Икономическата криза и миграцията на здравните...

18
CBETOBHATA KPH3A H HKOHOMHHECKOTO PA3BHTHE COopiiiiK /lOKjia^ii OT KifiiiJiciina lueHtuyuapOMHa TOMS I ^ IIKOHOM1I1ECK1I yiHIBEPCIlTET BAPH& m HiaajejicTBO "Haysa n iiKOHOMHica" HKOiiOMiiiecKii yHiiRCpcuTCT - Bapna

Upload: mu-varna

Post on 26-Feb-2023

0 views

Category:

Documents


0 download

TRANSCRIPT

CBETOBHATA KPH3AH HKOHOMHHECKOTO PA3BHTHE

COopiiiiK /lOKjia^ii OT KifiiiJiciina lueHtuyuapOMHa

TOMS

IIIKOHOM1I1ECK1IyiHIBEPCIlTET

BAPH&

m

HiaajejicTBO "Haysa n iiKOHOMHica"HKOiiOMiiiecKii yHiiRCpcuTCT - Bapna

OPrAHH3AUHOHEH KOMHTET

Teji: Ron. fl-p 3oa

.. ,q-p Haaa KocroBana ,,

, fl-p CTOHH CioaHOBna ,,

-p Anocroji AnocTOJioBim na (j>aKyjiTeT,,ynpaBJieHne"

. fl-p iVIapua KauiesaHa ^aKynxer ,,HH4*opMaTHKa"

HHCHCKTOP ,,HayHHon3CJieflOBaTCJiCKa paSora"

TasH KHura HJIH ^acra OT HBH HC MorarpasnpocipaiiHBaHH no ejieKTpOHeii m>T H Konnp3HH be3 nncMCHHoro pai-

riy6jinhyBaHHTe jioKJiaaii He ca pCflaionpaHH H KopnrnpaHH. ABTO-pure Hocar ntJina OTroiiopHOCT 33 ctjltpiKanneTO, opHrHH3J7HOC'rr3 HMH 3a rpeiiiKH, flonycnaTH no THXH

ISBN 978-954-21-0491-9

CEKTOPHH (OTPACJIOBH) EOEKTH HA KPH3ATA(BTOpa

). a-p UK. H. HBHH JCbH'ICB,

. A-p AjiSena MIITCBS (YHCC -PeijiopMaxa B Jiosapo-BHHapcKHH ceKTop ........................................... 17

Adam Majchrzak, PhD student,Katarzyna Smedzik (Poznan University of Economics - Poland)An Influence of Economy Fluctuation on the AgriculturalLand Market in Poland ....................................................................... 27

Dr. oee. Bajiaa Epai'Ka {JlaTBiiritKiiii iiHcmrj'T arpapnoii3KOHOM1IKH), assoc. prof Apryp IIpayjiiiHbui(T:ijijiiiiiHcKiiH TexHii'iecKiiii yHiieepciiTeT)Ana^H'i TeHflenuHH H3MeHeiiHH 3(j](jieEcrnBHOC'[ HripoH3BOflCTBeniioii fleaTe/iLiiocTH CCJILCKHX XOSHHCTB Ha

Ha npHMepe^oSaBJienuoH CTOHMOCTH .................................. 40

. K.3.H. Eopiic CiniejjbHiiKOB (HTYY "KHH" - Ukraine)OCOOCHOCTH SKOHOMH'ICCKHX U,HIU1OB

cseKJiocaxapHOBo nponiiBOACTBa ........................................................ 52

FJI. ac. fl-p Feprana CjiauoBa (HY - Bapna)iia CCJICKHH Tj'pH3i>M B EtJirapHfl M Sana^Ha Enpona n

Ha peuecHHTa Bi>pxyTO3H BHAflefinocT .......................... 62

FJI. ac. ,i-p ['jiciiii reopniesa(Arpapeii yiiiiBepcuTCT - TTjioBfliiB)

acnehTH npw oqenHBaHe na seweaejiCKa npoayKUHn ......... 74

Di. ac. ,T[;IMMII Kiipe'ieB (HY - Bapna)KpeflHTHOTO (|)HHaucHpaHe HEI arpapHHsi ceicrop - acneKTH na

Kpnia ...................................................................... 83

Ceiuieii IIsaiiOB (JIY - Bapua)OnTHMH3au,HJl IIQ KOMVHHKaUHOHHHM MMKC K3TO (jjaKTOp 'S3

Ha HeraufBHHre ecjieKTH OT Hpmara cpe,ana SHOnpOflyKTH B Ei,jirapMa ................................. 93

Di. ae. Panzii MiipaiioB (HY - Bapua)Bt3Mt»KHocTH sa onTHMH3HpaHe nuaiiHpaHeTO na HHKOHaeilHOCTH Ha MOpCKHTC npHCT3HHlua B VCJ1OBHH H3

HeciirypHOCT M HeonpeAfiJienocT ........................................................ 101

FJI. ac. /IOIIK:I ^Cejin^KOBa (HY - Bapua)H B1.3MOJKHOCTH 3a pa3BHTHe npefl ")KeJle3H^l^H" EAJl B ycjiOBHaxa Ha KpH'ja ....................... 1 11

VI

MKOHOMIWECKATA KPH3A H COiyiAJIHOTO PA3BHTHE

IIpo(|). fl-p UK. H. Cre^tKa KoeBa(MY npnrji. a-p II. CTOHHOB - Bapua)Kpnaara B 6i,jirapCKOTo 3flpaBeona3Eane n sapaBHara pei])opMa:

no-pas^H'ien nomea .................................................................. 127

Ac. PyMfliia CTomiOBa (MtvummiCKii ymiBepciiTeT -OTpa>KCHne Ha HKOTiOMMMecKara KpH3a Btpxyceicrop B

. a-p Ewanycjia Myra^tr.i.ac. E;jKa Arauacoea (MY IlpotJ). a-p II. CTOHHOB - Bapua),,1-p Miuiciia rian;iOBii (YnnnepciiTCT MaacxpiiXT - Xo.iaHfliin)ToTOBHOciTa 33 njiaujaHC sa 3^paBna IIOMOII; na GuirapcKHanauiieHT B VCJIOBHS Ha Kpiiaa ............................................................. 147

-p OrosiHKa IloiiOBa, FJI. ac. a-p Jlopa R'opi i(MY npotf). A-p U. CTOHHOB - Eapna)CouHajiHM H sflpaBHH nocjieanu,n or HKOHOMHHCCKHTSKpn3H B PycKaxa ipeflepauna 157

- A-p Ejviaiiyejia MyratJioBa, AOU. ii-p Toflopnarji. ac, Mapiui Poxosa (MY HpocJ). a-p H. CTOHIIOB- Bapiia)MKonoMH'iecKara icpusa H Mnrpau.nsiTa na •japaBHHrenpocjieciionajiHcra .............................................................................. 167

FJI. ac. n-p Teiia BejiKOBCKa (TpaKiiiicKii yBajraec BejiKOBCRii, ciy^eHT (XTMV -AHTHKpH3HCCH MCHHAJKMTjHT B oGlUHHCKHTe (|)HpMH -

Ha npn^o>i<eHne, etjieicr ...................................................... 180

- A-p HiiKOJiaii AraiiacoB (MY -H3 CTOnaHCK3Ta KpH33 B

185

r.i. ac. JIio5oMiipa Koesa —(MV ITpo^i. j-p II. CTOHIIOB - BapHa)AH3J1H3 H3 ([>HHaHCOBOTO C1,CTOHHHe Ha

KOHcyjiraTHBHH ucHTpcme B rpaa BapHa ................ 198

Ac. Ka.nmoua HiiKOJioBa — AraHacoBa (HY — Bapua)MsSop Me/Kay AwarHocTHHHO-cBtp-jaHH rpynH HJltTCKH npH 6OJ1HH'IHOTO ({tMHaHCHpaHC B KOHTCKCTa H3

