ArticleFrontiers in health services2026
Benchmarking Georgia's palliative care system, using WHO's new actionable indicators: alignment with the European Association for Palliative Care (EAPC) 2025 atlas.
Article in Frontiers in health services, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Palliative care is an essential health service for patients with chronic and life-threatening conditions. Although palliative care has been formally recognized in Georgia's legislation and state programs since the mid-2000s, evidence regarding the development, accessibility, and integration of services remains limited. The WHO framework, Methods: This study employed a descriptive health systems assessment and policy analysis of palliative care development in Georgia. The evaluation was guided by the World Health Organization's 2021 framework, Results: While palliative care is legally recognized and partially embedded in national health policy, implementation remains limited and uneven. Service provision is highly centralized in Tbilisi, with restricted outpatient and home-based services in regions. In 2024, only 16.7% of the estimated national palliative care need was met. Opioid consumption remains in the very low range, reflecting restrictive regulations, limited medicine availability, and insufficient prescriber training. Similarly, the EAPC 2025 Atlas shows low performance across key WHO indicators, particularly in governance, monitoring mechanisms, service integration, research, and education. Conclusion: Despite early legislative advances, Georgia's palliative care system remains fragmented and inadequately integrated into primary health care. Strengthening governance, financing, education, and monitoring in line with WHO and EAPC benchmarks is essential to achieve equitable, sustainable, and comprehensive palliative care coverage.
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