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    <contact_email>tengiz.verulava@iliauni.edu.ge</contact_email>
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          <family>Verulava</family>
          <given>Tengiz</given>
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        <id>tengiz.verulava@iliauni.edu.ge</id>
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    <title>Accessibility of Urgent Neurosurgery Diseases by the State Universal Healthcare Program in Georgia (country)</title>
    <ispublished>pub</ispublished>
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    <keywords>Health Care, Georgia, Financial accessibility</keywords>
    <abstract>Background, After introduction of the State Universal Healthcare Program in Georgia significantly has increased the financial access to the urgent health services, among them urgent neurosurgery services. The State Universal Healthcare Program covers 24 neurosurgery diseases. The aim of the research was to study the financial accessibility to the urgent neurosurgery services. Methodology, In-depth interview with the managers and medical personnel of the neurosurgery hospitals and direct interviews with the specially structured questionnaires with the patients or their family members have been applied. The Tbilisi University clinic “High Technology Medical Center” has been selected for the research. Results, the results of the research showed that the financial accessibility of health services has significantly improved after the introduction of the State Universal Healthcare Program. Although, Program is not financing the specific types of the urgent neurosurgery services and neither high-technological diagnostic tests (egg. CT and MRT). The financial limit defined by the State Universal Healthcare Program for the neurosurgery care is not enough. Some patients had to pay the significant amount of the cost of medical care that negatively effects on their financial accessibility. Conclusions, In order to increase the financial accessibility it is necessary to expand the list of the urgent neurosurgery diseases covered by the State Universal Healthcare Program, and in urgent cases to finance the high-technological diagnostic tests. It is important to define the financial limits for the urgent neurosurgery diseases that will avoid the high costs for the patients. </abstract>
    <date>2015-04</date>
    <date_type>published</date_type>
    <publication>Gazi Medical Journal</publication>
    <volume>Vol 26</volume>
    <number>2</number>
    <publisher>Gazi University Faculty of Medicine</publisher>
    <pagerange>42-45</pagerange>
    <id_number>2147-2092</id_number>
    <refereed>TRUE</refereed>
    <issn>2147-2092</issn>
    <official_url>http://medicaljournal.gazi.edu.tr/index.php/GMJ/article/view/1104</official_url>
    <related_url>
      <item>
        <url>http://medicaljournal.gazi.edu.tr/index.php/GMJ/issue/current</url>
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    <referencetext>1.	The Ministry of Health, Labor and Social Affairs of Georgia, Report 2013 http://www.moh.gov.ge/files/angarishi-2013.pdf 
2.	The evaluation of the effectivity of the healthcare system report 2013. The Ministry of Health, Labor and Social Affairs of Georgia.
3.	Resolution of the Georgian government #36. About some activities to be implemented for the transition to the universal healthcare. February 21, 2013 http://ssa.gov.ge/files/2013/File/N36-2013.pdf 
4.	Social Service Agency. http://www.moh.gov.ge/files/01_GEO/Banners/Left_Banners/failebi/sakoveltao.pdf 
5.	The information portal of the Ministry of Health, Labor and Social Affairs of Georgia 
http://cloud.moh.gov.ge/Pages/SearchPage.aspx
6.	Healthcare strengthening program, 2014, The evaluation of the healthcare program in terms of beneficiaries and service providers, final report 
http://www.moh.gov.ge/files/JAN-USID/1.pdf
</referencetext>
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