The hospital sector reform in Bulgaria

Pesheva, P; Georgieva, E; Hristov, Neno; Zahariev, Vili; Dimitrova, D.

doi:10.1093/eurpub/ckx186.074

Cited by 2 publications

(3 citation statements)

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“…Increases in induced demand were presented as a weakness in the evidence examined. However, one of the present study's strengths was that it included expert opinions of the government structure, which contradicted the results of similar studies (11)(12)(13)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33).…”

Section: Discussioncontrasting

confidence: 69%

Analysis of the Structure of Public Hospitals Administration in Iran: A Qualitative Study

et al. 2021

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Background: Public hospitals account for approximately 80% of the health system resources while producing only 20% of the public sector's output. Objectives: This study aimed to analyze the current administration structure (strengths, weaknesses, solutions, and proposed models) of Iranian public hospitals. Methods: This study is qualitative research with a phenomenological approach. The required data were collected using semi-structured interviews with 58 national experts in the field of hospital management who were selected based on the purposive sampling method. Data were analyzed using the conventional content analysis method. Results: Nine main themes and 34 sub-themes were identified in the weaknesses. The strengths contained four main themes and 16 sub-themes. The proposed solutions had five main themes and 22 sub-themes, and the proposed models from the experts' points of view were composed of four main themes and six sub-themes. The important weaknesses were low commitment and motivation, poor financial management and budgeting, and centralized decision-making and management. The strengths included strong infrastructure, extensive service delivery, government support, and positive social functions. The most important proposed solutions were complying with the requirements of structural reform, development of related assessment indicators, public-private partnership, payment system reform, delegation, manpower management, hospital organizational structure, and reform of the tariff system. Finally, the model of the Board of Trustees, while maintaining government ownership but observing the legal requirements of this structure, was the main suggestion of experts on reforming the structure of the administration of public hospitals in Iran. Conclusions: According to the expert’s opinions, the current structure of Iranian public hospitals has many problems. Managers and policymakers can make the necessary corrections based on the solutions and models proposed in this study.

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Section: Discussioncontrasting

confidence: 69%

Analysis of the Structure of Public Hospitals Administration in Iran: A Qualitative Study

et al. 2021

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“…Finally, 39 cases were included in the study [ Figure 1 ]. [ 3 4 23 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 ] Reviewed evidence includes books and reports (3 cases) and scientific articles published in journals (36 cases).…”

Section: Resultsmentioning

confidence: 99%

“…The most important weaknesses mentioned for this structure in the reviewed evidence can be an inefficient payment system, an insufficient budget and lack of funds, lack of authority, lack of rules and regulations, a low commitment of managers and staff, complex and time-consuming decisions process, increased induction demand, and inappropriate incentives for service providers in these hospitals. [ 32 34 41 43 50 ]…”

Section: Resultsmentioning

confidence: 99%

Countries' experiences in reforming hospital administration structure based on the Parker and Harding model: A systematic review study

Tabrizi

Aghdash

Nouri

2021

J Edu Health Promot

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In recent years, many reforms have been made on the structure of hospital administration, most of which are proposed by Parker–Harding models. Therefore, the purpose of this study is to systematically review global relevant experiences in reforming the hospital governance structure with emphasis on the Parker–Harding model. Required information was collected using keywords autonomization, corporatization, privatization, decentralization, reform, hospital autonomy, governance model, and structural reform in databases such as EMBASE, PubMed, Scopus, SID, MagIran, and other resources. Information on the subjects under study was collected from 1990 to 2020. The content extraction method was used for data extraction and data analysis. Thirty-nine sources were included in the study. Results of searching for relevant evidence on a variety of hospital governance models (government, board, corporate, and private) based on the Parker–Harding model in four categories including strengths (31), weaknesses (30), outcomes (26), and interventions (21) are outlined. In this study, strengths, weaknesses, outcomes, and corrective interventions were presented for different models of hospital administration that could be used by healthcare policymakers. Also, According to the results of this study, governmental model less recommended.

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The hospital sector reform in Bulgaria

Cited by 2 publications

References 0 publications

Analysis of the Structure of Public Hospitals Administration in Iran: A Qualitative Study

Analysis of the Structure of Public Hospitals Administration in Iran: A Qualitative Study

Countries' experiences in reforming hospital administration structure based on the Parker and Harding model: A systematic review study

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