(|)HHaHCOBa KpH33 B ElJtrapHH ............................................................ 21 1

Ac. Tarnna MyTa^'imlcKa (HY - Bapiia)OrpaJKeHHe na cneTOBHaTa Kpn^a atpxy coScTBemiTe npuxoflH HaMCCTHHTC B^acTH n P. BT>Jirapnsi ......................................................... 222

- A-p AIIOCTOJI AnocTOJioB,rji. ac. li.'iKo ToflopOB (HV — Bapiia)HpoMCHH B npo(jiecHona^HO-Tp>'HOBaTa cTpyifrj'pa H;I Bapiiacjie,T 20 roflHHH npexoji ...................................................................... 236

FJI. ac. jj-p Aimpiiaiia Aiiapeesa (HY - Bapiia)BJIHHHHC Ha HKOHOMHHecKara Kpma Btpxy npeKpaTMBaHeTOna TpyaosoTO npaBooTHomeHHe ......................................................... 247

Iji. ac. Biionera JlacKoea (HY - Bapiia)rioTpe6HTe^cKO noBC^eHiie H counaneH MapKerHur:npes npH3Maia Ha noBCflCH'iecKHa nepcneKTHBCH MOJCJI ................. 256

HKOHOMHHECKATA KPH3A M MHFPAUMflTA HAWABHHTE HPOa>ECIIOHAJlIICTH

Di. ac. Mapiw Poxoea, dou,. i)-p EAtany&ia Mynta<poea, Aoif. d-pTodopm KocnmdiiHoea

ment - Bapna

Kpiisn n mepiiinopna:iinimc duonponopt/uu eiiKOiioMiiiecKa/>ia cpeda o6/i'iaimo ca ce-bpsami c anmeii3ii«mt Mnpotfecu. ripiic-kedwiHaaiieiiio iia Ew?apm KI>.M EepaneiiCKusi ci>iO3

na aiicoKOKea-iiujniiiiipaini cneiiua.iiicniu, a asoSluiiiemo na

n ocoGetio eMKi-patiiimiia IKI zdpawutme npocjiecitonci-iiicimt aeie iipcepiio'jeii npoBlt&y ~ia sdpaiiiiaina ciicme.\fa e naiiiama cmpaita.

B ii'MbJiHenue iia m>peama (pasa om .ueMcdyiieipodeii npoetanHasdpaettume npofpecttOHomicmu " no CedMUpOMKOGa npozpawa a iiepuoda 2009-2010 2. ca npoeedemt Komwecmeem itscxedsamia n dwoo'ittiuiii umnepewma suycmuHoexeaite no npii'iiiiuiiiie, AiaufaSume ti etpeKmuine om c.\nifpaitiinma HO3dpa<initine npotjiecuoHoiiicniti G BT>.i?apti>i. Owtoviittiite. \toiiitttiit itu&itmapc-Kitmesdpaemi iipoipeciioiia.ii/cii/ii ca no-eiicoKomo satviaiiftine (86, 7%J. no-do6pumeVCJIOGIW iiu in/yd a EapoueficKuine sdpflBHU cncmeMii (60%), aviMOJiciiocimims sapaseiamte e Kapitepama u tst/coKivt npecimwc na upo<l>ccu»nia (46, 7%).

i/ na ydpaaiiiiiiii! upofbeciioiia.'iucinii, n na jdpaemtineC saciLieaiie na e.\impai(iionniiine upatjecii eciedcmaitaiiKono.\iii'iecKa Kpma n iipodt,;iJicaeiiUjiimcpe(f>op,\iii na

idpaanama cucntt>\ta. Ha?Jiac///ne na saGbpiuaaiiti/nte cmydentatt no Meduifitiiac-hiiio i]Oi/isi,p3/cdasain mem maKeamia.

:. \iiippanim. sdpaana cticm&va, sdptieit/i np<xpecuoiia.'tvcnnt

HSBCCTHO e, Me 3,apaBHHTe npo<]jecnoHa^HCTii ca HaH-3HaHHMH»Tpecypc 3a BCHKa sflpaBHa CHCTCMS, a pasxoflHTe sa Tpya ca Hati-rojieMHarpa3xoa B cHcreMaxa KBTO UHJIO (o6HKHOBeiio BapiipaT Meatfly 40 n 60%).He e HyacHO npHBem^aueTO Ha cneuwajiHH AOKasaTeiicTBa sa TOBa, HeHM6HHO HaJlHMHCTO H3 AOCTaTbHHO 3flp3BHH npOl|>eCHOHaJlHCTH, TUXHaTa

KBajinc|)HKauHfl n ycjioBHHTa aa HeiiHOTO HenpeKi-CHaro nojyitpJKaHe HnoEHUiaeane ca OT ntpBocieneHHa aaiKHOCT 33 ocurypaBaHe na

167

MCHHO H KaiecTBeHO 3flpaBHO oScJiy-KBane Ha naceJieHneTo. Tosa npaBHJioocTasa BanHaiio, HC3aBncnMO OT p33BHTtieTO iia MCAffliHHCKaTa HayKa H

3a CLOKaneHHC oSaie, iiapea c Apyrirre cepHosmi rmc6aJiaHcn BHa 3apaBeona3B3He B EijirapHa, He,qocTHn,T na M

B TepiiTopHajieH H B npodpeciioHajieH paspes. /IocT;m,MHO e caMOfla npunoMHHM. ME eflHa OT npH^HHirre, no-

Heo6xoaHMOCTT3 OTnpecTpyioypHpaHe na SojiHHHHarae JinncaTa na .neKapH no pcflHua cneunajiHOCTH B SojiHiiijHTe BTO3H npoSjieM e ome no-cepHO3eH npH Me^HUHHCKHTe cecrpw. Flo AaHHHHa EtJirapcKaxa acounauHfl H3 npo(j)ecHOHajiHCTHTe no 3flpaBHH rptDKHnanpHMep, ca Heo6xoAHMH none ome 30 000 MCAHUHHCKH cecxpn, 3a ,qaAocTurneM MHHHM3J1HOTO c^oTHoiijeHHe JieKap - cecTpa 33 EBponeiicKHaChios (EC).

ripHMHUHTe 33 HefloCTHra Ha MeflHu,HHCKH nepconaJi ca Miioro H THX-HOTO fleiiCTBHe e KOMnneKCHO. Ho eflHa OTTHX - eMnrpaunaia nanpoi|>ecHOHajiHCTn - HaGwpa cKOpocT H Mama6. noniiTH'iecKUTe

cBo6oano ABH>K6Hne Ha xopa B Efipona H no CBera,iaCtK H3 MHrpaiJHflTa. HKOHOMHMCCKHTe KpH3H H

flHcnpoHopuHH B HKOHOMHHecKaia cpe^a oGHMaiiHO caCBT,p3aHH C HHT6H3HRHH MHfpauHOHHH npOUCCH. FIpHCieAHliaBaHeTO H3

EojirapHa KLM EC H npHSHasaHero Ha AHn^OMHTe 33 Bnciiie o6pa3OB3Hnena 3flpaBUHTe npoo^ecHOHa^HCTH ycKopw MurpauHsrra Ha BHCOKOKBajimjin-UHpaHH cneunanHCTH, a n3o6miHeTo Ha HKOHOMHHGCKH npo6jieMH y HacKaraJiH3Hpa TO3H npoqec. FIoAciiJieHa OT peflnus cneqH^H^HH xspatcre-pHCTHKH 113 3flp3BH3Ta HH CHCTCM3, CMHrpaiJHaTa CS pa3BHB3 HHTCH3HBHO

B noCJlCflHHTC rOflHHM.

