Characteristics of the services in the spa and wellness centers in Varna destination

В статията са изведени някои предимства, недостатъци и възможности за развитие на услугите в СПА и уелнес центровете във Варна. Изведени са основните фактори за развитие на СПА и уелнес услугите във Варна. Класификацията на различните видове центрове е направена на база основните методи за терапия, възстановяване и разкрасяване използвани в тях. Резултатите от проведено полуструктурирано интервю сред управителите на единадесет СПА центъра на дестинация Варна, сочат, че потребителите на услугите са предимно във възрастовата група 40-65 г. с лек превес на жените. Голямото разнообразие от методи за терапия, възстановяване и разкрасяване в СПА и уелнес центровете в съчетание с минералните води и благоприятните биоклиматични особености ще позволи на Варна да се утвърди като дестинация за СПА, уелнес и рекреативен туризъм.The following article aims to reveal some advantages, disadvantages and opportunities for development of SPA and wellness centers in Varna. The main factors for the growth of SPA and wellness services in the city are presented. Classification of the types of centers is made on the basis of the main therapeutic, recreational and beauty methods applied in the SPA centers. Semi-structured interviews among eleven SPA center managers in Varna are made and the results from them reveal that the main consumers of the above mentioned types of services are in the age group 40-65 and are mainly women. The wide range of therapeutic and recreational methods in SPA centers in Varna as well as the combination of mineral water and pleasant climate conditions allows the city to become a good SPA, wellness and recreational tourism

Repositioning of Bulgaria on the European map as a tourist destination offering a competitive tourist product through health tourism (balneo-spa/medical spa, spa and wellness)

The role of health tourism has been growing exponentially in the last years. Health tourism is an emerging, global, complex and rapidly changing segment that needs to be managed with modern management tools in the present era. Health tourism comprises around 5% of general tourism in the EU-28 and contributes approximately 0.3% to the EU economy (8). Health tourism has a much higher domestic share than general tourism does. Increasing the share of health tourism may reduce tourism seasonality, improve sustainability and labor quality, and may help to reduce health costs through prevention measures and decreased pharmaceutical consumption (9). Health tourism is increasing its role as a significant contributor to the development not only of regional but also of national economy (6). Despite certain tendencies in preference for individual tourism, it is expected that health tourism and health tourism destination will continue to increase their influence and take bigger part in the tourism mix in the future. In the National strategy for sustainable development of the tourism on the territory of Bulgaria /2014-2030/ the Ministry of Tourism determines tourism as a leading, structuring national industry. Tourism is a stable factor contributing to the constant optimization of Bulgarian economy through a significant share in the GDP – 12-18%. Strategic aims of Bulgaria’s are: increasing the competitiveness of the destination Bulgaria on the international tourism market by increasing the quality of the tourist product, strong brand of the destination and product specialization and diversification. One of the main priorities of the Ministry of Tourism is increasing the share of the specialized types of tourism – balneo (medical spa), spa and wellness concretely, leading to an year-round and more intensive workload (4).Aim The authors are convinced that Bulgaria has all the necessary conditions and prerequisites to present itself more purposefully and on a larger scale as a year-round tourist destination, offering a quality tourist product, placing the main focus on health tourism (medical spa, spa and wellness), which is successfully combined with all major forms of tourism (sea, mountain, cultural, gourmet, golf/. The authors support the relevant idea of the Ministry of Tourism to adapt and upgrade the existing National Strategy for Sustainable Tourism Development in Bulgaria /with a horizon of 2040 - 2050/ by placing a strong focus on health tourism, especially relevant in the world pandemic of COVID-19, when the role of health tourism (prevention and prophylaxis) in Bulgaria is recognized by all competing European countries

INNOVATIVE STRATEGIES OF PHARMACEUTICAL COMPANIES AS A FACTOR FOR ECONOMIC AND BUSINESS DEVELOPMENT

The pharmaceutical industry creates innovative products and services related to health promotion, disease prevention, diagnosis, treatment and rehabilitation, used for generation of the final output - improvement of the population health status. The new health services or products are type of innovations and they are created for the purpose of solving socially significant problems and to meet the priorities, objectives and innovation strategies for economic growth of the companies. The development of an innovation strategy within a pharmaceutical company is based on forecasts of the economic, research and technical development of the pharmaceutical sector.The pharmaceutical industry creates innovative products and services related to health promotion, disease prevention, diagnosis, treatment and rehabilitation, used for generation of the final output - improvement of the population health status. The new health services or products are type of innovations and they are created for the purpose of solving socially significant problems and to meet the priorities, objectives and innovation strategies for economic growth of the companies. The development of an innovation strategy within a pharmaceutical company is based on forecasts of the economic, research and technical development of the pharmaceutical sector

Specifics of the distribution policy of Sopharma Trading AD

The distribution solutions, which are part of the distribution and logistics policy of Sopharma Trading AD, play a key role for the overall success of the company. Distribution in itself is important element that takes time to build and represents a strong corporate linking with multiple intermediaries. Creating effective distribution channels is so crucial that it can predetermine the outcome of competition between companies. In this article are presented the distribution services and solutions, as well as the market position of Sopharma Trading AD

