Стратегии за задържане на медицински персонал в България
Retention Strategies for Medical Staff in Bulgaria

Author(s): Ekaterina Petrova
Subject(s): Politics / Political Sciences, Politics, Social Sciences, Governance, Sociology, Welfare systems, Developing nations, Social development, Policy, planning, forecast and speculation, Welfare services
Published by: Университет за национално и световно стопанство (УНСС)
Keywords: doctors; nurses; turnover; retention strategies
Summary/Abstract: The issue of medical staff retention in Bulgaria is extremely topical in the context of the growing challenges facing the country's healthcare system. In recent years, the problem of emigration of medical staff, especially young doctors and nurses, has become increasingly important. This trend not only exacerbates the existing deficits in the health system, but also calls into question its sustainable development and its ability to respond to the needs of the population. The aim of this master thesis is to formulate recommendations and strategies for medical staff retention in Bulgaria, focusing on the main atrisk groups, based on an analysis of medical turnover trends in recent years and a study of successful practices and strategies for medical staff retention in other European countries. The master thesis defends the thesis that the retention of medical staff in Bulgaria requires strategic planning at national and political level, not only local initiatives and managerial decisions. The main priority should be the retention of young doctors and nurses, two categories that have historically been neglected due to the lower return on their labour compared to that of specialty doctors and at the same time two human resource units fundamental to the level and future of healthcare. Unfortunately, in recent years, the trends observed in the departure of medical staff are worrying and mainly affect young doctors and nurses. In the context of the growing staffing crisis in the health sector, it is necessary to build a long-term vision for human resource development in the sector, taking into account both current and future needs. The lack of attractiveness for immigration of Eastern medical professionals, as opposed to Western European countries, highlights the need for domestic reforms and policies to retain and develop existing staff. This will ensure sustainable development of the health system, which is key to addressing the challenges ahead. This text presents chapters two and three of the master thesis.

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