After Bulgaria, the Romanian medical system was the weakest. This index is calculated depending on several factors:
- on the waiting time for treatments
- on the waiting time for various programs and operations
- on the rights of the patients and their degree of knowledge
- on the IT system existent in hospitals
- on the current medical services
- on the pharmaceutical services
Romania was exceeded in the top by Albania and Montenegro, countries outside the EU. Compared to the 2008 index, Romania lost 5 positions.