Bulgaria Health Financing

World Bank

Bulgaria Health Financing

Autores

World Bank

Editor

Washington, DC

Descripción

Health financing in Bulgaria is organized in a way that should, in theory, allow the system to deliver good performance. In particular, the national health insurance fund was set up to provide universal coverage, and the provider-payment system contains elements of international best practices. The hospital-centric service delivery structure is not well targeted to the predominant and growing burden of non-communicable diseases, and loopholes in the provider-payment system reinforce this bias toward expensive hospital care. The first part of this report presents a health financing diagnostic to assist the Government of Bulgaria in developing health financing reform options that improve the efficiency, equity, and long-term sustainability of the Bulgarian health system. The second part reviews the reform agenda currently envisaged by the government with a focus on health financing aspects. It presents practical suggestions, drawn from international experience, which should support the government as it moves toward implementing its reform agenda. These suggestions aim to enhance the reforms’ capacity to address some of the performance gaps highlighted in part one with respect to efficiency, sustainability, and capacity to provide financial protection.

Palabras clave

WASTE, RISKS, HEALTH PLANNING, PEOPLE, VACCINATION, STROKE, FINANCING, PHARMACISTS, LAWS, PREVENTION, MORBIDITY, HEALTH INSURANCE, PSYCHIATRISTS, HEALTH CARE, DEATH, DEATH RATE, INCENTIVES, HEALTH, PSYCHOLOGISTS, HOLISTIC APPROACH, HIGH BLOOD PRESSURE, BREAST CANCER, PARAMEDICS, PATIENT INFORMATION, CRIME, HYPERTENSION, PUBLIC HEALTH, DAY CARE, LIFE EXPECTANCY, HOSPITALIZATION, KNOWLEDGE, DISABILITIES, BEHAVIOR, COST EFFECTIVENESS, DIABETES, EXERCISES, COMMON COLD, IMMUNIZATION, PATIENT, PATIENTS, SOCIAL EXCLUSION, SMOKING, INTERVENTION, LEUKEMIA, AGGRESSIVE, AGING, MIGRATION, NURSES, HEALTH MANAGEMENT, OBSERVATION, MARKETING, DISASTERS, SCREENING, MIGRANTS, MENTAL HEALTH, MORTALITY, SOCIAL SUPPORT, HEALTH PROMOTION, GENERAL PRACTICE, MEDICAL TREATMENT, PEOPLE WITH DISABILITIES, PHARMAC, UNEMPLOYMENT, CHILDBIRTH, HEALTH REGULATIONS, WORKERS, SURGERY, PROGNOSIS, AGED, INFLUENZA, SOCIAL SERVICES, PATIENT SATISFACTION, SURVEILLANCE, LIFESTYLE, HEALTH POLICY, PROSTATE CANCER, SOCIAL POLICY, HEALTH OUTCOMES, VICTIMS, STRESS, DECISION MAKING, CHEMOTHERAPY, MEASUREMENT, REFUGEES, PSYCHIATRIC HOSPITALS, INJURIES, IN VITRO FERTILIZATION, QUALITY CONTROL, ELDERLY PEOPLE, QUALITY OF LIFE, PRIMARY HEALTH CARE, INTERNET, RISK FACTORS, GLAUCOMA, CHRONICALLY ILL PATIENTS, INSURANCE, WALKING, OUTPATIENT CARE, WEIGHT, COMMUNICABLE DISEASES, PHYSICIANS, PREGNANT WOMEN, OBESITY, CHILDREN, LIVER CANCER, CLINICS, WORKING CONDITIONS, HEALTH FOR ALL, EMERGENCY MEDICAL CARE, ALS, GENERAL PRACTITIONERS, CIRCULATORY SYSTEM, HOSPITAL ADMISSION, STRATEGY, EPIDEMIOLOGY, REGISTRATION, FAMILIES, MEDICINES, HEALTH FINANCING, HOSPITALS, HEALTH INTERVENTIONS, INTERMEDIARIES, HEALTH SERVICES, IMPLEMENTATION, INTERNATIONAL COMPARISONS, ALCOHOL CONSUMPTION, PREGNANCY, NURSING