Pub Date : 2021-01-01DOI: 10.32921/2225-9929-2021-3-43-48-53
G. Orazova, Aidos K. Bolatov, Yelena Gudym, Zhanar Zhamiyeva
The aim of the study: to assess the attitude of the population of the Republic of Kazakhstan to voluntary vaccination against COVID-19.Methods. The study is based on the results of a sociological survey conducted by the authors from March to May 2021. The survey was conducted among residents who have not been vaccinated against COVID-19. The total number of respondents is 252, of which 60.7% (n = 153) are women and 39.4% (n = 99) are men. The average age of the respondents was 31.7 ± 12.5.Results. In total 84.5% of respondents did not agree to receive the vaccine, and 8.3% found it difficult to answer. According to our data, 38% of respondents believe that the effectiveness of vaccination is not fully proven, and 31% are sure that vaccines against COVID-19 are harmful to human health. 17% of the respondents noted that information about the vaccine was not available, most of which were from the rural population.Conclusions. Advocacy for COVID-19 vaccination is not available to the public, especially in rural areas. We hypothesize that the main reason for the rejection of voluntary vaccination is that the majority of the population believes that the effectiveness of vaccines against COVID-19 is incompletely proven and they can be harmful to health. Requires a wide range of active public awareness activities by health organizations and various public organizations to increase public confidence in COVID-19 vaccine prevention
{"title":"Voluntary Vaccination Against COVID-19 in Kazakhstan: Opinion of the population","authors":"G. Orazova, Aidos K. Bolatov, Yelena Gudym, Zhanar Zhamiyeva","doi":"10.32921/2225-9929-2021-3-43-48-53","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-3-43-48-53","url":null,"abstract":"The aim of the study: to assess the attitude of the population of the Republic of Kazakhstan to voluntary vaccination against COVID-19.Methods. The study is based on the results of a sociological survey conducted by the authors from March to May 2021. The survey was conducted among residents who have not been vaccinated against COVID-19. The total number of respondents is 252, of which 60.7% (n = 153) are women and 39.4% (n = 99) are men. The average age of the respondents was 31.7 ± 12.5.Results. In total 84.5% of respondents did not agree to receive the vaccine, and 8.3% found it difficult to answer. According to our data, 38% of respondents believe that the effectiveness of vaccination is not fully proven, and 31% are sure that vaccines against COVID-19 are harmful to human health. 17% of the respondents noted that information about the vaccine was not available, most of which were from the rural population.Conclusions. Advocacy for COVID-19 vaccination is not available to the public, especially in rural areas. We hypothesize that the main reason for the rejection of voluntary vaccination is that the majority of the population believes that the effectiveness of vaccines against COVID-19 is incompletely proven and they can be harmful to health. Requires a wide range of active public awareness activities by health organizations and various public organizations to increase public confidence in COVID-19 vaccine prevention","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91092459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.32921/2225-9929-2021-3-43-54-58
A. Özdemir, M. A. Varoğlu, H. Müderrisoğlu, A. Haberal, M. Haberal
Since 1991 Kazakhstan has formed up a series of development projects regarding the modernization of the healthcare services. The formation of social health insurance and developments in medical education was followed by a Social Health Insurance Project to increase the accessibility, quality, and efficiency of health service delivery and reduce financial risks to the population caused by severe health problems. As a part of the Project, Semey Medical University and Başkent University became strategic partners to develop not only the education of the future medical doctors but also the management of the University Hospital. The project last for 21 months. Although pandemic restrictions caused some obstacles during the implementation of the project, all the tasks and activities were executed with a successful cooperation of the experts of both parties. The development of the curriculum, implementation of the Başkent University Medical Education Model, the modernization of the defined clinics as well as the development of the financial and strategic decision making of the governance were the main tasks of the project. The success of this partnership leads to new projects to enable the sustainability of the implemented models.
