What and how hospitals spend – this introduces us from the pages of “Capital Daily” managing partner in financial and accounting house “Simbula” Zhivko Ivanov.
“Towards the end of 2013 the revenues of the hospitals help reach 1.9 billion. Lev parts are generated just under 25%, and the sector is still dominated by public hospitals, whose share of over 75% major contribution Hospitals have majority stakes – a total of over 1.1 billion. lev in 2013, “we read in the newspaper.
“At the same time the historical analysis shows that for the period 2006 – 2013 there was not a year in which public hospitals have not spent every lev recorded as revenue often their costs exceed the amount of income.
At the beginning of the same period, private hospitals have managed to allocate over 10% of their revenue and reported a positive financial result. By 2013, however, this indicator decreased to 6%, one of the main factors for this is the emergence of a large number of small private hospitals, “the analysis continues.
The publication makes it clear that costs the largest share of these salaries, as there is a considerable difference between the levels reported by private, municipal and state hospitals. “Municipal spending half of their income on salaries. High share is largely due to the maintenance of state hospitals in small towns to large groups of specialists from big cities to meet requirements for security footage. Although rarely actually make work in all hospitals, which lead to the state, they receive payments from them, “the newspaper writes. In public hospitals salaries are sustainable even over 40% of their income, in 2013 reached 46%. “These levels clearly show the inefficiency due and unnecessarily large number of separate legal entities through which carried medical activity directly related to the operation of such entities administrative staff,” says the author, adding that private hospitals sustained release over 30% of their income on wages in recent years, this proportion reaches 37%.
The second largest expense of medical institutions for supplies and materials, as it also includes materials for repair or maintenance of buildings. “The share of revenue that private hospitals spent under this head is 8% smaller than the share of the public. Explanation must be sought in two directions – private hospitals are trying to optimize their activities and not to use unnecessary medications and supplies. The second reason is that public hospitals were unable to get much better prices for the same goods, which is a systemic problem, against which must be addressed immediately, “we read in the daily newspapers.
Feather external subscription services such as maintenance of medical equipment and utilities. In private hospitals there is one significant item that is part of this group – the cost of rental equipment and apparatus. Here, their costs are higher than those of state and local, as most of the private hospitals do not have the assets to which they operate, and use them against payment of rent, the author notes.
“Monitor” presents an interview with the director of “St. Ekaterina “prof. Gencho Nachev main topic merger of the administrations of nine metropolitan hospitals. He prof. Nachev stated categorically that he would not lead the partnership between medical institutions, even to be offered. According to him, the head of the grouping must not stand doctor and financier. Upcoming union he defended this way: “I will only ask you is normally a glass in a hospital can be bought for 8 lev in another – for 10 lev, and the third – 12 lev? Does not this a waste of money, poor management of the property? Time is the owner, ie the state to take the role of a good husband and to sort the house. ”
His words, however, made it clear that he thinks not only non-medical activities may be subject to consolidation: “It is not normal to spend thousands of euro for one unit and it works under half its capacity because the same or similar apparatus has and in the neighboring hospitals. This is a waste of money. For example, a super modern hospitals have a laboratory, but laboratories have other. So advanced is charged only 30%. In fact it could cover the needs of the whole Sofia. Thus in Bulgaria spend money without anyone then consider how they will be paid. “According to Professor. Nachev interest in having” people who benefit from this activity. ”
Several publications are stopped promised by the health minister, health cards and e-prescriptions, which, in his words, will be introduced by the beginning of 2016. “Every Bulgarian citizen who is insured, will have its individual package for outpatient care appropriate to the age and condition “, citing” standard “said Dr. Moskov.
“On the occasion of dissatisfaction with the reform in the health system, he said that he understood that so disturb certain communities. “The problem is that the health care system, and the whole country, our fragmented small comfort zones for a community. What happens to the patient’s occupation of these comfort zones,” commented Moscow, quoted by the newspaper.