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  • On the inequitable impact of universal health insurance: the experience of Bulgaria in transition

    Author(s)
    Short, Stephanie
    Toneva, Zdravka Dimitrova
    Hadjiev, Valentin
    Griffith University Author(s)
    Short, Stephanie D.
    Hadjiev, Valentin D.
    Year published
    2007
    Metadata
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    Abstract
    This article deals with the social democratic aspiration of equitable access to health care in Bulgaria, a country in transition since 1989 from communism and a command economy to democracy and a free market. The focus is on access to health services and resources after the introduction of a universal health insurance system, with particular reference to formal and informal out-of-pocket payments for health care. The paper reports empirical results from a national household expenditure survey, supplemented with a semi-structured interview, conducted at the end of the survey period (April-May 2002). The results bring to light ...
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    This article deals with the social democratic aspiration of equitable access to health care in Bulgaria, a country in transition since 1989 from communism and a command economy to democracy and a free market. The focus is on access to health services and resources after the introduction of a universal health insurance system, with particular reference to formal and informal out-of-pocket payments for health care. The paper reports empirical results from a national household expenditure survey, supplemented with a semi-structured interview, conducted at the end of the survey period (April-May 2002). The results bring to light the groups in society who suffer most in this scenario: the poor, Roma, older persons and those living in towns and villages. The study reveals that the stated aim of the National Health Insurance Fund, to provide equitable access to health care, is a mirage rather than a reality, as the vast bulk of health care is self funded. This paper has particular significance for understanding the challenges faced by post-communiststates in their attempts to achieve social democratic health care reforms.
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    Journal Title
    Health Sociology Review
    Volume
    16
    DOI
    https://doi.org/10.5172/hesr.2007.16.2.130
    Subject
    Public Health and Health Services
    Sociology
    Publication URI
    http://hdl.handle.net/10072/18935
    Collection
    • Journal articles

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