HaMa ycnoKOHTenHH curHajiH 3a ojiaronpHHTHH TeiiAenuHH, HHTOH3MCK 33 cepnosHH ynpsBneiicKH BT,3AeflcTBna. Hemo noBete, HC-

HUHHTe B HauiaTa CTpaH3 ce paaBusaT H3 dpona HSnoAo6HH TaKHBa B crpaHHTe OT EC H AOpw B uenna CBHT H Toaa ecTecTBeno33CHnBa HHTeH3HTeTa H3 CMHrpaUHOHHHTe npOllCCH y H3C. 3nalIHMOCTT3 H3

TOB3 aB^CHHe HOp3)KAa CepHO3HH npo6jl6MH B 3AP3BHHT6 CHCT6MH HC C3MO

B Bi)^r3pMa, HO H B ocxanaJiHTe HJICHKH iia Ctio3a H nocTaBa Btnpoca 33H3pa6oTB3iie Ha cneuHcj)niiHH oSiuH H HaunonajiHH nojiHTHKH 33 cnpaBjmec neraTHBHHTe nocjieACTBHH OT nero. Tosa e H npHqnH3Ta K<TTO nen HaHaCTOaUlHH AOKJ13A Aa HOCT3BHM HM6HHO H3CJieflB3He H3 CMHrpSUHHTa H3

3flpaBHHTe npo(j]ecHOHaj(ncTH OT EtnrapHa H no-KOHKpeTHO - [j>aKTOpnTe,KOHTO a HpeAH3BHKB3T H nOCJlCflCTBHaTa OT HCfl.

pC3yjiT3TH ea HacT OT H^cjieflBanHSTa, npoBCAeHH B

168

na ntpsaTa (|>a3a OT MeitcoyHapofleH npoetcr "Mo5njiHQCT HanpO(j>eCHO)ianHCTH"', (j)HH3HCHpaH OT EBpOHCHCtcaTa KOMHCHH

no CeAMa paMKOBa nporpaMa. B npoeKra ca BKJIIOHCHH 25 crpaiin, pa3-A6Jienn B 6 perHOHa, KOUTO oGxaamar EBpona, CesepHa AMepHKa, ASHHII A(|)pHKa, K3TO OCHOBHHST 3KU,eHT o6aMC e MHrpaLlHHTa US 3AP3BHHTC

npoobecHonajincTH OTH B EC. B ntpsaTa <l>asa or npoeicra (2009-2010 r.)caoc-buiecTEeiiH Ko^H^ecTBenH H KanecTBenH H^cjieflBanna Ha MHKPOHHBO(3ApaBH3 cHCTewa). B EtJirapHa npea 2009 r. ca nposeACHH 17 fli,ji6oHHHHHHHTepBiora c KJIIOHOBH npeflCTaBHTeriH Ha itcHTpajinaTa H MecrnaTa BJISCT{KoMHCHa no 3Apaueona3BaHe KI>M HapoflHoio ctSpanwe. MHHHCTCPCTBOua 3flpaBeona3BaHero, MHHHCTepcTBO na 4>HnaHcnre, PerHOHajiHH uen-Tpose no 3flpaBeona3BaHe), npcflCTaBHTejiH Ha CHHAHKaTMTC H etcjiOBHHTeopraHH3auHH, MCAHUHHCKHTC yiiHBepCHTCTH H areHUHH no 3aerocTra.

MiirpauiiflTa na sapaBiiHTe npoi{)eci!Oii;iJiiiCTii Bna coiiiio-iiKOHOMitieciciiTe iiponecH H ctCTOituiiCTo naC H C I C M I I B B[..nrapiiii

npOriIO3HH A3HHH H3 EupOCTaT HOKa3BaT, 1C AO 2025 P. B EC CMtpT-

HOCTia me npeBHixtaBa pa«AaeMOCTra, a HapacTBaneTO na Hace^fiHHCTOmeccfl-bJiMi Ha neruaTa UHrpaUHfl1. OqaKBa ccTosaAa OKa>Ke cepno3HOBJ1HHHHC Bl,pXV 6pO3 H3 ^aCTliTC, TbH K3TO ACJltT Ha HaceJieHHCTO B

Aocnoco6na Brb3pacr me cnaanc snaHHrejiHO. HyecTBHTejinona oSiuoTO Hacenemie ce onaKBa KT.M 2025 n, a Ha HaceneHHCTo B TpyAOC-nocoSHa Bt3pacT - K-EM 2011 r. Ha TOSH HegjiaronpHjrreH qbon HsniKBarHerarnBHHTe flCMorpa^cKH TeHAGHUHH B E^Jirapwa, KOHTO ca 3Ha'iHTejiHono-apKO H3pa3enn. Ci.ineBpeMCHHo 3acTapaBaH6TO na HaceneHHCTO H yse-jiH'iaBaHeTo Ha cpe^HaTa npoAi^HCHTejinocT na /KHBOTB eoflH no HapacTsa-ne na noTpe6HOCTTa OT sflpaBHM rpiDKH H pecneKTHBHo AH3 Heo6xOAHMOCTTa OT SApaBHH npO^)eCHOHaJlHCTH. ToBa B

etc cnaAa B HacejieHiieTO B TpyAocnocoGna BtapacT me 3aAWi6oMn omenpo6neMa c Heflocrnra Ha MBAHUHHCKH nepconan.

npeMaxaane Ha nojiHTHHecKHTe 6apnepH BOACIUH cpefl npn-33 CMHrpaUHH Ca HKOHOMHMSCKHTe MOTHBH. BtrirapHH e A^JICH OT

cpcAHHTe 3a Espona noKaaaTe^M 3a HKOHOMHtecKa KOHKypeHTOcnocoSnoei.npOH3BOAHTCJiHOCT HaTpj'Aa, AOXOAH H noTpe6jieHHe na HaceneHHero, HHBOHa 3ApaaHo oScjiy^cfiane H couuajiHH Koxeswfl. Ho npHcteAHHaBaHeioH3 CTpaH3T3 KtM EC HOAXpaHH oGmeCTBCHHTe OHaKBaHHB 3a OpOMCHH B

6jiaroci>CTOHHHeTO na qejiHfl HapoA n Ha OTACJIHH o6mnocTii.

1 Eurostat. Europe in figures - Eurostat yearbook 2008. In the spotlight - Demographicchange: challenge or opportunity? Luxembourg: Office for OlTicia! Publications of theEuropean Com mini i ties; 2008.

169

tM no-ao6po 6jiaroci.cTOsiHne e HanuiHo ecrecTBCHCTpeMeiK. Cnopefl HKOHOMHiecKara Teopiia 6jiaroci>CTOHHneTo

HHTerpwpa B ce6e CH xapaicrepHCTHKaTa na ycjioBiinra Ha JKHBOT H yao-BJieTBopeHOcrra Ha HHflHBHAirre. EjiaroctCTOHHiieTo Kara "MHoroiuianoBoHOHHTHe", BKJIIOHBa KaKTO HKOHOMHHCCKOTO CtCTOHHHe, T3K3 H COHHaJlHHTe

OTHoiiieHHH, KyjiTj'paxa H Tpajj,nuHHTe. A. Pigou o6pisma BHHMaime, HeHKOHOMH'iecKOTO 6jiaroctcTonHHe Moate fla 6i>fle wsMcpeiio, HO HC 6nuaaa Gtfle pa-irpaHHHaBaHO OT flpyrHTe c(|iepH Ha SjiaroctcTOfliiHe. CnopcaHero cimo e B33KHO, Lie npOTHBopeiHaxa MejKfly yaoBJieTBOpeiin H Hey-

noTpeSnocTH ce peuiaBar ct^Harejino OT HHAHBHAHTC HJIHnpoMflna B HaiHHa Ha no^ynaBaHe na aoxoflH, HJIH KBTO npoMfliia B

na H^no^^BaHe na /ioxoAHTe=.To3H nonieA na HKOHOMHnecKara Teopna e noiieseH npH

HCTO Ha MHrpauHOHHHTe npouecH. Pas^HKHxe B 6^aroct.cTOflHHeTO nao6iuecTaa HJIH pa3JiH«!HH o6mecTBenn n npo(j)ecnoHajiHH rpynw croax B

mHte MOTHBH aa eMHrpauHSi. Te3n paajiHKH onpeiieJistT"H3npamamHv H "npHGMaujH" AtpucaBH H pernoHH. OHHTHTC^a

