van de Schoot Thijs, Pavlova Milena, Atanasova Elka, Groot Wim
Department of Health Services Research, CAPHRI, Maastricht University Medical Center, Maastricht University, Maastricht, The Netherlands.
Department of Health Economics and Management, Faculty of Public Health, Medical University-Varna, Varna, Bulgaria.
Int J Health Plann Manage. 2017 Jan;32(1):e47-e71. doi: 10.1002/hpm.2325. Epub 2015 Nov 18.
The aim of the study is to determine the preferences of Bulgarian citizens regarding the provision of healthcare services.
A survey was carried out in Bulgaria among a nationally representative sample of 1003 respondents. Both a discrete choice experiment and a self-explicated ranking of outpatient and inpatient service attributes were included in the survey. The data are analyzed to elicit the preferences of Bulgarian healthcare consumers for service attributes and to compare them with previous studies in Bulgaria and other countries in Central and Eastern Europe.
The reputation and skills of the care provider appear to be relatively most important to the respondents, followed by the state of the equipment, the condition of the facility and the attitude of the staff. The fee-level and access-related attributes (waiting and traveling time) emerged as less important. Overall, consumers in Bulgaria value the quality of healthcare provision very highly. Yet, there are some statistically significant differences between socio-demographic groups.
In general, Bulgarian healthcare consumers are willing to accept higher prices for the services they use, when this comes with improved quality of services. These findings comply with findings in previous studies in Bulgaria and in the region. Given the quality problems in the Bulgarian healthcare sector, our findings indicate that priority has to be given to the improvement of healthcare quality when the Bulgarian government invests in this sector. Copyright © 2015 John Wiley & Sons, Ltd.
本研究旨在确定保加利亚公民对医疗服务提供的偏好。
在保加利亚对1003名具有全国代表性的受访者进行了一项调查。该调查包括一个离散选择实验以及门诊和住院服务属性的自我解释排序。对数据进行分析，以了解保加利亚医疗消费者对服务属性的偏好，并将其与保加利亚以及中东欧其他国家之前的研究进行比较。
对受访者而言，护理提供者的声誉和技能似乎相对最为重要，其次是设备状况、设施条件和工作人员的态度。费用水平和与就医便利性相关的属性（等待和出行时间）则显得不那么重要。总体而言，保加利亚的消费者非常重视医疗服务的质量。然而，社会人口群体之间存在一些具有统计学意义的差异。
一般来说，保加利亚的医疗消费者愿意为他们所使用的服务接受更高的价格，前提是服务质量能够得到改善。这些发现与保加利亚及该地区之前的研究结果一致。鉴于保加利亚医疗部门存在的质量问题，我们的研究结果表明，保加利亚政府在对该部门进行投资时，必须优先考虑提高医疗质量。版权所有© 2015约翰威立国际出版公司
