Private provision of health services in Georgia: a qualitative exploration of governance behaviours.

ABSTRACT:

Introduction

The private sector occupies a dominant position in Georgia's health system, with most hospitals, primary care clinics, diagnostic facilities, pharmacies and insurance companies under for-profit ownership. Robust governance arrangements are required to align the profit-orientation of providers with health policy objectives.

Methods

This paper examines governance arrangements in Georgia's 'mixed' health system. It draws on document analysis, key informant interviews and a validation workshop. Analysis is guided by the WHO's 'governance behaviours' framework, focusing on strategy, regulation, purchasing and information generation as well as mechanisms for policy dialogue, actor alignment and trust building.

Results

Georgia has established a complex array of

SUBMITTER: Tvaliashvili M 

PROVIDER: S-EPMC12716559 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature