The military professional forming of cadets is in the core of the mission of Vasil Levski National Military University-Bulgaria and of the training process. Despite of this, the efforts not always achieve the desired results during the training of each cadet. All these require the military professional realization of the cadets to be subjected to an overall and profound analysis and on that base to find out the achievements, to reveal the weaknesses and difficulties of the process, to identify the reasons for them and to outline the directions and means for its improvement.

Facing conditions of market economy and financial crisis, the head of any healthcare facility has to take adequate decisions about the cost-effective functioning of the hospital. Along with cost reduction, the main problem is how to maintain a high level of health services. The aim of our study was to analyse the quality of healthcare services after the implementation of control over expenses due to a reduction in the budgetary resources in Military Medical Academy (MMA, Sofia, Bulgaria). Data from the hospital information system and the Financial Department about the incomes and expenditures for patient treatment were used. We conducted a retrospective study on the main components of clinical indicators in 2013 to reveal the main problems in the hospital management. In 2014, control was imposed on the use of the most expensive medicines and consumables. Comparative analysis was made of the results of the medical services in MMA for 2013 and 2014. Our results showed that despite the limited budget in MMA over the last year, the policy of control over operational costs succeeded in maintaining the quality of healthcare services. While reducing the expenses for medicines, consumables and laboratory investigations by »26%, some quality criteria for healthcare services were observed to be improved by »9%. Financial crisis and budget reduction urge healthcare economists to create adequate economical instruments to assist the normal functioning of hospital facilities. Our analysis showed that when a right policy is chosen, better results may be achieved with fewer resources.

The quality of a training course can be assessed by the level of the professional training and the possessed professional competencies of the trainees who have completed it, and, if they meet the needs and expectations of the users of qualified personnel, then these users will be satisfied. By considering the level of customer satisfaction from the training of the qualified personnel and the manner in which they cope with their tasks at their workplace applying the professional competences which they have acquired, it can be established to what extent the conducted training corresponds to the set state requirements and whether it is adequate to the labour market needs, i.e. what its quality is.

The quality of a training course can be assessed by the level of the professional training and the possessed professional competencies of the trainees who have completed it, and, if they meet the needs and expectations of the users of qualified personnel, then these users will be satisfied. By considering the level of customer satisfaction from the training of the qualified personnel and the manner in which they cope with their tasks at their workplace applying the professional competences which they have acquired, it can be established to what extent the conducted training corresponds to the set state requirements and whether it is adequate to the labour market needs, i.e. what its quality is.

No abstract