உடல்நலம் மற்றும் பராமரிப்பில் பன்முகத்தன்மை மற்றும் சமத்துவம் திறந்த அணுகல்

சுருக்கம்

Impact of Healthcare Reform on Universal Coverage in Georgia: A Systematic Review

Lela Sehngelia,Milena Pavlova,Wim Groot

To ensure universal health coverage, Georgia has implemented reforms of its health care system. A market based approach and privatization of public facilities were the major characteristics of the reform process. In this paper a systematic review was carried out to analyze the outcomes of the reforms in terms of sustainability in health care financing, equity, efficiency, quality and cost control. The evidence shows that because of a lack of strategic policy making capacity, the reforms were not successful. Subsequent changes in the reforms have undermined the sustainability in health financing, efficiency, equity and quality of healthcare. Massive privatization of the health sector without effective regulatory mechanisms has led to an impending risk of market failure. To improve efficiency and effectiveness in the health care sector in terms of improving universal health coverage, healthcare quality, financial protection of the general population and sustainability in health financing, improvement in the regulatory framework and a public- private mix regulatory system is a priority.