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social medicine 2 > Health legislation in Bulgaria > Flashcards

Health legislation in Bulgaria Flashcards

1
Q

what are the 2 documents and who are they adapted by and what is the law

A

NHS: National health strategy - council of M
NHP: National health programme- National assembly

the law: Health act

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2
Q

2 types of health insurance and who is part of them

A
  1. obligatory - NHIF
  2. additional voluntary -private companies
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3
Q

Info on insurance

A

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

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4
Q

who is exempt from insurance and has the government budget

A
  1. kids under 18
  2. pensioners 65+
  3. students under 26
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5
Q

out of pocket payments and who is exempt

A

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

  1. pensioners - only pay 1 lev but still pay 5.80
  2. incapacity to work
  3. children under 18
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6
Q

is there a difference between medical establishment and healthcare establishment?

A

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

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7
Q

What are the 3 columns on the table (we did in class)

A
  1. Health act
  2. insurance
  3. health care establishment act
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8
Q

national framework contract

A

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

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9
Q

medical establishment

A

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

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10
Q

types of care

A

3

  1. outpatient/ ambulatory
  2. in patient/hospital
  3. other
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11
Q

types of care

A

outpatient- non stationary -ambulatory
inpatient- hospital care
other

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12
Q

outpatient care

A
  1. ambulatory for 1 medical care
  2. ambulatory for specialised medical care
    3.independent medical diagnostic and medical technical labs
    4.dental centres
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13
Q

hospital care

A

4 classification

  1. 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

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14
Q

-UMHAT

-SHAT

A

university multiprofile hospital for active treatment

Specialised hospital for active treatmen

THESE FALL UNDER TYPES OF MEDICAL ESTABLISHMENTS

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15
Q

others

A

mental health centre
centre for emergency medical care
transfusions
complex oncology centre
hospice
tissue bank
dialysis centre

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16
Q

who does primary health care

A

GP
promotion of health

17
Q

what kind of activities does gp do

A

general checkups
immunizations -prophylaxis
prescribes drugs
diagnosis and treatment

18
Q

health education and health behaviour

A
  • 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

19
Q

when is adapted the model for 1 healthcare-MCQ and first thing to mention in essay

A

in the declartaion of the international conferance on primary health care held in Alma,Ata jazakhstan in 1978

20
Q

what is 1 health care -

A

ESSENTIAL HEALTH CARE which makes universal healthcare accessible to individuals and families and communities

involves al areas such as environment, healthcare services and lifestyle

21
Q

Ambulatory for specialised medical care

A

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

22
Q

how many patients can the gp see

A

its predetermined by the RHIF, on a monthly basis

23
Q

specialised medical care

A

-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.

24
Q

what are the NHS and NH prohgramme based on

A

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

25
Q

what does the national system of health care consist of

A
  1. medical establishments under the law of medical establishments
  2. health care establishments
  3. the state, municipal and public bodies and insitiutions for orgnanisation
26
Q

who manages the helath policy

A

council of M

27
Q

management of the national health care system

A
  1. minister of health
  2. supreme medical council
  3. R3egional health inspectorate
  4. health care service at the municipal administration
28
Q

state health control

A
  1. chief state health inspector of republic of bulgaria
  2. national centre for radiobiology and radiation protection
  3. RHI
29
Q

DEF healthcare establishment

A

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

30
Q

example of specialsied hospital

A

selena

31
Q

what is a patient

A

any patient who has sought or is receiving medical aid

32
Q

what are patients rights and which law do they fall under

whar are patient obligations

A

FALL UNDER THE HEALTH ACT

  1. respect for social, political, economic,cultural religious rights
  2. accessible and high quality medical aid
  3. more than one medical opinion on the diagnosis, treatment and prognosis of a disease
  4. protection of the data related to their condition
  5. remuneration for the work he/she performs the same as if they were healthy
  6. clear and accessible information on the health condition of the patients
  7. take care of his/her own health
  8. not harm the health of others
  9. assist the providers of medical aid in the performance of activities related to the improvement/recovery of their health
  10. observe the order established at healthcare and medical establishments
33
Q

where does palliative medical care fall into and definition

A

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

34
Q

what does palliative care mean

who provides it

A
  1. medical observation
  2. healthcare aimed at providing care to the patient, removing pain and the psycholigcal and social effects
  3. moral support to the patients and relatives

GP, medical establishments for outpatients and hospital care and hospices

35
Q

medical aid in emergcnecy

A
  1. prevent death
  2. prevent severe or irreversible damage to the organs and systems of the body
  3. prevent complications in women at childbirth with thhreatenes the life of mother and fetus
36
Q

who runs the oblgatory health insurance fund and what is the function s

A

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

37
Q

additonal voluntary insurance

A

carried out by shareholders companies registered according to commercial law and who have a liscence !

38
Q

RIGHTS OF THE obligatory insured person

A
  1. to medical care within the range of the insurance package
    2.to emergency medical care whenever its needed
  2. to receive info from the RHIF about the contracts it has made with medical care executives
39
Q

examples of heathcare establishments

A

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)

social medicine 2 (36 decks)

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