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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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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. |
format | Online Article Text |
id | pubmed-8283121 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
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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