HiT on the Bulgarian health system

The new HiT (Health Systems in Transition) health system review for Bulgaria has just been released. Whilst the Bulgarian health system possesses the characteristics of a democratic, liberalized, and market-oriented health system, it suffers from substantial weaknesses, which result in an unsatisfactory population health status. Health inequalities between the urban and rural populations, as well as inequalities in access to the health system, continued to grow throughout the process of reforming the system. The improvement rate of population health status, as reflected in some health indicators, has been insufficient to achieve the reform goals which means that the need for further reform seems even greater than in the early 1990s.