The Ministry of Health and Social Development of the Republic... Kazakhstan Republican Center for Health Development

The Ministry of Health and Social Development of the Republic of
Kazakhstan
Republican Center for Health Development
Development of a network of
health care organizations
Republic of Kazakhstan
November 2015
Strategic Directions
Message from the President of the Republic of Kazakhstan Nursultan
Nazarbayev to the people of Kazakhstan 2014 "Strategy" Kazakhstan2050 ": a new policy established state"
Our main goal - by 2050 to become one of the 30 most developed
countries
State Program for Development of Health of the Republic of Kazakhstan
"Salamatty Kazakhstan" for 2011-2015 The purpose 5.4. Creating an
efficient and accessible health care system
Draft State Program of Health of the Republic of Kazakhstan "Densaulyk"
for the years 2016-2019
Objective: To strengthen health and longer life of Kazakhstan to
sustainable socio-economic development
Approaches to planning
Determination of needs of the population in the quality of care
Increased patient satisfaction with medical care
Social and economic development, geographical location,
environment, health and demographic indicators
The proposed standards
inpatient care:
Level 1 - the Republican Hospital; 2nd-level multidisciplinary District Hospital (city, district); Level 3 - Distribution
Hospital (multi-level);
Level 4 - republic and scientific organizations; the development of rehabilitation centers, hospitals, palliative care
outpatient care:
Register Stuck populations, territory and the remoteness of residence, the development of general practice
The
implementation
The development
The definition of
Further
of the planned
of general
Standard
economic
improvement and
Providing the
measures for the
practice,
equipment of
efficiency of the
implementation of
Staffing
population with
restructuring of
expansion of
the basic
hospital sector
high technologies
medical staff
equal access to
the hospital
hospital replacing
medical
and ambulatory
applied in
by function
health care
sector and the
technologies,
equipment and
polyclinic
developed
development of
ambulatory
medical devices
organizations
countries
primary health
surgery
care
Levels of hospital care
(In accordance with international experience)
Level 4: National
Centre, research
institutes, republican
hospital, holding
> 1 million. Population,
multidisciplinary + tertiary care +
research
Level 3: regional
hospitals
300,000 -1,000,000. Population,
including multidisciplinary,
oncological, and others. + Tertiary
care
Level 2: inter-district
(regional, multidisciplinary) Hospital
Level 1: district
hospitals
50 000 - 300 000 population. Basic
specialty + specialized beds
(cardiology, neurology, endocrinology
and others.)
. 20 000 - 50 000 population.
4 basic specialties: internal medicine,
surgery, obstetrics and pediatrics.
With a population of less than 20 000
or, in the absence within a radius of
60-120 minutes RB created Sat
not reviewed
Taken into
account in longterm plans, taking
into account the
proposals of the
Master Plan
The master plan for the
development of primary
health care
The master plan for the
restructuring of the
hospital sector
(16 regions)
The master plan for the
improvement of
laboratory service
(16 regions)
Future plans for the development of a
network of health care organizations in the
regions 2015-2025 years, taking into
account the proposals of the Master Plan for
the restructuring of the hospital sector, the
development of primary health care and
laboratory services
(16 regions)
The network of health care organizations
Availability of beds per 10 thous. Population
the Ministry of
Health and
Social
Development
other
ministries and
agenciesа
private
34 больницы с
3011 койками
(2,8%)
АПО - 69
729 больниц с
95555 койками
(90,8%)
АПО
- 2174
148 больниц с
6653 койками
(6,4%)
АПО-921
USA
33
United Kingdom
39
Australia
40
Canada
34
organization for
economic cooperation
and development
49
Kazakhstan
53,3 -2014 г.
50,0 - к 2020 г.
Existing and recommended rates of attachment of the population to primary
health care facilities by population
type
recommendations of the master
plan
Medical station
300-1200/1500
2000
Medical general practice
1200/1500
Family clinic
10,000 >
Family Health Center
3,000/4,000
Family clinic
30,000
The regional center of general
practitioners \ family health
4,000-30,000 (+Family Health Care
Centre)
Family clinic
30,000
The city center of general
practitioners / family health
30,000 - 150,000 (+Family Health
Care Centre)
type
State norm
МРБП
50-800
МS
Paramedic
obstetric point
outpatient
clinic
50-800
800-2000
State standard of the network of health care organizations
• Based on the recommendations on the structure of the network of health care
organizations, developed by Sanigest Internacional Ministry of Health and Social
Development has been initiated by the adoption of new government regulations network
of Health of the Republic of Kazakhstan, approved by the Government of the Republic of
Kazakhstan dated February 19, 2014 №114.
• New government regulations included the following items:
• main hospital sector became general hospitals (for both adults and children);
• introduced a fundamentally new type of hospital - interregional multidisciplinary
hospital to serve the population in areas inhabited by at least 100 thousand people;
• specialized hospitals (infectious, drug treatment, psychiatric, dermatological and
venereal) remain only at the level of the regional center, allowed the transformation of
the regional infectious diseases hospital in the department at the regional hospital
multidisciplinary;
• introduces a requirement for the opening of rehabilitation beds in hospitals or offices,
and the establishment of a rehabilitation center was valid only if the population served in
a quantity of not less than 150 thousand people;
• first introduced the requirement to open a hospice beds in hospitals or offices, as well as
the opening of nursing homes with a population of not less than 400 thousand people.
Activities planned in the long-term plans of development of the network of
healthcare organizations of Kazakhstan for 2015 - 2025 years.
(according to the state standard of the network of organizations of Health)
The
existing
network of
primary
health care
6026
measures for the reorganization of
primary care network
ВА в
СП
СП в
ВА
ВА в МП
и ФАП
ФАП и
МП в ВА
8
3
137
63
The
existing
network of
hospitals
729
measures for the restructuring of the hospital
sector
an
assoc
iatio
n
150
Preliminary results of the
Perspective plan of activities
for 9 months of 2015
70
60
Redirecting
МБР/
РБ
РЦ
хос
пис
БСУ
70/
131
14
20
4
63
Closing /
Translati
ons into
primary
health
care
82
61
45
50
40
30
20
10
18
10
2
8
5
10
8
0
реструктуризация ЦРБ
в МРБ
закрытие
нерентабельных
больниц
планирование на 2015 год
объединение больниц
исполнено
закрытие МП
реорганизация ПМСП
Actualization and realization of perspective plans for development of a network
of health care organizations in the region during 2015-2025, taking into account
the recommendations of the master plan for the restructuring of the hospital
sector and the development of primary health care
Conclusion of the Memorandum with akimats regions, cities of Astana and Almaty with
the inclusion of commitments to the implementation of the planned activities on
implementation of long-term plans of development of the network of medical institutions
in the current year
Monitoring of the implementation of measures of long-term plans the network of medical
institutions in the coming 3 years, taking into account the budget planning for 2015-2017
years
Prevention of social tension in the restructuring of the hospital sector:
- The distribution of flows of patients (in-patient level, day care or other beds around the
clock);
- Retraining and employment of redundant staff;
- Preparation of new technologies in the event of conversion of the medical organization;
- The use of vacated buildings and other tangible assets;
- Work with the public and the media.