A draft for changes in the Ordinance on determining the package of health activities, guaranteed by the budget of the National Health Insurance Fund, provides for significant corrections concerning outpatient and hospital care. The draft is published on the website of the Ministry of Health (MoH) for a one-month public discussion, which emphasizes the commitment to transparency and the opportunity for public participation in determining the future of health care.
In the field of primary medical care, the introduction of an activity for the administration of targeted immunizations is envisaged. Targeted immunizations, recommended for groups of the population at increased risk of infection, will be financed through vaccines purchased by the MoH. The focus is on vaccination against pertussis for pregnant women between the 27th and 36th week of gestation, which is already being applied in the country. In addition, in 2026, the inclusion of targeted immunization against respiratory syncytial virus, again for pregnant women, between the 24th and 36th week of gestation is planned.
The changes also affect general practitioners, as it is proposed to remove the obligation to prepare a health-prevention card/coupon, as well as to issue documents regarding immunization status, required for kindergartens and schools. The argument behind this proposal is the introduction of new functionalities in the National Health Information System, which will allow centralized access to information. However, the preparation of the necessary documents for children and students required under certain circumstances will be preserved.
The proposals also emphasize the improvement of communication related to immunizations. It is envisaged to refine the way of planning and notifying persons subject to immunization, by providing various options for notification, including through a licensed postal operator, fax, electronic address or SMS.
Precision is also provided in specialized outpatient care in the medical specialty "Clinical Allergology", by specifying the requirement for consultation before immunization for persons with allergies to a vaccine component. At the same time, in the package of activities by the specialty "Obstetrics and Gynecology" is added the activity "Prevention of sexually transmitted infections" and taking material for molecular examination, related to the conduct of a PCR test for human papillomavirus, chlamydia, etc.
Significant attention is paid to the development of nuclear medicine.
It is proposed to create two new outpatient procedures that will regulate the conduct of radionuclide therapy with theranostic radiopharmaceuticals in patients with prostate carcinoma and neuroendocrine tumors. The goal is to standardize medical regulation, reduce hospitalizations, optimize costs, and ensure easier access to modern treatment.
In hospital care, the introduction of a new clinical pathway for "Transient Ischemic Attack" is planned.
The reason is the reporting of cases that do not meet the criteria for ischemic stroke, but have been treated in the clinical pathway for stroke. This leads to inaccuracies in the statistics and puts the country in a leading position in Europe in terms of stroke.
The creation of a clinical pathway for "Treatment of infections of the genitourinary system", covering urology, surgery and pediatric surgery, is another proposed change. Urinary tract infections are common and can lead to serious complications if not treated in a timely manner.
In addition, it is planned to provide the possibility of dispensary monitoring of patients with migraine by a doctor with an acquired specialty in nervous diseases. The goal is early therapy, limiting the side effects of long-term medication, and reducing treatment costs.
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Коментари (100)
fanata2007
17.11.2025, 13:21Благодаря на ЕС, че ни помагат да се подобри
REALIST
17.11.2025, 13:24Да не само Русия помага, а и цялата Европа
Kombinator
17.11.2025, 13:24Здравето е най-важното!!
LUDATA
17.11.2025, 13:25ах, все пак ннещо добро
ZLATA_KOTI
17.11.2025, 13:25Да, най-после някаква разумна политика
великолепно
17.11.2025, 13:37Великолепно
peshaka2020
17.11.2025, 13:40аманямадасепрестрашима
4D5
17.11.2025, 13:39Факт 👎
справи
17.11.2025, 13:40вси4ки тези промени са необходими, за да се справи
kaka_1998
17.11.2025, 13:41Хайде, не може да се чете така!!
NINJA
17.11.2025, 13:42хей, че нещо ново за най-напред
a. димитров
17.11.2025, 13:43Да се промени Наредбата, най-накрая! 🤦♂️
1A7F
17.11.2025, 13:57аз така мисля, че това е голям шаг напред в здрав
bat_vasko1994
17.11.2025, 14:02Виликолепно
pr@v_eu2021
17.11.2025, 14:03Бравонаправитилството
GUEST123
17.11.2025, 14:40Благо за България
4ERVENO_FLAG
17.11.2025, 14:42Слава на ЕС, 4и ни помага да се модернизир
as1982
17.11.2025, 14:42Най-лошавРусиясиеотварила
си_радваме_да
17.11.2025, 14:45Да си радваме
най-високото_здравето
17.11.2025, 15:01Здравето е най-високото
b. тодоров
17.11.2025, 15:02Ха
BLAGOI
17.11.2025, 15:04азтакамисля,четовасадобриновинизабъл 😁
Barona1993
17.11.2025, 15:05ха ха, не е най-високото, а най-силното
r. костов
17.11.2025, 15:49Хубава новина
Bat_Jordan
17.11.2025, 15:50Аз се радвам
Гошо1981
17.11.2025, 15:51Да се радваме на това
начин_най-хубавото_ама
17.11.2025, 15:53Ама най-хубавото ще бъде ако се намери начин
Луд_Петко2016
17.11.2025, 16:01слава българия 🤔
018
17.11.2025, 16:02да се радваме, 4е ннашата държава с
THEREALIVAN
17.11.2025, 16:04Ах, най-сетне
XD
17.11.2025, 16:04абе моля те
maga
17.11.2025, 16:11Аз така мисля, че това е добро начало
martin_24
17.11.2025, 16:12Смислено
petkan
17.11.2025, 16:20Благо за Българиq
holera1979
17.11.2025, 16:22Да се промени Наредбата във всеки смис
f. иванов
17.11.2025, 16:24Хаха,най-посленещоздравовБългар
bat_vasko1994
17.11.2025, 16:25Ако се реформират здравните институции, може да стане
niki_bg
17.11.2025, 16:32министерството
NQKOI
17.11.2025, 16:34Трябва да се брани за нашата здравеопазване
maga
17.11.2025, 16:37Ах,най-посли
niki_bg
17.11.2025, 16:51Хвала на нашити министри, най-накрая нещо добро
Maimunata1973
17.11.2025, 16:53Нека да се радваме, че понакратко започват
[email protected]
17.11.2025, 16:55Ах, може би сега здравето в България ще с
P. Димитров
17.11.2025, 17:53ще го подкрепим, здравето е най-важното!!
