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.
Barr ML, Welberry H, Comino EJ, Harris-Roxas BF, Harris E, Lloyd J, et al. Understanding the use and impact of allied health services for people with chronic health conditions in Central and Eastern Sydney, Australia: a five-year longitudinal analysis.
2.
Walsan R, Mitchell RJ, Braithwaite J, Westbrook J, Hibbert P, Mumford V, et al. Is there an association between out-of-pocket hospital costs, quality and care outcomes? A systematic review of contemporary evidence. BMC Health Serv Res. 2023;23(984).
3.
Zhang C, Fu C, Song Y, Feng R, Wu X, Li Y. Utilization of public health care by people with private health insurance: a systematic review and meta-analysis. BMC Public Health. 2020;20(1153).
4.
Bolongaita S, Lee Y, Johansson KA, Haaland ØA, Tolla MT, Lee J, et al. Financial hardship associated with catastrophic out-of-pocket spending tied to primary care services in low- and lower-middle-income countries: findings from a modeling study. BMC Med. 2023;21(356).
5.
James N, Acharya Y. Increasing health insurance enrollment in low- and middle-income countries: what works, what does not, and research gaps: a scoping review. Inq J Health Care Organ Provis Financ. 2022;59(004695802210903).
6.
Hees SGM, T O ’Fallon, M H, M D, S P, LM B, et al. Leaving no one behind? Social inclusion of health insurance in lowand middle-income countries: a systematic review. J Equity Health. 2019;18(134).
7.
D OA, B K, B H, F T, G F. Equity in health insurance schemes enrollment in low and middle-income countries: a systematic review and meta-analysis. Int J Equity Health. 2022;21(21).
8.
Meleddu M, Pulina M, Scuderi R. Public and private healthcare services: what drives the choice? Socioecon Plann Sci. 2020;70(100739).
9.
Kaiser AH, Rotigliano N, Flessa S, Ekman B, Sundewall J. Extending universal health coverage to informal workers: a systematic review of health financing schemes in low- and middle-income countries in Southeast Asia. Plos One. 2023;18:e0288269.
10.
Lavaste K. Private health insurance in the universal public healthcare system: The role of healthcare provision in Finland. Health Policy. 2023;132(104820).
11.
Kullberg L, Blomqvist P, Winblad U. Health insurance for the healthy? Voluntary health insurance in Sweden. Health Policy. 2019;23:737–46.
12.
Fadlallah R, El-Jardali F, Hemadi N, Morsi RZ, Abou Samra CA, Ahmad A, et al. Barriers and facilitators to implementation, uptake and sustainability of community-based health insurance schemes in low- and middle-income countries: a systematic review. Int J Equity Health. 2018;17(13).
13.
Health information systems of the Ministry of Health of the Republic of Kazakhstan.
14.
Kazakhstan. Kazakhstan M. Order of the Minister of Health of the Republic of Kazakhstan. 2022.
15.
Preker AS, Cotlear D, Kwon S, Atun R, Avila C. Universal health care in middle-income countries: lessons from four countries. J Glob Health. 2021;11(16004).
16.
Atim C, Bhushan I, Blecher M, Gandham R, Rajan V, Davén J, et al. Health financing reforms for Universal Health Coverage in five emerging economies. J Glob Health. 2021;11(16005).
17.
Habte A, Tamene A, Ejajo T, Dessu S, Endale F, Gizachew A. Sulamo D.Towards universal health coverage: The level and determinants of enrollment in the Community-Based Health Insurance (CBHI) scheme in Ethiopia: a systematic review and meta-analysis. PLOS ONE. 2022;17:e0272959.
18.
Darrudi A, Ketabchi Khoonsari MH, Tajvar M. Challenges to achieving universal health coverage throughout the World: a systematic review. J Prev Med Pub Health. 2022;55:125–33.
19.
Wu J, Qiao J, Nicholas S, Liu Y, Maitland E. The challenge of healthcare big data to China’s commercial health insurance industry: evaluation and recommendations. BMC Health Serv Res. 2022;22(1189).
20.
Putri NK, Laksono AD, Rohmah N. Predictors of national health insurance membership among the poor with different education levels in Indonesia. BMC Public Health. 2023;23(373).
21.
Lu J, Lin K, Chen R, Lin M, Chen X, Lu P. Health insurance fraud detection by using an attributed heterogeneous information network with a hierarchical attention mechanism. BMC Med Inform Decis Mak. 2023;23(62).
22.
Holst L, Brabers AEM, JJDJM R, Jong JD. The role of health insurance literacy in the process and outcomes of choosing a health insurance policy in the Netherlands. BMC Health Serv Res. 2023;23(1002).
23.
Kesici Z, Yilmaz V. Insurance-based disparities in breast cancer treatment pathways in a universal healthcare system: a qualitative study. BMC Health Serv Res. 2023;23(112).
24.
Kagaigai A, Grepperud S. The role of risk preferences: voluntary health insurance in rural Tanzania. Health Econ Rev. 2023;13(20).
25.
Djahini-Afawoubo DM, Aguey ST. Mandatory health insurance and health care utilization in Togo. BMC Health Serv Res. 2022;22(1520).
26.
Altwicker-Hámori S, Stucki M. Factors associated with the choice of supplementary hospital insurance in Switzerland – an analysis of the Swiss Health Survey. BMC Health Serv Res. 2023;23(264).
27.
Alharbi A. Willingness to pay for a National Health Insurance (NHI) in Saudi Arabia: a cross-sectional study. BMC Public Health. 2022;22(951).
28.
Hanson K, Brikci N, Erlangga D, Alebachew A, Allegri M, Balabanova D, et al. The Lancet Global Health Commission on financing primary health care: putting people at the centre. Lancet Glob Health. 2022;10:e715–72.
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