Original article Microeconomics

METHODS FOR QUALITY IMPROVEMENT OF MEDICAL SERVICES IN BULGARIA

Petko Salchev - National Center of Public Health and Analyses
Boyan Likomanov - Senior HTA expert at HTA Ltd., Bulgaria
Ivelina Yankova - HTA Expert at HTA Ltd.
Adriana Dacheva - PhD, is а Partner and operations director at HTA Ltd.
Veneta Todorova - PhD, is а team lead at HTA Ltd.
Toni Vekov - Professor at the Heart and Brain Scientific Organization
Slaveyko Djambazov - PhD, is а founder and managing partner at HTA Ltd.
Received: 14 Sep 2025
Revised:
Published:
Downloads: 0
Citations: 0
Book 3/2025
JEL L38 I15 O31 I11 H44
DOI https://doi.org/10.56497/etj2570301

Abstract

The quality of medical services is a key indicator of the health system’s success. Traditionally, it has been assessed through the accessibility and effectiveness of services provided. However, modern approaches emphasising the real impact on patient health measure it through health outcomes (clinical, CROMs, patient-reported outcomes, PROs). This shift from process-oriented to outcome-oriented models is at the heart of the concept of patient-centred healthcare. Outcome-oriented approaches are a key element in improving the quality of healthcare services. Patient-centred healthcare shifts the focus from quantitative indicators to the real impact on health, combining clinical outcomes and cost-effectiveness. By implementing strategic measurements and incentives to improve outcomes, health systems can deliver better added value for patients and contribute to sustainable development in the sector.

How to cite this article

Likomanov, B., Yankova, I., Dacheva, A., Todorova, V., Vekov, T., Salchev, P., Djambazov, S. (2025). Vazmozhnost za podobrenie na kachestvoto na meditsinski uslugi v Balgariya. (Methods for Quality Improvement of Medical Services in Bulgaria). Economic Thought Journal, 70 (3), 277-300 (in Bulgarian). https://doi.org/10.56497/etj2570301

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