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Table 1 Examples of regulatory instruments and relations relevant to the Bulgarian context

From: Regulatory barriers to equity in a health system in transition: a qualitative study in Bulgaria

Between government/financing agencies and patients

• Systems of financing and decisions on the statutory health system

• Population coverage: setting out the breadth (proportion of population covered), scope (range of benefits covered), and depth (proportion of benefit costs covered) of benefits

Between financing agencies and service providers

• Provider payment mechanisms

• Harnessing the market in contracting for health services

• Access of providers to health care markets and financing agencies

Between service providers and patients

• Access of patients to health care providers

• Patient rights, litigation, criminal damages

• Mandatory reporting by providers of quality information, price lists and performance

• Self-regulation of providers through professional codes of practice and voluntary or mandatory accreditation schemes

  1. Source: Adapted from [9–11]