Why Georgians second-guess their doctors – Deregulation has left Georgian medical care something many Georgians would rather avoid
Full Article is available on Eurasianet
” […] Last year, Giorgi Tsiklauri, 24, was diagnosed with leukemia at a hospital in Tbilisi and was about to undergo chemotherapy, but he decided to seek a second opinion in Turkey. As it turned out, he had an infection on the inner surface of his heart, Tsiklauri told local media, publicly accusing his Georgian doctor of incompetence.
Of course, doctors can make mistakes in even the most-developed countries. A 2017 study by researchers at Johns Hopkins University School of Medicine found that medical error ranks as the third-leading cause of death in the United States.
But the statistics suggest Georgia has a large number of poorly regulated doctors.
Last year, the Georgian government suspended 93 doctors’ licenses, mostly for malpractice, according to Nino Khutsishvili of the State Agency for Regulating Medical Activity. By comparison, the state of California, which has 10 times the population and five times the doctors, revoked 44 medical licenses on similar grounds.
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
“Medicine is a constantly evolving field and lifelong learning is needed to stay abreast of [changes]. In Georgia, physicians are not required by the state to keep upgrading their professional skills,” Gotsadze explained.
In a 2017 report for the World Health Organization, Curatio emphasized the risks of deregulation and the privatization of state medical facilities.
“In 2006, the government of Georgia introduced an aggressive privatization policy and applied market-regulated principles to the health sector, characterized by liberal regulations and minimum supervision. In the framework of this policy, many regulations were abolished, and medical facilities and quality of services were no longer controlled by the state,” the report said. Today, “there are no regulations to appraise service providers’ clinical practice.”
Compensation
Even if patients ultimately escape a poorly trained doctor unharmed, many are averse to go through with the drudgery of pressing administrative and legal charges. Dentist Nino Kopadze was content to simply tell off the doctor who mistakenly diagnosed her with stomach cancer. “I did not have the stamina to follow through with filing a complaint and all that, though I should have,” she told Eurasianet.
The man who did the original ultrasound test on Kira publicly admitted his mistake. “I am of course now convinced that I made a mistake and that there was nothing there. And I have no problem apologizing for it,” the diagnostic sonographer at Interclinic said on television. (Interclinic declined to be interviewed in a reasonable timeframe for this story.) Kira’s parents are now deciding whether to accept the apology or to press for compensation for the costs and stress they suffered.”
Eurasianet is an independent news organization that covers news from and about the South Caucasus and Central Asia, providing on-the-ground reporting and critical perspectives on the most important developments in the region.
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Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Healthcare Utilization and Expenditures for Chronic and Acute Conditions in Georgia: Does benefit package design matter?
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Curatio International Foundation Hosts Health Systems Global Secretariat in Tbilisi, Georgia
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
An Impact Evaluation of Medical Insurance for Poor in Georgia: Preliminary Results and Policy Implications
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Georgian Healthcare System Barometer: Experts’ Evaluations of Changes Taking Place in the Healthcare
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
The Forbes and Skoll World Forum to discuss HIV/AIDS Epidemic with Director of CIF
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Article on Springer-Determinants of Risky Sexual Behavior Among Injecting Drug Users in Georgia
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Tobacco Use and Nicotine Dependence among Conflict-Affected Men in the Republic of Georgia
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
HIV prevalence and risk behaviors among key populations- Study Findings Published
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Curatio International Foundation Among Grant Management Solutions Awarded Partners
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Curatio International Foundation revealed the winner of its annual scholarship program
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Impact of global HIV/AIDS initiatives on health systems in Ukraine, Kyrgyzstan and Georgia
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Submission of Applications for CIF Scholarship for Master Program Students near to deadline
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Presentation of the findings of Assessment of Complex Non-Communicable Condition in Low Income Countries
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Contributing to publishing the paper: Circus monkeys or change agents? Civil society advocacy for HIV/AIDS in adverse policy environments
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
National Center for Biotechnology Information published CIF’s scientific paper on Unsafe injection and sexual risk behavior among injecting drug users in Georgia
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
CIF Study Published in BMC Magazine, The Role of Supportive Supervision on Immunization Program Outcome- a randomized filed trial from Georgia
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Releasing results of Bio-behavioral surveillance survey among men having sex with men
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Prices, Availability and Affordability of Medicines in Georgia-the New Study Report Endorsed
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
National and subnational HIV/AIDS coordination: are global health initiatives closing the gap between intent and practice?
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Internship at Curatio International Foundation is challenging for John Hopkins University Students
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
CIF will Launch Fellowship for the Best Student of Healthcare/Public Health Management Faculty
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
CoReform Project and the Ministry of Health Mark the Completion of the First Stage of Trainings on ICPC2 Application
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
First Stage of Training Course on Evidence Informed Policy Formulation Crowned
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
The Study on System-wide Effects of the Global Fund on Georgia’s Health Care Systems posted on GHIN website
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
The research article on Household Catastrophic Health Expenditure-evidence from Georgia and its policy implications published in BMC Health Services Research
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
CIF Hosts workshop on Classifications for Hospital and Laboratory intervention
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
CIF conducted a workshop to discuss HIV/AIDS Surveillance System Assessment results
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
CIF conducted a workshop in the framework of the project funded by the Global Fund
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
The Global Fund Contracted Curatio International Foundation for Consulting Services
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
CIF and MoLHSA conduct a workshop on Integrated Model and Strategic Plan for the Health Information system development in Georgia
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Dr. George Gotsadze – CIF director and PATH board member presented “Hope for health in a weakened nation”
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Natia Rukhadze – CIF Researcher at the Global HIV/AIDS Initiatives Network (GHIN) international workshop in Dublin, Ireland
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Yale University Announced Selection of Leading Georgian Public Health Expert, Ketevan Chkhatarashvili, as a 2007 Yale World Fellow Yale University announced the selection of the leading Georgian health policy advisor, Ketevan Chkhatarashvili, the preside
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.
Final Report on Family Planning and Reproductive Health Assessment in Georgia
Lapses in education and deregulation may, at least partly, explain the frequency of medical errors, suggests Giorgi Gotsadze, the president of the Curatio International Foundation, a healthcare think-tank based in Tbilisi.