Dr. Madjarov: It is not true that without hospital limits the system will collapse
Limits are presented to society hardly not as a panacea. The system will not collapse if they are dropped, other mechanisms will be introduced to control.
This was said in the "day" on Bulgarian National Television Chairman of the Bulgarian Medical Union Dr. Ivan Madjarov. In his words, there are limits and therefore has overwhelmed activity.
"This is an easy way to control the macramp of the budget. In fact, it is easy but rude and leads many other consequences behind it. Stops the efforts of management and cash register and the state to introduce more effective control measures", Consider Dr. Madjarov.
According to him, what has offered Yesterday Minister Katsarov for health reform, is actually the original reform of 20 years ago.
"So it was conceived - money to follow the patient, there are no limits, there is no disproportions, to be properly valued the activities that pay NHIF. These are things that are distorted over time. Limits were introduced because they are more easily managed the funds on the This way, "added the Chairman of the BLS.
Dr. Madjarov explained the difference between the hospital to have debts and the NHIF to have debts. If the cashier has debt, it means that the money has done and should somehow update the cashier's budget.
"Such a thing has not happened for many years. Each year we transfer funds. This year from hospital care from 2020 we transferred to 2021 at 94 million," said Dr. Madjarov.
He explained and the creation of clinical paths as a method of algorithm in which to do something to the patient as diagnosis and treatment and then based on this algorithm to receive pay for this patient.
"The problem of clinical paths is that there are never two identical patients, one person needs one care, another than a smaller, third of the bigger, paths do not take this, they consider an average weighing case," he said.
The other disadvantage is that they have been evaluated in specialties and thus have led to distortions in the system - some specialties have been better paid than others.
In his words, the payment method himself and scheduled algorithms are not a prerequisite for abuse. The premise is introduced together with the introduction of the control system of the control system. Because the practically healthcare can not control something in real time or control quality.
He was categorical that he should go to electricalization, to go on activity and by consumers of health services in order not to be taken to account for fictitious services.
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Source: БНТ 
