Medical personnel as of 31.12. by statistical regions and districts


Time series: Zdr_2.2.1_MK_EN.xls

MEDICAL PERSONNEL BY STATISTICAL REGIONS AND DISTRICTS AS OF 31.12.2019
(Number)
Statistical regions
Districts
Physicians Dentists Medical specialists on 'Health cares'
Total 1 29 612 7 376 46 491
Severna i Yugoiztochna Bulgaria 13 104 2 860 21 261
Severozapaden 3 299 554 5 201
Vidin 297 91 419
Vratsa 597 124 1 105
Lovech 473 96 720
Montana 449 83 807
Pleven 1 483 160 2 150
Severen tsentralen 2 595 618 4 616
Veliko Tarnovo 748 207 1 283
Gabrovo 418 96 751
Razgrad 324 63 573
Ruse 806 188 1 442
Silistra 299 64 567
Severoiztochen 3 693 879 5 428
Varna 2 383 583 3 048
Dobrich 467 121 758
Targovishte 326 60 652
Shumen 517 115 970
Yugoiztochen 3 517 809 6 016
Burgas 1 363 302 2 223
Sliven 549 132 992
Stara Zagora 1 275 290 2 172
Yambol 330 85 629
Yugozapadna i Yuzhna tsentralna Bulgaria 15 074 4 379 23 341
Yugozapaden 9 368 2 571 14 400
Blagoevgrad 901 308 1 504
Kyustendil 409 112 629
Pernik 350 141 518
Sofia 907 125 1 236
Sofia (stolitsa) 6 801 1 885 10 513
Yuzhen tsentralen 5 706 1 808 8 941
Kardzhali 393 129 837
Pazardzhik 927 215 1 419
Plovdiv 3 402 1 147 4 867
Smolyan 322 122 648
Haskovo 662 195 1 170
Not distributed 2 12 115 -

1 Data for physicians from health establishments attached to other ministries are not included in the distribution.
2 Medical personnel working in individual or group practices that had signed contract with National Health Insurance Fund and served the population in more than one district.
17.06.2020
In-patient, out-patient and other health care establishments - Medical personnel
Contact
Contact organisation

National Statistical Institute

Contact organisation unit

"Health and Justice Statistics" Department

Contact name

Evelin Yordanova

Contact person function

Head of department

Contact mail address

2, P. Volov Str.; 1038 Sofia, Bulgaria

Contact email address

[email protected]

Contact phone number

+359 2 9857 459

Contact fax number
Metadata update
Metadata last certified30 October 2020
Metadata last posted30 October 2020
Metadata last update30 October 2020
Statistical presentation
Data description

National and regional data about medical personnel - physicians, dentists, medical specialists on 'Health cares', by specialties are presented. The survey methodology is in accordance with the Eurostat methodological guidelines and definitions of the practicing medical specialists.

Classification system

· Nomenclature of physicians by specialties in accordance with the Ordinance № 1 of 22 January 2015 of the Ministry of Health (amended and supplemented, SG No. 58 of 23 July 2019);

· Classification of Territorial Units for Statistical Purposes in Bulgaria (NUTS).

Sector coverage

 The data on medical personnel includes the number of all practicing personnel (head counts) who worked on a basic labour contract in health establishments, regardless of their ownership and subordination, individual and group practices for primary and specialised medical care and dental care as well as the medical personnel who worked in schools and creches. Data for medical personnel attached to other ministries is not included in the distribution by districts.

Data on medical specialists working outside of the country as well as on medical specialists practicing outside of the health establishments (for example, doctors working for pharmaceutical industry) are excluded.

Statistical concepts and definitions

Practicing physicians provide services directly to patients. Practicing physicians' tasks include: conducting medical examination and making diagnosis, prescribing medication and giving treatment for diagnosed illnesses, disorders or injuries, giving specialized medical or surgical treatment for particular types of illnesses, disorders or injuries, giving advice on and applying preventive medicine methods and treatments. Inclusion: persons who have completed studies in medicine at university level (granted by adequate diploma) and who are licensed to practice; interns and resident physicians (with adequate diploma and providing services under supervision of other medical doctors during their postgraduate internship in a health care facility); salaried and self-employed physicians delivering services irrespectively of the place of service provision; foreign physicians licensed to practice and actively practicing in the country.

