COST EFFICIENCY AND BUDGETARY PRESSURES IN THE ROMANIAN PHARMACEUTICAL SYSTEM: A MANAGERIAL ACCOUNTING PERSPECTIVE
-
Authors:
• Marius Daniel Sisu, email: marius.sisu@hpss-consulting.com, Afiliation: University Valahia of Târgoviște
• Alexandru Cătălin Dicu, email: acdicu@gmail.com, Afiliation: University of Medicine and Pharmacy of CraiovaPages:
• 93|110 -
Keywords: cost accounting, pharmaceutical expenditure, efficiency, healthcare management, sustainability, Romania
-
Abstract:
This paper explores the relationship between cost accounting mechanisms and the efficiency of pharmaceutical expenditure within Romania’s public healthcare system. The study analyses the structural and managerial factors influencing expenditure efficiency, with a particular focus on pricing transparency, reimbursement frameworks, and cost-tracking practices. Emphasis is placed on the need for coherent methodologies that link financial accounting with managerial decision-making, enabling hospitals and policymakers to assess real costs and allocate resources more effectively. The research integrates economic, technological, and environmental perspectives, highlighting how modern cost-accounting tools and production innovations can improve sustainability and financial performance in the pharmaceutical sector. Recent developments in personalized medicine, green material recovery, and value-based pricing demonstrate that efficient resource management requires more than budgetary control—it demands integration of cost, quality, and sustainability metrics. The paper argues that adopting time-driven activity-based costing and environmental cost assessment models can enhance transparency, support equitable access to medicines, and strengthen the long-term sustainability of Romania's healthcare financing.