{"title":"The Experience of Strategic Partnership Between Başkent University and Semey Medical University on The Modernization of Medical Training","authors":"A. Özdemir, M. A. Varoğlu, H. Müderrisoğlu, A. Haberal, M. Haberal","doi":"10.32921/2225-9929-2021-3-43-54-58","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-3-43-54-58","url":null,"abstract":"Since 1991 Kazakhstan has formed up a series of development projects regarding the modernization of the healthcare services. The formation of social health insurance and developments in medical education was followed by a Social Health Insurance Project to increase the accessibility, quality, and efficiency of health service delivery and reduce financial risks to the population caused by severe health problems. As a part of the Project, Semey Medical University and Başkent University became strategic partners to develop not only the education of the future medical doctors but also the management of the University Hospital. The project last for 21 months. Although pandemic restrictions caused some obstacles during the implementation of the project, all the tasks and activities were executed with a successful cooperation of the experts of both parties. The development of the curriculum, implementation of the Başkent University Medical Education Model, the modernization of the defined clinics as well as the development of the financial and strategic decision making of the governance were the main tasks of the project. The success of this partnership leads to new projects to enable the sustainability of the implemented models.","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90619820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.32921/2225-9929-2021-3-43-63-67
Neila Tankibayeva, S. Iskakova
Within the framework of cooperation with Lithuanian University of Health Sciences, Kazakh National Medical University named after S.Zh. Asfendiyarov reformed the management of the university administration with the introduction of digital document management "Sirius", which allowed administrative and regulatory documents, correspondence, execution of orders, orders to be digitalized, leading to cost savings and reduction of labor costs; some scientific processes have been transferred to the digitalization and automation mode. Many basic non-medical educational programs are also transferred to the distance learning mode. Resident students, undergraduates, doctoral students are involved in the processes of research; the basis of the scientific activities of students is laid participation together with the supervisor in the intramural competitions, as the most promising for the implementation of scientific research.To improve the quality of educational activities, an effective system of internal quality assurance was created, based on international standards of higher and postgraduate education. The learning process is based on high standards of academic integrity, which are actively supported by the students, teachers and administrative and managerial staff of the universities
{"title":"Western Model of Medical Education: Experience of Application in the Conditions of Autonomy","authors":"Neila Tankibayeva, S. Iskakova","doi":"10.32921/2225-9929-2021-3-43-63-67","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-3-43-63-67","url":null,"abstract":"Within the framework of cooperation with Lithuanian University of Health Sciences, Kazakh National Medical University named after S.Zh. Asfendiyarov reformed the management of the university administration with the introduction of digital document management \"Sirius\", which allowed administrative and regulatory documents, correspondence, execution of orders, orders to be digitalized, leading to cost savings and reduction of labor costs; some scientific processes have been transferred to the digitalization and automation mode. Many basic non-medical educational programs are also transferred to the distance learning mode. Resident students, undergraduates, doctoral students are involved in the processes of research; the basis of the scientific activities of students is laid participation together with the supervisor in the intramural competitions, as the most promising for the implementation of scientific research.To improve the quality of educational activities, an effective system of internal quality assurance was created, based on international standards of higher and postgraduate education. The learning process is based on high standards of academic integrity, which are actively supported by the students, teachers and administrative and managerial staff of the universities","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84727281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.32921/2225-9929-2021-3-43-19-25
Saltanat Makhanova, Raushan Sekenova
The social and economic significance of glaucoma can be attributed to the increase in the proportion of elderly patients due to increased life expectancy. In addition, the importance of the disease is determined by its prevalence, the inevitable and irreversible blindness of patients, and the high cost of diagnosis, treatment and dispensation of the disease. The study of the quality of life of patients with glaucoma is a serious social and economic issue for patients with diseases such as glaucoma, which ends in complete blindness
{"title":"Fight Against Glaucoma: The Problem State in the World and in Kazakhstan","authors":"Saltanat Makhanova, Raushan Sekenova","doi":"10.32921/2225-9929-2021-3-43-19-25","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-3-43-19-25","url":null,"abstract":"The social and economic significance of glaucoma can be attributed to the increase in the proportion of elderly patients due to increased life expectancy. In addition, the importance of the disease is determined by its prevalence, the inevitable and irreversible blindness of patients, and the high cost of diagnosis, treatment and dispensation of the disease. The study of the quality of life of patients with glaucoma is a serious social and economic issue for patients with diseases such as glaucoma, which ends in complete blindness","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77191794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.32921/2225-9929-2021-1-41-93-98
Askhat Zhakibaev, A. Beisbekova
The aim: To develop recommendations aimed at optimizing the work of the Shymkent city multidisciplinary hospital by studying the main performance indicators. Methods.The research was carried out according to the traditional scheme and included the classical stages: drawing up a plan and program, collecting material, processing and analyzing it. Results. To improve the quality of medical care, targeted measures are being implemented. Thus, the design capacity of Primary Healthcare: polyclinic – 500 people per shift, actual attendance – 703 people per shift. The hospital has 330 beds. However, the rate of bed coverage per 10 000 people is low at 28.4. The overall incidence has decreased, and in 2019 it was 75 652. It was found that the number of visits to doctors has increased, thus, this figure in 2019 reached 66.5%. It was found that the volume of provision of free medicines increased and reached 47 420. The indicator of provision with medical technical means as a whole also increased and amounted to 82%. Conclusions. A set of measures aimed at improving the hospital's activities using the existing organizational structure will allow us to respond in a timely manner to changes in all areas of the hospital's activities, and the KPI system will help assess the effectiveness of managerial actions in the field of quality management to improve the quality of medical care and improve the weaknesses of healthcare facilities. Keywords: medical organization, medical care, KPI system.