Practicing dentists provide services directly to patients. Practicing dentists' tasks include: making diagnosis, advising on and giving necessary dental treatment, giving surgical, medical and other forms of treatment for particular types of dental and oral diseases and disorders. Inclusion: persons who have completed studies in dentistry / stomatology at university level (granted by an adequate diploma) and who are licensed to practice; interns (with an adequate diploma and providing services under supervision of other dentists or dental specialists during their postgraduate internship in a health care facility); salaried and self-employed dentists delivering services irrespectively of the place of service provision; foreign dentists licensed to practice and actively practicing in the country.

Data on students who have not yet graduated; physicians and dentists working in administration, research and in other posts that exclude direct contact with the patients; unemployed physicians and retired physicians as well as on physicians working abroad are excluded from the number of practicing physicians and dentists.

The distribution of the physicians by specialties is based on the national nomenclature in accordance with the Ordinance No 1 of the Ministry of Health (SG, 7/2015). The distribution by specialties is assign to the physicians' practicing specialty.

Indicators on the population per one physician and per one dentist are calculated based on the number of the population at the end of the year.

Statistical unit

Statistical units are medical practicing specialists, who works on a basic labour contract. Reporting units are health establishments, crèches or groups in kindergartens.

Statistical population

All medical specialists who worked on a basic labour contract in health establishments, covered by the survey - all in-patient (hospitals and centres with beds), outpatient health establishments - medical centres, dental centres, medical-dental centres, diagnostic and consulting centres, medical-diagnostical and medical-technical laboratories are covered. Data source for the individual and group practices for primary and specialised medical and dental care is the National Health Insurance Fund.

Other health establishments include centres for urgent medical aid, centres for transfusion haematology, hospices, medical universities and colleges, municipalities (for the medical personnel in schools), national centres without beds, regional health inspections, homes for medico-social care for children.

Reference area

The whole territory of the Republic of Bulgaria is covered. The regional data is according to administrative-territorial division of the country at 31.12. relevant year.

Time coverage

2001 - 2019

Base period

Not applicable.

Unit of measure

Number

Reference period

31.12. of the reference year

Institutional mandate
Legal acts and other agreements

· Regulation (EC) No 1338/2008 of the European Parliament and of Council of 16 December 2008 on Community statistics on public health and health and safety at work;

· Law on Statistics;

· Law on Health;

· Ordinance № 1/27.02.2013 of the Minister of Health for the provision of medico-statistical information and information on health establishments medical activities;

· Ordinance № 1 of 22 January 2015 of the Ministry of Health (amended and supplemented, SG No. 58 of 23 July 2019).

Data sharing

Since 2010, Eurostat, the Organisation for Economic Co-operation and Development (OECD) and the World Health Organization (WHO) started procedure of joint data collecting on non-monetary health care statistics (health care activities).

Confidentiality
Confidentiality - policy

· Law on Statistics;

· Regulation (EC) No 223/2009 on European statistics (recital 24 and Article 20(4)) of 11 March 2009 (OJ L 87, p. 164), stipulates the need to establish common principles and guidelines ensuring the confidentiality of data used for the production of European statistics and the access to those confidential data with due account for technical developments and the requirements of users in a democratic society.

Confidentiality - data treatment

Individual data are not published in accordance with article 25 of the Law on Statistics. The publishing of individual data can be performed only in accordance with article 26 of the same law.

Release policy
Release calendar

The date of the statistical information release is shown in the Release Calendar presenting the results of the statistical surveys carried out by the National Statistical Institute.

Release calendar access

The calendar is available on the NSI website: http://www.nsi.bg/en/node/480

User access

Data on Medical personnel is published on the NSI website, section Health in accordance with the Law on Statistics and the European Statistics Code of Practice respecting the professional independence and aimed at objectivity, transparency and equal treatment of all consumers.

