Health legislation in Bulgaria Flashcards
what are the 2 documents and who are they adapted by and what is the law
NHS: National health strategy - council of M
NHP: National health programme- National assembly
the law: Health act
2 types of health insurance and who is part of them
- obligatory - NHIF
- additional voluntary -private companies
Info on insurance
8% of salary monthly
ratio + 60:40
60- paid by employer
40- paid by the person
if you do more than 3 months without paying you are taken off
who is exempt from insurance and has the government budget
- kids under 18
- pensioners 65+
- students under 26
out of pocket payments and who is exempt
a type of visiting tax , where if someone visit the GP - pay 2.90 and if they visit the hospital they pay 5.80 for every day you spend in hospital
- pensioners - only pay 1 lev but still pay 5.80
- incapacity to work
- children under 18
is there a difference between medical establishment and healthcare establishment?
medical: diagnosis and treatment (medical staff). Medical esttablishment falls under the medical establishment act
healthcare: non medical staff, aim is promotion and protection of health and is part of the health care act examples would be opticians, pharmacies etc
healthcare establishment falls under the HEALTH ACT
What are the 3 columns on the table (we did in class)
- Health act
- insurance
- health care establishment act
national framework contract
a contract signed by the NHIF representives and professional organisation associates like doctors, dentists etc that is signed every year up to April.
inside contract there is the price of procedures, what kind of procedures the medical staff will perform
the providers of medical care must sign individual contracts
1) the conditions to be met by the providers
2) the range, price and methodology of the price of services
3) documentation
there is more
medical establishment
i think it’s part of the 3rd column (double check)
structure when doctors alone or with the assistance of other medical or non medical specialist carry out the following activities
nb ( it doesn’t matter about the 3 types of care, all will do these things)
-diagnostics, treatment and rehabilitation of patients
-care of pregnant women and provision of natal assistance
-prophylaxis of diseases and early discovery of diseases
-transplant of organs
types of care
3
- outpatient/ ambulatory
- in patient/hospital
- other
types of care
outpatient- non stationary -ambulatory
inpatient- hospital care
other
outpatient care
- ambulatory for 1 medical care
- ambulatory for specialised medical care
3.independent medical diagnostic and medical technical labs
4.dental centres
hospital care
4 classification
- BY TREATMENT
-hospital for active treatment
hospital for further treatment and continuous treatment
-rehabilitation
-hospital for final treatment
2.BY PROFILE
-multiprofile
-specialised
3.UNIVERSITY OR NON UNIVERSITY
4. AREA
-national
-regional
-local
-UMHAT
-SHAT
university multiprofile hospital for active treatment
Specialised hospital for active treatmen
THESE FALL UNDER TYPES OF MEDICAL ESTABLISHMENTS
others
mental health centre
centre for emergency medical care
transfusions
complex oncology centre
hospice
tissue bank
dialysis centre
who does primary health care
GP
promotion of health
what kind of activities does gp do
general checkups
immunizations -prophylaxis
prescribes drugs
diagnosis and treatment
health education and health behaviour
- things like when to wash your hands
-how to wash your hands
-healthy eating,diet
-sexual eduction
-when is the best time for a couple to have a child
this is the role of family doctor like in primary health car e
when is adapted the model for 1 healthcare-MCQ and first thing to mention in essay
in the declartaion of the international conferance on primary health care held in Alma,Ata jazakhstan in 1978
what is 1 health care -
ESSENTIAL HEALTH CARE which makes universal healthcare accessible to individuals and families and communities
involves al areas such as environment, healthcare services and lifestyle
Ambulatory for specialised medical care
a. individual e.g cardiologist
b. group - more than 2 specialist
c. medical centre - at least three different doctors in different specialities
d. Diagnostic consultative Centre 10 different doctors in different fieldsand labs, radiolofgy labs, clinical labs and a director qualified in health management
how many patients can the gp see
its predetermined by the RHIF, on a monthly basis
specialised medical care
-1. indivual practice for specialised medical cared
2. group practice for specialised medical care
-3.medical centre/dental centre- at least 3 diff doctors/denti in 3 separte fileds
-4. medical diagnostics- at least 10 physyican in speertae fields, with a lab and imaging sections and a manager with a qualification in health management.
what are the NHS and NH prohgramme based on
they are based on the assessment of health status and health needs of citizens , demographic tendencies and resource capacities of the national system of healthcare
what does the national system of health care consist of
- medical establishments under the law of medical establishments
- health care establishments
- the state, municipal and public bodies and insitiutions for orgnanisation
who manages the helath policy
council of M
management of the national health care system
- minister of health
- supreme medical council
- R3egional health inspectorate
- health care service at the municipal administration
state health control
- chief state health inspector of republic of bulgaria
- national centre for radiobiology and radiation protection
- RHI
DEF healthcare establishment
healthcare establishments are structures of the national health care system where medical and non medical specialities provide activities for the promotion and the protection of health
example of specialsied hospital
selena
what is a patient
any patient who has sought or is receiving medical aid
what are patients rights and which law do they fall under
whar are patient obligations
FALL UNDER THE HEALTH ACT
- respect for social, political, economic,cultural religious rights
- accessible and high quality medical aid
- more than one medical opinion on the diagnosis, treatment and prognosis of a disease
- protection of the data related to their condition
- remuneration for the work he/she performs the same as if they were healthy
- clear and accessible information on the health condition of the patients
- take care of his/her own health
- not harm the health of others
- assist the providers of medical aid in the performance of activities related to the improvement/recovery of their health
- observe the order established at healthcare and medical establishments
where does palliative medical care fall into and definition
health act
maintain quality of life by eliminating/reducing some of the immediate signs of the disease as well as the related adverse psychological and social effects
what does palliative care mean
who provides it
- medical observation
- healthcare aimed at providing care to the patient, removing pain and the psycholigcal and social effects
- moral support to the patients and relatives
GP, medical establishments for outpatients and hospital care and hospices
medical aid in emergcnecy
- prevent death
- prevent severe or irreversible damage to the organs and systems of the body
- prevent complications in women at childbirth with thhreatenes the life of mother and fetus
who runs the oblgatory health insurance fund and what is the function s
NHIF which is further divided into regions (bulgaria has 27 )
provides a basic level of healthcare package budgeted by the NHIF. gives you free choice of a provider as long as they have a contract with the RHIF
additonal voluntary insurance
carried out by shareholders companies registered according to commercial law and who have a liscence !
RIGHTS OF THE obligatory insured person
- to medical care within the range of the insurance package
2.to emergency medical care whenever its needed - to receive info from the RHIF about the contracts it has made with medical care executives
examples of heathcare establishments
National centres for public health affairs
Opticians, pharmacies, health and dental med offices at kindergarten/schools and specialised social welfare institutions.
National expert medical commission (NEMC)
