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PaRIS Survey (Patient Reported Indicators Survey) – The Voice of Patients with Chronic Diseases – Aspects from Romania

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1,277 patients with chronic conditions and 128 primary care offices (general practitioners ) in Romania responded to the PaRIS survey questions, which were available both online and on paper. Patients and primary healthcare units were selected through random sampling. Data collection took place between 2023 and 2024, and the first results were published in the report of the Organisation for Economic Co-operation and Development (OECD) released in February 2025—“Do Health Systems Deliver? Results from the Patient-Reported Indicators Surveys (PaRIS).”

How well does Romania provide care for people with chronic conditions?

According to the report’s findings, individuals with chronic diseases in Romania experience better care coordination compared to the OECD PaRIS average.

Key Findings – Romania in the PaRIS Survey

  • Less than half (43%) of people with chronic conditions in Romania report good overall health, which is below the OECD PaRIS average of 66% and 50 percentage points lower than the best-performing country (93%).
  • Almost half (52%) of people with chronic diseases in Romania report good physical health, measured by physical function, pain, and fatigue. This is below the OECD PaRIS average of 70%.
  • In Romania, 78% of individuals with chronic conditions report good care coordination, and 93% report good person-centered care. These results place Romania among the best-performing countries in these areas.
  • About two in five (42%) people with chronic conditions in Romania feel confident in managing their own health, which is below the OECD PaRIS average of 59% and 50 percentage points lower than the best-performing country (92%).
  • Relatively few (7%) people with chronic diseases in Romania trust health information from the internet, compared to the OECD PaRIS average of 19% (range: 5-34%).
  • Less than one in five (15%) people with two or more chronic conditions in Romania receive care in primary care offices that schedule follow-ups and regular consultations lasting more than 15 minutes; this is over 32 percentage points lower than the OECD PaRIS average of 47%.
  • Only 5% of people with chronic diseases receive care in offices that can electronically exchange medical records, which is low compared to the OECD PaRIS average of 57%.
  • Half (52%) of individuals with chronic conditions in Romania trust their healthcare system, below the OECD PaRIS average of 62%.

Romania’s Participation in the PaRIS Project

Romania joined this project alongside 19 other countries, including Australia, Belgium, Canada, the Czech Republic, France, Greece, Iceland, Italy, Luxembourg, the Netherlands, Norway, Portugal, Saudi Arabia, Slovenia, Spain, Switzerland, the United States, and Wales (United Kingdom).

Globally, 107,011 primary care users (aged 45 and over) and 1,816 primary care offices participated in the project. All results were standardized by age and gender to adjust for demographic differences between countries.

The PaRIS – Patient-Reported Indicators Survey is a global and innovative initiative aimed at identifying the healthcare needs of individuals living with chronic diseases.

Conclusion

The PaRIS survey highlights the need for better-coordinated and person-centered care, especially for the 80% of primary care users aged 45 and over living with at least one chronic condition and the 50% of patients living with two or more chronic diseases.

The implementation of this project in Romania has been highly valuable, both institutionally and from the patient’s perspective. The results of this project can guide patient-centered public policies that address patients’ needs and contribute to improving the quality of primary healthcare services.

Romania’s participation in this project has brought significant benefits in terms of knowledge transfer, information exchange, and experience sharing. The country’s successful completion of the project demonstrates its institutional capacity and ability to collaborate with OECD member states—an important step in Romania’s OECD accession process.

PaRIS Survey – Country Notes Romania (.pdf)

 

 

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