"The user fee that is paid for entry to general practitioners lags behind as a price. Objectively, about 40 percent is the co-payment in hospitals. For private doctors, this co-payment is frozen at the level of 2013. For there to be an increase in the fee, we must have a new budget, a clear macro-framework of health care spending, and I'm not in the business of giving a clear answer to that question.

, told journalists

.

This should 

, where there is still a contractual beginning, that is, the NHIF and the Ministry of Health should be part of this process, added Prof. Tonev.

General practitioners want an increase in the user fee to BGN 8.

According to Associate Professor Tonev, it depends on the Minister of Finance

 for the groups it provides.

However, the reality is difficult - an agreement must be reached for this to happen, and usually the administration of the Ministry of Health is always on the side of the doctors.

This is something that has to happen and the numbers should improve in this direction, Prof. Tonev further explained.

The Chairman of the Health Care Commission in the National Assembly also commented on the topic of the quality of medical services.

"Systems for evaluating the quality of medical services go through two paths - through competition laws, which is not a very good system in the field of medicine. Around the world, quality is measured by the fulfillment of medical standards in different specialties. The development of standards goes through the organizations and the Scientific Societies in the relevant field, which must create a document that is valid for all doctors.

We had a rather serious problem with the introduction of the standards, such documents were drawn up, many of them were appealed in court.

A clear structure must be created, part of the executive branch, for which class organization, for how long, commits to developing a quality standard that is then enforced and no doctors who do not meet the standard are allowed to practice.

A system that will build quality for the future as well.

Because at the moment there are written standards in some specialties that are not recognized, Prof. Tonev also commented.

According to him, the standards will be public information so that patients can check what are the current medical options for their treatment.

Associate Professor Tonev also pointed out that at the beginning of the administration of the 47th National Assembly, they conducted surveys among young doctors as to why they were leaving to work abroad.

The conclusion of the study indicates that pay is not the only reason for the outflow of young doctors from our country, but career development and working conditions are already important.

"And that is why in our country the rules must also be changed and it must be clear when a student begins his education what awaits him in 5,10,15 years and this becomes a sustainable model. In this way we will motivate them, as well as with adequate pay compared to the European market", Assoc. Tonev further specified.

He also said that he is not optimistic that the proposed changes to the Act on Medicinal Products in Human Medicine by the Acting Minister of Health will be voted on in the National Assembly, because in his words:

"I am not optimistic, because some of Dr. Medzhidiev's ideas include drugs that are outside the control of the Positive Drug List and SESPA. That is, legally, we will hardly be able to regulate these processes.

Some of the missing medicines are missing due to lack of supplies, lack of production, and these problems cannot be solved with legal changes in Bulgaria," Assoc. Tonev also pointed out.