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DEVELOPMENT OF STATE PROGRAMS OF UNIVERSAL HEALTH INSURANCE, STAGES OF REGULATION AND CHALLENGES: GEORGIAN EXPERIENCE

Year 2021, Issue: 52, 271 - 283, 26.12.2021
https://doi.org/10.17498/kdeniz.1039552

Abstract

Raising public welfare is a key goal of financial science and the state itself, and one of the most important factors in achieving this goal is population health, global insurance protection, and social security. But the problem is that in Georgia neither the state can provide global health care for its own population nor the insurance market can provide global insurance protection.
Of all the countries in the world, only 32 provided universal health care. Georgia has become the 33rd country to establish a state program of universal health insurance, which in turn is a major step towards global health and global insurance. But like all important state reforms, this reform is not protected from the accompanying problems and challenges at different stages of its development and regulation.
The paper analyzes the stages and challenges of establishing, developing, managing and regulating the state program of universal health insurance with the involvement of the insurance market at the initial stage and through insurance companies and later without them with direct financing.

References

  • Institute for Development of Freedom of Information www.idfi.ge
  • LEPL Insurance State Supervision Service of Georgia www.insurance.gov.ge
  • Ministry of finance of Georgia www.mof.gov.ge
  • Ministry of IDPs, Labor and Social Protection from the Occupied Territories of Georgia www.moh.gov.ge
  • Press Release Evaluation of Universal Health Outcomes. Ministry of Health, 2014, 2015, 2016, 2017, 2018, 2019, 2020.
  • Resolution of the Government of Georgia № 36 on some measures to be taken for the transition to universal health care. (2013).Tbilisi.
  • Stuckler D et al. (2010). First Global Symposium on Health Systems Research. The Political Economy of Universal Health Coverage.
  • THE GLOBAL PUSH FOR UNIVERSAL HEALTH COVERAGE. April 2014
  • The Lancet Commission of Investing in Health. (2013). Global Health 2035: A world converging within a generation. The Lancet. December 2013. Time for even greater ambition in global health. www.thelancet.com Vol 382.

РАЗРАБОТКА ГОСУДАРСТВЕННЫХ ПРОГРАММ ВСЕОБЩЕГО МЕДИЦИНСКОГО СТРАХОВАНИЯ, ЭТАПЫ РЕГУЛИРОВАНИЯ И ПРОБЛЕМЫ: ОПЫТ ГРУЗИИ

Year 2021, Issue: 52, 271 - 283, 26.12.2021
https://doi.org/10.17498/kdeniz.1039552

Abstract

Повышение благосостояния общества - ключевая цель финансовой науки и самого государства, и одним из важнейших факторов в достижении этой цели является здоровье населения, глобальная страховая защита и социальное обеспечение. Но проблема в том, что в Грузии ни государство не может обеспечить глобальное здравоохранение для своего населения, ни страховой рынок не может обеспечить глобальную страховую защиту.
Из всех стран мира только 32 предоставили всеобщую медицинскую помощь. Грузия стала 33-й страной, учредившей государственную программу всеобщего медицинского страхования, что, в свою очередь, является важным шагом на пути к глобальному здравоохранению и глобальному страхованию. Но, как и все важные государственные реформы, эта реформа не защищена от сопутствующих проблем и вызовов на разных этапах ее развития и регулирования.
В статье анализируются этапы и проблемы создания, развития, управления и регулирования государственной программы всеобщего медицинского страхования с участием страхового рынка на начальном этапе и с прямым финансированием через страховые компании или без такового.

References

  • Institute for Development of Freedom of Information www.idfi.ge
  • LEPL Insurance State Supervision Service of Georgia www.insurance.gov.ge
  • Ministry of finance of Georgia www.mof.gov.ge
  • Ministry of IDPs, Labor and Social Protection from the Occupied Territories of Georgia www.moh.gov.ge
  • Press Release Evaluation of Universal Health Outcomes. Ministry of Health, 2014, 2015, 2016, 2017, 2018, 2019, 2020.
  • Resolution of the Government of Georgia № 36 on some measures to be taken for the transition to universal health care. (2013).Tbilisi.
  • Stuckler D et al. (2010). First Global Symposium on Health Systems Research. The Political Economy of Universal Health Coverage.
  • THE GLOBAL PUSH FOR UNIVERSAL HEALTH COVERAGE. April 2014
  • The Lancet Commission of Investing in Health. (2013). Global Health 2035: A world converging within a generation. The Lancet. December 2013. Time for even greater ambition in global health. www.thelancet.com Vol 382.

