| Abstrakt: |
The purpose of the current study is to perform a comparative analysis of indicators for the organization of patient care in clinics / departments of cardiac surgery within the ownership of hospitals in the Republic of Bulgaria. Methodology: documentary method, economic analysis, comparative analysis, statistical methods - analysis of the dynamics of the phenomena, graphic and tabular analyzes - were used to illustrate the obtained results. Cardiovascular diseases are the leading cause of death in Bulgaria. Surgical treatment is the only alternative for a number of cardiovascular diseases, and often the long-term results are excellent, even after a period of 30 years or more. The Law on Medical Establishments explicitly prescribes the equality of public (with state or municipal participation) and private hospitals. From the analysis of the data for the cardiac surgery clinics / departments we come to the conclusion that during the considered period 2016 - 2018 the number of hospital beds increased by 20 percent in total and three times more in the private hospitals. The number of transferred patients is increasing, the high increase in the number of bed days is impressive. The values of the bed usage indicator are low, especially in private hospitals. The turnover of beds has a tendency to decrease in the public multi-profile hospitals for active treatment and a slight increase in the private hospitals . The average stay per patient increased by 0.6 days for public and 0.3 days for private hospitals. In Bulgaria, the mortality rate from hypertension (almost four times higher than the average for the European Union) and ischemic heart disease (1.5 times higher than in the Union) is very high. If the country manages to reduce the mortality from cardiovascular diseases to the average for the European Union, it would reduce all-cause mortality below its average. The problem of increasing morbidity and premature mortality from cardiovascular diseases, respectively their economic burden, can be overcome by increasing positive health habits in humans and maintaining a healthy work environment - essential components of disease prevention activities and promotion of health. [ABSTRACT FROM AUTHOR] |
