[Complex study of the problem on accessibility to high quality medical care in the population of Georgia]

The problem of accessibility to quality medical care, involving quality improvement in primary and hospital care, professional development of health professionals, protection of consumer rights, confidentiality of the information on the health of the patient, etc. still remains a serious problem for the health system of Georgia. Study was based on the long-term observation of keeping the standards of quality of care in frames of providing high qualification and skills of physicians, working in primary and hospital care and on the detailed analysis of currently available material. Based on the carried out study authors believe that it is necessary to develop in the nearest future formal manuals on medical care based on the Evidence-Based Medicine. As an obligatory condition the authors recommend to establish a system, in which the physicians should have easy access to the data of clinical epidemiology, up-to-date international information on new technologies, and information on comparative analysis of their effectiveness in our country. The integral part of such formal manual should be the identification of the facility for providing care in case of given disease/condition in accordance to the licensed types of care at different level facilities, i.e. facilities, having appropriate equipment and staff. This will solve the problem of fulfillment the state guarantees on providing equity in health care despite to the place of residence. Evaluation, assurance and control of the quality of care on all managerial levels (federal, regional, rayon, facility, unit) should be provided by unified principle of the priority of the criteria of the quality of outcomes (intermediate and final).