CHALLENGES TO ACHIEVING EFFECTIVE MANAGEMENT OF PROCESSES IN STATE HOSPITALS IN BULGARIA
DOI:
https://doi.org/10.15547/tjs.2025.s.01.021Keywords:
health management, efficiency, digitalization, hospital management, state hospitals, financial analysis, business processesAbstract
The aim of this paper is to analyze the financial status and efficiency of business processes in Bulgarian state hospitals, with the goal of identifying key problems and proposing workable solutions.
Methods: Quantitative and qualitative methods were used, including analysis of public financial reports, scientific publications, WHO reports, IPI reports, and data from the Ministry of Health.
Results: The analysis shows low profitability, high levels of debt, and a weak degree of digitalization. Main problematic areas include personnel costs, medicines, and administrative activities.
Conclusions: Recommendations include the digitalization of processes, centralized procurement, resource optimization, and adopting foreign best practices.
References
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Institute for Market Economics (IME), Financial State of Bulgarian Hospitals. Sofia, 2025.
WHO Regional Office for Europe, Bulgaria: Health System Review. WHO Observatory, 2018.
Koumparoudis, G., Digital Health and AI in Healthcare: A Detailed Literature Overview for Bulgaria. Academia.edu, 2025.
Slavova, P., Perfecting the Management of Operations at the Managerial Department of a University Hospital. Trakia Journal of Sciences, 17(Suppl.1):412–420, 2019.
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Ministry of Health of Bulgaria, Normative documents and regulations. https://www.mh.government.bg/bg/normativni-aktove/naredbi/
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