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      Inpatient care in Kazakhstan: A comparative analysis.

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          Abstract

          Reforms in inpatient care are critical for the enhancement of the efficiency of health systems. It still remains the main costly sector of the health system, accounting for more than 60% of all expenditures. Inappropriate and ineffective use of the hospital infrastructure is also a big issue. We aimed to analyze statistical data on health indices and dynamics of the hospital stock in Kazakhstan in comparison with those of developed countries.

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          World development indicators

          (2012)
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            World Development Indicators

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              Kazakhkstan health system review.

              Bernd Rechel, Marina Karanikolos, A Katsaga … (2011)
              Since becoming independent, Kazakhstan has undertaken major efforts in reforming its post-Soviet health system. Two comprehensive reform programmes were developed in the 2000s: the National Programme for Health Care Reform and Development 2005-2010 and the State Health Care Development Programme for 2011-2015 Salamatty Kazakhstan. Changes in health service provision included a reduction of the hospital sector and an increased emphasis on primary health care. However, inpatient facilities continue to consume the bulk of health financing. Partly resulting from changing perspectives on decentralization, levels of pooling kept changing. After a spell of devolving health financing to the rayon level in 2000-2003, beginning in 2004 a new health financing system was set up that included pooling of funds at the oblast level, establishing the oblast health department as the single-payer of health services. Since 2010, resources for hospital services under the State Guaranteed Benefits Package have been pooled at the national level within the framework of implementing the Concept on the Unified National Health Care System. Kazakhstan has also embarked on promoting evidence-based medicine and developing and introducing new clinical practice guidelines, as well as facility-level quality improvements. However, key aspects of health system performance are still in dire need of improvement. One of the key challenges is regional inequities in health financing, health care utilization and health outcomes, although some improvements have been achieved in recent years. Despite recent investments and reforms, however, population health has not yet improved substantially. World Health Organization 2012, on behalf of the European Observatory on health systems and Policies.
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                Author and article information

                Journal
                Journal ID (iso-abbrev): J Res Med Sci
                Title: Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences
                Publisher:
                ISSN: 1735-1995
                ISSN (Print): 1735-1995
                Publication date (Electronic): Jul 2013
                Volume: 18
                Issue: 7
                Affiliations
                [1 ] School of Public Health, Faculty of Management in Healthcare and Pharmacy, S. D. Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.
                Article
                PMC ID: 3897019
                PubMed ID: 24516484
                SO-VID: 539acc4a-8dec-4509-9ce6-8618cbe686e6
                History

                Keywords: Comparative study,hospital beds,hospital stock,inpatient care,public health
                Data availability:
                Keywords: Comparative study, hospital beds, hospital stock, inpatient care, public health

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