H pa3Jin4Hfl BOAJIT AO H3noji3BaHeTO na TpaflHUHOnnnHKOHOMHHCCKH HOKasaTCJIH H3 M3KpO 11 MHKpO paBHHlUS, KaTO 6pyT6H

BtTpemeii npoAyKT (BBFI), HHBO Ha GespaSoTHiia. paBHiime Ha floxoflHTe,CTpyioypa Ha Aoxoflnxe H noTpe6jieHHeTo, HHACKCH na 'IOBCUIKO H COUH-3JIHO pa3BHTH6, K3KTO H H3 H3MepHT6JIH Ha cy6eKTHBHOTO 6^3roAeHCTBHC

c neroBHTe KorHHTHseH H eMounoH3Jien KOMnoHeirr.B Haujexo MscjieflBane KBTO oSeicrHBHH HKOHOMnnecKH acneicru Ha

SjiaroctcTOHHHero ca pasrneaaHH HSKOH no-Ma^Ko nonyjiapHH HHAHKa-Topn, K3TO no TO3H naliHH ce onHTBaMe fla aontJiHHM KspTHimTa, npefl-CT3B6H3 OT H3BCCTHHTe HKOHOMHHCCKH HHflHKSTOpH K3TO BBFI, 3KH3HCH

craHAapT H fip, CtineBpeMemio roea ca H HSKOH OT ocnosHHre (jiaKropn,npeAH3BHKBaujH MHrpauHOHHHTe npouecH.

B nepnoaa 1999-2008 r. 6e3p36orHiJ,aT3 npw JIHJJSTS c BHCUIC 06-pasosaHHe B Etnrapnfl cnajjs OT 36 242 H3 20 185 A>'IUH HJIH c 55,69%.H TJ;K, Kaurro npn AHHaMHKara Ha 6e3pa6oTHuaTa B MJiaflHTe Bt^pscTOBHrpynH, 3HaiiHie^Ha pojia nrpaaT CMHrpaqHOHHHTe npouecH. B ctmoroBpeMe saeTHTC B 3ApaBH3Ta H counannaTa c(j>epa HaMajiflBar or 164 100(1999r.)Ha 161 700 (200S r), KaTOHaH-HHCKaracTOHHOCTHa noKa3aTensie npc3 2001 r. - 139 800. PasnpeflejieHHero HM no non ec npesec Ha >Ke-

1 MoTosa, Jl. H;mroci>CTOHHHCTO npeJU' » cnea HJIBMCTBOTO na Btnrapiia B HC:

0'iaKBannaTa n pcajinocrnTC. roaimiHHK Ha VI ICC, C.. 2008.

170

HHTC - 78,02% cpemy 21,98 % uuice*.Flo A<IHHH H3 H3UHOH3JlH3Ta CT3THCTHKa B El>Jir3pH!i

3 FOAHHH B 3ApaBeona3B3H6To H couHajiHSTa c(|)epa pa6oT3T OKOJIO 5,3%

OT HaeTHTe Ha TpynoB AoroBOp B CTpaHaTa3. 3a cpaoHenne, npe-j 1999 r.

oTHOCHTeiiHHaTAHJi Ha saeTHTe B oTpactna e 8,13%. PaariieflaHH B

MHK3, T63H nOKasaTCJIH SeJieXOlT npOTHBOnOJlOJKHH TEHfleimilH.

SpoHT H3 naeTHTe no TpyjjoBO npaBOOTHomeHHC B crpsnaTa HapacTB3121% npe32008 r. cnpswo 1999 r.), TO na (j)OHa na BjiomaBamce3ApaBeHCTaiyc H ijeojiaronpHHTHH Ae.Morpacj>CKH TCI memum, naeTHTe BH couna^HaTa C(J>epH naMajiHBa'r (79% 3a 2008 r. cnpHMO 1999 r.).

HawajieHHero na 3aeTHTe B sflpasnaTa CHCTCMa ce OTpasflsa HOCHrypeHOCTTa c MCAHUHHCKH nepcoHajr. 3a ncpno,qa 1999-2008 r. ocHry-penocTra c JieKapii y Hac e cpaBHHrejmo ao6pa - USA cpeAHHie paBHumasa EC H no-BHCOKa OT TJISH B PepMaiuia, <I'paimnfl, HcnaHHn (OT rpynaTaHa T.Hap. ,.npHeMaiiiH"c'rpaHH). flpc32008 r. TJI e361 jieKapH na 100 000AyiiiH OT HaceAGHneTO - c 12% no-BHcoKa OT cpeAHHTe CTO(JHOCTH 33 EC,a OCHrypeHOCTTa c jienapn no AfiHTajriia MeAnutina npeBHiii3Ba c 39%cpeAHSTa 33 Ctio3a. CiuiecTBysaT o6a«te 3HaiiHTe^HH MCH<AyperHOHaAHHpa3Jinins - OT 478 Jierapn H3 100 000 pyuiii OT nacejieHHero B Coipwa AO235 H3 100 000 B _JlM6oj]4. CtmecTBeH npo6;ieM e CT.IIIO HeAOCTHrbT Ha

no onpeflejienH cneuHajinocTH. TeHAeniiHHTa co'iH HaMaAflBane Hano He{J>pojiorn«, niieeMOJiornH H 4>Tn3H3TpHfl, 3HCCT63H-

H, aKymepcTBO H rHHCKOJiornfl, VHP, ncnxn3Tpna,KJiHHH4H3Jia6op3TopHa,cneujH3MeAnuHHa,ennAeMHOJiorHH H03UH GO^CCTH, naTOJioroaHaTOMHfl5.

SHaHHTCJiHo no-cepno3HH npo6jieMH oSane ce HaSjiiojjaBaT no OTHO-meHHE Ha 6poa H OCHrypeHOCTTa c npo^ecHOnajiHCTH no 3flpaBHH rpiiiKM HocoGeno c MCAHUHHCKH cecTpw. OT 1990 r. ocHrypenocTra c MCAHUHHCKHcecrpH B GturapHH 6ejiea(H nocTOSHna TBHAeHUHs KT.M HaManeHiie, KBTO

CIISA e periiCTpupaH npes 2000 r, KoraTO ca\io aa eanaocnrypeHOCTT3 HaMajiasa c 30,1%. OcHosnaTa npHHiina 33 TOBB

e HMCHHO Mni'pauHHTa - Kaicro CMHrpauHHTa, Tana H MOKAyceKTopnaTaUHrpauHfl BtTpe B CTpanaTa. Pipes 2007 r. ocnr>'peHocTTa B E'wirapHfl e cOKOJIO 44% no-HHCKa OT cpeanaTa 33 EC ((jnir. 1). CtoTiiouieHHeTo

Hauiioiia.neH ciaTHCTMHecKH nncnnyr. CraTiiCJii'iecKH m'lHiumiK. IICH, C. (aa CT.OT-ECTHtfTC roflHHK)

Haiiiioiiajien iiCHTtp no 3jipaB>ia HHiJiopMaiuia. 3^paBeona3Bane 2009. CramCTHieCKHcnpaBOHHHK. HL(3H. C., 2009; World Healih Organisaiion Regional Office for liuropc.European health for all database - online. [31.03.2010]; www.euro.who.int/hfiidb.MuniicTepCTRo ua •i/ipaacona'jnaneTo. HaiuioHajnia ajpaBna cTparenia 2008-2013.M3. C..200S.

171

pH - MCflHUHHCKH CCCTpH npe3 nOCJICflHHTe TOflHHH V HaC 6 !: 1,2,

B cTpannre OT EC e 1:2,3.

