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"People with disabilities Bulgaria."
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The Needs and Requirements of People with Disabilities for Frequent Movement in Cities: Insights from Qualitative and Quantitative Data of the TRIPS Project
Moving is an indispensable component of travelling. This paper discusses the experiences of persons with disabilities when moving around cities on foot or wheels, based on research conducted during the EU-funded project TRIPS. Findings comprise participants’ vignettes from 49 interviews in seven European cities, views on smart assistive technologies (e.g., Augmented Reality) from a pan-European quantitative survey, and design concepts related to walking based on a co-creation workshop that actively engaged persons with various types of disabilities in ideation. Findings suggest that people need reliable and clear wayfaring information on accessible travel routes featuring the coordinated design of streets, pavement, stops, stations, and vehicles to ensure seamless, step-free, and obstacle-free access, as well as disability-sensitive management of disruptions such as maintenance works, for example. Findings also suggest that users are open to using any assistive technology that can enable them to live more independently, assuming it is accessible, and are keen to co-innovate. Finally, we make recommendations for policy changes that can facilitate the redesign of urban infrastructure to make cities more accessible for people with disabilities and drive structural changes in urban planning.
Journal Article
Impact of health reforms on child health services in Europe: the case of Bulgaria
Background: In the last two decades, all countries in Europe have embarked on substantial health reforms, introducing new models of financing and provision of health services. Using Bulgaria as a case study, this article examines the impact of the reforms on child health services. Methods: This is the first of a series of papers drawing on a broader research on inequalities in access to child health services, using Bulgaria as a case study. Multiple methods and data sources were used, including a review of the literature and existing epidemiological data, 50 qualitative in-depth interviews and an analysis of regulatory documents. This article presents the findings of the documentary analysis. Results: Primary health services for children are now provided by general practitioners. Children are exempted from health insurance contributions and user fees and are formally entitled to free health care. During the first years of the reform general practitioners still had insufficient training in child health. Restrictions on the number of referrals to paediatricians and discontinuation of community services at a time when general practice was not well established, undermined access to quality care. Conclusion: While many of these issues have been subsequently addressed, the reform process was far from linear. Challenges remain in ensuring access to quality child health services to the rural population and marginalized groups, such as the Roma minority and children with disabilities. Throughout Europe, health reforms need to be based on solid evidence of what works best for improving quality of and access to child health services.
Journal Article
Organization and Financing of the Social Services in Bulgaria
The aim of this Commentary is to present general information about the organizational structure, the type of services and the financial sources of support for the institutions providing social services in the Republic of Bulgaria. Financial problems provide the major and basic problems in the management of this activity in a relatively poor country. The Commentary ends with a cautionary note about the principles which must guide new ways of addressing this difficulty.
Journal Article
Health expectancy calculations : a novel approach to studying population health in Bulgaria
The measurement of life expectancy in terms of either good or poor health is a novel approach to studying the health of the population in Bulgaria. The pilot study reported here-carried out among people aged > or = 60 years in a middle-sized Bulgarian town-was designed to obtain information on the years of functional restrictions expected among the elderly. In accordance with the answers to a series of questions (recommended by WHO), subjects were categorized as disabled, handicapped, or having different states of perceived health. The indicators \"disability-free life expectancy\", \"handicap-free life expectancy\" and \"healthy life expectancy\" (based on self-perceived health) were calculated according to Sullivan's method. The results show, for example, that 8.0 of the 16.0 years that men aged 60 years may expect to live, on average, will be free of disability. For men aged 80 years the figures are 1.3 of 5.5 years. For women at 60 years and 80 years the results are 7.3 and 0.5 disability-free years of 19.2 and 7.3 expected life years, respectively. Similar results were found for handicap-free life expectancies and healthy life expectancies. At all ages, the proportion of life in a condition free of disability, free of handicap, or in perceived good health is substantially lower for women than for men. Women may expect to live longer, but a greater proportion of their life will be spent in poor health. The approach presented here for measuring the health status of the elderly may be helpful as an aid to planning medical and social care and for the development of public health policies.
Journal Article