Albania experienced rapid economic development, joining the ranks of middle-income countries in 2008. However, the global financial crisis severely affected Albania, with remittances and other inflows sharply declining. GDP growth slowed to an average of less than 3 percent between 2009 and 2012.
Key health system performance indicators in Albania are mixed. While health outcomes are relatively strong by regional standards, financial protection of households against high out-of-pocket payments (OOP) is relatively weak, and quality of care is a significant concern. Also hospital reforms are required to better plan and adapt service capacity to needs, strengthen management and governance, and improve efficiency and quality of care. The quality and outcome of clinical service provision in Albania is poor. The quality of medical care is highly variable across different providers, and contributes to sub-optimal health outcomes. Continued and accelerated use of information technology is needed to improve efficiency and quality.