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In Astana discussed the issues of reforming the health care system of Kazakhstan


Today in Astana hosted a Forum on economic policy on "health Reform in Kazakhstan: protecting the nation's health" with the participation of the Minister of health and social development of Kazakhstan Tamara Duissenova, Minister of justice of Kazakhstan Marat Opera, extraordinary and Plenipotentiary ambassadors of the USA and Canada to Kazakhstan George Krol and Sean Stale, representative of the world health organization in Kazakhstan, Malaybalay and others.

Opening the Forum, Kazakhstan Tamara Duissenova has reminded that as a result of implementation of two State programmes on health care development (2005-2015) life expectancy in Kazakhstan exceeds 70 years, total mortality decreased by 15.3%, maternal and infant mortality is 1.8 times.

This year the health Ministry of Kazakhstan started to implement a new state Program of health development "Densaulyk" for the years 2016-2019. It is a logical continuation of previous programs aimed at further deepening of reforms in the health sector.

One of the important directions of the new Program is the prevention of diseases. In this regard, based on the experience of OECD countries and recommendations of experts from the world Bank and the world health organization will be created in Kazakhstan public health Service through the integration of sanitary-epidemiological service, services, healthy lifestyle and proper feeding.

Another important direction of the state Program is the implementation of a disease management Program (DMP) in primary health care (hereinafter - PHC).

The basis of the PHOS - a partnership between a multidisciplinary team of primary care professionals and the patient, fixed by the social contract. In the end, HSS will prevent complications of chronic non-communicable diseases, reduce health care costs and to generate citizens ' motivation for responsible attitude to their own health.

In Kazakhstan, the implementation of DMPs began in 2013 in a pilot mode in 2 regions on the three diseases: hypertension, chronic heart failure and diabetes. Given the positive experience, in 2017-2018 it is planned to introduce PHOS across the country, and from 2019 to expand to five diseases.

Tamara Duissenova informed the Forum participants that along with the strengthening of preventive measures at the level of PHC, measures are taken to improve the quality of patient care through the introduction of an integrated model of care 5 the basic socially significant, non-communicable diseases and diseases that significantly affect the demographics of the population: acute myocardial infarction, acute violation of cerebral circulation (stroke), malignant neoplasms, injuries, pregnancy and childhood.

In each direction will be the whole cycle of services: prevention, curative measures, including rehabilitation, clinical supervision, medical and social services. The services demanding difficult process units and specialists with di qualifications, will be centralized at the district, regional, and national levels. And services that do not require complex processing plants would be in the medical organizations at the place of residence.

Currently, the analysis of the organization of medical care, staffing, material and technical equipment, and developed solutions to identified problems. Work has begun on preparation and retraining of specialists, completed work on the regionalization of the medical organizations according to the level of medical care.

With the aim of improving the quality of training in Russian medical Universities attract strategic partners included in the top 500 best global universities. This is medical school, USA, Sweden, Italy and Poland.

Currently, the forces of strategic partners in all higher education institutions carrying out the assessment of capacity and resources in several spheres of activities: management of the University, educational and scientific activities.

The recommendations of the foreign partners will be the basis for developing strategies for the development of domestic medical universities.

In addition, this year 6 medical colleges, implementing pilot programs of applied bachelor degree on the Finnish model, transferred to the status of top colleges. The first graduates of applied bachelor degree will start a professional activity in 2018.

It is expected that the result of this innovation will increase the efficiency of nurses and coverage of PHC services.

With the aim of improving drug provision of the Ministry of health of Kazakhstan together with foreign experts developed and implemented the national drug formulary. It includes all registered in the Republic of drugs with proven clinical efficacy and limit price of each trade name. Is working on the transition to the standards of good pharmaceutical practices (GXP).

Conducted a complete inventory of all medical equipment used, determination of the level of wear and tear. In conjunction with the major manufacturers of medical devices develop new approaches for equipping of medical organizations. It is proposed that medical equipment valued from 5 to 100 million tenge health organization acquired in leasing through JSC Kazmedtekh.

At the end of his speech, Tamara Duisenova noted that the development of the infrastructure of the health system, in addition to budgetary funds, will also involve the resources of the private sector through PPP mechanisms, trust management and privatization.

Changed on 28 September, 2016 - 11:42
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