JofIMAB-2016-vol22-issue3

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Journal of IMAB - Annual Proceeding (Scientific Papers) Editorial Board Editor-in-chief: Prof. Dr. Krassimir Metodiev Deputy Editor-in-chief: Assoc. prof. Dr. George Kyuchukov Editors: Prof. Dr. Angelina Kisselova-Yaneva (Responsible for part Oral&Dental Medicine) Assoc. prof. Dr. Liana Gercheva (Responsible for part Medicine) Associate Editors: Prof. Dr. Bogdan Petrunov, Prof. Dr. Bojidar Popov, Dora Peychinska, Assoc. prof. Dr. Lyubomir Tzvetanov, Paula Lazarova, Prof. Dr. Pencho Kossev; International Members: Prof. Dr. Kurt G. Naber - Germany; Prof. Dr. Mario Di Gioacchino - Italy; Prof. Dr. Pio Conty - Italy; Prof. Dr. Dieter Falkenhagen - Austria; Prof. Dr. Ian Gould - UK; Prof. Dr. Bulent Berkarda - Turkey; Prof. Dr. Roman Kozlov - Russia; Prof. Dr. Dan Engelhard - Israel; Prof. Dr. Raphael Saginur - Canada; Part Medicine: Prof. Dr. Anelia Klissarova Prof. Dr. Ara Kaprelian Prof. Dr. Dimitar K. Gospodinov Prof. Dr. Ekaterina Titianova Assoc. prof. Dr. Galya Gancheva Prof. Dr. Iskren Kotzev Assoc. prof. Dr. Ivelina Yordanova Assoc. prof. Dr. Mariana Arnaudova Assoc. prof. Dr. Maya Danovska Prof. Dr. Snejina Vassileva Prof. Dr. Snezhanka T. Tisheva Prof. Dr. Valentin Stoyanov Prof. Dr. Zaharyi Krastev; Dr. Katarina Wassilew - Germany Prof. Dr. Goce Spasovski - Macedonia Prof. Dr. Sonja Genadieva-Stavric - Macedonia Part Oral&Dental Medicine: Assoc. prof. Dr. Ani Beltcheva, Assoc. prof. Dr. Assya Krasteva, Assoc. prof. Donka Kirova, Prof. Dr. Elka Popova, Prof. Dr. Hristina Lalabonova, Prof. Dr. Hristina Mihailova, Assoc. prof. Dr. Ilyana Stoeva, Assoc. prof. Dr. Maria Dencheva, Assoc. prof. Dr. Mariana Dimova, Assoc. prof. Dr. Metodi Abadjiev, Prof. Dr. Milena Peneva, Assoc. prof. Dr. Vladimir Panov, Prof. Dr. Alexandru Petre - Romania Dr. Bogdan Calenic - Romania Prof. Dr. Slave Naumovski - Macedonia, Executive Director: Gospodin Peytchinski Editor-in-chief: Prof. Dr. Krassimir Metodiev Headquarters of International Medical Association Bulgaria (IMAB); 55, M. Drinov str., 9002 Varna, Bulgaria, Tel./Fax: +359/52/634 107, 379 777; Mobile: +359/888 712 407 E-mail: kr.metod@yahoo.com, kr.metod@gmail.com; Deputy Editor-in-chief: Assoc. prof. Dr. George Kyuchukov E-mail: kyuchger@abv.bg; Address for correspondence: Journal of IMAB - 2016 July-September;22(3) ISSN: 1312-773X; DOI: http://dx.doi.org/10.5272/jimab.2016223 Publishing house and Editorial office of the Journal of IMAB: “Peytchinski, Gospodin Iliev” ET, compl. Droujba bl. 116, ap. 41; 5806 Pleven, Bulgaria Phone: +359/64 871 100, E-mail: publisher_imab@abv.bg, or publisher.imab@gmail.com, Publisher: Gospodin Peytchinski Mobile: +359/888 213 675 1188 http://www.journal-imab-bg.org / J of IMAB. 2016, vol. 22, issue 3/
Journal of IMAB ISSN: 1312-773X http://www.journal-imab-bg.org 1. Magnetic Resonance Imaging units (MRI) The first Magnetic Resonance Imaging unit in Bulgaria was delivered back in 1966 – MRI spectrometer (JEOL – Japan 60 MHz) [4]. As seen from the graph, Japan is leading in terms of quantitative indicators with 45.94 MRI units per 1 million people, the difference with the other countries being significant. (Fig.1.) Japan also leads in early diagnohttp://dx.doi.org/10.5272/jimab.2016223.1189 Journal of IMAB - Annual Proceeding (Scientific Papers) 2016, vol. 22, issue 3 COMPARATIVE ANALYSIS OF MEDICAL EQUIPMENT USED IN DIAGNOSTIC IMAGING IN BULGARIA AND COUNTRIES WORLDWIDE AND OPTIMIZATION AIMED AT IMPROVING THE HEALTH CARE SYSTEM MANAGEMENT. Svetoslav Garov 1 , Tsvetelina Mihaylova 1 , Galina Makedonska 2 1) Department of Health Policy and Management, Faculty of Public Health, MU - Sofia, Bulgaria 2) NCRRP (National Center of Radiobiology and