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Cost and revenue dynamics of clinical trials in state-owned hospitals (2019-2022)

Author

Listed:
  • Yulia Nedelcheva

    (Faculty of Economics, South-West University "Neofit Rilski", Blagoevgrad)

  • Miroslav Nedelchev

    (Medical University, Sofia)

Abstract

Objective: The object of the article is to overview the cost and revenue dynamics of clinical trials conducted in state-owned hospitals. Material and methods: We have created a unique database of clinical trials from public registers of competent authorities. Our overview is based on the protocol content of 550 clinical trials conducted in 62 Bulgarian state-owned hospitals (a total 1,297 medical sites) in the period from 2019 to2022. Results: In the new reality, reduced budget and declined state funding, the attitudes of state-owned hospitals are shifted to the benefits of clinical trials. The primary motive for state-owned hospitals to conduct clinical trials is not revenue, but rather access to new pharmaceutical products and treatment methods.

Suggested Citation

  • Yulia Nedelcheva & Miroslav Nedelchev, 2024. "Cost and revenue dynamics of clinical trials in state-owned hospitals (2019-2022)," Economics and Management, Faculty of Economics, SOUTH-WEST UNIVERSITY "NEOFIT RILSKI", BLAGOEVGRAD, vol. 21(1), pages 47-54.
    • Handle: RePEc:neo:journl:v:21:y:2024:i:1:p:47-54
    DOI: 10.37708/em.swu.v21i1.4
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    More about this item

    Keywords

    Bulgaria; trial sites; cost-benefit analysis; health care market;
    All these keywords.

    JEL classification:

    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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