There is currently no funding for palliative care within the national health or insurance fund budgets and no national guidelines, standards or policies, though the Palliative Care Fund (see below) is beginning to address these. None of the local palliative care services appear to have direct links or twinning/partnership arrangements with palliative care services in other countries.
The Palliative Care Fund was set up in Bulgaria in May 2000 as a non-governmental and non-profit organisation, with the aim of creating the conditions for the practical development of palliative care in the country: to assist education, teaching and scientific research and to establish a 'model hospice' in Sofia that will be based on world class standards.
The Fund has a multi-disciplinary working group which is preparing a document on basic palliative care standards to be presented to the health insurance fund and the Ministry of Health. The Health Insurance Fund is itself seeking to develop a clinical pathway for palliative care.
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