Publication:
Bulgaria Health Sector Diagnosis : Policy Note

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dc.contributor.authorWorld Bank
dc.date.accessioned2013-10-03T20:41:47Z
dc.date.available2013-10-03T20:41:47Z
dc.date.issued2012
dc.description.abstractThe health system in Bulgaria has undergone significant transformations since the transition and it continues to evolve. This policy note updates a similar document prepared in 2009. It highlights some positive developments, particularly in the area of public health, but continues to find gaps that recent reforms have been unable to reverse. In particular: i) health status in Bulgaria is improving at a slower pace than in other European Union (EU) countries, and the burden of non-communicable diseases is particularly high; ii) coverage of preventive services is low and Bulgarians are much more frequently hospitalized than other Europeans, a sign that the system may not be producing the right mix of services; iii) Bulgarians are among the least satisfied Europeans when it comes to their health system; and iv) total health expenditure is comparable to that of countries with similar income, but the out-of pocket share is disproportionately large and has grown over time, and the financial protection provided by the system is incomplete. Whilst more public expenditure on health will be needed in the medium to long-term, any increases should be accompanied by improvements in efficiency and effectiveness in order to make the best use of resources and ensure the delivery of better health outcomes. This policy note thus primarily focuses on three areas where decisive and prompt action could rapidly bring results and improve the experience of Bulgarian citizens: hospitals, outpatient care, and drug policies. These issues are closely interlinked and tackling them is a key to the modernization of service delivery in all European countries. Indeed, in order to face the challenges brought about by ageing and non-communicable diseases and to meet the population's needs and expectations, new models of health and social care need to emerge that enable patients to stay out of hospital. This is possible through technological change, but can only happen if the outpatient sector delivers more and patients can manage diseases and risk factors through access to appropriate services and medicines.en
dc.identifierhttp://documents.worldbank.org/curated/en/2013/03/17878699/bulgaria-health-sector-diagnosis-policy-note
dc.identifier.doi10.1596/16082
dc.identifier.urihttps://hdl.handle.net/10986/16082
dc.languageEnglish
dc.language.isoen_US
dc.publisherWashington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectAGED
dc.subjectAGING
dc.subjectAMBULATORY SECTOR
dc.subjectBASIC NEEDS
dc.subjectBASIS FOR ACTION
dc.subjectBEDS
dc.subjectBURDEN OF DISEASE
dc.subjectCAPITAL COSTS
dc.subjectCAPITATION
dc.subjectCARDIOVASCULAR DISEASES
dc.subjectCARE PERFORMANCE
dc.subjectCAUSES OF DEATH
dc.subjectCERVICAL CANCER
dc.subjectCHRONIC DISEASE
dc.subjectCIRCULATORY SYSTEM
dc.subjectCITIZENS
dc.subjectCLINICAL GUIDELINES
dc.subjectCLINICAL SERVICES
dc.subjectCOMMUNICABLE DISEASES
dc.subjectCOMPLICATIONS
dc.subjectCOST CONTROL
dc.subjectDEATH RATE
dc.subjectDEATH RATES
dc.subjectDEATHS
dc.subjectDEBT
dc.subjectDECISION MAKING
dc.subjectDEMOGRAPHIC TRANSITION
