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Healthcare Technologies Resource Guide - Export.gov

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Bulgaria<br />

Summary<br />

The Government of Bulgaria is implementing a fundamental reform of its<br />

healthcare sector.<br />

The health sector reform project has several components, the first one being<br />

reform and sustainability of the primary and ambulatory care sector. It provides<br />

practice equipment for primary health care and training in general practitioner<br />

(GP) practice management. The project also funds physician’s offices’<br />

information systems, an information campaign and a labor adjustment strategy,<br />

as well as a health reform investment program to provide low-interest loans to<br />

physicians.<br />

The second component targets reform of the hospital system, including<br />

introduction of Clinical Paths, similar to Disease Related Groups (DRG),<br />

assigning critical-diseases‘ tenders to be run by hospitals instead of Ministry<br />

of <strong>Healthcare</strong>; funding hospital information systems, financing a health reform<br />

investment program, reduction in number of hospitals; optimizing their<br />

functionality and funding a labor adjustment strategy.<br />

The third component aims at assisting the National Health Insurance Fund<br />

(NHIF) in establishing the technological infrastructure for efficient functioning<br />

of the insurance system, including necessary hardware and software systems,<br />

as well as training and technical assistance required. The fourth component<br />

is aiming at strengthening the management and institutional capacity of the<br />

Ministry of Health, the NHIF, and the health system in general.<br />

Another aspect of the healthcare reform relates to measures taken for the<br />

eradication of pandemic diseases. As an entry point to EU veterinary markets,<br />

Bulgaria is required to undertake strict sanitation and eradication measures<br />

relating to veterinary pandemic diseases such as Classic Swine Fever, Foot-and-<br />

Mouth disease, and Bird Flu. The Bulgaria Ministry of Agriculture and Food is<br />

responsible for these efforts.<br />

Bulgaria’s healthcare budget for 2009 and 2010 amounted to 1.573 billion EUR<br />

and 1.329 billion EUR respectively. The healthcare budget for 2011 amounted<br />

to 1.659 billion EUR (4.2% of GDP) and for 2012 it is estimated at approximately<br />

1.875 billion EUR. For the long-term period 2001 through 2012 the healthcare<br />

budget ranged between 3.8 to 4.4% of GDP. The current health sector strategy<br />

urges increasing the demand for all subsectors‘ modernization and upgrades,<br />

which in general translates into:<br />

Statistics<br />

Capital: Sofia<br />

Population: 7,476,000<br />

GDP: USD 53.51 billion<br />

Currency: Bulgarian Lev<br />

Language: Bulgarian<br />

U.S. Commercial Service <strong>Healthcare</strong> <strong>Technologies</strong> <strong>Resource</strong> <strong>Guide</strong> | 2012–2013<br />

Contact<br />

Uliana Kanelli<br />

Commercial Specialist<br />

uliana.kanelli@trade.<strong>gov</strong><br />

+359-2-939-5706<br />

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