Dr. Ivan Madjarov: The staff shortage of health is a problem of national security
The staff shortage in healthcare is becoming a problem of national security. This opinion expressed the chairman of the GLS Dr. Ivan Madjarov of discussion on ["staff deficit in healthcare - consequences and need for changes"] (https://medicalnews.bg/2022/03/22/%D0%BD%D0 % b0% D0% B4-70-% D0% BE% D1% 82-% D0% B1% D0% BE% D0% BB% D0% Bd% D0% B8% D1% 86% D0% B8% D1% 82 % D0% B5% D0% B8% D0% B7% D0% BF% D0% B8% D1% 82% D0% B2% D0% B0% D1% 82-% D0% Bd% D0% B5% D0% B4 % D0% BE% D1% 81% D1% 82% D0% B8% D0% B3-% D0% Bd% D0% b0 /).
"This state of staffing composition shows us that the problem with frames can not be addressed only to the Ministry of Health and to individual medical establishments, but becomes a problem of national security," he said.
Dr. Madjarov presented GLS data, according to the 24th February, the total number of members of district medical colleges in Bulgaria were 31,356 doctors, of which doctors with one and more clinical specialties were 26,237 or 84% of the total.
Of these, aged 30 and 40 are 13.6% and from 40-50 years - 11.4%. Doctors over 60 are nearly 35%. The average age for doctors in the country is 53 years and 63% of the total number of doctors is over 50 years of age. "Among the young as a reserve there is almost nothing," he said. It is particularly large and the personnel problem in the system of the dobbery system.
The latest NCPE data for vacancies free posts in 2020, there is a need for 374 doctors of clinical specialists. Hospitals need the most of [pediatrics specialists] (https://medicalnews.bg/2022/01/31/%D0%BD%D0%BE%D1%81%D1% 82% D0% B8% D0% B3% D1% 8A% D1% 82-% D0% Bd% D0% B0% D0% BF% D0% B5% D0% B4% D0% B8% D0% B0% D1% 82% D1% 80% D0% B8-% D1% 81% D1% 82% D0% B0% D0% B2% D0% B0% D0% B2% D1% 81% D0 B5% D0% BF% D0 % BE-% D0% BA% D1% 80 /) - currently their number is 2 270 doctors, with 850 of them in retirement age. Next, pneumology and phythia specialists are currently 433 doctors, of which 134 are in retirement age. There is a large shortage of clinical laboratory specialists, with a total of 502 physicians in the specialty and 151 in retirement age.
If trends are retained forecasts to 2037. Doctors specialists with one and more retirement age clinical specialties have reached 16,881 or 54% of the total doctors in the country.
According to the BMA, the lack of policy and strategy in the healthcare system in terms of staffing will lead to increasing difficulty for doctors providing health services and irreversible impact on the health services.
Therefore, according to the professional organization, conducting policies to stimulate current pre-retirement staff is of utmost importance where senior management in healthcare should respond to an emergency order. A great need and challenge is policies with the newcomers and acquired specialty young doctors to sense their security and the prospect of staying and working in Bulgaria, categorical from the BMA.
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Source: Medical News 