900

750

600

450

300

1998 1(199 2000 2001 2002 2003 2004 2005 2006 2007

— * — llcnaimn — • — EC-27

Our. 1. MeflimiiHCKii cecrpii HS 100 000 flyum or HacejiCHHCTo4

HHTepecen e H (JiaKTtT, ie neraTHBHa TCHaeHUHfl 6e;ie>KH H GposrrHa saBipiiiBaiunTe SaKanaBpH H Marncrpn - npea 2007 r. Te ca 99% or3aBtpmnnnTe npes 1 999 r. B cibepaTa na 3flpaBeona3BaneTO, o6ane opo-ar Ha 3aBtpiiiBamnTe c^mecTBeno Hawa^HBa - npea 2007 r. TOH e e/nja53,2% B cpaBnenne c 1999 r. Tosa ne SH no3BOJiHJio Bt3npon3BOflCTBoroH3 CHCTCMaTa, flOpH H npH OTCliCTBHeTO Ha HHTCH3HBHH eMHrpaUHOlIHH

npouecH. H Bi>npeKH ie npe3 nocjieAHHre HBKOHKO roaHHH npHeiuvr iiano MeAHquHa ocTasa cpaBiinTejiHO nocTOHHeH, TOSH tfyaKT npn-

flpyr cMnctn B KOHTCKCTa na Henocrnra na JicKapH-cneunajiHCTnH aacHJiBaujHTe ce TeHjeHUHH na eMnrpauiiH. OCBCH TOBa npHfloSHBanerona MeflHUHHCKa cneMHaiiHOCT e Sasen H TpyaeH npouec nopajjH peanua(bnHancoBH H opraHH3au.HonnH Tpy^HOCTH. ITpoSjieMtT e ome no-cepno3ennpH MCflHUHHCKHTe C6CTpH, npH KOHTO UpHCWbT SHaMHTCJlHO

BinpeKH cepHO3HHflT ae^iHUHT na Ka/ipn B crpaHaTa. BCHHKO TOBaJinncaTa na cTpaTernn H nonHTHKa no oTHomeHiie Ha liOBeuiKnre pecypcwB 3ApaBeona3uaHeTO.

FIojiojicHTejiHa TCHAEHUHH 6ejieH(H ctoTHoujeHHeTO HapaSoTiia samiara B 3,qpaBeona3BaHero H counajiHara c(J>epa Betc cpeAHaTa pa6oTiia aanjiara 33 crpaiiara. floKaTO npe3 1 999 r.

172

Ta paooTiia 3anjiaTa B ojpacijjia npeflcraBJiaBa CABB 77.45% OT cpeflH3T3paSoina aaruiaTa 33 crpawaTa, TO npes 2008 r. T« e 108,89% cnpflMO Hea.Toea ctoTHOiiieniie, pasmeAaHO no ceicropn. noiama no-6aBHH npoMenwB ny6jiH»iHHsi cefcrop, KtfleTo cpejinaTa pafioTHa sanjiara iia pa6oTemn-reB 3ApaBeona3BaH6TO H couHanHaTa ccjiepa aocTiira pasHHme OT 87.5%cnpaMO cpeflna'ra paGoTHa samiara B nyBiiHHHHfl ceicrop 33 cTpaHaTa npes2008 r. cpemy 68% npes 1999 r. PaSoTHara 3amaTa e nacTHHs ceicrop cenoBHuiafiaoT 75,l%npe3 1999 r. na 10l,7%npe32008 r. cnpaMocpejiiiaTa3amiaTa B nacTHH« ceKTop 3a CTpaHaTa. BiTpe B OTpactJia "3Apaueona3-Bane H couwajina flefiHocr" ci,oTHOiiieiineTO Meamy pa6oTHHTe 3anji3TH B'lacTHtia cnpnwo ny6jiHHHHa ceicrop ocTaBa HOHTH nenpoMeneHO - 1:0,83npe32008r. cpeiu>' 1:0,81 npe3 1999r. Ea3OBHTe HHfleKCHTe, npeflCTaBnmHflHH3MHK3Ta B pa6oTH3T3 aanjiaTa, noKasBar no-6i>p3OTO H HapacTBaHe B3flpaBeona3BaHCTO H counanHaTa c4)epa cnpaMO cpeflHHTe CTOHIIOCTH 33CTpanara (4mr. 2).

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

*— Cp. rcfl. pa6. SBnnaraBBt>nrapnfl

— ° — Cp. rofl. pa6. aannara aa ^paeeonasBaMe ii cou.fleiiHoc,Tii

Our. 2. Cpea«a roflimina 3anjiaTa na iiaeniTe no rpyaoBH u

CpaBHeHHero Ha AHHaMHKaTa B cpeanaTa paGoma 3aanaTa B nacTHHaH nyS^HHUHa ceicrop H3 "3ApaBeona3BaHe H counaaiHH /jeHHOCTH" nopaacuaH3BecTHH CMyiueima. HsnpCBapBaiUHaTTeMn Ha HapacTBaiie Ha aannaTHTe

'' Hauiionajicii CTanicTH'iccKH HHCTHTJT. GraTHOTHiecKH roimniHHK. 1ICH, C. (sa CI.OT-

173

B nySjiiiHHHH cnpHMo lacriinfl ceKTOp MCWKC aa 6i>Ae oGaCHen KQKTO c ne-KOpeKTiia OTM6THOCT, TaKa H c pa^MHTHTe rpaHHUH Ha ,,H3CTHO-ny6jiniHo"H B npejiHBaHCTO Ha ACHHOCTH, ycjiyrH H cpeacTBa B flBere FIOACHCTCMH.

Karo npexofl OT o6cKTHBHfrre HKOiioMH'iecKH mMepurejin KIM cy6eK-THBHHTC HHflHKaTopH Ha 6jiarocT,cTOflHneTO H3no;i3B3Me BpKJKara MeatflycpeflHHa aoxofl na paSoTemnre B 3.npaBeona3BaneTO H KaHecTBena'ra oueHKa33 CHOreMara7. B HanpaBenara KjiacaiiHa EtJirapua saeua rpaiiHo nocjiea-HOTO MflCTO KaKTO HO aOXOflH, T3Ka H OO K3H6CTBO Ha 3flpaBCOna'iBaHeTO

B CTpanaTa. XoiiaiiflHsi, COHCHS KSTO "OTJIHHHHK" no 3ApaBeona3BaHe, ceHapeayia Ha 4-TO Macro no floxoflH. Hafi-BHcoKH ca aoxoflnre Ha pa6o-TemHTe BiiB d>paHUHfl, KOHTO e KJiacHpana Ha 4-TO MJICTO no xaiecTBO na3flpaBHOTO oScjiyacBane. VcTaHOBeiia e 3HainTe^Ha Kopejiauws (R=0,52)

noKa^are^H. /IOXOAHTS B orpac^Jia ,,3flpaBeona3BaHe M co-fleHHocTn" B BiiJirapHfl ca 3HaMHTenno HO-HHCKH B cpasneHHe c

cTpaHH Ha EC (c 37% TIO-HHCKH OTTC^H B PyMtuwa H c noBe4eOT I 0 RVi'H nOA CpCflHHTC AOXO3H 33 OTpaCTiJia B /JaHMH H FepMaHHH npe3

2008 r.s).PemenneTO 3a eMHrpupane 3aBHcM H or oqeiiKara na HHjiHsnaa 3a

BT,3MO«<HOCTHTe 3a paSoTa (cBoSoflHH paGoiHH Mecra, 6e3pa5oTHua) Bpoflnara H >KejiaH3Ta AtpHvaBa. Cnopea npoynBaHe na EspoSapoMerbp9,nanpHMep, eflua 3% OT 6t^rapHTe CMHraT, ve paBUnmero Ha 6e3pa6o-

B crpanara HH e no-6jiaronpnaTHO OT paBHHineTo B EC H Tooa caecHMHcTHHHHTe OUCHKH. Ha noflo6HO MHCHHE ca H rpaiKjiaiiHTe Ha

H JIaTBHfl. He^aBHCHMO OT pasBHTiiero na KpnsaTa H HapacTsaHCTOna 6e3pa6oTnqaTa BT.B UCHMKH atp/KaBH, OHTHMHSIJM no TOSH BinpocnoKa3BaT 1! % OT iicnaHUHTe H ecroHUHTe H 10% or cjioBauHTe. KocBenaOU6HK3 33 BJIHflHHeTO H3 HKOHOMHMCCKaTa KpH33 y H3C B H dpaKTI.T, H6 H3fl

75% OT 6i.Jir3pHTe acuBear BT.B (JiHiiaHCOBO 33TpyAH6Hne H eana 7% OTTHX HMaT "AtJirocpoHHH" njiaiioBe 3a passHTHe Ha AOMaKiiHCTBaTa npescneaeauiHTe 1-2 roflHHH.