dc.subjectDEMOGRAPHIC TRENDS
dc.subjectDEPENDENCY RATIO
dc.subjectDIABETES
dc.subjectDIET
dc.subjectDISABILITIES
dc.subjectDISPARITIES IN HEALTH
dc.subjectDOCTORS
dc.subjectEARLY DETECTION
dc.subjectELDERLY
dc.subjectESSENTIAL DRUGS
dc.subjectFERTILITY
dc.subjectFERTILITY RATES
dc.subjectFINANCIAL CONSTRAINTS
dc.subjectFINANCIAL INCENTIVES
dc.subjectFINANCIAL MANAGEMENT
dc.subjectFINANCIAL PRESSURE
dc.subjectFINANCIAL PROTECTION
dc.subjectFIXED COSTS
dc.subjectFUTURE GROWTH
dc.subjectGENERAL PRACTITIONERS
dc.subjectGLOBAL BUDGETS
dc.subjectGLOBAL HEALTH
dc.subjectGROSS DOMESTIC PRODUCT
dc.subjectGROSS NATIONAL INCOME
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE COSTS
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CARE SECTOR
dc.subjectHEALTH CENTERS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURE PER CAPITA
dc.subjectHEALTH FOR ALL
dc.subjectHEALTH IMPACTS
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH INEQUALITIES
dc.subjectHEALTH INFORMATICS
dc.subjectHEALTH INFORMATION
dc.subjectHEALTH INSURANCE FUNDS
dc.subjectHEALTH INTERVENTIONS
dc.subjectHEALTH MINISTRIES
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH PROFESSIONALS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SECTOR REFORM
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SPECIALIST
dc.subjectHEALTH SPENDING
dc.subjectHEALTH STATUS
dc.subjectHEALTH STATUS INDICATORS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH SYSTEMS IN TRANSITION
dc.subjectHEALTH WORKFORCE
dc.subjectHEALTH-CARE
dc.subjectHIGH BLOOD PRESSURE
dc.subjectHOME CARE
dc.subjectHOSPICE
dc.subjectHOSPITAL
dc.subjectHOSPITAL AUTONOMY
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITAL BUDGETS
dc.subjectHOSPITAL CAPACITY
dc.subjectHOSPITAL CARE
dc.subjectHOSPITAL COST
dc.subjectHOSPITAL COSTS
dc.subjectHOSPITAL FINANCING
dc.subjectHOSPITAL FUNDING
dc.subjectHOSPITAL MANAGEMENT
dc.subjectHOSPITAL SECTOR
dc.subjectHOSPITAL SERVICES
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD EXPENDITURE
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectHYPERTENSION
dc.subjectILLNESS
dc.subjectIMMUNIZATION
dc.subjectIMPACT ON HEALTH
dc.subjectINCOME
dc.subjectINEQUITIES
dc.subjectINFANT
dc.subjectINFANT DEATHS
dc.subjectINFANT MORTALITY
dc.subjectINFANT MORTALITY RATE
dc.subjectINFANT MORTALITY RATES
dc.subjectINFLUENZA
dc.subjectINFORMAL PAYMENTS
dc.subjectINFORMATION SYSTEMS
dc.subjectINTEGRATION
dc.subjectINTERNATIONAL COMPARISONS
dc.subjectINTERVENTION
dc.subjectLABOR MARKET
dc.subjectLEADING CAUSES
dc.subjectLEADING CAUSES OF DEATH
dc.subjectLEGAL STATUS
dc.subjectLIFE EXPECTANCY
dc.subjectLIFE EXPECTANCY AT BIRTH
dc.subjectLIVE BIRTHS
dc.subjectLIVING CONDITIONS
dc.subjectLIVING STANDARDS
dc.subjectLOCAL CAPACITY
dc.subjectLOCAL GOVERNMENTS
dc.subjectLONG-TERM CARE
dc.subjectMARKETING
dc.subjectMEDIA ATTENTION
dc.subjectMEDICAL BILLS
dc.subjectMEDICAL CARE
dc.subjectMEDICAL CONTACTS
dc.subjectMEDICAL EDUCATION
dc.subjectMEDICAL EQUIPMENT
dc.subjectMEDICAL SERVICES
dc.subjectMEDICINES
dc.subjectMINISTRY OF HEALTH
dc.subjectMODERNIZATION
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH INSURANCE
dc.subjectNATIONAL HEALTH INSURANCE FUND
dc.subjectNUMBER OF PEOPLE
dc.subjectNURSES
dc.subjectOBESITY
dc.subjectOPEN SOCIETY
dc.subjectOUTPATIENT CARE
dc.subjectOUTPATIENT SERVICES
dc.subjectPACEMAKERS
dc.subjectPATIENT
