Strategic Management of the Romanian Health System based on Boehm Model: A Conceptual Framework

Strategic management of the Romanian healthcare system could be a solution for the numerous problems Romanian contributors (and, of course, non-contributors) face when they need medical care services. This paper will review present challenges and the current status of the system in Europe and Romania, as well as the stage of implementing the principles of corporate management. It will also discuss the specificities of health care and the arguments for a certain approach of the system's strategic planning. Based on these observations, a model of strategic planning will be suggested, considered the best under the circumstances: the Spiral Model, introduced by Boehm in 1986 as a model for software development. We will justify the selection of the model and highlight the main issues which must be considered when grounding the strategy for the Health Sector, having in mind that, because the problem is multidimensional, the solutions should also be multidimensional.