THE LEVEL OF DECENTRALIZATION IMPACT ON THE BULGARIAN SOCIAL HEALTH CARE COMPETITIVENESS

Venelin Terziev¹ and Stoyanka Petkova - Georgieva^2
1Full Member of the Russian Academy of Natural History, Professor, Eng., D.Sc. (National Security), D.Sc. (Economics), D.Sc. (Social Activities), Ph.D., Russian Academy of Natural History, Moscow, Russia, Vasil Levski National Military University, Veliko Tarnovo, Bulgaria University of Rousse, Rousse, Bulgaria, terziev@skmat.com
²Associate Professor, Ph.D., University „Prof. d-r Assen Zlatarov” – Bourgas, Bulgaria, s.p.petkova@gmail.com

Abstract

One of the most significant characteristics on which the Bulgarian social health care system competitiveness depends is the level of decentralization. In this study the authors explain a methodology for estimating the level of decentralization by using the knowledge of the so-called performance measurement system (PMS). The established theoretical model is tested among health care managers in 78 sub-divisional units randomly chosen among the Bulgarian health care system – facilities and hospitals. There have been made several conclusions that could be a base for future research and discussion.

Keywords: competitiveness, impact, level of decentralization, Bulgarian health care system.