Radiation Protection), Ministry of Health, Bulgaria. ABSTRACT Purpose: to reveal the current condition of medical equipment in Bulgaria related to those major groups of socially significant diseases and to make an attempt to define guidelines for its optimization in view of improving the functioning and management of the healthcare system in this field. Material and methods: The following research methods have been applied: 1. Document review method – research, processing and analysis of medical statistical information taken from data from WHO and annual reports of NRA. The study includes data from 2009 - 2015. 2. Graphical method – summarizing data in relevant tables and diagram presentations. Results: The article analyzes the condition of medical equipment in the field of oncologic and cardiologic medical aid in Bulgaria based on data taken from WHO (World Health Organization) and annual reports of NRA (Nuclear Regulatory Agency). Six types of diagnostic imaging and radiation therapy devices have been studied: Magnetic Resonance Imaging units (MRI); Computed Tomography Scanners (CT), Positron Emission Tomography Scanners, Mammographs, Linear accelerators and Telecobalt units (Cobalt-60). The condition of medical equipment since 2009 has been analyzed, results have been reported and trends – studied. Conclusion: The oncologic and cardiologic medical equipment in Bulgaria has been gradually improving in the last seven years, but quantitative indicators regarding the devices studied are still far away from the figures recommended by WHO with one single exception, i.e. Computed Tomography Scanners Key words: Oncologic medical aid, cardiologic medical aid, Magnetic Resonance Imaging units (MRI), Computed Tomography Scanners (CT), Positron Emission Tomography Scanners, Mammographs, Linear accelerators, Telecobalt units (Cobalt-60), INTRODUCTION The greatest challenge that medicine and healthcare face in XXI century is the increasing costs for socially significant diseases. The most specific feature of those diseases is their large scale distribution. They are the result of a number of reasons, endogenic andexogenic forces acting throughout one’s life. Those diseases mostly affect middleaged people, which threatens the social and economic welfare of individuals, their families and on a more general level – the welfare of the entire population of a country. A positive affect regarding those groups of diseases can be achieved through: limiting major risk factors and taking advantage of the advance in medical science and practice [1]. RESULTS AND DISCUSSION: The analysis includes data taken from 58 countries regarding 6 types of medical devices: Magnetic Resonance Imaging units (MRI); Computed Tomography Scanners (CT), Positron Emission Tomography Scanners, Mammographs, Linear accelerators and Telecobalt units (Cobalt-60). The source of information is WHO (World Health Organization) and part of the data for Bulgaria is provided by NCRRP (National Center of Radiobiology and Radiation Protection) and taken from annual reports of NRA [2, 3]. Countries from five continents take part in the research as follows: Europe – 25 countries; Asia - 13 countries; North and South America – 10 countries; Africa- 10 countries. The costs of medical equipment are related to 1 million inhabitants with the purpose of possible comparison and therefore most of them are not whole numbers. The research presents data from 2009 and in the graphs Bulgaria is marked in red so that it could be quickly and easily seen. Finally, average values are presented in tables and graphs for the six types of devices. / J of IMAB. 2016, vol. 22, issue 3/ http://www.journal-imab-bg.org 1189
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