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Review paper

Availability and quality of primary health care in the compulsory health insurance system in Kazakhstan

By
Makhabbat Shurenova Orcid logo ,
Makhabbat Shurenova

Higher School of Public Health, Kazakhstan Medical University, Almaty, Kazakhstan

Kuralbay Kurakbayev ,
Kuralbay Kurakbayev

Higher School of Public Health, Kazakhstan Medical University, Almaty, Kazakhstan

Tleukhan Abildaev ,
Tleukhan Abildaev

Almaty Branch of the Non-Profit Joint Stock "Social Health Insurance Fund", Almaty, Kazakhstan

Aigul Tazhiyeva
Aigul Tazhiyeva
Contact Aigul Tazhiyeva

S.D. Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan

Abstract

Aim
To evaluate patient satisfaction with primary healthcare services and determine effectiveness indicators within Kazakhstan's compulsory health insurance system.
Methods
An analytical observational study with cross-examination was conducted in Kazakhstan's primary healthcare (PHC) organizations. Patient satisfaction was assessed through a 35-item closed-question questionnaire. An analysis of stimulating component result indicators for per capital standard financing in PHC organizations based on their achieved outcomes was performed.
Results
Among surveyed patients, 54.0% (1.80±1.108) expressed complete satisfaction with medical care, while 59.4%
(1.82±1.269) perceived laboratory tests as readily accessible. Notably, males exhibited higher satisfaction levels with medical care and the availability of laboratory tests compared to females. The city polyclinics № 3 and № 14 in Almaty, Kazakhstan, achieved significant performance indicators, resulting in a 1.1-fold increase in the incentive component of per capital funding.
Conclusion
Within the framework of compulsory health insurance, primary healthcare organizations in Kazakhstan offer affordable and effective medical care, as attested by surveyed patients and the final result indicators of the polyclinics.

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