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Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2016, vol. 22, issue 3
Subject Area: Medicine
Pages: 1324-1327
DOI: 10.5272/jimab.2016223.1324
Published online: 28 September 2016
J of IMAB 2016 Jul-Sep;22(3):1324-1327
UNMET NEEDS FOR HEALTH CARE SERVICES IN BULGARIA
Elka Atanasova 
, Maria Rohova, Antoniya Dimova,
Department of Health Economics and Management, Faculty of Public Health, Medical University – Varna, Bulgaria.
ABSTRACT:
Background: In all European countries, an important policy objective is the equity of access to health care. The factors that affect access to health care can differ as the demand- and supply-side factors. Moreover, there are many tools to assess the extent of inequity in access to services. One simple tool is the assessing reports of unmet needs for health care.
Purpose: The study has two objectives: to examine the evidence of self-reported unmet needs and to analyze the relationship between foregone medical care and both type of residence and socioeconomic status.
Materials and Methods: We use data from the European Union Statistics on Income and Living Conditions. The access to health care is measured using the concept of unmet need for medical examination or treatment during the last 12 months. The relationship between foregone medical care and both type of residence and socioeconomic status is examined through the representative survey conducted in 2014.
Results: The Eurostat results show that treatment costs are the most common reason for foregone medical care in Bulgaria. We observe a gradual decrease in the share of people who reported having unmet needs due to being too expensive. According to the 2014 survey, significant differences between urban and rural areas as well as among the income groups are identified. The results show the problems in access to health care services mainly in small towns and villages.
Conclusion: Although major essential changes were made in the Bulgarian health care system, the equity problems remain an important challenge to policy-makers.
Key words: unmet needs, health care services, inequity, Bulgaria,
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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Atanasova E, Rohova M, Dimova A. Unmet needs for health care services in Bulgaria. J of IMAB. 2016 Jul-Sep;22(3):1324-1327. DOI: http://dx.doi.org/10.5272/jimab.2016223.1324.
Correspondence to: Elka Atanasova, Department of Health Economics and Management, Faculty of Public Health, Medical University – Varna; 55 Marin Drinov Str., 9000 Varna, Bulgaria; E-mail: elka1105@yahoo.com
REFERENCES:
1. Oliver A, Mossialos E. Equity of access to health care: outlining the foundations for action. J Epidemiol Community Health. 2004 Aug; 58(8):655-8. [PubMed] [CrossRef]
2. Yazbeck AS. Attacking Inequality in the Health Sector: A Synthesis of Evidence and Tools. Washington: The World Bank; 2009. [Internet]
3. Allin S, Grignon M, Le Grand J. Subjective unmet need and utilization of health care services in Canada: what are the equity implications? Soc Sci Med. 2010 Feb; 70(3):465-72. [PubMed] [CrossRef]
4.Carr W, Wolfe S. Unmet needs as sociomedical indicators. Int J Health Serv. 1976 Jul; 6(3):417-30. [PubMed] [CrossRef]
5.Allin S, Masseria C. Research Note: Unmet need as an indicator of access to health care in Europe. European Commission. Directorate-General “Employment, Social Affairs and Equal Opportunities”; Dec 2009. [Internet]
6. Chen J, Hou F. Unmet needs for health care. Health Rep. 2002; 13(2):23-34. [PubMed]
7. Eurostat. Self-reported unmet needs for medical examination by sex, age, detailed reason and degree of urbanisation. Last update: 02.03.2016. Available from [Internet]
8. Rohova M. Reducing inequities in access to regional health system. PhD Thesis. Varna University of Economics. 2015
9. Eurostat. Self-reported unmet needs for medical examination by sex, age, detailed reason and income quintile. Last update: 21.07.2016. Available from [Internet].
Received: 04 June 2016
Published online: 28 September 2016