Plovdiv, Department of Social Medicine and Public Health Medical University-Plovdiv, MD, PhD, Chief Assistant Prof
Plovdiv, Department of Healthcare Management, Faculty of Public Health, Medical University-Plovdiv, PhD,Assoc.Prof. Department of Preventive Medicine
Plovdiv, Faculty of Public Health (FPH), Medical University –Plovdiv, , Assistant Prof.Department Nursing Care,
Despite the deep controversies in the healthcare system, preconditioned by the economic and political changes
in the social environment, the dental physicians in Bulgaria sustainably take the road to re-professionalization,
mainly through restoration of the autonomy of the profession. After studying their socio-professional identity, the
emphasis is put on the market aspects of the professional realization.
The present article analyses the dynamics in the organization of the dental practices under the influence of the
main tendencies in the socio-economic development in statistically differentiated administrative and geographic
regions in the Republic of Bulgaria for a 5-year period – from 2011 to 2015 inclusive. The following facts have been
The deterioration of the demographic situation in the Republic of Bulgaria in the years of transition to
market economy has increased. The tendency is towards depopulation and aging of the population.
The changes in the age structure reflect on the content of the dental aid dictated by the needs of the
separate age groups.
The socio-demographic specification of the administrative-geographic regions imposes redistribution of
the dental practitioners, their bias towards populated areas with higher number and more solvent residents.
Parallel to the increase in the number of dental physicians, the unequality of distribution of the dental
practices in the administrative geographic regions is strongly expressed.
With the establishment and expansion of the private sector, the distribution of dental physicians depends
on the market mechanisms ensuring the income and profit of the practices. The larger economically attractive
centres are populated by a larger number of people and the needs of dental aid rise, just as the income of the dental
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