title: Characteristics and tendencies in development of the higher education in the sphere of public health.
abstract: BACKGROUND
  The faculties of social health care have been established in response to the growing social demand for highly qualified managerial staff at all levels of the health care system. The mission of these faculties is to train specialists who will have the necessary knowledge so that they can join in the reforms in the field of social health care to support the changes in the medical and paramedical sector in Bulgaria.
  
  
  OBJECTIVE
  To determine the specific features of the directions and tendencies in the development of the higher education in Public Health Care.
  
  
  METHODS
  A cross-section sociological survey was carried out over a five-year period. The opinions of 208 graduate students from all medical colleges in the country were examined in 2000/2001 academic year. A second survey was carried out in 2005/2006 academic year including another sample of 219 graduates in their final third year of study. The sample was recruited from graduates in various majors with an even faculty number. The Medical College (MC) in Bourgas was not included in the second survey as it was outside the system of the medical university. SPSS v. 15.0 was used to analyse the data. Statistical analysis was performed using the analysis of variance, alternative and non-parametric analysis.
  
  
  RESULTS
  After graduating from the MC, 62.25 +/- 3.29% of the respondents in 2000/2001 wanted to pursue their bachelor's degree in Healthcare Management. Five years later, in 2005/2006, the number of student wishing to continue their education was almost the same (59.72 +/- 3.38%). The major motives of the MC graduates in academic year 2000/2001 to continue their education were: acquisition of new knowledge (45.36 +/- 5.05%); by continuing their education the students make a beneficial investment in their future career (26.80 +/- 4.50%); the higher educational degree will allow them to be more competitive in finding a job (14.43 +/- 3.57%). Five years later the motives of the MC graduates were different apparently under the influence of the new social and economic situation in the country. The major motives this time were the perspectives of making a career, especially noticeable with nurses (34.78 +/- 5.23%) and midwives (12.90 +/- 6.02%).
  
  
  CONCLUSIONS
  The greatest number of the respondents wanted to continue their education for baccalaureate degree in Health Care Management. Also worth noting is that their motives for continuing their studies changed in that five-year period.
authors: Department of Health Care Management, Medical University, Plovdiv, Bulgaria.
authors: Gergana G
authors: GG
authors: Petrova
authors: Teodor N
authors: TN
authors: Popov
mesh_terms: D000328:Adult; D002321:Career Choice; D003695:Delivery of Health Care; D004508:Education, Nursing, Baccalaureate; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D011634:Public Health / Q000193:education*