November 6, 2024

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Primary Healthcare Services’ Accessibility and Quality under Compulsory Social Health Insurance in Kazakhstan

Primary Healthcare Services’ Accessibility and Quality under Compulsory Social Health Insurance in Kazakhstan

ORIGINAL RESEARCH article

Front. Public Health

Sec. Public Health Policy

Volume 12 – 2024 |
doi: 10.3389/fpubh.2024.1418367

Provisionally accepted

  • 1
    School of Public Health, Kazakh National Medical University, Almaty, Kazakhstan
  • 2
    Other, Almaty, Kazakhstan
  • 3
    Kazakh National Medical University, Almaty, Kazakhstan

The final, formatted version of the article will be published soon.

    Introduction: Between 2020 and 2022, there was a rise in employment and entrepreneurial activity, despite some unemployment growth. In the Compulsory Social Health Insurance (CSHI), insured individuals, especially privileged and wage workers, increased. However, certain contributors, like those exempt from contributions and single social taxpayers, decreased, possibly due to legislative changes or the economic climate. The study aimed to evaluate the effectiveness and accessibility of medical services within the frameworks of Compulsory Social Health Insurance and the state Guaranteed volume of free medical care based on data regarding waiting times and the volume of services provided. Methods: This retrospective study analyzed data from 2020 to 2022 on patients receiving care under Kazakhstan’s Mandatory Social Medical Insurance System (MSMIS) and Guaranteed Volume of Free Medical Care. Data included insurance status, labor market indicators, and medical service procurement. Descriptive statistics were calculated, and t-tests, with p-values indicating statistical significance (p<0.05).Results: It has been identified that overall, the execution of the plan for all types of medical care in Kazakhstan, including Almaty, reaches 100.0%, indicating sufficient financial support for the healthcare system. Rehabilitation centers and COVID-19 testing services stand out with shorter waiting times, whereas comprehensive diagnostic and advisory services require significantly longer waiting periods. The Guaranteed Volume of Free Medical Care typically offers a greater number of services with shorter waiting times compared to MSMIS, except for specialized medical care services in diagnosing new formations, where the Guaranteed Volume of Free Medical Care also has shorter waiting times but provides a greater number of services.The study has allowed us to identify differences in the availability and volume of medical services provided between Compulsory Social Health Insurance and the state Guaranteed volume of free medical care.

    Keywords:
    health insurance, Healthcare Financing, Health expenditure, Primary healthcare services, Kazakhstan

    Received:
    16 Apr 2024;
    Accepted:
    23 Sep 2024.

    Copyright:
    © 2024 Shurenova, Kurakbayev, Abildayev and Tazhiyeva. This is an
    open-access article distributed under the terms of the
    Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted,
    provided the original author(s) or licensor are credited and that the
    original publication in this journal is cited, in accordance with accepted
    academic practice. No use, distribution or reproduction is permitted which
    does not comply with these terms.

    * Correspondence:

    Kuralbay Kurakbayev, School of Public Health, Kazakh National Medical University, Almaty, Kazakhstan

    Tleukhan Abildayev, Other, Almaty, Kazakhstan

    Aigul Tazhiyeva, Kazakh National Medical University, Almaty, 050012, Kazakhstan

    Disclaimer:
    All claims expressed in this article are solely those of the authors and
    do not necessarily represent those of their affiliated organizations, or
    those of the publisher, the editors and the reviewers. Any product that
    may be evaluated in this article or claim that may be made by its
    manufacturer is not guaranteed or endorsed by the publisher.

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