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Controversy About the Analysis of Complaints Received in Professional Ethics Committees of the Bulgarian Medical Association

Juliana Marinova, Chubrina Racheva, Krum Marinov, Boryana Parashkevova


Health care reform`s ethical challenges largely reflect on physicians, patients and society.

The purpose of this paper is to put the question about the applicability of a summary analysis of complaints filed at the Professional Ethics Committees of the Bulgarian Medical Association, towards contributing to the identification of problems and possible solutions for improving the situation in the healthcare system and highlighting the role of the medical professional organization in this process.

Materials and methods: We present our experience in the ethical analysis of complaints received in the Professional Ethics Committee at Bulgarian Medical Association, Stara Zagora for 2007-2010 and 2011-2014 years. Qualitative content analysis of the documents was applied. Cases described in the complaints are analyzed using specifically designed questionnaire.

Results and discussion: In most cases, the authors of the complaints describe conflicts with various dimensions of medical care quality as the most highlighted cases are ones related to the access to timely and specialized medical care, as well as the adequacy of the diagnostic and therapeutic procedures and achieved results of treatment process. Problems that emerged reflect the ethical conflicts in the health care system associated with limited access and doctor-patient ailing trust.

Conclusion: Considering the strengths and weaknesses of the applied methodology, the highly subjective interpretation of the issues presented in the perspective of different people, as well as the manner in which this analysis is provided we raise the following issue: how appropriate it is for professional ethics committees to carry out such analysis.


Professional Ethics Committee, Medical Association, qualitative content analysis of complaints, ethical conflicts.

Full Text


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About The Authors

Juliana Marinova
Department of Social Medicine and Health Care Management, Medical Faculty, Trakia University, Stara Zagora

Chubrina Racheva
External Consultant, Trakia Univesrsity

Krum Marinov
Student of Medicine, Medical Faculty, Trakia University, Stara Zagora

Boryana Parashkevova
Department of Social Medicine and Health Care Management, Medical Faculty, Trakia University, Stara Zagora

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