This document discusses Bulgaria's strategy for developing e-administrative services and e-healthcare. It outlines the mission and principles of e-government, including providing higher quality services, improving efficiency, and increasing transparency. The strategic goal of e-healthcare is to improve citizens' health and quality of life through equal access to modern healthcare services using new technologies. Key measures include developing integrated healthcare information systems, standardizing and securing information, providing information and training to citizens, and passing legislation to support these initiatives. Useful links for additional information are also provided.

1. e-ADMINISTRATIVE SERVICES:
A FUTURE BENFICIAL
OPPORTUNITY

2. Strategic Documents
Common e-Government Strategy of the Republic of Bulgaria
2011 – 2015;
Strategy for Introducing e-Healthcare in Bulgaria.

3. Mission of e-Government in the Republic of Bulgaria:
Through accelerated building and development of e-governance, the
government of the Republic of Bulgaria will provide higher quality
and easier to access services to citizens and the business, enhance the
efficiency and effectiveness of administration, improve visibility and
accountability, curb corruption, generate new opportunities for
participation of civil society structures in government.

4. e-Government Principles:
User-centered administrative services (accessibility at any time, regardless of
location);
Efficiency and effectiveness;
Accountability and visibility of administration in e-service provision
and decision making (public information accessibility, reporting);
Trust and safety.

5. e-Government Model

6. e-Healthcare:
e-Healthcare is a fast developing sector characterized by interaction
between medical informatics, public healthcare, health service and
information provision based on modern information and
communication technology. It characterizes not only a technical
development, but also a commitment to global thinking, to improve
healthcare locally, regionally and worldwide.
From a modern perspective, e-healthcare is a complex of measures
based on an organizational, technological and legal framework
spanning over the entire functioning aspect of the healthcare system.

7. Strategic Goal of e-Healthcare:
To improve Bulgarian citizens’ health and
quality of life by providing equal access to
modern, effective and quality healthcare
services based on existing and new technology
opportunities compliant with the population’s
changing needs and increased mobility.

8. e-Healthcare Principles:
Effectiveness;
Quality healthcare services;
Evidence based medicine (aims to facilitate medical decision making);
Adequate training of healthcare staff;
Equal access (opportunity for all citizens to access medical information through
the internet; enhance opportunities for choice of healthcare services);
Ethics (e-healthcare builds new forms of patient-doctor relationships and poses new
challenges and ethical issues in relation to online practices, informed consent,
confidentiality, etc.)

10. Measures for implementation of e-healthcare objectives:
Develop an integrated information system for information exchange
among healthcare employees:
 Adoption of e-healthcare cards;
 Adoption of software applications for real-time complex information processing
(e-referrals, e-prescriptions, laboratory data and other tests);
 Development of complex and cross-integrated hospital information systems;
 Setting up complete e-patient records;
 Building the necessary infrastructure – networks, connectors, etc.;
 Building facilities and equipment for tele-medical projects.

11. Measures for implementation of e-healthcare objectives:
Standardization and information security:
The development of an information system in any sector is preceded by structuring
and unification of processed information through:
 Adoption of national health information standards;
 Development of a national health information network model;
 Development of compatibility standards for healthcare information systems;
 Adoption of security policies for healthcare information systems;
 Access to the personal electronic health record through electronic smartcards,
encrypted data exchange forms.
Application of good practices and operating compatibility;

12. Measures for implementation of e-healthcare objectives :
Information and training:
 Provision of real-time web based services;
 Electronic provision of easily accessible information to the population through
creation of portals on:
 provision of information about different methods of treatment; rights and
obligations of health insured citizens and health-care providers;
 health education;
 health prevention;
 Adoption of electronic systems for qualification maintenance and continuing
training of health specialists;
 Development of systems for assisting decision making by health specialists and
exchange of clinical information;
 Provision of public registers for medical institutions, pharmacies, etc.

13. Legislation
E-Government Act (stipulates the activities of administrative authorities in
dealing with electronic documents, the provision of electronic administrative services
and the exchange of electronic documents among administrative bodies; implemented
also in relation to activities of persons performing public functions and organizations
providing public services);
Electronic Document and Electronic Signature Act;
Electronic Communications Act (provides legal definitions of concepts like
internet, e-mail, interface, etc.);
Regulation on Electronic Administrative Services.

14. Useful Links
Ministry of Health:
http://www.mh.government.bg

15. Useful Links
National Health Insurance Fund:
http://www.nhif.bg

16. Useful Links
Regional Public Health Inspectorate, Veliko Tarnovo:
http://www.rzi-vt.org

17. Useful Links
National Center for Public Health and Analysis:
http://www.ncphp.government.bg

18. Useful Links
World Health Organization:
http://www.who.int/en/index.html

19. Useful Links
http://www.doctorbg.com;

20. Thank you for your attention!