title: [Problems of accessibility for the population of Georgian modern outpatient and inpatient care].
abstract: Which began in 2013, the implementation of the priority national project - Universal health programs for population of Georgia - has important social significance, given the increased accessibility of the population in case of timely and quality medical care. Various forms of public participation in the payment of services received in varying degrees allow us to find a compromise between containment of demand and increase access to treatment. And if the insurance in its various forms, largely solves the last problem, but may create a problem of rising costs, the different types of direct payments more efficient demand, however creates a need to control access to health care for populations with a high demand for medical care. Co-payments under the defined government programs and directly to the patient, on the one hand, imply severally pay for health care and the fear of the occurrence of catastrophic costs of treatment, and on the other hand, allow you to control the rising costs of the health system. The problem of reducing the availability of medical care is overcome by introducing exemptions from co-payments for vulnerable groups, which in turn leads to a substantial increase in government spending. It must be emphasized that the tools developed and the results of the calculations can be used to compare the effects of the introduction of various schemes of co-payments and choose the most suitable scheme, in terms of the extent of the burden of private expenditure on treatment, as well as income and expenses of the health system in general.
authors.forename: R A
authors.initials: RA
authors.lastname: Bolkvadze
authors.forename: O Kh
authors.initials: OKh
authors.lastname: Gerzmava
mesh_terms: D003695:Delivery of Health Care; D005846:Georgia (Republic); D006760:Hospitalization; D006801:Humans; D007297:Inpatients; D010045:Outpatients