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Analysis of Healthcare Expenditures in Bulgaria

The growth of public expenditure worldwide has set the priority on assessment of trends and establishment of factors which generate the most significant public costs. The goal of the current study is to review the tendencies in public healthcare expenditures in Bulgaria and to analyze the influence...

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Detalles Bibliográficos
Autores principales: Mitkova, Zornitsa, Doneva, Miglena, Gerasimov, Nikolay, Tachkov, Konstantin, Dimitrova, Maria, Kamusheva, Maria, Petrova, Guenka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872167/
https://www.ncbi.nlm.nih.gov/pubmed/35206888
http://dx.doi.org/10.3390/healthcare10020274
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author Mitkova, Zornitsa
Doneva, Miglena
Gerasimov, Nikolay
Tachkov, Konstantin
Dimitrova, Maria
Kamusheva, Maria
Petrova, Guenka
author_facet Mitkova, Zornitsa
Doneva, Miglena
Gerasimov, Nikolay
Tachkov, Konstantin
Dimitrova, Maria
Kamusheva, Maria
Petrova, Guenka
author_sort Mitkova, Zornitsa
collection PubMed
description The growth of public expenditure worldwide has set the priority on assessment of trends and establishment of factors which generate the most significant public costs. The goal of the current study is to review the tendencies in public healthcare expenditures in Bulgaria and to analyze the influence of the demographic, economic, and healthcare system capacity indicators on expenditures dynamics. A retrospective, top-down, financial analysis of the healthcare system expenditures was performed. Datasets of the National Statistical Institute (NSI), National Health Insurance Fund (NHIF), and National Center of Public Health and Analysis (NCPHA) were retrospectively reviewed from2014–2019 to collect the information in absolute units of healthcare expenditures, healthcare system performance, demographics, and economic indicators. The research showed that increasing GDP led to higher healthcare costs, and it was the main factor affecting the cost growth in Bulgaria. The number of hospitalized patients and citizens in retirement age remained constant, confirming that their impact on healthcare costs was negligible. In conclusion, the population aging, average life expectancy, patient morbidity, and hospitalization rate altogether impacted healthcare costs mainly due to the multimorbidity of older people and the rising need for outpatient hospital services and medications.
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spelling pubmed-88721672022-02-25 Analysis of Healthcare Expenditures in Bulgaria Mitkova, Zornitsa Doneva, Miglena Gerasimov, Nikolay Tachkov, Konstantin Dimitrova, Maria Kamusheva, Maria Petrova, Guenka Healthcare (Basel) Article The growth of public expenditure worldwide has set the priority on assessment of trends and establishment of factors which generate the most significant public costs. The goal of the current study is to review the tendencies in public healthcare expenditures in Bulgaria and to analyze the influence of the demographic, economic, and healthcare system capacity indicators on expenditures dynamics. A retrospective, top-down, financial analysis of the healthcare system expenditures was performed. Datasets of the National Statistical Institute (NSI), National Health Insurance Fund (NHIF), and National Center of Public Health and Analysis (NCPHA) were retrospectively reviewed from2014–2019 to collect the information in absolute units of healthcare expenditures, healthcare system performance, demographics, and economic indicators. The research showed that increasing GDP led to higher healthcare costs, and it was the main factor affecting the cost growth in Bulgaria. The number of hospitalized patients and citizens in retirement age remained constant, confirming that their impact on healthcare costs was negligible. In conclusion, the population aging, average life expectancy, patient morbidity, and hospitalization rate altogether impacted healthcare costs mainly due to the multimorbidity of older people and the rising need for outpatient hospital services and medications. MDPI 2022-01-30 /pmc/articles/PMC8872167/ /pubmed/35206888 http://dx.doi.org/10.3390/healthcare10020274 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mitkova, Zornitsa
Doneva, Miglena
Gerasimov, Nikolay
Tachkov, Konstantin
Dimitrova, Maria
Kamusheva, Maria
Petrova, Guenka
Analysis of Healthcare Expenditures in Bulgaria
title Analysis of Healthcare Expenditures in Bulgaria
title_full Analysis of Healthcare Expenditures in Bulgaria
title_fullStr Analysis of Healthcare Expenditures in Bulgaria
title_full_unstemmed Analysis of Healthcare Expenditures in Bulgaria
title_short Analysis of Healthcare Expenditures in Bulgaria
title_sort analysis of healthcare expenditures in bulgaria
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872167/
https://www.ncbi.nlm.nih.gov/pubmed/35206888
http://dx.doi.org/10.3390/healthcare10020274
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