Integrated Approach To Low Vision Patients

Спрямо намалението на зрението на по-добре виждащото око след корекция се различават два основни вида зрителен дефицит – слепота и слабо виждане. Low vision е лице с ниско зрение, което има визус дори и след лечение и корекция по-малък от 6/18 или зрително поле по-малко от 10 градуса. Low vision пациентите са обект на интердисциплинарен подход. Такъв екип включва група специалисти, които споделят общи идеи офталмолог low vision специалист, оптометрист и оптик, тифлопедагог, социален работник и психолог.Целта е да изясни ролята на low vision специалистите в интегрирания подход на слабо зрящиЗадачи: 1. да се създаде алгоритъм за работа на офталмолозите low vision специалисти; 2. да се извърши анкета със специален въпросник и да се обобщят резултатите; 3. да се създаде модел за интегриран подход при слабо зрящи.Материали: Литературни източници, научни публикации по въпросите за слепотата, нормативни документи и резултати от анкетата.Методи: Комбиниран подход между количествени и качествени методи. Исторически метод анализ на информацията от литературните източници. Статистически и социологически метод обработка на две анкети.Основни резултати: Слабо зрящите в 75% до 95% могат да бъдат зрително рехабилитирани с оптични средства. Това обосновава нуждата от въвеждане на алгоритъм за работа на офталмолога low vision специалист. В него трябва да се наблегне на видовете средства за зрителна рехабилитация и да се уточни алгоритъмът за определяне на увеличението на помощното средство.Заключение: Ако слабо зрящият човек има възможностите като зрящите хора, той е в състояние да бъде нормален член на обществото. Точно към това са насочени усилията на участниците в интердисциплинарния екип. Това е моделът на интегриран подход – силна сплав между отделните професионалисти, здрава колаборация между институциите.Introduction: Judging by the reduction in vision of the better seeing eye with optic correction, there are two types of visual deficits - blindness and poor vision. A low vision person is an individual who has a vision of less than 6/18 and a field of vision less than 10 degrees even after treatment and correction. Low vision patients are subject to an interdisciplinary approach. Such an integrated care team can be defined as a group of medical professionals. It would include an ophthalmologist, who is a low vision specialist, optometrist and optician, pediatrician, social worker and psychologist.Aim: The aim of this article is to clarify the main role of the ophthalmologists, who are low vision specialists in the integrated approach of patients with low vision.Tasks: 1. To create a work algorithm for the low vision specialists; 2. To conduct a survey using a questionnaire and summarize the results; 3. To create an integrated approach model for patients with impaired vision.Materials: We have used literary sources, normative documents as well as the results of a conducted survey.Methods: The method used is a combination between quantitative and qualitative methods.Results: A total of 75% to 95% of the low vision patients can be visually rehabilitated with optical correction. In order to begin a visual rehabilitation, it is necessary to take into account the degree of reduction of vision and the visual reserves. All this justifies the need of introducing a work algorithm for the low vision specialist. This algorithm should emphasize on the types of ophthalmic rehabilitation aid as well as determine the required enhancement of the aid devices.Conclusion: One thing is certain if low vision individuals have opportunities for education as sighted persons, they would be able to develop their potential and be useful members of the society. This is the main goal of the interdisciplinary team when working with visually impaired patients. This is the model of an integrated approach a strong connection between individual professionals and a collaboration between institutions

Multidisciplinary team for integrated care and the place of the physiotherapist in the team

Въпреки несъмнените си достижения европейските здравни системи непрекъснато се реформират. Болничното и доболничното здравеопазване търсят механизми и пътища за по-добра интегрираност и икономизиране на дейностите. В този процес интегрираните грижи са поставени между медицинските и социалните грижи. Те се предоставят на хора с физически или психически заболявания, на възрастни пациенти, както и на всички останали, които имат нужда от помощ при изпълнение на ежедневните си дейности. Спецификата на рехабилитационните грижи, като част от интегрираните грижи, в болнични, доболнични и домашни условия, изисква включването на различни медицински и не-медицински специалисти. Тяхната работа в екип има за цел решаване проблема на пациента в неговата холистична цялост. Водещото участие на кинезитерапевта в този екип е предпоставка за навременна и адекватно проведена рехабилитация с оглед минимизиране на риска от инвалидизиране.Despite the undoubted achievements, the European health systems are continuously reforming. The hospital and pre-hospital healthcare seeks mechanisms and ways for better integration and economization of the activities. In this process, integrated care (IC) is placed between medical and social care. They are provided to people with physical or mental disorders, elderly patients, and others who need help in performing daily activities. The specifics of the rehabilitative care (as part of the integrated care) in hospital, prehospital and home conditions, require the involvement of various medical and non-medical professionals. Their teamwork is aimed at solving the problem of the patient in its holistic integrity. The leading part of the physiotherapist in this team is a prerequisite for timely and adequately conducted rehabilitation, minimizing the risk of disability

Мултидисциплинарен подход при откриване на пациенти със сънна апнея – ролята на здравните професионалисти (опит на Филиал Шумен)

Изясняване ролята на здравните професионалисти при прилагане на мултидисциплинарен подход чрез участие на студенти от специалностите „Медицинска сестра“ и „Акушерка“ - филиал Шумен, при откриване на пациенти със сънна апнея

Application of the principles of integrated care in department of endocrinology and metabolism diseases at the hospital St. Marina Varna

The article presents the principles of integrated care applied in the treatment of patients with diabetes in the Department of Endocrinology at the University Hospital "St. Marina" Varna. An important point in the treatment of diabetes is customer orientation. The increased life expectancy, the aging population and the cost of treatment of patients with diabetes, both globally and in Bulgaria, prompted the need for the development of integrated care. Integrated care focuses on ensuring continuous care for patients with diabetes by multidisciplinary teams

Информираност относно рисковете при сънна апнея – здравно образование (опит на Филиал Шумен)

Да се проучи мнението на студенти от специалностите „Медицинска сестра“ и „Акушерка“ във филиал Шумен относно информираността за идентифициране на рисковите фактори на синдрома на обструктивната сънна апнея