3a H3MepB3He na cySeKTHBHHTe acneKTH Ha 6jrarofleHCTBHCTO MOraTA3 ce H3noji3BaT, cnopeA nac, Satisfaction with Life Index na Adrian G.White H yceuianeio 33 macrne, oueneno or World Data Etase of Happiness10.Flo yAoBJieTBopeiiocr OT atHBora StnrapHTe saeMar 164 MHCTO cpea 178

7 Health Consumer Power House. European Consumer Index 2009 - online |02.03.2010];w w w. he nl ill po w erhou se. cu in.

! European Commission. Eurostal. Statistics database - online |03.03.20IO]; !itlp://epp.euroslal.ec.eiiropa.eu.

' Enpo6apOMeTL|» 72. OSmecTBciioro Miieiine B EC. Hamioiiancn aoKna/i 'jaBflponeficKa KOMHCHD, 2009.

10 http://worlddatahaseomappiness.eur.nl [02.03.2010].

174

. Cpeji Hafi-jjoBOJiHHTe OT jKHBora caM aBCTpiinuHte, a JKiiTejiirre na ctceflna PyMtHHa ca Ha 136 MSCTO. HojjaHHH Ha World Data Base of Happiness HaH-H t))HHJ]3TiAUHTe etc ciiOTBeTHH CTOHHOCTH 7,37 H 7,27 noCHCTBMa, CpeflHara CTOHHOCT 3a rpa^aaHHTe Ha EC e 6.47, a 33 otjirapirre- 5,4 npH flsa nvm OO-BHCOKH 3HatieiiMa Ha cramcTHHecKOTo pasceMsaHe(2,58) H3 noKasaTCJia OTTCSH 33 apyrme fltpiKasH. iKHBorvr, KOHTO HMar eHaH-6jiH3KO flo Me'iTanHfl OT Tax sa aMepuKaHUHTc, (jjHHJiaHAUHTe H rpaw-

na JIioKceM6ypr. Hafl-neAOBO^HH OT naiiHHa no KOHTO JKHBCBT canTe, cjieflsaHH c HesnaHMTCJiiia pasjinKa OT py\n>nunTe (c^oTBeTHO

2,82 H 2,99 no neTo6ajina CHCTCMa).PasraeflaHHre riOKasaTeiiH AaeiT npeacjaBa 33 MHCHHCTO HS 6tji-

rapHie KSTO qfl^o 3a 06111373 HKOHOMHHecxa, no^MTHHCCKa H couiiaiiHaO6CT3HOBK3 B CTp3HaT3 H yflOBHCTBOpCHOCTTa HM OT yCJIOBHaTa H3 3KHBOT.

PeuieHiieTO 3a CMnrp3una H3 3flpaBHHTe npo(pecHOHajiHCTH saencn H OTcy6eicrHBHaTa HM oiteiiKa 33 3ApaBH3ra cHCTeiua H ycjioBnaTa 33 paGoraB HCH. rtpOBeACHH npoyHBaHHfl noKa3B3T. He npeo5jiaA3BamaTa naci' orJieKapHTC H MCJIHUHHCKHTe CCCTpM C8 HeyflOBJieTBOpeHH OT pa3BHTH6TO

Ha CHCT6M3Ta H IlQ-KOHKpeTHO OT XOfla Ha 3flpaBHHTe pe<j)OpMHn. HaCT

OT Tax ne BH^aaT HHKaKBo noaoSpeHiie Ha SApaBeonasBaneTO B pesyiiTaTHa petJiopMHTe, aoKaTO apyrn oqeHHBaT Karo iieraTHBHO BJiHaHHCTo Hape{j)opM6HHTe AeficTBHJi Btpxy (jiyHKUHOHMpaHCTO Ha CHcreMara.OT HaM-KpHTHIHO HaCTpOCHHTB C3 CnCUMajTHCTHTe HO 3flp3BHM

cecrpw, aKyiiiepKH).sflpaBHHTe npotj>ecnonajincTn HeraTHBHHTe npoMeHH B

pe3yjiT3T Ha pecpopM3Ta C3 CBi,p3aHH npefltiMHO etc "3ary6aTa na KBB-jiml>HKauna" nopaan npoGjieMM c opraHH3aunaTa H c{>HHaHCHpaHeTO nacjieflflHnnoMHOTO o6yH6Hne H nopajjH 6topOKpaiH3HpaHe Ha MCAHUHHCKaTanpotpeciia, Kaicro H c ysejiMHsaaHe Ha CTpeca 3a pa6oTemnre B

, cstpaaH etc "ctKpameHHa, HecwrypHocT", "ca Ha ceoSoflHo, JIHIHO BpeMe", ''HecHrypiiH AOXOAH", "

c HKOHOMHHecKH npo6jieMn". OpeoGjiaAaBaiiiaTa HECT or pa6oTeuiHTe B3jjpaBH3Ta CHCTSMa ca HeyoflBJieTBOpeHH OT 3anjiamaHCTO Ha TCXHHS ipynH CHHT3T, HC (JjUHaHCOBHTC CpeflCTBa, OTflCJiaHH 33 3flp3BEOna3BaHe, C3

neflocTartHun H He ce pa3npeaejiaT e4>eKTHBUo B cncTeM3Ta". BCHHKOTOES, napefl c MHeHHero, «ie pe^OpMHTe ce orp33aB3T HeraraBHO BtpxyKanecTBOTO Ha sapaBHoro oGcjiyatBaHe H flocrbna Ha rpaayi.3HHTe 30 MBJH-

11 fliiMosa. A., M. OonoB. M, Poxoaa. Sapiiunaia pei[iopMa B Btnrapua: ananiis. Haji. naMiiCTinyr ..Oonaamia OiBOpeno ooinycTBo". BapHa. 2007: BCKOB. T. SapaBiiaia peijiopMaB 5i,nrapnai 1999-2009 r. HK ,,Cncjia", C., 2009.

175

noMom, noitasBa, Me cncT6M3Ta KSTO UHJIO H ycjiOBUHTa aa paScraB Hea He ce oqeiiaBaT nojio>KHTejiHo (a no-cKopo Kpatino neraTHBHo) OT3ApaBHHTe npoiJiecHOHajiHCTH B HauiaTa CTpaHa.

MiirpauiriiTa Ha pasHnxe npo^eciionajincTii B Euirapun

OSmara HeyflOBJieTBOpeHOCT OT TKHBOTS na 6tjirapCKHTe rpaacAaHH,IOKTO H neyflOBJieTBOpeHOCTra Ha JleKapHTe H MeAHUHHCKHTe cecrpHecTecTBeHO npeMHHaea B pemenne aa eMHrpiipaHe. npoBeaenHTe ffui-OOMHHHH HHT6pBH)Ta C KJ[K)'IOBH ([wrypH, HftiaiUH OpaKO OTHOUICHHC KLM

ynpaBJieHneTO na MOBeiiiKHre pecypcw B 3ApaBeona3BaneTO, npe/iocTaBHTHHTepecna HH(j)OpMaujia OT pa3JinMHH rueAHH TOHKH no Ba>KHH Binpocn,CBtpaann npoLtecure na MoGsiJiHOCT.

