there has also been some work on specific plans for distinct diseases or services although these are not yet complete in addition new policies aim at attracting physicians to mral areas and halt migration of health care workers see above but there is no overarching policy for planning human resources in the health care sector or for addressing skill mix further there are no systems in place aimed at ensuring an equitable distribution of capital across the country and across various levels of care the national health strategy recognises the need to address this but also to improve transparency in decisionmaking and to boost citizens involvement patients associations are increasingly part of the policymaking process for example over a quarter of romanian respondents reported that they had to give an additional payment valuable gift or make a hospital donation as part of their use of public health care services