Social health insurance system in Georgia: development barriers (ჯანმრთელობის სოციალური დაზღვევა საქართველოში: განვითარების ბარიერები)

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dc.contributor.authorJorbenadze (ჯორბენაძე), Avtandil (ავთანდილ)
dc.contributor.authorVerulava (ვერულავა), Tengiz (თენგიზ)
dc.date.accessioned2022-06-13T11:48:30Z
dc.date.available2022-06-13T11:48:30Z
dc.date.issued2021
dc.description• Gzirishvili D. (2012). damoukidebeli sakartvelo - sotsialuri da janmrtelobis datsvis sistemebi, analit’ik’uri mimokhilva [Independent Georgia – Social and Health Care Systems, Analytical Review.] Tbilisi. in Georgian • Verulava T. (2016.) jandatsvis politika. [Health policy.] Ilia State University. Tbilisi. in Georgian • Zoidze A., Gzirishvili D., Gotsadze G. 1999. sakartveloshi saavadmqopoebis dapinansebis kvleva. [Research on Hospital Financing in Georgia. Curatio International Foundation.] Tbilisi. in Georgian. • Papava V. (2013.) sakartvelos ekonomikuri ganvitarebis dziritadi tendentsiebisa da perspektivis shesakheb. [The Main Trends and Prospects of Economic Development of Georgia.] Economist, #2. in Georgian. • Tsintsabadze T. (2007). 2001-2005 tslebis jandatsvis erovnuli angarishebis momzadebis metodologiis shepaseba da misi gaumjobesebis rekomendatsiebi. [Evaluation of the Methodology for Preparation of National Health Reports and Recommendations for its Improvement.] Ministry of Labor, Health and Social Affairs of Georgia. Tbilisi. in Georgian. • Jinjolava T. (1998). sazogadoebrivi jandatsvis repormirebis sotsialur-ekonomikuri aspektebi. [Socio-economic aspects of public health reform.] Newspaper “Medicine”. August 23. in Georgian. • Jorbenadze A. (1995). janmrtelobis datsvis ministris sitqva ts’armotkmuli janmrtelobis datsvis sist’emis reorganizatsiis pirveli etapisatvis. [Reorganization of the health care system.] Ministry of Health. Tbilisi, pp.8. in Georgian. • Balabanova D., McKee M., Pomerleau J., Rose R., Haerpfer C. (2004). Health Service Utilisation in the Former Soviet Union: Evidence From Eight Countries. Health Serv Res pp. 39, 1927-50. • Chanturidze T., Ugulava T., Durán A., Ensor T. and Richardson E. (2009). Georgia: Health System Review. Health Systems in Transition, 11(8):1-116.. 2002. • Gamkrelidze A., Atun R., Gotsadze G. & MacLehose L. (2002). Health Care Systems in Transition – Georgia 2002, Copenhagen: European Observatory on Health Care Systems • Gzirishvili D., Zoidze A. & Gotsadze G., (1997). Health Care Reforms in Georgia, Tbilisi. • Grielen SJ., Boerma WG., Groenewegen PP. (2000). Science in Practice: Can Health Care Reform Projects in Central and Eastern Europe be Evaluated Systematically? Health Policy 53: 73–89. • Kalandadze T., Bregvadze I., Takaishvili R., Archvadze A., Moroshkina N. (1999). Development of State Health Insurance System in Georgia, Croatian Medical Journal. http://www.cmj.hr/40/2/10234065.htm • Mossialos E., Dixon A., Figueras J., Kutzin J., eds. (2002). Funding health care: options for Europe. Maidenhead: Open University Press, (European Observatory on Health Systems and Policies Series.). • Roeder FC., Urushadze A., Bendukize K., Tanner MD. (2014). Healthcare Reform in the Republic of Georgia. Healthcare Reform Roadmap for Post-Semashko Countries and Beyond. • WORLD BANK, Georgia - Health II Project Details. 1999, http://www.worldbank.org/ pics/pid/ge40555.txt • World Bank. Georgia, Health Sector Development Project., 2012. • World Bank. Health, nutrition and population in Europe and central Asia (ECA). A decade of experience: lessons learned, implications for the future. Washington: World Bank, 2003. • WHO. Joint Experts Group. Aide Memoir on Health Sector in Georgia. Tbilisi, 1996. • UNICEF. The Georgian Centre for Transition Economy and Sustainable Development, Report on the Survey of the Demand for Health Care Services and Expenditures in Georgia. 1997, Tbilisi.en_US
dc.description.abstractGeorgia’s healthcare system reform, which began in 1995, was one of the first state reforms in the country’s recent history. When creating a new financing system, the choice stopped on the social insurance model. The aim of the paper is to study the reasons for the introduction of health social insurance in Georgia, in particular, why Georgia chose the model of health social insurance (Bismarck model) and not general tax financing (Beveridge) and what were the challenges associated with its development? The social security system, unlike Beveridge’s general tax financing system, is more focused on introducing market mechanisms where health responsibilities are evenly and equitably distributed among the state, the employer and the employee. Despite the achievements, the introduction of health social insurance turned out to be more difficult than expected. Due to the ongoing economic crises, the state was unable to finance its promised commitments, resulting in a chronic shortage of funding for the health care. The United National Movement, which came to power in 2004, abandoned the construction of a social security system and switched to a general tax financing model (Beveridge), which excludes the insurance principle and is quite similar to the Semashko system, as the state plays a more dominant role. From general tax revenues. The same thing happened in 2012, with the new political party “Georgian Dream - Democratic Georgia” coming to power. Given that the social insurance system is the best way to mobilize additional funds for the health sector and therefore sustainable funding, as well as better ensure cost containment and increase the transparency of the system, it is advisable to promote the development of social insurance in the country. The healthcare sector needs reform consistency, continuity and heredity. Despite the change of governments, in the long run the strategic course should not change drastically and the achievement should not be denied due to the change of political conjuncture.en_US
dc.identifier.citationEconomics and Business, №2, 2021, pp. 196-213en_US
dc.identifier.issn1987-5789
dc.identifier.urihttps://dspace.tsu.ge/handle/123456789/1631
dc.language.isogeen_US
dc.publisherIvane Javakhishvili Tbilisi State University Pressen_US
dc.subjectSocial Security system, healthcare reforms, general tax financing (Beveridge) modelen_US
dc.titleSocial health insurance system in Georgia: development barriers (ჯანმრთელობის სოციალური დაზღვევა საქართველოში: განვითარების ბარიერები)en_US
dc.typeArticleen_US
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