ЗА „ЗДРАВ СМИСЪЛ“ И „ЗДРАВОСЛОВНИ ЕФЕКТИ“ НА РЕФОРМИТЕ В УПРАВЛЕНИЕ НА ЗДРАВЕОПАЗВАНЕТО
THE COMMON SENCE AND THE HEALTH EFFECTS OF THE REFORMS OF THE MANAGEMENT OF HEALTHCARE

(Why and how the conflict between healthcare as a social good and the market model of its management is eroding the system)

Summary/Abstract: The current publication comments the fundamental problems of healthcare management, object and subject of the healthcare economy. In detail it studies the basis conflict of the market model of functioning of the health system and its effects, eroding the humanitarian nature and social dimensions of healthcare, which are limiting and discrediting basic human rights like the equal access to health services. The problems of management of the resources of healthcare are systematized and on this base are drawn the contours of a construction of their management. The argument about the mixed character of healthcare, as a realistic for the market economy in which it functions, is defended from one side like a public good and from the other side like a market service, to which should be proved the sources, scales and the direction of movement of resource flows towards the system. There is a stress on the approaches for evaluation of functioning of healthcare against the background of economic effectiveness and managerial efficiency.

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