GENEL SAĞLIK SIGORTASIYLA İLGİLİ DEVLET PROGRAMLARININ GELIŞTIRILMESI, DÜZENLEME AŞAMALARI VE ZORLUKLAR: GÜRCİSTAN ÖRNEĞİ

Year 2021, Issue: 52, 271 - 283, 26.12.2021
https://doi.org/10.17498/kdeniz.1039552

Abstract

Kamu refahını artırmak, finans biliminin ve devletin temel amacıdır. Bu hedefe ulaşmadaki en önemli faktörlerden biri de nüfusun sağlığı, küresel sigorta meselesi ve sosyal güvenliktir. Ancak, Gürcistan devleti kendi nüfusuna küresel sağlık hizmeti sunamamakla birlikte sigortacılık dünyası da küresel sağlık sigortası meselesini üstlenemiyor.
Dünya ülkelerinden yalnızca otuz ikisi evrensel sağlık hizmetini sağlayabiliyor. Gürcistan Devleti genel sağlık sigortası programını yürürlüğe geçiren 33. ülke oldu ve bu durum küresel sağlık hizmetlerine ve küresel sigorta korumasına yönelik büyük ve başarılı bir adım olarak kabul edildi. Ancak tüm önemli devlet reformları gibi bu reform da gelişiminin ve düzenlenmesinin farklı aşamalarında beraberindeki sorunlardan ve zorluklardan muaf değildir.
Tabi ki, Gürcistan nüfusunun küresel sağlık sigortası ve sosyal güvenliğinin en önemli ve sağlam garantilerinden biri Devlet Genel Sağlık Sigortası programını geliştirmek ve daha da genişletmektir. Devletin genel sağlık sigortası programı, geliştilime yönleri, verimlilik, finansal kaynaklar ve duyulan ihtiyaç arasındaki sürekli uyuşmazlık, kapalı bir çemberde yürümek gibidir. Bu durum ise asla bir çözüm değildir.
Makalede genel sağlık sigortası devlet programının oluşumu, gelişmesi, yönetimi ile düzenleme aşamaları ve ilk aşamada sigorta piyasasının katılımıyla ilgili zorluklar analiz edilmiş ve bununla birlikte sigorta şirketleri aracılığıyla doğrudan finanse edilen ve edilmeyen devlet sağlık programının ayrıntıları tetkik edilmiştir.

References

  • Institute for Development of Freedom of Information www.idfi.ge
  • LEPL Insurance State Supervision Service of Georgia www.insurance.gov.ge
  • Ministry of finance of Georgia www.mof.gov.ge
  • Ministry of IDPs, Labor and Social Protection from the Occupied Territories of Georgia www.moh.gov.ge
  • Press Release Evaluation of Universal Health Outcomes. Ministry of Health, 2014, 2015, 2016, 2017, 2018, 2019, 2020.
  • Resolution of the Government of Georgia № 36 on some measures to be taken for the transition to universal health care. (2013).Tbilisi.
  • Stuckler D et al. (2010). First Global Symposium on Health Systems Research. The Political Economy of Universal Health Coverage.
  • THE GLOBAL PUSH FOR UNIVERSAL HEALTH COVERAGE. April 2014
  • The Lancet Commission of Investing in Health. (2013). Global Health 2035: A world converging within a generation. The Lancet. December 2013. Time for even greater ambition in global health. www.thelancet.com Vol 382.
There are 9 citations in total.

Details

Primary Language English
Subjects Business Administration
Journal Section Articles
Authors

Zurab Zurabashvili 0000-0003-1870-6290

Khaliana Chitadze 0000-0001-6795-9484

Davit Tchiotashvili 0000-0002-2500-6252

Publication Date December 26, 2021
Submission Date November 13, 2021
Published in Issue Year 2021 Issue: 52

Cite

APA Zurabashvili, Z., Chitadze, K., & Tchiotashvili, D. (2021). DEVELOPMENT OF STATE PROGRAMS OF UNIVERSAL HEALTH INSURANCE, STAGES OF REGULATION AND CHALLENGES: GEORGIAN EXPERIENCE. Karadeniz Uluslararası Bilimsel Dergi, 1(52), 271-283. https://doi.org/10.17498/kdeniz.1039552