dc.subjectPATIENT RIGHTS
dc.subjectPATIENT SATISFACTION
dc.subjectPATIENTS
dc.subjectPERSONS WITH DISABILITIES
dc.subjectPHARMACEUTICAL MARKETING
dc.subjectPHARMACEUTICAL POLICIES
dc.subjectPHARMACEUTICAL SECTOR
dc.subjectPHARMACIES
dc.subjectPHARMACISTS
dc.subjectPHYSICIAN
dc.subjectPHYSICIANS
dc.subjectPOCKET PAYMENT
dc.subjectPOCKET PAYMENTS
dc.subjectPOLICY DEVELOPMENTS
dc.subjectPOLICY DIALOGUE
dc.subjectPOLICY GOALS
dc.subjectPRICE CONTROL
dc.subjectPRIMARY CARE
dc.subjectPRIMARY CARE DOCTORS
dc.subjectPRIMARY CARE SECTOR
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIVATE HOSPITALS
dc.subjectPRIVATE SECTOR
dc.subjectPROFESSIONAL ASSOCIATIONS
dc.subjectPROGRESS
dc.subjectPROVIDERS OF HEALTH CARE
dc.subjectPUBLIC CONTRACT
dc.subjectPUBLIC EXPENDITURE
dc.subjectPUBLIC EXPENDITURE ON HEALTH
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH CARE
dc.subjectPUBLIC HEALTH EXPENDITURE
dc.subjectPUBLIC HEALTH STATISTICS
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC SECTOR
dc.subjectQUALITY ASSURANCE
dc.subjectQUALITY IMPROVEMENT
dc.subjectQUALITY OF CARE
dc.subjectQUALITY OF HEALTH
dc.subjectQUALITY OF HEALTH CARE
dc.subjectQUALITY OF LIFE
dc.subjectQUALITY SERVICES
dc.subjectREIMBURSEMENT RATES
dc.subjectRESEARCH INSTITUTIONS
dc.subjectRESPECT
dc.subjectRESPITE CARE
dc.subjectRICHER COUNTRIES
dc.subjectRISK FACTORS
dc.subjectRURAL AREAS
dc.subjectSCREENING
dc.subjectSERVICE DELIVERY
dc.subjectSERVICE PROVISION
dc.subjectSMOKING
dc.subjectSOCIAL POLICY
dc.subjectSOCIAL WORKERS
dc.subjectSURGERY
dc.subjectTEACHING HOSPITALS
dc.subjectTRAUMA
dc.subjectTREATMENT SERVICES
dc.subjectTUBERCULOSIS
dc.subjectUSE OF RESOURCES
dc.subjectVACCINE COVERAGE
dc.subjectVASCULAR DISEASES
dc.subjectWORKERS
dc.subjectWORLD HEALTH ORGANIZATION
dc.subjectYOUNG PEOPLE
dc.titleBulgaria Health Sector Diagnosis : Policy Noteen
dspace.entity.typePublication
okr.date.disclosure2013-06-18
okr.date.doiregistration2025-05-07T10:05:53.550506Z
okr.doctypeEconomic & Sector Work::Other Health Study
okr.doctypeEconomic & Sector Work
okr.docurlhttp://documents.worldbank.org/curated/en/2013/03/17878699/bulgaria-health-sector-diagnosis-policy-note
okr.globalpracticeHealth, Nutrition, and Population
okr.guid768001468235757526
okr.guid468131468239106124
okr.identifier.externaldocumentum000333037_20130618101246
okr.identifier.internaldocumentum17878699
okr.identifier.report78546
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2013/06/18/000333037_20130618101246/Rendered/PDF/785460ESW0P1290icy0Note0March0130EN.pdfen
okr.region.administrativeEurope and Central Asia
okr.region.countryBulgaria
okr.sectorPublic administration- Health,Health,Compulsory health finance
okr.sectorHealth and other social services,Public Administration, Law, and Justice
okr.sectorPublic Administration, Law, and Justice :: Compulsory health finance
okr.sectorPublic Administration, Law, and Justice :: Public administration- Health
okr.sectorHealth and other social services :: Health
okr.themeHuman development :: Health system performance
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicHealth Economics and Finance
okr.topicHealth Systems Development and Reform
okr.topicHealth Monitoring and Evaluation
okr.topicDisease Control and Prevention
okr.unitHealth and Nutrition (ECSH1)
okr.volume1 of 1
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