Състояние на човешките ресурси в здравната система на Република България и причини за миграцията на българските лекари
Status of Human resources in Bulgarian health care system and reasons for migration of Bulgarian medical doctors

Summary/Abstract: The authors present an overview of results brought by the transformation of Bulgarian healthcare system to current day. The necessity of the undertaken reform is presented within the scope of founding new social and economic relationships in healthcare after democratization in Bulgaria. Human resources characteristics of the country’s health care system are depicted according to specialty, number, and availability of medical specialists by population in comparison to European standards. The focus is put on the disproportions in the numbers and specialties on regional level. Contemporary trends in relocation of medical specialists within the country and trans-border migration are discussed. Analysis is made of trans-border migration reasons. Possible solutions are suggested and concrete practical recommendations are made in order to solve the human resources issues in Bulgarian health care system. Emphasis is placed on the uneven distribution of amount and specialties by region – 27.8% of the total number of doctors in the country work in Sofia, 10.3% work in Plovdiv, while 1% to 3% work in most other regions. The same fact is noted for healthcare professionals – 21.5% work in Sofia, 7.9% in Plovdiv, while 1% and 4% work in other regions. The authors present the current trends in the movement of healthcare professionals in the country, and cross-border migration from Bulgaria. An analysis of the reasons for migration out of the country is carried. The article proposes possible solutions and makes practical recommendations to solve human resource problems in the Bulgarian healthcare.

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