Toni Yonkov Vekov

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At the time of the ongoing organizational changes in healthcare, the medical professionals' opinions regarding the reforms are the most critical since, as medical professionals, they are the main participants in the healthcare reforms. In this article the opinion of 1015 medical doctors is given regarding their awareness of the aims and essence of the(More)
Clinical paths in Bulgaria are used not as a method for quality assessment, but as an instrument to fund hospitals. Their use and incompleteness cause limited access of all Bulgarian citizens to the international treatment guidelines. That way quality of treatment worsens and mortality increases. The Bulgarian system of regulated medical guidelines by all(More)
PURPOSE The purpose of this study was to determine the direct costs of targeted cancer therapies for the treatment of breast cancer, calculating the effectiveness of the additional costs (ICER) and the cost of life years gained (LYG), using data from randomized clinical trials cited in the summary of product characteristics (SPC) of medicinal products(More)
The topic of this article is the insufficiently increasing rate of hospital admissions as a crucial factor for increasing hospital expenditures. The article focuses on the particular analysis of issues of induced hospital services demand, low level of effectiveness of the inpatient care system for referring, disproportions of accounted cases compared the(More)
Background Type 2 diabetes mellitus (T2DM) is one of the most common diseases worldwide and insulin insufficiency and insulin resistance are two main metabolic issues connected with it. The dyslipidemia associated with insulin resistance and T2DM is characterized by higher triglycerides (TGs), higher very-low-density lipoprotein cholesterol and lower apo(More)
People with type 2 diabetes are at increased risk of bladder cancer. Pioglitazone is said to increase it further, although published evidence is mixed. We conducted a meta-analysis to determine if any link between the use of pioglitazone and an increased risk of bladder cancer can be found. A comprehensive literature search was conducted through electronic(More)
This article presents an analytical examination of the results of the survey conducted by the specialized cardiac hospital for active treatment Pleven, which focused on the quality of life, hospital admission and death rate of patients suffering from heart failure that have already received hospital treatment. Given the specifics of the survey, patients(More)