TONY_STARK
17.11.2025, 17:55здравето е ннай-важното? 🔥
4erveno_flag1973
17.11.2025, 18:18Браво за здравеопазването!
bat_vasko
17.11.2025, 18:19абе моля те
🤙_да_сега
17.11.2025, 18:22Да, сега ще бъде по-добре 🤙
prosto_chovek
17.11.2025, 18:21сърце на европа
PR@V_EU
17.11.2025, 18:22благодаря нна нашата страна за това 💩
t. георгиев
17.11.2025, 18:25Бравоннанашияправителство
Майстора
17.11.2025, 18:38азтакамисля,четоваедобрановина!
pr@v_eu1971
17.11.2025, 18:41Ние се радваме на тези промени
PICH_007
17.11.2025, 19:01Благодаря на нашити евродепутати, че помагат на
ADMINA
17.11.2025, 19:49Всичко добре, най-после
1B6F4
17.11.2025, 19:52абе молq те, най-после
BabaGanka2012
17.11.2025, 20:21Голям шаг напред
m. тодоров
17.11.2025, 20:25ах, най-после накаква здравна политика!!
е_че_стъпало
17.11.2025, 20:22аз така мисля, че това е голямо стъпало нап
BABAGANKA
17.11.2025, 20:24Хей, стъпалото не е голамо, а България
pich_007
17.11.2025, 20:24хей, нещо по-лесно за здравето
TONY_STARK
17.11.2025, 21:00Аз така мисля, че това е голям корак напред за 😅
AVTORITET
17.11.2025, 21:31Най-после
движи
17.11.2025, 21:33ве4е се движи
SHEFA
17.11.2025, 21:35хайде, най-после 😜
holera2001
17.11.2025, 22:28браво нна министерството
DARKANGEL
17.11.2025, 22:31боже, най-после
superman
17.11.2025, 23:41Благороден шаг
SHEFA
18.11.2025, 00:30Вярно е, че здравето е най-голямото бог
b. стоянов
18.11.2025, 00:41факт!
bai_ivan1984
18.11.2025, 00:47Браво на правителството 😜
F5D52
18.11.2025, 00:51браво, правителство
много_здравето
18.11.2025, 00:55Много добре, най-после се прави нещо за здравето ни
doktora
18.11.2025, 01:01Право стъпка
jivko
18.11.2025, 01:02Сигурнно нещо добро за България!
ЛУД_ПЕТКО
18.11.2025, 01:04следващо
babaganka
18.11.2025, 01:05Да се радваме на това
трябва_бъде
18.11.2025, 01:11Здравето трябва да бъде на пристой
bat_vasko
18.11.2025, 01:21Здравето е ннай-важното
M. Тодоров
18.11.2025, 01:28Великолепно
ах_най-после
18.11.2025, 01:30ах, най-после
xD
18.11.2025, 01:38Хайде, най-после нещо добро
PICH_007
18.11.2025, 02:23здравеето на българия е най-висшата при
545
18.11.2025, 02:47министерство
04949
18.11.2025, 02:52Браво на правителството
D6A72
18.11.2025, 03:11Здравето се бори
PR@V_EU
18.11.2025, 03:14Всичко по-добро
BARONA
18.11.2025, 03:12Великата България
MAIMUNATA
18.11.2025, 03:13ами най-после
8B4
18.11.2025, 04:29Като 4е имаме някой, който се грижи за
peshaka1991
18.11.2025, 04:30браво нна министерството
BAI_IVAN
18.11.2025, 06:18Благо за България
краятнаболшинствотоотзлострумениимунологи
18.11.2025, 06:29краятнаболшинствотоотзлострумениимунологи,!!
petkan1975
18.11.2025, 06:30Велик дело
prosto_chovek
18.11.2025, 06:51Право стъпка
99A7
18.11.2025, 09:49Некадазапочнемдасегрижимзаздраветоси 💩
BAI_IVAN
18.11.2025, 09:53здравето нна българия ще се подобри
a. Миланов
18.11.2025, 10:08Здравето е най-голямото богатство
дефиз_велик
18.11.2025, 10:11Велик дефиз
pr@v_eu
18.11.2025, 13:13Здравеето преди всичко 👎