{"title":"Optimization of the Provided Medical Services in а Medical Organization","authors":"Askhat Zhakibaev, A. Beisbekova","doi":"10.32921/2225-9929-2021-1-41-93-98","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-1-41-93-98","url":null,"abstract":"The aim: To develop recommendations aimed at optimizing the work of the Shymkent city multidisciplinary hospital by studying the main performance indicators. Methods.The research was carried out according to the traditional scheme and included the classical stages: drawing up a plan and program, collecting material, processing and analyzing it. Results. To improve the quality of medical care, targeted measures are being implemented. Thus, the design capacity of Primary Healthcare: polyclinic – 500 people per shift, actual attendance – 703 people per shift. The hospital has 330 beds. However, the rate of bed coverage per 10 000 people is low at 28.4. The overall incidence has decreased, and in 2019 it was 75 652. It was found that the number of visits to doctors has increased, thus, this figure in 2019 reached 66.5%. It was found that the volume of provision of free medicines increased and reached 47 420. The indicator of provision with medical technical means as a whole also increased and amounted to 82%. Conclusions. A set of measures aimed at improving the hospital's activities using the existing organizational structure will allow us to respond in a timely manner to changes in all areas of the hospital's activities, and the KPI system will help assess the effectiveness of managerial actions in the field of quality management to improve the quality of medical care and improve the weaknesses of healthcare facilities. Keywords: medical organization, medical care, KPI system.","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78375062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.32921/2225-9929-2021-2-42-20-24
Talgat Turmaganbet
The viability of an organization and its effectiveness are directly proportional to its ability to adapt to the external environment, flexibility and focus on continuous improvement. This research discusses theoretical and methodological approaches to building an effective management system in medical organizations. The study’s methodology was based on both classical management theories of Frederick Winslow Taylor, Henri Fayol and Max Weber and on the modern management theories of Peter Drucker and Herbert Simon. Keywords: healthcare management, scientific management, administrative management, bureaucratic management.
{"title":"Building a Management System for a Medical Organization: Theoretical and Methodological Aspects","authors":"Talgat Turmaganbet","doi":"10.32921/2225-9929-2021-2-42-20-24","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-2-42-20-24","url":null,"abstract":"The viability of an organization and its effectiveness are directly proportional to its ability to adapt to the external environment, flexibility and focus on continuous improvement. This research discusses theoretical and methodological approaches to building an effective management system in medical organizations. The study’s methodology was based on both classical management theories of Frederick Winslow Taylor, Henri Fayol and Max Weber and on the modern management theories of Peter Drucker and Herbert Simon. Keywords: healthcare management, scientific management, administrative management, bureaucratic management.","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88269755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.32921/2225-9929-2021-3-43-59-62
Aidos K. Bolatov
The Concept of Positive Youth Development (PYD) was formed in the 1990s and combined the concepts of resilience and plasticity of human development, and an interest in the strengths of youth. This concept was proposed as a result of a reassessment of previous approaches, which were focused on the prevention of negative phenomena in the youth environment and teaching youth life skills. From a PYD perspective, it is necessary to build on the priority of developing the positive opportunities and strengths of young people through their participation in society. Over the past 20 years, the PYD program has been widely adopted by the international community. However, there is a lack of scientific data on the application of this concept in Kazakhstan.The review looks at the Handbook of Positive Youth Development. Advancing Research, Policy, and Practice in Global Contexts (editors: Radosveta Dimitrova and Nora Wiium), published in 2021 by Springer International Publishing. This book reveals the concept of PYD in a global context, which will allow a more effective approach to the issue of youth development in Kazakhstan, both from the side of health care and from the side of education and social development
