Impact of health reforms on child health services in Europe: the case of Bulgaria

Background: Over the past two decades, numerous healthcare reforms have been implemented in all European countries, new funding models have been introduced, and medical services have been provided. This article uses Bulgaria as a case study to explore the impact of reform on child health care services. Methodology: This is the first of a series of papers using Bulgaria as a case study to exploit broader research on inequality in child health services. Various methods and data sources were used, including review of literature and existing epidemiological data, 50 qualitative detailed interviews, analysis of regulatory documents. In this paper, we introduce the results of document analysis. RESULTS: Primary care services for children are currently being offered by general practitioners. Children are exempt from medical insurance and royalties and have the right to formally receive free health care. In the early days of reform, general practitioners have not received adequate child's health training yet. The general practice has not yet been decided but although the access to high quality medical care is compromised, restrictions on referrals to pediatricians and cessation of community service are limited. Conclusion: Many of these problems have been resolved, but the reform process is far from zero. There are still challenges to securing high quality child rearing services for rural areas and alienated groups such as ethnic minorities and disabled children in Roma. In Europe, health reform requires strong evidence based on the quality improvement of children's health services and effective improvement of access to children's health services

Note: In this article we will provide information on Russia's main health problems, healthcare system operation, and the impact of medical reform. It provides information on the provision of healthcare services and the criticism of specific areas that need to be dealt with. This article concludes with a brief recommendation for improving the efficiency and efficiency of healthcare. Describes a comprehensive overview of the functions of the entire system. Note: This article provides simple statistics and information on the rise in HIV / AIDS infection rates in Eastern Europe and Central Asia. Ukraine and Russia occur most frequently in this area, and Russia is the biggest AIDS outbreak in Europe. One of the reasons for the rapid spread of infection in Russia is the lack of government response.

Background: Over the past two decades, numerous medical reforms have been implemented in all countries of Europe, new funding models have been introduced, and medical services have been provided. This article uses Bulgaria as a case study to explore the impact of reform on child health care services. Methodology: This is the first of a series of articles using Bulgaria as a case study to exploit broader research on childhood health services inequality. Various methods and data sources were used, including review of literature and existing epidemiological data, 50 qualitative detailed interviews, analysis of regulatory documents. In this paper, we introduce the results of document analysis. RESULTS: Primary care services for children are currently being offered by general practitioners. Children are exempt from health insurance and royalties and are officially enjoying free health care