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quality. The National Commission for Hospital Accreditation (established in 2008) became

part of the National Authority for Quality Management in Health Care when the latter was

established in 2015. The Authority is under direct supervision of the Prime Minister who

appoints its president.

National Agency for Medicines and Medical Devices
The National Agency for Medicines and Medical Devices 5 (ANMDM) is a public institution

operating as a legal entity subordinated to the Ministry of Health, following the merger of the

National Medicines Agency with the Medical Devices Technical Office. The ANMDM develops

national strategies and policies in the field of medicines and medical devices. The ANMDM is

the national authority competent in the field of medical technology assessment, according to

criteria developed by the Ministry of Health. The ANMDM is responsible for market

authorization and surveillance of the safety of medicinal products on the market. But also for

setting the prices for medicines and medical devices when reimbursed by the CNAS.

Professional organizations

There are five main professional organizations: the College of Physicians, College of Dentists,

College of Pharmacists, the Order of Nurses and Midwives, and the Order of Biochemists,

Biologists and Chemists. These are responsible for: regulating their respective professions;

controlling and monitoring of health care professionals’ practice; and for training and

accreditation. They have structures at the national and district levels. Membership in these

organizations is mandatory for all health professionals who practise in Romania. The

professional organizations have district councils and district branches at the local level.

3.4.2 The regional level

District public health authorities

There are 42 District Public Health Authorities, one in each of the 41 districts and municipality

of Bucharest. These are mainly responsible for carrying out the functions of the Ministry of

Health related to population health at the local level. This includes: monitoring the health

status of the population; developing, implementing and evaluating public health programmes;

organizing health promotion and health prevention activities; as well as controlling and

evaluating health care provision and the functioning and organization of health care

providers.

District health insurance houses

There are 43 District Health Insurance Houses, including the Bucharest Health Insurance

House and one insurance house for the employees of the Ministries of National Defence,

5 Agentia Nationala a Medicamentului si a Dispozitivelor Medicale, www.anm.ro

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