HEALTH-UNINSURED INDIVIDUALS and Health Insurance in Bulgaria
HEALTH-UNINSURED INDIVIDUALS and Health Insurance in Bulgaria REPORT 2009 Statements and views expressed in this Report are the sole responsibility of the respective sections authors and do not necessarily reflect Open Society Institute of Sofia views and policies. Authors should be quoted in any republishing of this material, in full or in part. © 2009 ISBN 978-954-9828-83-2 This Analysis has been prepared under Public Budgets Monitoring Project assigned by Open Society Institute, Sofia. Report Team includes: Dessisslava Kouznetsova – Project Manager, Management and Public Policies Program, Open Society Institute, Sofia Ekaterina Markova, Ph.D., Res. Assoc. – Author, Part 1, Institute of Sociology, Bulgarian Academy of Sciences Vassil Kirov, PhD, Res. Assoc. – Author, Part 1, Institute of Sociology, Bulgarian Academy of Sciences Boyan Zahariev – Author, Part 2, Open Society Institute, Sofia Mimi Vitkova, MD – Author, Parts 3 and 4 Hristo Hinkov, MD – Author, Medical Services Quality as a Factor of Citizens’ Insurance Ivailo Ivanov – Author, Part 5 Georgy Angelov – Author, Part 6, Open Society Institute, Sofia Referees Assoc.Prof. Evgeniya Delcheva, MD Prof. Vesselin Borissov, MD, D.Sc. TABLE OF CONTENTS EXECUTIVE SUMMARY 4 I. HEALTH-UNINSURED INDIVIDUALS IN BULGARIA – PROFILE AND CAUSES 7 Methodological remarks 7 Health-uninsured individuals profile 9 Strategies of health-uninsured individuals to cope with the situation 14 Use of health services 16 Health status and general information on respondents 17 Health-uninsured individuals – Main Conclusions 19 II. POVERTY ANALYSIS AMONG HEALTH-UNINSURED INDIVIDUALS IN BULGARIA 21 Poverty definitions 22 Multidimensional poverty 22 1) Monetary poverty 23 2) Subjective poverty 24 3) Educational marginalization (educational poverty) 26 4) Housing poverty 27 5) Health marginalization (health poverty) 29 6) Multi-dimensional poverty 32 III.
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