Анализ на разходите за здравнопромотивни и профилактични дейности на Районната здравноосигурителна каса – Плевен
Analysis of the expenditures for healthcare and preventive activities of the Regional health insurance fund – Pleven

Summary/Abstract: The National Health Strategy and its implementation plan underline that the key to public health improvement in Bulgaria is the health promotion and disease prevention. The aim of the present study is to analyze the dynamics of expenditures on the policy “Promotion, prevention and control of public health” in Pleven region for the period 2010-2017. A documents review and analysis of the annual reports of the Regional Health Insurance Fund (RHIF) – Pleven was carried out. Pleven District has the highest coverage in the country with medical institutions and staff in primary health care (PHC). Nevertheless, lower than average for the country preventive activities were reported. The expenses of RHIF – Pleven for PHC during the observed period have increased. The structure of expenses by types of activities has changed. The share of capitation has decreased from 62% to 42.9%, dispensary monitoring increased from 12.7% to 26.7%. Payments for regular checkups of insured persons over 18 have increased, but the share of funds for the Child Health Program has slightly decreased. The increase in cash flows for prevention in most cases is related to an increase in the unit price of examinations and an increase in the cost of consumables rather than the number of activities.

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