• Dr. Kalina Peycheva Doctoral Student Department Medical Ethics and Law, Faculty of Public Health – Sofia, Bulgaria
  • Prof. Mariela Deliverska DM, Head of Department Medical Ethics and Law, Faculty of Public Health – Sofia, Bulgaria



GP, Payment in Health System

Abstract [English]

Regardless of what both patients and medical professionals might think, nowadays there is no free medicine. The need of changing the pattern is emphasized and people should become more responsible for their own health. The aim is to find a connection between the trust in GPs, prophylactic check-ups, new methods of treatment and the willingness of patients to pay for the received medical services. Material and Method: A questionnaire was prepared for the purposes of the study. The methods utilized were a direct individual anonymous questionnaire, statistical – descriptive, analytical (Chi-square). The answers were examined and statistically processed according to age, gender and education level of the participants. Results: 1. The results regarding the trust in GP is very unconvincing – only 14,5 % believe in their GP. 2. The percentage of believers in prophylactic check-ups is high - 57,9%.  3.The percentage of those who believe in the new methods and means for treatment is high, over 80%, while no difference is found with respect to the patients’ education level. 4. The patients often (86%) pay for the treatment of a specialist. 5. People with higher education more readily pay for medical care. Conclusions: 1. The lack of trust in GP combined with the strong belief in prophylactic check - ups and the new methods for diagnostic and treatment of diseases lead to higher expectations of patients towards the medical services and their readiness to pay for these services. 2. The patients indicate readiness to pay for medical services which is a part of the patients’ readiness to take care for their own health.


Download data is not yet available.


Bodenheimer T, K. Grumbach, Improving primary care: strategies and tools for a better practice. Lange Medical Books/McGraw-Hill, New York, 2007

Callahan D., False Hopes. Overcoming the Obstacles to a Sustainable, Affordable Medicine, Rutgers Univ. Press , 1999

Callahan D., Promoting Healthy Behavior. Georgetown Univ. Press, 2000

Chantler C. , The Role of Doctors in the Delivery of Health Care, Lancet, 353, 1999, 1178-81 DOI:

Eikemo TA, Bambra C.,The welfare state: a glossary for public health. J Epidemiol Community Health. 2008 Jan;62(1):3-6. DOI:

First International Conference on Health Promotion, Ottawa, 21 November 1986

Institute of Medicine, Primary Care and Public Health: Exploring Integration to Improve Population Health, Washington (DC): The National Academies Press, 2012

Israel BA, AJ Schulz, EA Parker, Review of community-based research: assessing partnership approaches to improve public health, vol 19:173-202, 1998 DOI:

Petersen A., & Lupton, D. (1996). The new public health: Health and self in the age of risk. Thousand Oaks, CA: Sage Publications

Rychetnik L, Hawe P, Waters E, Barratt A, Frommer M., A glossary for evidence based public health. J Epidemiol Community Health. 2004 Jul;58(7):538-45. DOI:

Yuan B, L He , Q Meng , L Jia , Payment methods for outpatient care facilities, available on-line, 07.08.2017 DOI:




How to Cite

Peycheva, K., & Deliverska, M. (2018). ETHICAL DIMENSIONS OF WILLINGNESS TO PAY FOR MEDICAL CARE IN BULGARIA. International Journal of Research -GRANTHAALAYAH, 6(1), 516–522.