Thư viện tập trung - Thư viện điện tử

Sách, tuyển tập

Tài liệu điện tử

Bulgaria: health system review / World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Dimova, Antoniya;Rohova, Maria;Koeva, Stefka;Atanasova, Elka;Koeva-Dimitrova, Lubomira;Kostadinova, Todorka;Spranger, Anne

Tác giả : World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Dimova, Antoniya;Rohova, Maria;Koeva, Stefka;Atanasova, Elka;Koeva-Dimitrova, Lubomira;Kostadinova, Todorka;Spranger, Anne

Nhà xuất bản : World Health Organization. Regional Office for Europe

Năm xuất bản : 2018

Tùng thư : Health Systems in Transition

Chủ đề : 1. Bulgaria. 2. Delivery of Health Care -- organization and administration. 3. Evaluation Studies. 4. Health Care Reform. 5. Health Systems Plans. 6. Healthcare Financing. 7. Publications.

Chia sẻ

Thông tin chi tiết

Tóm tắt :

This analysis of the Bulgarian health system reviews developments in its organization and governance, health financing, health care provision, health reforms and health system performance. With the 2015 National Health Strategy 2020 at its core, there have been ambitious reform plans to introduce more decentralization, strategic purchasing and integrated care into the Bulgarian social health insurance system. However, the main characteristics of the Bulgarian health system, including a high level of centralization and a single payer to administer social health insurance, remain intact and very few reforms have been implemented (for example, the introduction of health technology assessment). There are multiple reasons for this, of which political fragility and stakeholder resistance are among the most important. Overall, Bulgaria marked notable progress on some health indicators (for example, life expectancy and infant mortality) but generally progress lags behind EU averages. What is more, the system has not been effective in reducing amenable mortality, as reflected in the unsteady improvement patterns in mortality due to malignant neoplasms. This is despite an increase in total health expenditure as a percentage of gross domestic product to 8.2% in 2015. The overall high out-of-pocket spending (47.7% of total health spending in 2015) has been growing and is increasingly worrisome. It evidences the low degree of financial protection by the Bulgarian social health insurance system and exacerbates the already considerable inequities along socioeconomicand regional fault lines. For instance, there are regional imbalances of medical professionals, which are more concentrated in urban areas, and accessibility to physicians is further deteriorating, especially in rural areas. Current reforms have to tackle these challenges and build consensus among stakeholders of the health system to unlock the standstill. xxiv + 230 p.

Chia sẻ

Hiển thị MARC

Thông tin dữ liệu nguồn

Thư viện	Ký hiệu xếp giá	Dữ liệu nguồn
Tổ chức y tế thế giới		https://iris.who.int/handle/10665/330182

Ldr		00025nam a2200024 a 4500
001		CLN251768955
022	__	$a1817-6127
041	__	$aen
100	__	$aWorld Health Organization. Regional Office for Europe
245	__	$aBulgaria: health system review /$cWorld Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Dimova, Antoniya;Rohova, Maria;Koeva, Stefka;Atanasova, Elka;Koeva-Dimitrova, Lubomira;Kostadinova, Todorka;Spranger, Anne
260	__	$bWorld Health Organization. Regional Office for Europe ,$c2018
490	__	$aHealth Systems in Transition$vvol. 20 (4)
520	__	$axxiv + 230 p.
520	__	$aThis analysis of the Bulgarian health system reviews developments in its organization and governance, health financing, health care provision, health reforms and health system performance. With the 2015 National Health Strategy 2020 at its core, there have been ambitious reform plans to introduce more decentralization, strategic purchasing and integrated care into the Bulgarian social health insurance system. However, the main characteristics of the Bulgarian health system, including a high level of centralization and a single payer to administer social health insurance, remain intact and very few reforms have been implemented (for example, the introduction of health technology assessment). There are multiple reasons for this, of which political fragility and stakeholder resistance are among the most important. Overall, Bulgaria marked notable progress on some health indicators (for example, life expectancy and infant mortality) but generally progress lags behind EU averages. What is more, the system has not been effective in reducing amenable mortality, as reflected in the unsteady improvement patterns in mortality due to malignant neoplasms. This is despite an increase in total health expenditure as a percentage of gross domestic product to 8.2% in 2015. The overall high out-of-pocket spending (47.7% of total health spending in 2015) has been growing and is increasingly worrisome. It evidences the low degree of financial protection by the Bulgarian social health insurance system and exacerbates the already considerable inequities along socioeconomicand regional fault lines. For instance, there are regional imbalances of medical professionals, which are more concentrated in urban areas, and accessibility to physicians is further deteriorating, especially in rural areas. Current reforms have to tackle these challenges and build consensus among stakeholders of the health system to unlock the standstill.
650	_2	$aDelivery of Health Care $xorganization and administration
650	_2	$aEvaluation Studies
650	_2	$aHealthcare Financing
650	_2	$aHealth Care Reform
650	_2	$aHealth Systems Plans
650	_2	$aBulgaria
655	__	$aPublications
700	__	$aEuropean Observatory on Health Systems and Policies
700	__	$aDimova, Antoniya
700	__	$aRohova, Maria
700	__	$aKoeva, Stefka
700	__	$aAtanasova, Elka
700	__	$aKoeva-Dimitrova, Lubomira
700	__	$aKostadinova, Todorka
700	__	$aSpranger, Anne
856	__	$uhttps://iris.who.int/handle/10665/330182
900		1
907		https://iris.who.int/bitstream/handle/10665/330182/HiT-20-4-2018-eng.pdf.jpg?sequence=11&isAllowed=y
925		G
926		0
927		SH

Bulgaria: health system review / World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Dimova, Antoniya;Rohova, Maria;Koeva, Stefka;Atanasova, Elka;Koeva-Dimitrova, Lubomira;Kostadinova, Todorka;Spranger, Anne

Thông tin dữ liệu nguồn

Tài liệu cùng tác giả

Public health aspects of alcohol and drug dependence: report on a WHO conference, Dubrovnik, 21–25 August 1978 / World Health Organization. Regional Office for Europe

Environmental health impact assessment: report on a WHO seminar, Argostoli, Kefalonia, Greece, 2–6 October 1978 / World Health Organization. Regional Office for Europe

Writing about suicide in a responsible way: training course for media professionals and students / World Health Organization. Regional Office for Europe

Manpower development in toxicology: report on a WHO consultation, Copenhagen, 11–15 December 1978 / World Health Organization. Regional Office for Europe

Setting the foundation for quality management in home- and community-based long-term care / World Health Organization. Regional Office for Europe

Lời ngỏ

Mục đích và phương châm hoạt động

Bản quyền