Scientific Online Resource System

Health Economics and Management

Regional employment policies in the field of healthcare

Zlatina Ivanova

Abstract

Providing sufficient number of qualified healthcare professionals is a worldwide challenge. The existing demographic trends in Bulgaria, related to population’ decline and aging, as well as aging of the medical staff, suppose urgent intervention both from the government and the regional management. This is the only way to overecome the crisis relatet to the lack of educated and trained healthcare professionals. Their mobility is motivated by different factors, including higher salaries, better opportunities for specialization, better working conditions, etc. The migration process in Bulgaria have intensified since the country entered the European Union and the borders are open, including for the medical workers, as part of the regulated professions. But healthcare mobility has a direct impact on the effectiveness of health systems.
The retention of qualified healthcare staff on a local level is a complex process, which requires detailed analysis and a preparation of sustainable long-term strategy. The purpose of this article is to present the significance of the problem and to propose recommendations and concrete steps for the local government.
The development and the implementation of such a strategy will improve human resources’ management in the healthcare sector and would reduce the mobility of healthcare professionals.

Keywords

mobility; regional policies; retention policies; healthcare; medical specialists

Full Text


References

Бекярова, С., 2007. Главни цели на потенциалната емиграция сред българските лекари след присъединяването на страната ни към ЕС. Социална медицина, № 3, с. 45–48.

БЛС, 2016. 23-ти симпозиум на ZEVA (Симпозиум на централно- и източноевропейските лекарски камари). [online] http://www.blsbg.com/bg/2615.problemite-na-lekarite-v-evropa-sa-shodni.html

БЛС, 2017. Всеки втори млад медик не е мотивиран да се реализира в България. [online] http://www.blsbg.com/bg/2990.vseki-vtori-mlad-medik-ne-e-motiviran-da-se-realizira-v-balgariya.html

Гончев, В., 2013. Човешки ресурси в здравеопазването – европейски и български измерения. Социална медицина, XXI, N 2, с. 11-15

НЗОК, 2018. Заплатени средства за болнична медицинска помощ (клинични пътеки, клинични процедури и амбулаторни процедури) по лечебни заведения и по месеци за 2018 година (лева). [online] https://www.nhif.bg/page/hospitals

НСИ, 2017. Статистически справочник 2017. София, с. 96 [online] https://www.nsi.bg/bg/content/15234/публикация/статистически-справочник-2017

НСИ, 2019. Население към 31.12.2018г. по градове и пол. [online] https://www.nsi.bg/bg/content/2981/население-по-градове-и-пол

НСИ, 2019. Население към 31.12.2018 г. по области, общини, местоживеене и пол. https://www.nsi.bg/bg/content/2975/население-по-области-общини-местоживеене-и-пол

American Medical Group Association, Cejka Search, 2006. Physician Retention Survey. [online] https://amednews.com/article/20070402/business/304029993/6/

Bernstein, L., 2015. U.S. faces 90,000 doctor shortage by 2025, medical school association. Washington Post. https://www.washingtonpost.com/news/to-your-health/wp/2015/03/03/u-s-faces-90000-doctor-shortage-by-2025-medical-school-association-warns/?utm_term=.f94b6a30578f

Dimova, A., Rohova, M., Koeva, S., Atanasova, E., Koeva-Dimitrova, L., Kostadinova, T., Spranger, A., 2018. Bulgaria: Health system review. Health Systems in transition. p.96-98

European Commission, 2012. Action Plan for the EU Health Workforce. https://ec.europa.eu/health/sites/health/files/workforce/docs/staff_working_doc_healthcare_workforce_en.pdf

Eurostat, 2019. Healthcare expenditure statistics. [online] http://ec.europa.eu/eurostat/statistics-explained/index.php/Healthcare_expenditure_statistics

Locke, T., Duqueroy, V., 2018. UK Doctors’ Salary Report. Medscape. [online] https://www.medscape.com/slideshow/uk-doctors-salary-report-6009730

Reginato, E., Grosso, R., 2011. European Hospitals Doctor’s Salaries. European Federation of Salaried Doctors. Document: F11-071 EN [online] http://www.liganet.hu/news/6205/F11-071_EN_European_Hospital_Doctors_Salaries.pdf

WHO, 2017. Bulgaria. European Region. [online] (http://www.who.int/health-laws/countries/bgr-en.pdf?ua=1




DOI: http://dx.doi.org/10.14748/hem.v19i3.6600

Refbacks

Font Size


|