Frequency of dissemination

Annually

Accessibility and clarity
News release

Annual press release.

Publications

· Health Services;

· Statistical Yearbook;

· Statistical Reference Book;

· Brochure "Bulgaria";

· Regions, Districts and Municipalities in Bulgaria.

On-line database

Data on Medical personnel are available to all users of the NSI website under the heading Health - In-patient, out-patient and other health care establishments - Medical personnel: http://www.nsi.bg/en/node/5582

Online database of Eurostat.

Micro-data access

Not applicable.

Other

Information service on request, according to the Rules for the dissemination of statistical products and services in NSI.

Documentation on methodology

· Methodological notes;

· Definitions and data collection specifications on health care statistics (non-expenditure data) - Eurostat.

Quality documentation

Not available.

Quality management
Quality assurance

Reporting forms are collected by the Regional Health Inspections, which guarantees full coverage and quality of data.

Quality assessment

Not applicable.

Relevance
User needs

Data on main non-monetary indicators on health care statistics (health care activities) are provided annually to Eurostat, World Health Organization (WHO) and Organisation for Economic Co-operation and Development (OECD) via joint annual questionnaire filled-in in strict compliance with the prescribed terms and forms of presentation of the data. Through annual questionnaires data are also provided to other European and international organizations.

The data are provided annually to National Centre for Public Health and Analysis, Ministry of Health and its territorial units - Regional Health Inspections, whose functions are to formulate policies in the field of health care at national and regional level.

Data users of health information at national and regional level.are the National Assembly of the Republic of Bulgaria, the executive and local authorities, National Health Insurance Fund, NGOs,

Upon request, data is provided to research institutes, universities, NGOs and other users in conformity with the rules established in NSI.

User satisfaction

Not applicable.

Completeness

Data are еxhaustive.

Accuracy and reliability
Overall accuracy

Exhaustive survey.

Sampling error

Not applicable.

Non-sampling error

Not applicable.

Timeliness and punctuality
Timeliness

T+5 months

Punctuality

Data are disseminated according to the Release Calendar presenting the results of the statistical surveys carried out by the National Statistical Institute.

Coherence and comparability
Comparability - geographical

When data at regional level has been compared, it should be noted that the health establishments are not directly connected to the servicing of population of a given settlement or even of municipality. A great part of health establishments serve the population of a given district or a group of municipalities, and the specialized health care establishments - oncological, dermato-venereological, psychiatric, pulmonary and other service the population of 2 or 3 districts.The establishments under central administration, regardless of their location, serve the population from the whole country.

Data are comparable at all territorial levels in the country for the periods 2001-2009 and 2010-2019.

2010 – break in time series in respect to the territorial distribution of physicians and dentists as well as distribution of physicians by practiced specialty. Since 2018, there is a change of the methodology in respect to the counting of practicing physicians and dentists. The changes have been made in order to avoid double counting and to increase the quality of information. In this regard, and to ensure comparability, the data for the period 2010-2017 have been revised as follows:

- medical practitioners working in practices that serve more than one municipality or district are included in the total number but not distributed by municipalities or by district;

- physicians working in specialized practices under a contract with the NHIF are allocated to the specialty they are practiced. Those who practice more than one specialty are included in the total but not allocated by specialty.

The methodological amendments has been made in order to avoid double counting and to increase the quality of information.

Comparability - over time

Data are comparable for the periods 2001-2009 and 2010-2019.

2010 – break in time series in respect to the territorial distribution of physicians and dentists as well as distribution of physicians by practiced specialty.

Coherence - cross domain

Not applicable.

Coherence - internal

Not applicable.

Cost and burden

Not applicable.

Data revision
Data revision - policy

It is possible to revise the data in case of change of the methodology or the applied methods of the survey, as well as in case of change of the applied classifications and nomenclatures.

