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...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-01-01
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| Series: | Healthcare |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9032/10/2/274 |
| _version_ | 1797479742601953280 |
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| author | Zornitsa Mitkova Miglena Doneva Nikolay Gerasimov Konstantin Tachkov Maria Dimitrova Maria Kamusheva Guenka Petrova |
| author_facet | Zornitsa Mitkova Miglena Doneva Nikolay Gerasimov Konstantin Tachkov Maria Dimitrova Maria Kamusheva Guenka Petrova |
| author_sort | Zornitsa Mitkova |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-09T21:50:10Z |
| format | Article |
| id | doaj.art-baffcb3843414672a37293a41ae21640 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T21:50:10Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-baffcb3843414672a37293a41ae216402023-11-23T20:09:17ZengMDPI AGHealthcare2227-90322022-01-0110227410.3390/healthcare10020274Analysis of Healthcare Expenditures in BulgariaZornitsa Mitkova0Miglena Doneva1Nikolay Gerasimov2Konstantin Tachkov3Maria Dimitrova4Maria Kamusheva5Guenka Petrova6Department of Organization and Economy of Pharmacy, Faculty of Pharmacy, Medical University-Sofia, 1000 Sofia, BulgariaDepartment of Organization and Economy of Pharmacy, Faculty of Pharmacy, Medical University-Sofia, 1000 Sofia, BulgariaMedical College, Trakia University, 6000 Stara Zagora, BulgariaDepartment of Organization and Economy of Pharmacy, Faculty of Pharmacy, Medical University-Sofia, 1000 Sofia, BulgariaDepartment of Organization and Economy of Pharmacy, Faculty of Pharmacy, Medical University-Sofia, 1000 Sofia, BulgariaDepartment of Organization and Economy of Pharmacy, Faculty of Pharmacy, Medical University-Sofia, 1000 Sofia, BulgariaDepartment of Organization and Economy of Pharmacy, Faculty of Pharmacy, Medical University-Sofia, 1000 Sofia, BulgariaThe 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.https://www.mdpi.com/2227-9032/10/2/274public expenditurehealthcare system performancedemographicseconomic indicators |
| spellingShingle | Zornitsa Mitkova Miglena Doneva Nikolay Gerasimov Konstantin Tachkov Maria Dimitrova Maria Kamusheva Guenka Petrova Analysis of Healthcare Expenditures in Bulgaria Healthcare public expenditure healthcare system performance demographics economic indicators |
| 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 | public expenditure healthcare system performance demographics economic indicators |
| url | https://www.mdpi.com/2227-9032/10/2/274 |
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