HHTepBiQHpaHirre nocoHBaT, iie MiirpaquHTa na 3flpaBHnre npoc])ecn-OHanncTH npeACTaBJiHBa MHOFO cepitosen npo6/ieM, KOHTO aecTa6HJiH3npa

MHenneTo na pecnoHfleHTHre e eAUHoaymno - Hafi-rojuiMce HaSmoflasa npn npo^ecHOHaiiMCTHTe no 3flpaBHn rpn>KH

(73,3% or OTroBOpHTe), npa jleKapHTe (60%) H Hafl-MaJiKO npn CTOMaro-jio3HTe(13,3%).

Te3M aanHH ce noTBipMiflaBaT H or npoBeAGHHre B noc^eAHara ro-npoyiBaHHa Btpxy narjiacHTe 33 eMHrpau.ua na 3ApaBHnre npotjie-

B Ei.jirapHfl. Cnopefl C. EeKHpoBa12, oTnocHTejiHHaT A^n HanoreimnajiHHTe eMHrpaHTH cpeA flHnnoMHpamMTe ce enapH e 55%, a cpeAnpaKTHKyBamHTe Rene JieKapH - 37%. FlpoyiBaHeTo na Xp. XpucTOBa"noK33Ba 3H3HHTejieH eMHrpauHOHeH norenqHaJi (68,5%) cpeA MeflHUHH-CKHTC cecTpw. Cnopey ABCTE iipoy'HBaHHa, Haii-CKjioHHM Aa eMHrpwpaT caJieKapuje AO 50 TOAMIIIHS Bt3pacT H MeAHUHHCKHTe cecTpw B no-MJiaaaBT>3pacr. HiiTepec npeACTaBJinsa H dpaicrtT, ie JleKapHTe KaieropH'iHO npeA-riOHHTaT AtJirocpOHHa'ra CMHrpauna, AOKQTO npn MeAHUHHCKHte cecrpiiHarjiacii 33 npecejiBane B Apyra A^pataBa HMBT 14,9% OT aiiKeTHpannre, a3a eMHrpaqua B npOAtJi>i<eHHe H3 2-3 roflnnn - OKOJIO 30%.

MnrpaqHaTa ce OTpa3aaa onpeAejieno HeraiHBHO etpxy HauHOHa^-nara sapaBHa cucTCMa H HCHnnTe noAcucreMH, Hafl-Bene Btpxy SOJIHM'I-HaTa H cneumaTa HOMOIU. HaR-ro^HM neAOCTHr Ha JieKapn B ET,jirapH)i ceHa6jnoAaBa B oHesn cneunajinocTH, npn KOHTO 3anJiaiuaHeTO ceK3TO HCflOCTaTbHHO, il HM6HHO aHCCTejHOJlOrHa, HCBpOHOrHa,

GoiiecTH, neAHaTpHH, naro^oroaH3TOMna H ncHXHSTpHS. HeraTMBHH

12 lieKflpoBii, CT. EMiirpaiiHirra na SwimpcKiiTe JieKapii cjie;i 1989 r.Tpyii, Bap>iit, 2009.

" XpHcroaa, Xp. EMiii-pmuia - xapaicrepncntKii H nar;iacn na MeaHmmcKHTe npoi]iecn-H. Manierbpcha rcia. Bapna. 2009.

176

OT MHFpaUHHTa CC pefHCTpMpaT npH XHpypSHTC, KapAHOJlO'JHTC, Ctfle6HHTe

JlCKapH, K3KTO H n)Hi Hay'UlO-H3CJieAOBaTeJlCKHTe CKHOH. MHTepBEOHpaHHTe

KaTeropH4HO H eAHHO^yiiJHO noAA^p^aT CTaHOBiiinero. ne MHrpauna-raiia JieKapHTe e KSKTO pe3yjiT3T. TaKa H npiiHHHa 3a npo6/ieMHTe B 3flpaBe-on33B3HeTO. ripuHOCLT iia MiirpauiiOHHHTe npoqecii Btpxy HeAOCTura na

cneu,HajiHCTii e OUCHCH na 10-15%.KOMeirnipaH npoSjicM e H MHrpauiisTa or cejiaia H MSJIKHTC

KT.M roJieMHTe rpaAOee, KOGTO Hanaca cepno3HH nocjieAHUH BtpxyrapaHTHpaiina flocrbn AO CHcrcMaTa, Btpxy Bi)3MOM(HocrTa 3a aaexBaTHo3ApaBiio oSc^y^cBane H B KpaiiHa CMCTIO Bi>pxy KanecTBOTO Ha SCHBOT B

wecra.npOU,CCH npOTHH3T H OT ny6^HHHH3 KfcM HaCTHHfl

ceKTOp. IIocjieAHOTO e Tpyflen sa perncTpauHn (JieHOMCH nopsAH cne-i(H(])HKaTa na St^rapcKOTO sApaeno saKOHoaaTencTBO H Bi>3MO)KHOCTTa3flpaBHHTe upocfiecHOHa^HCTH fla pa6oTHT H B ABaTa ceurropa. HHKOH OTpecnoHABHTHTe onpeAe^flT TOBa KBTO HSTOHHHK na xaoc H HKOHOMHHCCKH3ary6n 33 CHCTCMaTa.

JIeHe6HHTe 3aBeAeHHJ), KOHTO uafi-MHoro CTpaaar OT HCAOCTHP aaMCAHUHHCKH nepcoHan, ca 6ojiHHU,HTe 33 pexa6HJiHTauHfl, floMOBere 33BKipacTHH xopa H aeua c yBpoKAamis, MHoronpoijiHJiHHTe GO^HHUH B

rpaAOBC. MurpauHaTa pe^CKTHpa H Bipxy MeHH^KMtHra HaaMajiaea HHOBaTMBHOcrra MM.

OT eMHrpauwsTa sa CHCTCMaTa ce ouenHBar npefliiMnoKaTO iieraiiiBHU, Kaio ce aKUCHTHpa Btpxy 3ary63T3 na KBajin(|)MUMpaHa pa-SoTHa p-bKa cjiefl CKT>HO 3a fliapHiaBaTa o6pa3oeaHne H pa3KJiaTeHO AOBepweB CHCTeMaTa. KaTO eAHHCTBCH nojiojKHreneH e(J)eio- 33 3ApaBeona3BaneToce KonieHTUpa cnoAeneHHHT npH 33Bpi,uj.aHe B poAHHara onur.

MnrpauHOHHHTe npoyecu HMST H no.iio>KHTejiHH H OTpiiuaTe^Hii33 HHAHBHAa. FloBeieTO OT OTroBOpHTC ce ci»cpeAOTOHaBaT

HO3HTHBHHTe edpeKTH 33 OTACJlHHTe npO(]]eCHOHaJlMCTH K3TO H3T-

pynB3H6TO H3 npO([)eCHOHaJlHH H KOM)'HHK3THBHH yMBHHH, HKOHOMHHCCKO

o6oraT3Bane, npHAo6nB3HeTo H3 HOBS Kyjirypa H RO-BHCOKO caMOHj'BCTBMe.HeraTHBHHTe nocjieflHUH B HHHOCTGH nnan ce CBT>p3B3T nati-BeHe c pa3-pyiuaBane Ha ceMeHCTBara, TpyAHOCTHTe npH aAanTHpaneTO KI.M nynyia

H npaBHjia, e3HKOBHTe SapwepH.CnopeA aHKCTHpaHMTe jinua Hafi-npeAnoHHTaHHTe fltpacaBH sa CMH-

