The Bulgarian Model of Integrating Military and Civil Health Care System. Lt.C. (R), Assoc. Prof. Kamen KANEV MD PhD, Brig. Gen. Prof. Stoyan TONEV MD PhD, Col. (R), Prof. Dimitar LEKOV MD PhD MILITARY MEDICAL ACADEMY, SOFIA, BULGARIA.
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The Bulgarian Model of Integrating Military and Civil Health Care System
Lt.C. (R), Assoc. Prof. Kamen KANEV
Brig. Gen. Prof. Stoyan TONEV
Col. (R), Prof. Dimitar LEKOV
MILITARY MEDICAL ACADEMY,
The reform of the Bulgarian Healthcare System has both a social and health price for the civilian population and major significance for the development of the Bulgarian military and civil medicine as a whole.
The aim of this study is to investigate the integration of the Military and Civil Healthcare System while the Reform in the Health Care System takes place in order to diminish the negative social and health effects on the civil population.
Under the conditions of reforming Civil Healthcare System, Military Healthcare System, especially Military Medical Academy resolves not only military medical tasks and problems in the country and abroad but opens its doors to the civilian population in the whole country.
MILITARY MEDICAL ACADEMY IS A MULTI-PROFILE MEDICAL FACILITY STRUCTURED TO PROVIDE BULGARIAN ARMED FORCES WITH UP-TO DATE MEDICAL CARE FOR THE SOLDIERS, AND TO ACT AS A PART OF THE NATIONAL HEALTHCARE SYSTEM
DECREE OF COUNCIL OF MINISTERS
ACCOMPLISHMENT OF THE HEALTH REFORM IN MEDICAL SUPPORT IN ACCORDANCE WITH MILITARY DOCTRINE AND PLAN 2004
ACHIEVEMENT OF THE REQUIRED CAPABILITY TO PROVIDE MEDICAL SUPPORT TO THE FORCES ACCORDING TO NATO STANDARTS
MEDICAL FACILITIES FOR OUT-PATIENT AND IN-PATIENT CARE
Departments, chairs, clinics, laboratories
- image diagnosis
- emergency and intensive care
- healthcare operations
- disaster medicine
Center for military medical expertise and aviation medicine
Research Center for radiological, biological, and chemical protection
Center for military epidemiology and hygiene
MIL H - Plovdiv
Mil Med Det Em Res with branches
MIL H - Varna
MIL H - Sliven
MIL H - Pleven
Medical Department - GS
Medical Department Army HQ
Medical Department AF HQ
Medical Department Navy HQ
Central Depot Lovech
Troop medical units
Troop medical units
Troop medical units
HOSPITAL FACILITY FOR ACTIVE TREATMENT (HFAT) - VARNA
A hospital with 280 beds and a diagnostic-consulting block, providing full range of specialized medical services for the military contingent and the civil population of North-Eastern Bulgaria. At HFAT – Varna, there are established: Clinic of Internal Diseases, Department of Surgery, Clinic of Orthopedics and Traumatology, Clinic of Toxicology, Thermal Trauma Ward, ENT Ward and Ophthalmologic Ward. The excellent equipment and the high-qualified specialists allow HFAT – Varna to be a referral hospital for thermal trauma and intoxication treatment for the North-Eastern region of Bulgaria, and an educational base for the Medical University of Varna.
HOSPITAL FACILITY FOR ACTIVE TREATMENT - PLOVDIV
The Hospital Facility for Active Treatment – Plovdiv is a health establishment with 100-years history and rich traditions in the structures of the Bulgarian Army. The health reform enabled the hospital to sign a contract with
the Health Insurance Fund and to render health care to all who wish. The hospital has an Admission-Consulting Block, where 8 functioning rooms (therapeutic, neurological, surgical, orthopedic, ENT, dental, and dermatological), diagnostic laboratories (Clinical Analyses Ward, Pathology Ward, Microbiological Laboratory), as well as Image Diagnostics Ward.The hospital has 120 beds in 8 clinic units: Internal Medicine Clinic, Clinic of Surgery, Clinic of Neurology and Psychiatry, ENT Ward, Dermatology and Venereal Diseases Ward, Ophthalmologic Ward and Physical Therapy Ward.HFAT - Plovdiv, as a branch of the Military Medical Academy-Sofia uses preferentially the diagnostic and therapeutic capacities of this leading healthcare establishment in the country – nuclear magnetic resonance imaging, computer tomograph scanner, lithotripter, hyperbaric chamber, etc.
HOSPITAL FACILITY FOR ACTIVE TREATMENT (HFAT) - PLEVEN
HFAT is established in 1903 by a Decree of King Ferdinand as a Ninth Division Hospital for the purpose of medical provision of the army in Central North Bulgaria. This is a commitment the hospital has performed till present. The following units are functioning at HFAT - Pleven: diagnostic-consulting block and wards of surgery, internal diseases, neurology, physical therapy, anesthesiology and intensive care. Along with the regulatory assigned contingent, civilians may get healthcare at the hospital under the clinical pathways contracted with the Health Insurance Fund (asthma, diabetes, inguinal hernia, cardiac rhythm disorders, acute appendicitis, pneumonia, heart failure, chronic obstructive pulmonary disease, chronic diseases of tonsils).
