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Country profiles of health system responses to the crisis | Georgia 385 % Georgia: Fig. 1 Economic and fiscal indicators 2000–2007 and 2008–2011 60 55 50 45 40 35 30 25 20 15 10 5 0 −5 −10 −15 −20 −25 −30 _ _ _ ● ● _ _ ● ● _ _ _ ● _ _ _ ● ● _ _ _ _ ● ● ● _ _ _ _ _ _ _ _ _ _ _ _ _ ● ● _ _ _ ● _ ● _ ● _ _ _ _ _ Year 2000−2007 2008 2009 2010 2011 ● ● ● ● ● _ _ _ _ _ _ _ _ _ _ ● _ Real GDP per capita growth Deficit/surplus (% GDP) Government spending (% GDP) Government health spending (% total government spending) Notes: Deficit/surplus: World Bank; Other indicators: WHO Health for All. 10−year bond rates Unemployment rate Georgia: Fig. 2 Trends in per capita spending on health, 2000–2011 Public spending per capita OOP spending per capita Non−OOP private spending per capita 300 Per capita spending $, PPP 200 100 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 120 Growth % 80 40 0 −40 40 Growth % 20 0 −20 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Public spending per capita growth OOP spending per capita growth Note: Spending calculated from WHO Health for All. Non−OOP private spending per capita growth

386 Economic crisis, health systems and health in Europe: country experience Salaries and motivation of health sector workers • No response reported. Payment to providers • No response reported. Overhead costs: restructuring the Ministry of Health and purchasing agencies • No response reported. Provider infrastructure and capital investment • The Hospital Development Plan called for the complete replacement of existing hospital infrastructure within a three-year period (2007–2009), by transferring full ownership rights from the state to the private sector through a tendering process. However, as a result of war in 2008 and the global financial crisis, investors and, primarily, developers faced liquidity problems, negatively impacting their contractual obligations under this programme. As a result, implementation stalled. The government subsequently resolved this issue by identifying new investors, resulting in the construction of a large number of hospitals. Priority setting or protocols to change access to treatments, coordination of care and patterns of use • No response reported. Waiting times • No response reported. Health promotion and prevention • No response reported.

Country profiles of <strong>health</strong> system responses to the <strong>crisis</strong> | Georgia<br />

385<br />

%<br />

Georgia: Fig. 1 Economic <strong>and</strong> fiscal indicators 2000–2007 <strong>and</strong> 2008–2011<br />

60<br />

55<br />

50<br />

45<br />

40<br />

35<br />

30<br />

25<br />

20<br />

15<br />

10<br />

5<br />

0<br />

−5<br />

−10<br />

−15<br />

−20<br />

−25<br />

−30<br />

_ _<br />

_<br />

● ●<br />

_ _<br />

●<br />

●<br />

_ _<br />

_<br />

●<br />

_<br />

_ _<br />

● ●<br />

_ _ _ _<br />

●<br />

● ●<br />

_ _ _<br />

_ _ _ _ _ _ _ _<br />

_ _<br />

●<br />

●<br />

_ _<br />

_<br />

● _ ●<br />

_<br />

●<br />

_ _ _ _ _<br />

Year<br />

2000−2007 2008 2009 2010 2011<br />

● ● ● ● ●<br />

_ _ _ _ _<br />

_ _ _ _<br />

_<br />

●<br />

_<br />

Real GDP<br />

per capita growth<br />

Deficit/surplus<br />

(% GDP)<br />

Government<br />

spending<br />

(% GDP)<br />

Government<br />

<strong>health</strong> spending<br />

(% total government<br />

spending)<br />

Notes: Deficit/surplus: World Bank; Other indicators: WHO Health for All.<br />

10−year<br />

bond rates<br />

Unemployment<br />

rate<br />

Georgia: Fig. 2 Trends in per capita spending on <strong>health</strong>, 2000–2011<br />

Public spending per capita OOP spending per capita Non−OOP private spending per capita<br />

300<br />

Per capita spending $, PPP<br />

200<br />

100<br />

0<br />

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011<br />

120<br />

Growth %<br />

80<br />

40<br />

0<br />

−40<br />

40<br />

Growth %<br />

20<br />

0<br />

−20<br />

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011<br />

Public spending<br />

per capita growth<br />

OOP spending<br />

per capita growth<br />

Note: Spending calculated from WHO Health for All.<br />

Non−OOP private spending<br />

per capita growth

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