Публични политики.BG / Public Policy.bg, Vol 13, No 2 (2022)

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Лиляна Станчева / Lilyana Stancheva, Александър Вълков / Alexander Valkov



Цел:  Проучването обобщава и анализира най-нови данни за състоянието, мащабите и тенденциите в развитието на заболяването в глобален, Европейски и национален план като основа за ефективни здравни политики. На тази основа се аргументира значението на първичната превенция на инсулта и на информираността на всички етапи от развитието на заболяването. В по-конкретен план – извличат се характеристики за информираността на младите хора (в целевата група на студентите от немедицинските специалности), като хипотезата е, че са налице слаби познания за рисковите фактори и признаците за инсулт, които младите хора придобиват по случаен начин.

Материали и методи: За постигането на посочените цели се използват две групи методи: (1) Документално проучване и аналитичен преглед на най-нови обзорни публикации и данни, които очертават дългосрочни тенденции в разпространението и тежестта на заболяването; (2) Онлайн анкетно проучване сред 138 отзовали се студенти, от втори и трети курс от немедицински специалности от най-масовите професионални направления „Икономика“ и „Администрация и управление“ от 3 университета в София. Анкетата е проведена в периода 15.01.2022 – 15.02.2022 г.  

Резултати: Изследването систематизира актуални научни резултати за нарастване на честотата, разпространението и тежестта от инсулта в дългосрочен план. Картината на заболяването у нас и прогнозите през следващата декада показват, че за страната ни инсултът е основен проблем на общественото здравеопазване. Данните за света показват, че заболяването се превръща в съвременна хуманитарна катастрофа, която изисква бързи, решителни и координирани мерки в световен и национален план. Справянето с тази катастрофа изисква промени в здравните политики по целия път на инсулта, с приоритет на осведомеността и превенцията на популационно равнище. Контрол върху рисковите фактори може да бъде постигнат при цялостно преосмисляне и преструктуриране на здравните приоритети.


Ключови думи:  мозъчен инсулт, разпространение на инсулта, тежест на инсулта, здравна политика, превенция на инсулта, БЪРЗО тест.


Objectives: This study summarizes and analyses the latest data on the status, magnitude and trends of the disease at global, European and national levels as a basis for effective health policies. On this basis, it argues for the importance of primary stroke prevention and awareness at all stages of disease development. More specifically, characteristics of young people's awareness (in the target group of non-medical students) are derived, with the hypothesis that there is poor knowledge of risk factors and signs for stroke, which young people acquire in a casual way.

Methods: Two sets of methods were used to achieve the above objectives: (1) Documentary research and analytical review of recent review publications and data outlining long-term trends in the prevalence and severity of the disease; (2) Online survey of 138 responding second and third year students from non-medical majors in the most mainstream professional fields of Economics and Administration and Management from 3 universities in Sofia. The survey was conducted in the period 15.01.2022 - 15.02.2022.

Results: The study systematizes current scientific results on the increase in incidence, prevalence and burden of stroke in the long term. The picture of the disease in our country and projections over the next decade show that stroke is a major public health problem for our country. Worldwide data show that the disease is becoming a modern humanitarian catastrophe that requires rapid, decisive and coordinated global and national action. Tackling this catastrophe requires changes in health policies across the stroke pathway, with awareness and prevention prioritized at a population level. Control of risk factors can be achieved with a comprehensive rethinking and restructuring of health priorities.


Key words: stroke; stroke prevalence; stroke burden; health policy; stroke prevention; FAST test.

Full Text: PDF

The electronic journal „Public Policy.bg” provides scientific support to good governance. It is aimed both at practitioners and scientists in the field of public sector management. Both groups can publish in it, as well as vice versa – to find the empirical or theoretical information provided by the "beyond". The journal is scientific. The articles are reviewed and selected for publishing by Editorial Board using the peer review method, ie. by assessing the correspondence of the texts with scientific criteria (scientific problem, thesis, scientific apparatus, method, evidence, achievement of a scientific fact). The Editorial Board is composed of scientists from different management courses and experienced representatives of management practice from the central and local government.The journal „Public Policy.bg” strengthens and promotes modern management thinking in the categories of public policies, good governance and social networks. The journal presents the advantages of this approach to the archaic linear management, which has embraced the public administration in captivity of passive performance. The journal draws attention to the opportunities for creative, strategic and political responsibilities of the administration. Issues of great importance are the new role of public administration in the 21st century, the principles of good governance in the age of globalization, the network approach in governance, strategic thinking, the problems of the administrative elite, administrative capacity and statehood. The research on the effectiveness and efficiency of  the public administration is of central importance. Special attention is given to a multidisciplinary approach to the major problems of public governance. Topics of interest include management in healthcare, education, environmental protection, labor market, immigration, administrative reform, security, social activities, relations between the central and local levels. The techniques and methods for assessing policy implementation are also of interest as well as the financing and budgeting of administrative activity. Although the journal focuses mainly on public policies in Bulgaria, „Public Policy.bg” is paying special attention to good governance practices from Europe and the world. Distinguished internationally affiliated members of the advisory board develop review’s policy, enhance the journal’s promotion and act as reviewers, while the editor-in-chief, field editors and technical editor take care of the implementation of policy through daily activities and contacts with authors and reviewers.



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Chief editor

Todor Tanev - Departament of Public Administration, Sofia University



Yehezkel Dror - Professor Emeritus of Political Science and Wolfson Chair of Public Administration, The Hebrew University of Jerusalem

Prof. Dr. Steve H. Hanke, the Johns Hopkins University, Baltimore, (USA)

Mark Klinedinst - Emeritus Professor of Economics, The University of Southern Mississippi

Prof. Martin Potůček, PhD - Institute of Sociological Studies, Faculty of Social Sciences, Charles University, Prague, Czech Republic

Prof. Charles Rock - Professor of Economics, Emeritus, Rollins College, Winter Park, Florida

Jaroslav Dvorak - Klaipeda University, Lithuania 

Onur Kulac - Pamukkale University

Tatiana Tomova - Department of Public Administration, Sofia University

Cvetan Davidkov - Faculty of Economics, Sofia University

Aleksandar Marinov - Department of Political Science, Plovdiv University

Klavdia Sapundzieva - Faculty of Educational Studies and the Arts, Sofia University

Maria Slavova - Faculty of Law, Sofia University

Aleko Djildjov - Council of Ministers of the Republic of Bulgaria


Editors from Sofia University

Simeon Petrov, Nikolai Netov, Albena Taneva


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