<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">turan</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник университета «Туран»</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of "Turan" University</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1562-2959</issn><issn pub-type="epub">2959-1236</issn><publisher><publisher-name>Университет «Туран»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.46914/1562-2959-2024-1-3-179-194</article-id><article-id custom-type="elpub" pub-id-type="custom">turan-4253</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>1 ЭКОНОМИКА: ИСТОРИЯ, ТЕОРИЯ, ПРАКТИКА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>1 ECONOMY: HISTORY, THEORY, PRACTICE</subject></subj-group></article-categories><title-group><article-title>Организация и финансирование системы здравоохранения в Казахстане</article-title><trans-title-group xml:lang="en"><trans-title>Organization and financing of the health care system in Kazakhstan</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5154-4943</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Омирбаева</surname><given-names>Б. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Omirbayeva</surname><given-names>B. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>PhD, ассоциированный профессор.</p><p>Астана</p></bio><bio xml:lang="en"><p>PhD, associate professor.</p><p>Astana</p></bio><email xlink:type="simple">bibigulomirbayeva@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-3408-5415</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аширбекова</surname><given-names>Н. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Ashirbekova</surname><given-names>N. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>М.о.з., сениор-лектор.</p><p>Астана</p></bio><bio xml:lang="en"><p>M.p.h, senior lecturer.</p><p>Astana</p></bio><email xlink:type="simple">a.ashirbekova@nrchd.kz</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5913-1038</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сутбаева</surname><given-names>Р. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Sutbayeva</surname><given-names>R. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>PhD, ассистент профессора.</p><p>Актау</p></bio><bio xml:lang="en"><p>PhD, assistant professor.</p><p>Aktau</p></bio><email xlink:type="simple">raikhan2008@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3143-3680</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Казыкешова</surname><given-names>А. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Kazykeshova</surname><given-names>A. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>PhD, ассоциированный профессор.</p><p>Усть-Каменогорск</p></bio><bio xml:lang="en"><p>PhD, associate professor.</p><p>Ust-Kamenogorsk</p></bio><email xlink:type="simple">AKazykeshova@ektu.kz</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Национальный научный центр развития здравоохранения им. С. Каирбековой<country>Казахстан</country></aff><aff xml:lang="en">National Research Center for Health Development named after S. Kairbekova<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Есенов университет<country>Казахстан</country></aff><aff xml:lang="en">Yessenov University<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">ВКТУ им. Д. Серикбаева<country>Казахстан</country></aff><aff xml:lang="en">East Kazakhstan Technical University named after D. Serikbayev<country>Kazakhstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>05</day><month>10</month><year>2024</year></pub-date><volume>0</volume><issue>3</issue><fpage>179</fpage><lpage>194</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Омирбаева Б.С., Аширбекова Н.С., Сутбаева Р.О., Казыкешова А.Т., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Омирбаева Б.С., Аширбекова Н.С., Сутбаева Р.О., Казыкешова А.Т.</copyright-holder><copyright-holder xml:lang="en">Omirbayeva B.S., Ashirbekova N.S., Sutbayeva R.O., Kazykeshova A.T.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vestnik.turan-edu.kz/jour/article/view/4253">https://vestnik.turan-edu.kz/jour/article/view/4253</self-uri><abstract><p>Несмотря на трудности, связанные с последствиями глобальной пандемии, достижение национальных целей развития страны остается стратегическим направлением политики общественного здравоохранения. Целью данной статьи является изучение динамики финансирования здравоохранения в Казахстане, предоставление прогнозов дальнейшего развития и сравнение с системами здравоохранения развитых стран. На основе анализа текущего состояния и потенциальных проблем разработаны рекомендации по совершенствованию системы финансирования здравоохранения в Казахстане. В статье анализируются основные параметры финансирования здравоохранения в Республике Казахстан за период 2012–2022 гг. и в сравнении с развитыми странами приводятся основные причины сохранения низких параметров финансирования общественного здравоохранения, что становится реальным препятствием для реализации мер, направленных на достижение всеобщего охвата услугами здравоохранения. В ходе исследования применен широкий спектр методологических подходов, включая системный анализ (изучение объекта как целостной системы взаимосвязанных элементов), сравнительный анализ (сравнение изучаемого объекта с другими по ряду характеристик), функциональный анализ (выявление функций элементов системы, объект и их взаимосвязи), экономико-статистический анализ и синтез (сбор, обработка, интерпретация экономических и статистических данных), математические методы (моделирование изучаемых процессов и явлений с использованием математических моделей), диалектические методы (изучение объекта в его развитии, изменении и противоречиях), анализ бремени болезни (оценка экономических и социальных последствий заболевания).