{"title":"Radosveta Dimitrova, Nora Wiium (Eds): Handbook of Positive Youth Development Advancing Research, Policy, and Practice in Global Contexts. Book review","authors":"Aidos K. Bolatov","doi":"10.32921/2225-9929-2021-3-43-59-62","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-3-43-59-62","url":null,"abstract":"The Concept of Positive Youth Development (PYD) was formed in the 1990s and combined the concepts of resilience and plasticity of human development, and an interest in the strengths of youth. This concept was proposed as a result of a reassessment of previous approaches, which were focused on the prevention of negative phenomena in the youth environment and teaching youth life skills. From a PYD perspective, it is necessary to build on the priority of developing the positive opportunities and strengths of young people through their participation in society. Over the past 20 years, the PYD program has been widely adopted by the international community. However, there is a lack of scientific data on the application of this concept in Kazakhstan.The review looks at the Handbook of Positive Youth Development. Advancing Research, Policy, and Practice in Global Contexts (editors: Radosveta Dimitrova and Nora Wiium), published in 2021 by Springer International Publishing. This book reveals the concept of PYD in a global context, which will allow a more effective approach to the issue of youth development in Kazakhstan, both from the side of health care and from the side of education and social development","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91189696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.32921/2225-9929-2021-3-43-26-34
A. Ainabekova, Dilara Agibayeva, Samal Danbayeva
In this policy brief researched the experience of various countries of the world in making decisions about screening programs, as well as comprehensively analyzed the domestic experience in implementing screening programs.In Kazakhstan, the types of diseases for which it is necessary to introduce screening, as well as the rules for organizing screening, are determined by the decision of the leadership of the Ministry of Health of the Republic of Kazakhstan, based on consideration of the relevant departments and conclusion of specialized institutions. At the same time, the main attention is paid to the screening examinations themselves, and insufficient work is being done in the direction of scientific and methodological support for screening programs.The authors believe that it is necessary to develop evidence-based screening recommendations for the Ministry of Health of the Republic of Kazakhstan, as well as to use international criteria in making decisions regarding the introduction of new screening programs. It is necessary to provide a methodological decision-making process, involving independent organizations for evaluating screening programs, the public, and all stakeholders
{"title":"What Should be a Rational Decision-Making Process about Screening Programs?","authors":"A. Ainabekova, Dilara Agibayeva, Samal Danbayeva","doi":"10.32921/2225-9929-2021-3-43-26-34","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-3-43-26-34","url":null,"abstract":"In this policy brief researched the experience of various countries of the world in making decisions about screening programs, as well as comprehensively analyzed the domestic experience in implementing screening programs.In Kazakhstan, the types of diseases for which it is necessary to introduce screening, as well as the rules for organizing screening, are determined by the decision of the leadership of the Ministry of Health of the Republic of Kazakhstan, based on consideration of the relevant departments and conclusion of specialized institutions. At the same time, the main attention is paid to the screening examinations themselves, and insufficient work is being done in the direction of scientific and methodological support for screening programs.The authors believe that it is necessary to develop evidence-based screening recommendations for the Ministry of Health of the Republic of Kazakhstan, as well as to use international criteria in making decisions regarding the introduction of new screening programs. It is necessary to provide a methodological decision-making process, involving independent organizations for evaluating screening programs, the public, and all stakeholders","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77263154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.32921/2225-9929-2021-4-44-50-61
D. Utepova, R. Magzumova, D. Baidullayeva, M. Aljofan
Purpose of the study. Evaluate the clinical pharmacologist's contribution to the rational use of medications at the outpatient level.Methods. Clinical and economic analysis of budgetary expenditures on drugs purchased as part of the Guaranteed amount of free medical care and in the system of mandatory social health insurance (MSHI) for the period from 2019-2021. Assessment of the effectiveness of spending budgetary funds for drugs was conducted using data on the number and cost of drugs purchased to provide outpatient care in the medical organization of Nur-Sultan.Results. A three-year analysis showed a positive trend of a 7.1% decrease in the proportion of spending on unproven drugs (index N) by 2021 compared with the previous year 2020, which was 29.54% of spending on 13 drug items, despite the expansion of lists under insurance medicine. Before the introduction of mandatory social health insurance in 2019, this figure was 8.18% of all outpatient drug coverage costs in the Guaranteed amount of free medical care, indicating an average use of drugs not included in international clinical guidelines.Conclusions. The introduction of clinical pharmacology services into clinical practice has optimized the cost of drug therapy and promoted rational use of medications. The result is a 7.1% decrease in the share of spending on unproven drugs compared to the previous year 2020, which amounted to 29.54% of spending on 13 drugs (index N) not included in the Kazakhstan National Medical Formulary and the WHO Model List of Essential Medicines. However, due to the long-term training of clinical pharmacologists, including basic education in therapeutic medicine (6-7 years) and additional education at the level of residency or doctoral studies (2-3 years), there is decreased motivation of clinical pharmacologists to work in budget medical organizations due to the "low" level of wages. Abroad, in particular, this problem was solved by the introduction of clinical pharmacy, where training includes basic pharmaceutical education (4-5 years) with the possibility of additional training at the master's level (1-2 years) and doctoral studies (2-3 years)