Data revision - practice

2010-2017 data have been revised as follows:

- medical practitioners working in practices that serve more than one municipality or district are included in the total number but not distributed by municipalities or by district;

- physicians working in specialized practices under a contract with the NHIF are allocated to the specialty they are practiced. Those who practice more than one specialty are included in the total but not allocated by specialty.

Statistical processing
Source data

Data source about medical personnel is the reporting form filled in by health establishments, crèches or Homes for medico-social care.

Data source in respect to the number of physicians and dentists in individual and group practices for primary and specialised medical care is the National Health Insurance Fund.

Frequency of data collection

Annually

Data collection

The process of collection of reporting forms is carried out by NSI and Regional Health Inspections. Data entry is carried online by the respondents or by the RHIs or RSOs (for paper documents).

Data validation

 

The statistical data on practicing medical specialists and the application of statistical guidelines are validated yearly by Eurostat/WHO/OECD experts.

Data compilation

Data entry is carried online by the respondents or by the RHIs or RSOs (for paper documents).

The data is consolidated at national level by adding information from the surveys carried out by the NSI 'Homes for medico-social care for children' and 'Crèches'. Data on practicing physicians and dentists in individual and group practices for primary and specialised medical care are added as well. 

The information on medical personnel in health establishments attached to other ministries is added at national level. 

Adjustment

Not applicable.

Comment
Metadata Structure Definition in SDMX 2.1: ESMS_MSD+BNSI+2.0+SDMX.2.1.xml
Metadata Structure Definition in SDMX 2.0: ESMS_MSD+BNSI+2.0+SDMX.2.0.xml
  • Thursday, 19 November 2020 - 11:00

    The European Health Interview Survey is a part of the European Health Survey System, which aims at measuring on a harmonized basis and with a high degree of comparability among EU Member States, the health status, life style (health determinants) and health care services use of the EU citizens.

    The NSI presents preliminary data from the survey conducted at the end of 2019:

    NSI presents preliminary results based on the conducted at the end of 2019 EHIS:

    • The biggest was the share of persons aged 15 and over who self-assessed their health as ‘good’ (40.7%), followed by ‘very good’ (29.2%) and ‘fair’ (20.9%).
    • The most common disease in Bulgaria from those, included in the survey’s questionnaire was hypertension - 29.7% from the persons aged 15 years and above. That disease is more prevalent among women (32.8%) compared to men (26.5%).
    • In the past 12 months, with the general practitioners were consulted 62.5% of the persons, with the specialists - 27.2% and with dentists or orthodontists – 41.0%.
    • The most widely applied preventive measure from those included in the questionnaire was blood pressure measurement by a health professional (among 54.9% of men and 66.4% of women).
    • With overweight, including obesity were 62.8% of men and 45.0% of women aged 18 and older.
    • At the end of 2019, 45.9% of men and 27.5% of women were smokers (daily and occasionally).
    • In the year preceding the survey, every day or almost every day alcohol used 17.4% of men and 3.6% of women aged 15 and older.
  • Wednesday, 17 June 2020 - 11:00

    The number of health establishments for hospital aid as of 31.12.2019 was 341 with 53 997 beds. 319 of them were hospitals with 51 776 beds.

    The number of out-patient health establishments was 2 079 with 1 223 beds and other health establishments were 144 with 1 914 beds in them.

    At the end of 2019 29 612 physicians were in practice under the basic labour contracts in health establishments. Dentists were 7 376, as 6 493 worked in practices that had signed contract with National Health Insurance Fund. Medical specialists on ‘Health cares’ who worked on a basic labour contract in health establishments were 46 491. 30 546 of them were nurses and 3 269 - midwives.

  • Friday, 15 May 2020 - 11:00

    The number of detached crèches and groups in kindergartens functioning in the country as of 31.12.2019 was 835 with 33 764 places in them.

    The number of children accommodated in crèches at the end of the year was 32 185. 16 677 of them were boys, and 15 508 - girls.

    The total number of places in crèches per 100 children aged up to 3 years as of 31.12.2019 was 17.9 and the coverage of children brought up in crèches - 17.1 per 100 children aged up to 3 years.

