A Critical Review Of The Analysis Of In-Patient Activities By The National Health Insurance Fund – Failure Of Objective Assessment Of Drug Efficacy And Accessibility To Treatment And Inte Rventional Procedures

Abstract

This article presents a comparative analysis between the data in the report made by the experts of National health insurance fund (NHIF) of in-patient activity including invasive and interventional procedures on one side with the medical standards, European therapeutic medical practice and the results achieved in the EU Member States of the European as to November 2009 on the other. The NHIF report provoked wide public discussion and raised questions about overrated hospitalisations, ineffective and even maliciously funds utilisation and questioned the effectiveness of interventional cardiology. The authors note that these conclusions of NHIF experts are not justified, as they did not review the medical results in terms of efficiency of methodology, of reduced in-hospital mortality, improved prospects, the level of accessibility, medical recommendations and standards and comparing the results achieved in Bulgaria with the average results in other EU countries.