Ha 3ApaBiinTe npo4>ecHOHajincTn ca FepMaHHa, <£>paHU,HH, BCJIHKO-6pnT3HHa. Be-Jiriw H HcnaHHa. KaTO npaBHJio eMHrpanTCKHTe HOTOMH csHaCOHGHH ICbM fltpHCaBH CtC CTa6lUIHO COUMaJlHO-HKOHOMH4eCKO pa3BHTHC

H c MQnepHO 3ApaBeona3B3He. npeAOCTaefliuo no-Ao6pH yc^oBna 3a

177

H KapHepno pasBHTne. Cnopefl mrrapaHOTO no-rope npoyiBane Ha Xp.XpHCTOBa Toea cTanoBume ce noTBtpJKflaBa - 80,8% OT MeanqmiCKHTececTpvi 6nxa eMHrpnpajiH B CTpana or EC, a SJIHSO 12% nocoHBay KaTO

rjecTtniauHH CALL[ H Kanaaa.OcHOBHHTe npHMHHH, nopaan KOHTO DtJirapcKHTe 3flpaBHH npoi[)e-

CMHrpupar (B T.I. H BtTpeuinara ftmrpaiiHs) ca RO-BHCOKOTO3anjiam.aHe cnope/j 86,7% OT orroBOpHTe, no-floSpHie ycjioBHa Ha Tpya HBtsMOWHOCTHTe 3a pa6oT3 c MOflepna anaparypa (60%), cia6njiHa Kapiiepa(46,7%). O'r6ejiH3Ba ce H BJIHHHHCTO Ha flea Apyrw c^anropa - npoojieMiireetc cneaannuoMHaTa cneiinajiH^amia Ha JieKapirre H HHCKHJI HMHJIJK nanpo(JiecHHTe B apaBeona^saHeTO.

3a MeaHqMHCKHTe cecrpii Ha ntpso MHCTO cpefl noTeimtiajiHHTe MO-THBH 33 eMnrpau,H)i e no/joGpflBane na JIHHHOTO H ceMefiHOTo Sjiaroctcro-HHMC (52%), cjieflBano OT >KejiaHHeTO sa JKHBOT B no-floGpa couHa^HO-HKO-MOMH'iecKa cpefla. OKOJIO 1 0% 6nxa eMnrpHpaiiH, 33 aa ocnrypjrr no-ao5paDt3MO>KHOCT 33 pa3BHTHC Ha fleqaTa CH H 6flB3 8% - 33 A3 npHflo6M51T HOB

npo(|)ecnoHaJieH OHHT. Flo paiJin'ien H3HHH ce paH^npar MOTHBHTC npH6i.JirapcKHTe jieKapn. npatcTHKyBamHTe neiieJieKapH nocraBaT Ha m,peoMflCTO ^enaimeTO 33 /KHBOT B oSmecTBO c no-jio6'bp couHanHO-HKOHOMH-necKH KJiHMaT, ua BTopo MHCTO - nocTHraHe ua MaTepwajiHO Sjiarono/iyHiieH na TpeTo - nt^HoueHHO npotj>ecHOHajiHO pa^BHine. Boaem MOTHB 3aeMHrpauHH na AHnJiOMHpaujHTe ce CTJ^CHTH no MeflHUMHa e npnao6HBaHeHa npotJiecHOHaJien onHT B no-MOflepHa 3flpaBHa CHcretiTa H ntnuoijeHHa

. rkwiyiaBaHeTO Ha JIOCTOHHO 3anjiatuane ocTasana TpeTa no3HuHfli:.

<I)aKTOpnre, KOHTO BJIHJIHT na HHflHBHflya^HO IIHBO Btpxyna pemeHHC 33 MHrpai(Ha ca HKOiioMHHecKHTe HywflH Ha

H3 CeMCHCTBOTO. paaXOJlHTC 33 H3ApT>)KK3, yC^OBHBTa H3 Tpy^ H

B ,,npHeMamaTa" CTpana. DiaBHtue npe'iKH npeflCMiirpauHaTa «aSwirapoKHTe 3flpaBHn npO(|)ecHOHa^HCTn ca e^HKOBaTa Sapnepa B 83,3%OT cjiy*ianTe, Bispacira H ceMeiiHHTe OTI-OBOPHOCTH (66,7%), oTAeJianeroOT cpeaaTa H KyjiTypHHTe pas^H^Ha (40%).

,D,HHaMHKaTa H3 nmrpaqHHTa na 3apasHHTe npocJiecHOHajiHCTH eCBtpsana etc couHajiHO-HKOHOMH'iecKHTe npOMCHH H cTapTHpaneTO Ha3apaBiiaTa p6(j)OpMa, KaTO HflMa noJTHTHnecKH xapatcrep. EaHosnaHHO eCTaHOBHiJj,eTo, He BjiouiasaHeTo Ha counajiHO-HKOHOMiiiiecKHTe ycnoBunB cTpanaTa BOJH flo 3acHJiena eMHrpauiia. CnHpanejo HJIH 3a6aBHHeTO naTOSH npouec HSHCKBa nofloSpflBane na HKOHOMHMecKaTa cpeaa H counajiiiHalOlHMaT, K3KTO H Ha aaCKBaTHa noJIHTHKa HO OTHOllieHHC H3 HOBeiUKHTe

pecypcH B 3ApaBeona3BaHeTO.

17S

OT npOBeaeHHTc nacjie/iBaHHfl H HHTepBioxa KaTeropviHHO ce oij)-opM9 CTaHOBHiueTO, 4e B EtJirapH;! JiHncBa nojiHTHKa no OTHOiueHHe HaifOBeuiKHTe pecypcH B sapaBeonasBaHeio H B HacrnocT noHa MHrpauHjrra na 3ApaBHHTe npotJiecHOHajiHc™, Kaicro H ne caStp'JH H etjlCKTHBHH MepKH B T33H HHCOKa. HaJlHlje 6 KOHCCHCyC 33 TOB3,

ie MepKHie jpa6Ba fla 6tflaT npeflHMiio cTtiMyjiHpamn ycjiOBHHTa HaKapHCplIOTO p33BHTHe H H3flHraH6 MMHfl2C3 H3 CtCJIOBHeTO.

»CHO 06 OfpopMfl BH>KflaHeTO, He 33 p33BHTHe H3 HOBBLUKHTe

cypcw B 3flpaBeona3BaH6To Tpa6fia ^a 6tflaT rapaHTHpannsa noflflipMcaHe H noBHiuaBaHe na KBajiH^HKanHara, onTHMH3HpaHe na33HJiamaHCTo, KapiiepHOTo pasBHrae, ocHrypaBane na AoGpH yc^OBHa Ha

HOBO33BT,pUJHJIHTe CneUH3J7HCTH fla paSoTHT MHHHMyM 5

FOAHHH B cTpanaia.ElpoSneMHTe c MHrpauiiaTa, HejocTHra H KBajiHijiHKauHflTa na

3apaBHHTe npo(J)ecHona^HCTH cic cnrypnocT HB cs eflHucTBeHUTe 33St^rapcKOTO SApaBeonasBaHe, HO TBXHOTO CBoeapeMeHHO pemaBane GHcnoMorHaiio H 3a OTCTpaHasaHe na pe^Hua Apyrn aeijieicrH B cwcxeMaTa. 3aTOBa ca Heo6xoflHMH H naKon KOCBCHH ynpaBJiencnn BT>3fleHCTBHa Ha HHBO3flp3BH3 CHCT6M3, K3TO pa3pa6oTB3He H npHCMaHC H3

Kapra, peajino ocTOHHOCTaaaHe na Tpyaa na 3flpaBHHteB CTOHHOCTTa H3 3AP3BHHTC yCJIJTH, Bl,3CT3HOBaBaHe Ha CneUHaJlHCTHTC

no ynpaBJienne na HOBeiiiKHTe pecypcn B PerHOHanHHre ueHTpoBe no3ApaBeona3Bane H T.H.

179