  • Monday, 17 June 2019 - 11:00

    The number of health establishments for hospital aid as of 31.12.2018 was 346 with 53 173 beds. 322 of them were hospitals with 50 927 beds.

    The number of out-patient health establishments was 2 066 with 1 253 beds and other health establishments were 145 with 2 086 beds in them.

    At the end of 2018 29 667 physicians were in practice under the basic labour contracts in health establishments. Dentists were 7 240, as 6 347 worked in practices that had signed contract with National Health Insurance Fund. Medical specialists on ‘Health cares’ who worked on a basic labour contract in health establishments were 46 332. 30 589 of them were nurses and 3 155 - midwives.

  • Friday, 10 May 2019 - 11:00

    The number of detached crèches and groups in kindergartens functioning in the country as of 31.12.2018 was 840 with 33 226 places in them.

    The number of children accommodated in crèches at the end of the year was 31 939. 16 449 of them were boys, and 15 490 - girls.

    The total number of places in crèches per 100 children aged up to 3 years as of 31.12.2018 was 17.3 and the coverage of children brought up in crèches - 16.6 per 100 children aged up to 3 years.

  • Friday, 15 June 2018 - 11:00

    The number of health establishments for hospital aid as of 31.12.2017 was 346 with 52 744 beds. 322 of them were hospitals with 50 519 beds.

    The number of out-patient health establishments was 2 043 with 1 263 beds and other health establishments were 144 with 2 179 beds in them.

    At the end of 2017 30 078 physicians were in practice under the basic labour contracts in health establishments. Dentists were 8 355, as 7 456 worked in practices that had signed contract with National Health Insurance Fund. Medical specialists on ‘Health cares’ who worked on a basic labour contract in health establishments were 46 702. 30 955 of them were nurses and 3 207 - midwives.

  • Friday, 27 April 2018 - 11:00

    The number of detached crèches and groups in kindergartens functioning in the country as of 31.12.2017 was 837 with 32 970 places in them.

    The number of children accommodated in crèches at the end of the year was 32 429. 16 738 of them were boys, and 15 691 - girls.

    The total number of places in crèches per 100 children aged up to 3 years as of 31.12.2017 was 16.9 and the coverage of children brought up in crèches - 16.6 per 100 children aged up to 3 years.

  • Friday, 16 June 2017 - 11:00

    The number of health establishments for hospital aid as of 31.12.2016 was 345 with 51 816 beds. 321 of them were hospitals with 49 589 beds.

    The number of out-patient health establishments was 2 029 with 1 163 beds and other health establishments were 140 with 2 193 beds in them.

    At the end of 2016 29 539 physicians were in practice under the basic labour contracts in health establishments. Dentists were 8 011, as 7 174 worked in practices that had signed contract with National Health Insurance Fund. Medical specialists on 'Health cares' who worked on a basic labour contract in health establishments were 46 930. 30 976 of them were nurses and 3 254 - midwives.

  • Friday, 12 May 2017 - 11:00

    The number of detached crèches and groups in kindergartens functioning in the country as of 31.12.2016 was 829 with 32 611 places in them. The number of places in the country has increased with 571, or with 1.8% compared to the previous year.

    The number of children accommodated in crèches at the end of the year was 32 476. 16 851 of them were boys, and 15 625 - girls.

    The total number of places in crèches per 100 children aged up to 3 years as of 31.12.2016 was 16.5 and the coverage of children brought up in crèches - 16.4 per 100 children aged up to 3 years.

  • Monday, 5 December 2016 - 11:00

    The survey is a part of the European Health Survey System in the framework of the European Statistical System. The EHIS aims at measuring on a harmonized basis and with a high degree of comparability among EU Member States, the health status, life style (health determinants) and health care services use of the EU citizens.

    NSI presents final results based on the conducted in 2014 EHIS.

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    The current state and changes in the socio-economic and cultural life in the country are presented not in the traditional way in tables and text, but through infographics - images, graphics and other visualization tools.

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