Development inequalities of Romanian physical public healthcare infrastructure: the case of hospital beds

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Issue: Volume 15, Issue 1, 2021


The main aim of this paper is to analyse the spatial dynamic of public hospital beds in Romania (1992-2018) in order to grasp the potentially uneven development of the health care infrastructure following state policies of austerity and cost reduction. The paper uses quantitative data and descriptive statistics to show the reduction of public hospital beds after 1990 in line with the state’s health care reform aiming to decrease the use of hospital services and strengthen the role of alternative types of care. The results show that public hospital beds significantly decreased (approx. by 40%), mostly in smaller towns and rural areas. The main conclusion of the paper is that the neoliberal healthcare policies generated patterns of uneven spatial development. Public hospital beds were used in the paper as an indicator of public healthcare physical infrastructure, and across time they follow a pattern of clustering in more prosperous and more competitive areas.

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Authors Affiliations

Giorgian Guțoiu* (1)
1) Lucian Blaga University of Sibiu, Romania
* Correspondence address.


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Title: Human Geographies - Journal of Studies and Research in Human Geography
ISSN online: 2067-2284
ISSN print: 1843-6587
Imprint: University of Bucharest
Frequency: Biannual (May&November)
First volume: 1/2007
Current volume: 17/2023
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Prof. dr. Liliana Dumitrache
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

Dr. Daniela Dumbrăveanu
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

Dr. Mariana Nae
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

Dr. Gabriel Simion
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

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