In 2017 will be created by the national scientific practical center of primary health care (hereinafter – PHC), which coordinates all the activities of the primary health care of the Republic. This was announced today at the International conference "Innovative approaches to integrated primary health care: practical experience of implementation of pilot projects of Kyzylorda and Mangystau regions", held in Almaty, Deputy Minister of health and social development of Kazakhstan Aleksey Tsoy.
At the beginning of his speech, he expressed gratitude to the world health organization (hereinafter - who) for their support in the development of the health system of our country.
Aleksey Tsoy also noted that in the framework of the state program of healthcare development "Densaulyk" for 2016-2019 taking measures aimed at creating a universal, socially oriented, and available assistance at the PHC level. The implementation of socially oriented model of PHC based on the establishment of family health centers, divisions of preventive and psychosocial care, inclusion in staff requirements PHC social workers and psychologists.
To date, there are 2,141 milorganite providing out-patient-polyclinic help, the work of PHC physicians 8525, 23230 paramedics, 423 1248 social worker and psychologists.
In addition, improved work on the organization of primary health care with the introduction of General practitioner and pediatrician, the second nurse to conduct home visits of patients with chronic diseases, assist the physician during service calls placed on primary care with emergency medical care during working hours of primary health care. To the General practitioner entered the third nurse to conduct preventive work with the attached population (screening, formation of target groups, teaching healthy lifestyle and prevention).
"Across the country, the standards work of the registry of organizations providing out-patient-polyclinic help. The system works appointment patients at the reception and doctor on call at home by phone and through the web sites of the organization of primary health care, provided feedback to the patients, there are answering services, private registry for the elderly, pregnant women and children, are patient flows under the direction of a medical, consultative and diagnostic services. However, in order to reduce the queues, the work of the clinics extended until 20.00 hours, the physicians increased to 5 hours, lengthened the time of receiving the call until 18:00 hours," said Aleksey Tsoy.
Free drug provision is made for 49 diseases of more than 400 medications, including those for 13 diseases - at the expense of the Republican budget and 36 nosology - at the expense of the local budget. Prescription is 1 every 3 months.
Hospitalized patients routinely carried through the portal Bureau of hospitalization, the waiting time averages 2 weeks, depending on the profile of the disease. In world practice, the expectation a planned admission for at least 3 months or more.
In order to improve the quality management system of medical services and to ensure the protection of patients ' rights in all organizations have created patient support services and internal audit and 16 regional call centers, which are designed to work on the prevention of complaints and consideration of them at the place of occurrence, according to the principle "here and now".
The joint Commission on the quality of medical services (hereinafter OCC), whose basic task is to make recommendations for improving clinical protocols; standards of medical education, drug supply, monitoring the quality and accessibility of services in the field of health. Membership at the JCC includes representatives of government agencies and NGOs.
The Vice-Minister also reminded that this year in a pilot mode in 23 primary health care organizations in 7 regions (Pavlodar, Kostanay, Karaganda region, West-Kazakhstan, North-Kazakhstan region, Astana and Almaty) introduced a Program of disease management (hereinafter - PHOS) in the three diseases: hypertension, chronic heart failure and diabetes. It is based on a partnership between a multidisciplinary team of specialists of primary health care and patient embodied the social contract. In years 2017-2019 planned extension of the QSP to 5 diseases and implementation across the country.
"In accordance with the who strategy "EndTB" developed a Model of integrated control of tuberculosis in Kazakhstan for 2016-2025, which is consistent with the state Program "Densaulyk". The integrated model is a vertical integration through the centralization of all anti-TB organizations (hereinafter - VET) in a single legal entity at the level of regional TB dispensary and the horizontal integration – the transfer of all clinical departments (TB) of PTO in legal maintenance of PHC organizations with a clear division of duties between TB specialists and community physicians," added Aleksey Tsoy.
Activities are also planned to improve the system of providing medical services to the population with priority development of primary health care.
"In particular, in 2017 will create a national scientific practical center of primary health care, which will coordinate all the activities of the primary health care of the Republic. They will continue improving the regulatory framework, based on international experience; the development of integrated health, social and psychological assistance at the level of primary health care; training of all managers of primary health care management in new conditions with the implementation of the compulsory social medical insurance; development of multifunctionality and autonomy of nurses; the introduction of PHOS; development of the electronic passport of health", - summed up Alexey Tsoy.
Recall, according to the decision of the Executive Committee who with the support of the government of Kazakhstan in February 2015 in Almaty was opened a Geographically remote office of who on primary health care. The opening of this office will support the advanced technologies introduced in the countries of the who European region, to form the intellectual potential of the country's health and adapt global best practice primary health care in Kazakhstan. The result of joint work should be: accessibility and quality of primary health care, especially for residents of rural areas; improving the efficiency of prevention programs; strengthening the fight against risk factors for no communicable diseases.