Hospital sector reform in Bulgaria has been slow compared to other central and eastern European countries but is now undergoing radical changes. Public sector hospitals are being transformed into autonomous organisations with some funds coming through contracts with the National Health Insurance Fund. New payment methods are also being introduced. The expectation is that the hospital sector will shrink in size in the new quasi-market environment rather than through state regulation.
Delcheva, E.; Balabanova, D. Hospital sector reform in Bulgaria: first steps. Eurohealth (2001) 7 (3) 42-46 pp. [Special issue: Implementing hospital reform in Central and Eastern Europe and Central Asia]