BULGARIA - Medical Device Industry and Other Information

Shown below you will find some basic demographic and economic data, plus information specific to the medical device and healthcare industry.

Capital city: Sofia

Total area: 111 994 km²

Population: 7.3 million

Currency: Lev

Language: Bulgarian

Structure of population:
0-14 years: 14%
15-64 years: 68%
65 years and over: 19% (2012 est.)

Life expectancy at birth:
Male: 71 years
Female: 78 years

Healthcare expenditures total (% of GDP): 7.3%

Healthcare expenditures per capita: $522(USD)

Expenditures on healthcare:
Government: 55%*
Private: 45%**

Number of hospitals: 340 (2007 data)

Healthcare financing: The Bulgarian healthcare financing system is in its early stage of transition. Since 2006 the funding system based on actual costs has been changing to the DRG system. The full implementation is expected to be completed in few years.

Medical device industry: Bulgaria belongs among the least developed EU countries of the former Soviet bloc. The medical device market is estimated at $225 million in 2013, an amount that has been shrinking since the global financial crisis due to decreased per capita spending. This market is however expected to grow to $274 million in 2018. It offers limited opportunities for importers, imported medical devices representing about three quarters of the market. There is a huge demand for new medical equipment but the large debts of hospitals do not allow the purchase of necessary equipment. The government is frequently required to subsidize them. The Bulgarian medical device market is characterized by small medical equipment manufacturers. Production of medical devices was estimated at €6.2 million.

* Government expenditures include all spending on healthcare passed through governmental agencies regardless of the funding source. Source: World Health Organization global health expenditure database. 2011 data.
** Private healthcare expenditures include private medical insurance, direct out-of-pocket payments by the consumer and other non-governmental sources. Source: World Health Organization global health expenditure database. 2011 data.