Bulgaria Health Financing : Final Report on Health Financing Diagnostic and Review of Envisaged Reforms

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 con...

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Main Author:	World Bank
Format:	Report
Language:	English en_US
Published:	Washington, DC 2015
Subjects:	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
Online Access:	http://documents.worldbank.org/curated/en/2015/05/25071144/bulgaria-health-financing-ras-final-report-health-financing-diagnostic-review-envisaged-reforms http://hdl.handle.net/10986/22964

id	okr-10986-22964
recordtype	oai_dc
spelling	okr-10986-229642021-04-23T14:04:11Z Bulgaria Health Financing : Final Report on Health Financing Diagnostic and Review of Envisaged Reforms World Bank 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 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. 2015-11-16T19:57:34Z 2015-11-16T19:57:34Z 2015-05 Report http://documents.worldbank.org/curated/en/2015/05/25071144/bulgaria-health-financing-ras-final-report-health-financing-diagnostic-review-envisaged-reforms http://hdl.handle.net/10986/22964 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work Economic & Sector Work :: Other Health Study Europe and Central Asia Bulgaria
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	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
spellingShingle	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 World Bank Bulgaria Health Financing : Final Report on Health Financing Diagnostic and Review of Envisaged Reforms
geographic_facet	Europe and Central Asia Bulgaria
description	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.
format	Report
author	World Bank
author_facet	World Bank
author_sort	World Bank
title	Bulgaria Health Financing : Final Report on Health Financing Diagnostic and Review of Envisaged Reforms
title_short	Bulgaria Health Financing : Final Report on Health Financing Diagnostic and Review of Envisaged Reforms
title_full	Bulgaria Health Financing : Final Report on Health Financing Diagnostic and Review of Envisaged Reforms
title_fullStr	Bulgaria Health Financing : Final Report on Health Financing Diagnostic and Review of Envisaged Reforms
title_full_unstemmed	Bulgaria Health Financing : Final Report on Health Financing Diagnostic and Review of Envisaged Reforms
title_sort	bulgaria health financing : final report on health financing diagnostic and review of envisaged reforms
publisher	Washington, DC
publishDate	2015
url	http://documents.worldbank.org/curated/en/2015/05/25071144/bulgaria-health-financing-ras-final-report-health-financing-diagnostic-review-envisaged-reforms http://hdl.handle.net/10986/22964
_version_	1764452483207266304

Bulgaria Health Financing : Final Report on Health Financing Diagnostic and Review of Envisaged Reforms

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