HOSPITAL FACILITY FOR ACTIVE TREATMENT (HFAT)- SLIVEN
Hospital Facility for Active Treatment in Sliven is integrated part of the MMA, providing healthcare to the military contingent of Southeastern Bulgaria.It has Diagnostic Consulting Block including: X-ray ward, Functional Diagnostics, Laboratory and Consulting-Reception Rooms. The Stationary Block has 100 beds in 12 wards: Surgery, Emergency and Septic Surgery, Urology, General Therapy, Cardiology, ENT, Anesthesiology Reanimation and Intensive Care Unit, Infectious Diseases, Physiotherapy and Pathology.Civilians have the right to be treated in HFAT - Sliven under the 23 clinical pathways contracted with the Health Insurance Fund
HOSPITAL FACILITY OF BALNEOLOGY, REHABILITATION AND PROPHYLAXIS – BANKYA
The major sanative factors of the town of Bankya are the mineral waters (hydrothermal, hydrocarbonate-sulphate-sodium, silicon and lightly fluorized) and the climate (moderate continental with foot-of-mountain influence).
The hospital facility of Bankya is specialized in treatment and rehabilitation of cardio-vascular and brain diseases and post-surgery conditions: valvular heart diseases with heart failure up to 1st degree; cardiac defect post-surgery conditions; ischemic heart disease; conditions following myocardial infarction, compensated forms of myocardial dystrophy, 1-2 stage hypertension disease; atherosclerosis in early stage, angioneurosis and 1-2 stage Raynaud's disease; 1-2 stage Burger's disease; atherosclerotic arterial obliteration of extremities - up to the 2 stage; functional disorders of nervous system.A favorable influence is observed in some light forms of thyreotoxicosis, light forms of diabetes, obesity, chronic neuralgia and neuritis, chronic gastritis and colitis, light forms of arthro-rheumatic diseases.
HOSPITAL FACILITY OF BALNEOLOGY, REHABILITATION AND PROPHYLAXIS "KALEROYA" - HISSAR
Town of Hissar is a famous health resort, located at the foot of the Sredna Gora Mountains, established in the fifth millennium B.C. around the mineral springs by the Tracian tribe of Bessi. Hissar mineral waters have low level of mineralization, being hydrocarbonate-sulphate-sodium waters, containing a small amount of radon, fluoride, hyperthermal and moderately alkaline. They are recommended for the treatment of: kidney stones, chronic pyelonephritis, chronic cystitis and urethritis, post extracorporeal lithotrypsy state, single kidney, chronic renal failure - initial stage; chronic gastritis, gastro-duodenitis, functional gastric disorders, dyspepsia, chronic non-specific enterocolitis, peptic ulcer disease; gallstones, chronic cholecystitis; biliary dyskinesia, post viral hepatitis' states; metabolic syndrome, obesity, diabetes, gout, arthro-rheumatic diseases; inflammatory gynecological diseases; discopathy, radiculitis, polyneuritis.
HOSPITAL FACILITY OF BALNEOLOGY, REHABILITATION AND PROPHYLAXIS "ST. GEORGE THE CONQUEROR" -POMORIE
The town of Pomorie is a talasso-, pelo- and climate-therapy resort, located upon a slightly elevated peninsular to the north end of Burgas gulf, established in the VI-V century B.C. The most precious treasure of the town is the world famous Pomorie healing mud, favourable for treatment of: arthrosis, arthritis, states post traumas and fractures; neuritis, radiculitis, disk herniation disease, pediatric cerebral palsy; sterility, dismenorrhea, ovarial hypofunction, parametritis; prostatitis, olygospermia, epididimitis, vesiculitis; psoriasis, psoriatic arthritis, hypothrophic skin lesions; bronchitis, sinusitis.
In the hospital facilities a complex treatment is carried out with Pomorie mud, lye treatment, a rich scope of physiotherapeutic procedures, kinesitherapy, acupuncture, body building, aromatherapy, inhalation treatment, laser therapy, underwater jet massage, solarium, anticellulitis program, sauna, thalassic therapy.
Military Medical Academy is entitled with priority to provide emergency and immediate health care in the fields of the emergency medicine, radiology toxicology and infectious and parasitic diseases.
Military Medical Detachment for Emergency Response (MMDER) including personnel of three of the hospital facilities of MMA: in Sofia, Plovdiv and Varna.
PURPOSE: TO PROVIDE QUALIFIED AND PARTLY SPECIALIZED MEDICAL CARE IN THE EVENT OF NATURAL AND MAN-MADE DISASTERS IN PEACE TIME FOR MEETING THE MEDICAL NEEDS OF CIVIL POPULATION
LIFTING CAPABILITY- 6 LITTERS
LIFTING CAPABILITY- 10 LITTERS + 10 SITTING PATIENTS
Disposition of personnel and levels
of medical care
TEMPORARY CENTER FOR TREATMENT OF PATIENTS WITH ACUTE RADIATION SICKNESS;
TEMPORARY CENTER FOR TREATMENT OF INTOXICATED PATIENTS;
CENTER FOR TREATMENT OF INFECTIOUS AND PARASITIC DESEASES;
TEMPORARY TRAUMA CENTER.
As a recognition for good management, the MMA took an efficient management of five more medical facilities: two hospital facilities for continouous treatment and rehabilitation in Narechen and Velingrad, and three diagnostics and consultation centers in Haskovo, Stara Zagora and Burgass.
BULGARIAN MILITARY MEDICAL MISSIONS
RUSSIA - JAPAN
W. W. I
W. W. II
18-24 AUGUST 1999
2002 - CONTINUE
25-29 DECEMBER 1989
In conclusion we can state that the Health Care Reform in R. Bulgaria underwent successfully thanks to the integration of Civil and Military Healthcare System and especially Military Medical Academy thus decreasing the social and health price payed by the civilian population.