The introduction of market mechanisms into the public health sphere necessitates a clear distinction of the roles of main participants in medical service accomplishing. The processes of contracting between vendors and customers of health services are based on this distinction. This communication presents the end product of seminars supported by the "H+" Swiss hospital association in Bulgaria entitled "A contract for providing primary health care for the citizens of municipality X". The basic and secondary elements of the contract contents as well as the essence and importance of the contracting as a component of public health reform in Bulgaria are discussed. It is emphasized that the introduction of contracting relations into the public health system will ensure a better control on the amount and quality of the health services and on financial means` movement. The contracting will favourably influence on the public and private health sectors thus representing an important component of introducing the market economics, especially in the health sphere.
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