{"title":"Pharmacoeconomic Evaluation of Clinical Pharmacology Service Efficiency in Terms of Outpatient Drug Supply in Nur-Sultan Medical Organization (Kazakhstan)","authors":"D. Utepova, R. Magzumova, D. Baidullayeva, M. Aljofan","doi":"10.32921/2225-9929-2021-4-44-50-61","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-4-44-50-61","url":null,"abstract":"Purpose of the study. Evaluate the clinical pharmacologist's contribution to the rational use of medications at the outpatient level.Methods. Clinical and economic analysis of budgetary expenditures on drugs purchased as part of the Guaranteed amount of free medical care and in the system of mandatory social health insurance (MSHI) for the period from 2019-2021. Assessment of the effectiveness of spending budgetary funds for drugs was conducted using data on the number and cost of drugs purchased to provide outpatient care in the medical organization of Nur-Sultan.Results. A three-year analysis showed a positive trend of a 7.1% decrease in the proportion of spending on unproven drugs (index N) by 2021 compared with the previous year 2020, which was 29.54% of spending on 13 drug items, despite the expansion of lists under insurance medicine. Before the introduction of mandatory social health insurance in 2019, this figure was 8.18% of all outpatient drug coverage costs in the Guaranteed amount of free medical care, indicating an average use of drugs not included in international clinical guidelines.Conclusions. The introduction of clinical pharmacology services into clinical practice has optimized the cost of drug therapy and promoted rational use of medications. The result is a 7.1% decrease in the share of spending on unproven drugs compared to the previous year 2020, which amounted to 29.54% of spending on 13 drugs (index N) not included in the Kazakhstan National Medical Formulary and the WHO Model List of Essential Medicines. However, due to the long-term training of clinical pharmacologists, including basic education in therapeutic medicine (6-7 years) and additional education at the level of residency or doctoral studies (2-3 years), there is decreased motivation of clinical pharmacologists to work in budget medical organizations due to the \"low\" level of wages. Abroad, in particular, this problem was solved by the introduction of clinical pharmacy, where training includes basic pharmaceutical education (4-5 years) with the possibility of additional training at the master's level (1-2 years) and doctoral studies (2-3 years)","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86595554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.32921/2225-9929-2021-3-43-13-18
A. Turgambayeva, Zh. U. Imanova, A. Tulegenova
Improving the welfare and quality of life of the population, ensuring fair and equal access to health services are priority areas of social policy in Kazakhstan. As modern domestic studies show, the quality of health of the rural population lags far behind the urban population and has a steady tendency towards deterioration.One of the leading factors affecting the health of rural residents is the low level of accessibility of primary healthcare. It should be noted that the availability of healthcare services is directly and to a greater extent related to the availability of medical organizations and their provision with qualified human resources. In Kazakhstan, an imbalance in the provision of personnel between urban and rural healthcare remains, and the availability of medicines for the rural population is much lower than for the urban population.The purpose of this study was to conduct a literary review of domestic and foreign sources on the problem of rural healthcare in the Republic of Kazakhstan and abroad
{"title":"Rural Healthcare in Kazakhstan: Problems and Trends(Literature Review)","authors":"A. Turgambayeva, Zh. U. Imanova, A. Tulegenova","doi":"10.32921/2225-9929-2021-3-43-13-18","DOIUrl":"https://doi.org/10.32921/2225-9929-2021-3-43-13-18","url":null,"abstract":"Improving the welfare and quality of life of the population, ensuring fair and equal access to health services are priority areas of social policy in Kazakhstan. As modern domestic studies show, the quality of health of the rural population lags far behind the urban population and has a steady tendency towards deterioration.One of the leading factors affecting the health of rural residents is the low level of accessibility of primary healthcare. It should be noted that the availability of healthcare services is directly and to a greater extent related to the availability of medical organizations and their provision with qualified human resources. In Kazakhstan, an imbalance in the provision of personnel between urban and rural healthcare remains, and the availability of medicines for the rural population is much lower than for the urban population.The purpose of this study was to conduct a literary review of domestic and foreign sources on the problem of rural healthcare in the Republic of Kazakhstan and abroad","PeriodicalId":11852,"journal":{"name":"Ethiopian Journal of Health Development","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74101523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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