CHALLENGES TO ACHIEVING EFFECTIVE MANAGEMENT OF PROCESSES IN STATE HOSPITALS IN BULGARIA

The aim of this paper is to analyze the financial status and efficiency of business processes in Bulgarian state hospitals, with the goal of identifying key problems and proposing workable solutions.Methods: Quantitative and qualitative methods were used, including analysis of public financial reports, scientific publications, WHO reports, IPI reports, and data from the Ministry of Health.Results: The analysis shows low profitability, high levels of debt, and a weak degree of digitalization. Main problematic areas include personnel costs, medicines, and administrative activities.Conclusions: Recommendations include the digitalization of processes, centralized procurement, resource optimization, and adopting foreign best practices.