Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X
Issue: 2016, vol. 22, issue 1
Subject Area: Medicine
Published online: 29 March 2016
J of IMAB 2016 Jan-Mar;22(1):1088-1090
HOW DOES CORRUPTION AFFECTS HEALTHCARE SECTOR IN BULGARIA
Jordan Deliversky, .
Department of National Security, State University of Library Studies and Information Technologies, Sofia, Bulgaria.
Corruption in the healthcare sector is a reflection of the structural challenges in the health care system. The problem of corruption in healthcare is of a multidimensional nature.
The Bulgarian health care system is based on a regulated regime. On one hand there is the functioning of a state-owned and state-controlled health fund financed through obligatory contributions by all income earners, and on the other, a union of health providers that negotiate a national framework health contract with the fund.
Causes of corruption are classified as different factors such as structural factors and government policies factors. The health sector is susceptible to corruption for various reasons, mostly related to its organization. The health sector is a complex sector.
In order to be effective, reforms to combat corruption must be informed by theory, guided by evidence and adapted to context.
It is necessary to review and develop diagnostic and treatment algorithms as standards of good medical practice, which would help to assess the package of medical and non-medical activities.
Key words: Corruption, factors, healthcare, informal payments,
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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Deliversky J. HOW DOES CORRUPTION AFFECTS HEALTHCARE SECTOR IN BULGARIA. J of IMAB. 2016 Jan-Mar;22(1):1088-1090. DOI: http://dx.doi.org/10.5272/jimab.2016221.1088.
Correspondence to: Jordan Deliversky, PhD., Department of National Security, State University of Library Studies and Information Technologies, Sofia; 119, Tsarigradsko Shose bvld., 1784 Sofia, Bulgaria; E-mail: firstname.lastname@example.org
1. World Bank. Helping countries to combat corruption. The role of the World Bank. World Bank;1997.
2. Transparency International. Global Corruption Report 2006. London: Pluto Press; 2006.
3. Lewis M. Informal payments and the financing of health care in developing and transition. Health Aff (Millwood). 2007 Jul-Aug;26(4):984-997. [PubMed] [CrossRef]
4. Lewis M. Governance and Corruption in Public Health Care Systems. Center for Global Development, January 2006.
5. Gosden T, Pedersen L, Torgerson D. How Should We Pay Doctors? A Systematic Review of Salary Payments and Their Effect on Doctor Behavior. QJM. 1999 Jan;92(1):47-55. [PubMed] [CrossRef]
6. Balabanova D, McKee M. Understanding informal payments for health care: the example of Bulgaria. Health Policy. 2002 Dec;62(3):243-73. [PubMed] [CrossRef]
7. Atanasova E, Pavlova M, Moutafova E, Rechel B, Groot W. Out-of-pocket payments for health care services in Bulgaria: financial burden and barrier to access. Eur J Public Health, 2013 Dec;23(6), 916-922. [PubMed] [CrossRef]
8. Economic and Social Council, Republic of Bulgaria, Opinion of ESC on “Healthcare in Bulgaria - Problems and Possible Solutions”, 2014.
Received: 18 January 2016
Published online: 29 March 2016
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