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The Bulgarian country profile: The dynamics of some inequalities in health

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  • Minev, Duchomir
  • Dermendjieva, Bogdana
  • Mileva, Natasha
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    Abstract

    The Bulgarian health-care system was based on the concept of equal access and treatment. In its early stages health improved and disparities between urban and rural areas and districts diminished. New problems, institutional rigidities and policy reversals led later to the concentration of health resources in the towns and cities and to a deterioration in rural health. Sharp disparities in reported health status exist between occupational, educational and income groups. Life expectancy has fallen. Some health problems arise from urbanization, industrialization and heavy internal migration. Others clearly derive from dysfunction in the health system itself, its narrow concept of health, the inability of health plans to adapt to changing problems and needs and the emergence of privilege in access and quality of care.

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 31 (1990)
    Issue (Month): 8 (January)
    Pages: 837-846

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    Handle: RePEc:eee:socmed:v:31:y:1990:i:8:p:837-846

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    Related research

    Keywords: non-market economy health system health inequality spatial variation Bulgaria;

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    Cited by:
    1. Nora Markova, 2006. "How Does the Introduction of Health Insurance Change the Equity in the Health Care Provision in Bulgaria?," IMF Working Papers 06/285, International Monetary Fund.

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