16. Health policy and reforms in BG. NHS

Question 1

What is the
Reform in
Bulgaria?

Answer 1

The Health Insurance Act of 1998 reformed the Bulgarian health system into a health insurance system with compulsory and voluntary health insurance

Question 2

key players in the insurance system

Answer 2

The key
players in the insurance system are the insured individuals,
the health care providers and the third-party payers,
comprising the National Health Insurance Fund, the single
payer in the social health insurance (SHI) system, and
voluntary health insurance companies (VHICs).

Question 3

what did the HC reforms after 1989 focus on

Answer 3

Health care reforms after 1989 focused predominantly on
ambulatory care and the restructuring of the hospital sector is
still pending on the government agenda. Thus, both an
oversupply of acute care beds and an undersupply of longterm care and rehabilitation services remain.

Question 4

in what year was the mental health reform introduced?

Answer 4

2001

Question 5

mental HC reform aims

Answer 5

to improve outpatient and community-based services
and to prioritize care provided by the family and in the social
environment. Despite efforts to deinstitutionalize psychiatric
patients, hospitalizations have shown an increasing trend.

Question 6

what is health policy law?

Answer 6

Act.3. Demonstrates the law of health
1. State health policy shall be managed and implemented by the Council of Ministers.

2. Council of Ministers, at a proposal of the Minister of Health shall adopt national health strategy which shall been adopted by the national Assembly.
3. Council of Ministers, at a proposal of the Minister of Health shall adopt national health programmes
4. National Health Strategy and the national health programmes shall be based on an assessment of the health status and health needs of the citizens, the health demographic tendencies and the resource of capacity of the national system of healthcare

Question 7

What is the
National Health
Strategy

Answer 7

[this doesnt really explain it] but dunno what to put

Health policy priorities are determined by the Ministry of
Health through the National Health Strategy (NHS).
- At the district level, state health policy is organized and
implemented by the Regional Health Inspections (RHI).
-The Bulgarian health system is based on an insurance model
consisting of compulsory SHI and VHI.
- SHI is administered by a single payer, the National Health
Insurance Fund (NHIF) while VHI is solely provided by forprofit joint stock companies.
-The insurance system (SHI and VHI) covers diagnostic,
treatment and rehabilitation services as well as medications
for the insured individuals. Public health services, inpatient
services for people with mental disorders, emergency care,
transplantations, and transfusion hematology are organized
and financed by the Ministry of Health.
- The Supreme Medical Council is an advisory body to the
Ministry of Health.
- It gives advice on national health strategy, health-related
draft bills, draft budgets and the annual report of the minister,
on the planning of the early admission quota of students and
postgraduate students to be qualified in health care, and on
issues related to medical ethics.