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Analysis of the Household and Health Care System Expenditures in Bulgaria

Health care systems worldwide are experiencing tremendous financial pressure because of the introduction of new targeted health technologies and medicines. This study aims to analyze and compare public and household healthcare expenditures in Bulgaria during the period 2015–2019, as well as present...

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Detalles Bibliográficos
Autores principales: Mitkova, Zornitsa, Petrova, Guenka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283121/
https://www.ncbi.nlm.nih.gov/pubmed/34277542
http://dx.doi.org/10.3389/fpubh.2021.675277
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author Mitkova, Zornitsa
Petrova, Guenka
author_facet Mitkova, Zornitsa
Petrova, Guenka
author_sort Mitkova, Zornitsa
collection PubMed
description Health care systems worldwide are experiencing tremendous financial pressure because of the introduction of new targeted health technologies and medicines. This study aims to analyze and compare public and household healthcare expenditures in Bulgaria during the period 2015–2019, as well as present the major cost-containment measures implied by the government and their probable influence on the overall health care cost. Regulatory analysis of the endorsed cost-containment measures, budget analysis of public and household health care expenditures, and their extrapolations were performed. The regulatory analysis reveals that a large number of measures are introduced and valid until January 2021, considering pharmaceuticals, medical devices, and negotiations between the National Health Insurance Fund (NHIF) and Marketing authorization holders (MAHs). NHIF costs due to pharmaceuticals, food supplements, and medical devices are rising from 2015 to 2019. The overall health expenditures average per household and the average per person also grow in this period. The cost extrapolation reveals that an increase in 3-year periods is expected. Despite the implementation of variety of cost-containment measures in Bulgaria, such as HTA, ERP, discounts, and annual negotiations, The National Health Insurance Fund's (NHIF) spending on pharmaceuticals continues to rise in recent years, and further increases are expected in the next 3 years. The average expenditure per household and per person also increased, which confirms the global trend of rising medicine and outpatient services value.
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spelling pubmed-82831212021-07-17 Analysis of the Household and Health Care System Expenditures in Bulgaria Mitkova, Zornitsa Petrova, Guenka Front Public Health Public Health Health care systems worldwide are experiencing tremendous financial pressure because of the introduction of new targeted health technologies and medicines. This study aims to analyze and compare public and household healthcare expenditures in Bulgaria during the period 2015–2019, as well as present the major cost-containment measures implied by the government and their probable influence on the overall health care cost. Regulatory analysis of the endorsed cost-containment measures, budget analysis of public and household health care expenditures, and their extrapolations were performed. The regulatory analysis reveals that a large number of measures are introduced and valid until January 2021, considering pharmaceuticals, medical devices, and negotiations between the National Health Insurance Fund (NHIF) and Marketing authorization holders (MAHs). NHIF costs due to pharmaceuticals, food supplements, and medical devices are rising from 2015 to 2019. The overall health expenditures average per household and the average per person also grow in this period. The cost extrapolation reveals that an increase in 3-year periods is expected. Despite the implementation of variety of cost-containment measures in Bulgaria, such as HTA, ERP, discounts, and annual negotiations, The National Health Insurance Fund's (NHIF) spending on pharmaceuticals continues to rise in recent years, and further increases are expected in the next 3 years. The average expenditure per household and per person also increased, which confirms the global trend of rising medicine and outpatient services value. Frontiers Media S.A. 2021-07-02 /pmc/articles/PMC8283121/ /pubmed/34277542 http://dx.doi.org/10.3389/fpubh.2021.675277 Text en Copyright © 2021 Mitkova and Petrova. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Mitkova, Zornitsa
Petrova, Guenka
Analysis of the Household and Health Care System Expenditures in Bulgaria
title Analysis of the Household and Health Care System Expenditures in Bulgaria
title_full Analysis of the Household and Health Care System Expenditures in Bulgaria
title_fullStr Analysis of the Household and Health Care System Expenditures in Bulgaria
title_full_unstemmed Analysis of the Household and Health Care System Expenditures in Bulgaria
title_short Analysis of the Household and Health Care System Expenditures in Bulgaria
title_sort analysis of the household and health care system expenditures in bulgaria
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283121/
https://www.ncbi.nlm.nih.gov/pubmed/34277542
http://dx.doi.org/10.3389/fpubh.2021.675277
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