[Analysis of results of certification of bacteriologists in Georgia and the ways of its optimization].

Analysis of the certification of bacteriologists in Georgia (234 specialists) has shown that 164 specialists (90-100%) passed the certificate examination with high and excellent scores. It indicates to the importance of expansion of test-questionnaires as well as their complication by 8.8%-9.4%. Specialists with low, average and good progress in studies showed almost the same scores (75-80%). All together it makes 26% of those who did not pass the examination. According to subjects, most specialists make mistakes in general microbiology, especially in morphology and physiology of microbes, practical skills, there are a lot of mistakes in special microbiology, especially in diagnostics of infections caused by anaerobes and hemofil. Most specialists poorly managed questions in immunology, clinical microbiology and quality of laboratory researchers. Our data should be important for the further adaptation and modernization of certificate test-questionnaires.

[Complex study of the problem on accessibility to high quality medical care in the population of Georgia].

The problem of accessibility to quality medical care, involving quality improvement in primary and hospital care, professional development of health professionals, protection of consumer rights, confidentiality of the information on the health of the patient, etc. still remains a serious problem for the health system of Georgia. Study was based on the long-term observation of keeping the standards of quality of care in frames of providing high qualification and skills of physicians, working in primary and hospital care and on the detailed analysis of currently available material. Based on the carried out study authors believe that it is necessary to develop in the nearest future formal manuals on medical care based on the Evidence-Based Medicine. As an obligatory condition the authors recommend to establish a system, in which the physicians should have easy access to the data of clinical epidemiology, up-to-date international information on new technologies, and information on comparative analysis of their effectiveness in our country. The integral part of such formal manual should be the identification of the facility for providing care in case of given disease/condition in accordance to the licensed types of care at different level facilities, i.e. facilities, having appropriate equipment and staff. This will solve the problem of fulfillment the state guarantees on providing equity in health care despite to the place of residence. Evaluation, assurance and control of the quality of care on all managerial levels (federal, regional, rayon, facility, unit) should be provided by unified principle of the priority of the criteria of the quality of outcomes (intermediate and final).