Suchergebnisse

Informal patient payments are deeply rooted in Central and Eastern European countries. Despite the socio-political changes in the health care sectors after 1990s and the subsequent health care reforms, informal payments for health care services continue to serve patients` and physicians` interests. These payments also fill gaps in health care funding in this European region. Nevertheless, unofficial payments are not a desirable payment channel. They lack transparency and distort the efficiency and equity in health care provision. Still, the successful elimination of these payments will depend on the public attitude towards these payments. This study aims to compare public attitudes towards informal patient payments and payment experience in six Central and Eastern European: Bulgaria, Hungary, Lithuania, Poland, Romania, and Ukraine. The data have been collected in 2010 in nation-wide representative surveys using an identical standardized question- naire administrated via face-to-face interviews. We have collected about 1000 questionnaires in each country. The results show that a major group of respondents in each country expresses a negative attitude towards both informal cash payments and in-kind gifts. 208, 187, and 174 respondents paid informally for out-patient service in Ukraine, Romania, and Hungary respectively. We also analyse the relation between public attitudes and respondents` past experience with informal payments, e.g. whether they have paid informally payment for out-patient service used last year. In Bulgaria and Poland, negative attitude is mostly observed among those who have not paid informally. The existence of positive and indifferent attitudes towards informal pay- ments as reported in our study, indicates a challenge for policy makers in Central and Eastern European countries. The acceptance of government initiatives aimed at the elimination of informal payments will largely depend on the governments` ability to create a social resistance towards these payments.

Sariiski, G.: The hidden debt of bulgarian healthcare system : no way to hide from the future. - S. 112-134

Introduction: Disasters caused by natural phenomena or human activity often occur in Bulgaria. Social and economic consequences of these have a significant adverse effect on its development and economic growth. Given the complexity and scope of disaster situations, it is necessary to unite the efforts of all responsible institutions and actively involve them in activities to limit human, social, economic and natural damage and losses.Aim: To study the current state of the system for protection of the population in emergency situations in Bulgaria.Materials and methods: Descriptive analysis of scientific publications and normative documents concerning the management, organization and mechanisms for protection of the population in emergency situations in Bulgaria have been used.Results: Results of the analysis of key regulatory documents in Bulgaria on the management and organization of the population protection in disaster situations are presented. The main structures and institutions in the Republic of Bulgaria, responsible and related to the protection of the population in disaster situations are indicated.Conclusion: The system of protection of the population in emergency situations in Bulgaria is strictly regulated and synchronized with the European Union policy in this respect. The state policy for protection of the population together with the developed National Programs of the Council of Ministers outline the main directions for the establishment of an effective, resourceful and technically secure national system for prevention, protection and action in disaster situations.

The book sheds new light on the Kyustendil action to save the Bulgarian Jews, reported a reporter for ""Focus"". Its author is the historian Associate Professor Angel Johnev, and it is published on the occasion of the 80th anniversary of the Kyustendil action to save the Bulgarian Jews. In it, the events of March 1943, their connection, the anti-Jewish policy, the emergence of the Jewish question in Bulgaria, as well as its culmination and the famous Kyustendil action of March 1943 are told in as much detail as possible.

In the implementation of two EU co-financed 5-year programs in the period 2009-2020, it was confirmed that oral vaccination against rabies with vaccine baits was successful in eliminating the virus in terrestrial wildlife, both in foxes, jackals and raccoon dogs. In most EU countries, It has been confirmed that oral vaccination against rabies using vaccine baits containing live attenuated virus has been successful in reducing and eliminating cases of rabies the disease has already been successfully eradicated, but in some countries further efforts are needed, especially in areas near the EU's eastern borders. The purpose of this opinion is to assess the need for Bulgaria to continue the implementation of a long-term program for oral vaccination of foxes and wild canids against rabies within the next period of implementation of the national Program for prevention, surveillance, control and eradication of rabies in Bulgaria in 2022-2024. This national program is part of the European Union's (EU) policy on the eradication of rabies in wild animals. To this end, the European Commission (EC) has co-financed fox vaccination programs for many years to eliminate the risk of spreading the rabies virus to humans and other domestic animals. The results obtained so far unequivocally show that oral vaccination of foxes in Bulgaria has a very good effect, and that the medium-term goal of reducing rabies cases has been achieved. However, the rabies virus is still circulating through its sylvatic (forest) cycle in Eastern Europe and Bulgaria's neighboring and near far way countries - Russia, Ukraine, Romania, Bosnia and Herzegovina and Anatolian Turkey. To this end, it is necessary to ensure, through EU co-financed programs, a longer-term strategy, persistence and continuity of vaccination campaigns in the application of oral fox vaccination and unconditional cross-border cooperation with the Balkan countries and their competent veterinary services to achieve the ultimate goal - eradication of rabies from the territory of ...