The Ministry of Health has published a draft order in decision-making transparency that aims to reorganize medical services offered in day hospitalization, make surgical activity in the operating room more flexible, and rethink the mechanism for organizing shifts, Minister Alexandru Rogobete announced on Wednesday in a Facebook message.
"Today we have made a new legislative amendment that completes the reorganization of the health system and the way in which medical services are provided to people transparent. The main amendments to the ministerial order that is in transparency aim to: rethink the medical services provided in the day hospital regime, make surgical activity in the operating room more flexible, rethink the mechanism for organizing shifts. The operating room can operate between 8:00 and 20:00, by organizing it in successive shifts. The second shift does not replace the shift, but extends the scheduled activity. Doctors on the second shift can start their program at 14:00, which means more interventions and shorter waiting times," Rogobete wrote.
The minister emphasized that every additional hour in the operating room means an extra intervention for a patient.
"The same logic applies in outpatient and day hospital settings, where services can be organized in two shifts, depending on addressability and available teams. The organizational decision belongs to the head of the department, with the approval of the medical management, so that the program is correlated with the degree of occupancy and the real need for services," the minister states.
At the same time, the project clarifies the organization of the shifts, introducing four categories: emergency shift, monitoring shift, home shift and, as a new element, interventional shift for specialties that require such interventions (interventional cardiology, interventional neurology, interventional radiology, etc.).
"Once this order is approved, hospitals will be able to organize their shifts on a 12, 18 or 24-hour basis, depending on the specifics of the hospital, the department, the availability of human resources and addressability. We made these changes because the way medical activity and working time in hospitals are organized needed a balanced adjustment, adapted to the year 2026, which takes into account human resources, the evolution of technology and the pharmaceutical industry, and people's needs," the Minister of Health also wrote.
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