Effectiveness and Cost-Effectiveness of Improving Hospital and Ambulatory Care for Chronic Diseases in Imereti Region, Georgia

Drawing on the results of an assessment of NCD screening practices and selected MNCH care practices in the Europe and Eurasia regions conducted by the USAID Health Care Improvement Project in 2011, HCI implemented a demonstration intervention to improve the quality, continuity, consistency, and coordination of ambulatory and hospital services for prioritized conditions in Georgia. This prospective, non-randomized controlled evaluation seeks to understand 1) What change in quality of care indicators is seen from baseline to after 12 months of implementation in clinical areas of cardiovascular care, asthma, and COPD in adults and pneumonia in children, 2) What is the cost of the intervention from the perspective of the intervention funders and of patients and insurers? 3) What is the incremental cost-effectiveness of the intervention? This ongoing study is expected to be completed in late 2013.

ASSIST R&E Contact: Dr. Edward Broughton