcare system in the context of European practice. Journal of Financial and Monetary Economics 11:43–52. ISSN 2537-3269

Cauşan C, Lisii A, Porosech D (2019) Opportunities and challenges for the workplace in the context of the labor market and life expectancy. In: Sustainable economic and social development of Euroregion’s and cross-border areas, Vol. XXXIV. Performantica, Iasi, pp. 125–133

Cauşan C, Cauşan T (2022) Public health as a concept and its correlation in the context of improving quality of life. In: Economic Growth in the Context of Globalization, Vol. 16, October 12–13, 2022, Chișinău. INCE, Chișinău, Vol. 2, pp. 409–421. https://doi.org/10.36004/nier.cecg.II.2022.16

Kringos DS, Boerma W, Hutchinson A, Saltman RB (2020) Building Primary Care in a Changing Europe. WHO Regional Office for Europe / European Observatory on Health Systems and Policies, Copenhagen

Ministry of Health of the Republic of Moldova (2019) Annual Report on the Activity of the Health System in 2019. MoH RM, Chișinău

Ministry of Health of the Republic of Moldova (2022) Annual Report on the Activity of the Health System in 2022. MoH RM, Chișinău

Ministry of Health of the Republic of Moldova (2023) Annual Report on the Activity of the Health System in 2023. Ministry of Health of the Republic of Moldova, Chișinău

Ministry of Health of the Republic of Moldova (2024) Report on the Development of Primary Health Care Services and the Digitalization of the Health Sector. Ministry of Health of the Republic of Moldova, Chișinău

OECD (2023) Health at a Glance 2023: OECD Indicators. OECD Publishing, Paris

Saltman RB, Rico A (2021) The changing role of primary care in Europe: reform trends and policy challenges. Health Policy 125:987–995

World Health Organization (WHO) (2022) Pulse survey on continuity of essential health services during the COVID-19 pandemic: interim report. WHO, Geneva

World Health Organization (WHO) (2023) Primary Health Care Measurement Framework and Indicators: monitoring health systems through a primary health care lens. WHO, Geneva

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Published

2026-07-15

How to Cite

Caușan, C., & Radu, G. (2026). THE ROLE OF FAMILY MEDICINE IN STRENGTHENING PUBLIC HEALTH AND SUSTAINABLE DEVELOPMENT. JOURNAL OF SOCIAL SCIENCES, 9(2), 108–119. https://doi.org/10.52326/jss.utm.2026.9(2).09

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