</p></abstract><trans-abstract xml:lang="en"><p>Despite the challenges posed by the consequences of the global pandemic, achieving the country's national development goals remains a strategic direction of public health policy. The article aims to study the dynamics of healthcare financing in Kazakhstan, provide forecasts of upcoming development, and compare it with healthcare systems of developed countries. Based on the analysis of the current state and potential problems, recommendations were developed to improve the healthcare financing system in Kazakhstan. This article also analyzes the main parameters of health financing in the Republic of Kazakhstan for the period 2012–2022 and, in comparison with developed countries, provides the main reasons for maintaining low parameters of public health financing, which becomes a real obstacle to the implementation of measures aimed at achieving universal health coverage. During the research, a wide range of methodological approaches was applied, including system analysis (the study of an object as an integral system, interrelated elements), comparative analysis (comparison of the studied object with others in a number of characteristics), functional analysis (identification of the functions of the elements of the object and their interrelations), economic and statistical analysis and synthesis (collection, processing, interpretation of economic and statistical data), mathematical methods (modeling of studied processes and phenomena using mathematical models), dialectical methods (the study of an object in its development, change and contradictions), analysis of the burden of the disease (assessment of the economic and social consequences of the disease).</p></trans-abstract><kwd-group xml:lang="ru"><kwd>цели развития</kwd><kwd>организация</kwd><kwd>финансирование</kwd><kwd>система здравоохранения</kwd><kwd>обязательное страхование</kwd><kwd>услуги</kwd><kwd>государственные расходы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>development goals</kwd><kwd>organization</kwd><kwd>financing</kwd><kwd>healthcare system</kwd><kwd>compulsory insurance</kwd><kwd>services</kwd><kwd>government spending</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">World Health Organization and the International Bank for Reconstruction and Development // The World Bank. 2023. URL: https://www.who.int/publications/i/item/9789240080379</mixed-citation><mixed-citation xml:lang="en">World Health Organization and the International Bank for Reconstruction and Development // The World Bank. 2023. URL: https://www.who.int/publications/i/item/9789240080379. (In English).</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Кодекс Республики Казахстан от 7 июля 2020 года № 360-VI ЗРК «О здоровье народа и системе здравоохранения». URL: https://adilet.zan.kz/rus/docs/K2000000360</mixed-citation><mixed-citation xml:lang="en">Kodeks Respubliki Kazahstan ot 7 ijulja 2020 goda No. 360-VI ZRK «O zdorov'e naroda i sisteme zdravoohranenija». URL: https://adilet.zan.kz/rus/docs/K2000000360. (In Russian).</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Бюджетный кодекс Республики Казахстан от 4 декабря 2008 года № 95-IV. URL: https://adilet.zan.kz/rus/docs/K080000095.</mixed-citation><mixed-citation xml:lang="en">Bjudzhetnyj kodeks Respubliki Kazahstan ot 4 dekabrja 2008 goda No. 95-IV. URL: https://adilet.zan.kz/rus/docs/K080000095. (In Russian).</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Приказ Министра финансов Республики Казахстан от 14 ноября 2014 года № 494 «Об утверждении Правил составления Единой бюджетной классификации Республики Казахстан». URL: https://adilet.zan.kz/rus/docs/V14E0009892</mixed-citation><mixed-citation xml:lang="en">Prikaz Ministra finansov Respubliki Kazahstan ot 14 nojabrja 2014 goda No. 494 «Ob utverzhdenii Pravil sostavlenija Edinoj bjudzhetnoj klassifikacii Respubliki Kazahstan». URL: https://adilet.zan.kz/rus/docs/V14E0009892. (In Russian).</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Приказ и.о. Министра здравоохранения Республики Казахстан от 30 октября 2020 года № ҚР ДСМ-173/2020 «Об утверждении правил формирования и использования данных национальных счетов здравоохранения». URL: https://adilet.zan.kz/rus/docs/V2000021574</mixed-citation><mixed-citation xml:lang="en">Prikaz i.o. Ministra zdravoohranenija Respubliki Kazahstan ot 30 oktjabrja 2020 goda No. ҚR DSM-173/2020 «Ob utverzhdenii pravil formirovanija i ispol'zovanija dannyh nacional'nyh schetov zdravoohranenija». URL: https://adilet.zan.kz/rus/docs/V2000021574. (In Russian).</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">A system of health accounts / 2011 Edition. URL: http://www.oecd-ilibrary.org/social-issues-migration-health/a-system-of-healthaccounts_9789264116016-en</mixed-citation><mixed-citation xml:lang="en">A system of health accounts / 2011 Edition. URL: http://www.oecd-ilibrary.org/social-issues-migration-health/a-system-of-healthaccounts_9789264116016-en. (In English).</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">World Health Organization. Health Accounts System 2011 r.: revised edition: abridged version. World Health Organization. 2022. URL: https://iris.who.int/handle/10665/361852. License: CC BY-NC-SA 3.0 IGO.</mixed-citation><mixed-citation xml:lang="en">World Health Organization. Health Accounts System 2011 r.: revised edition: abridged version. World Health Organization. 2022. URL: https://iris.who.int/handle/10665/361852. License: CC BY-NC-SA 3.0 IGO. (In English).</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Таблицы национальных счетов здравоохранения Республики Казахстан на 2012–2022 годы. URL: https://nrchd.kz/ru/</mixed-citation><mixed-citation xml:lang="en">Tablicy nacional'nyh schetov zdravoohranenija Respubliki Kazahstan na 2012–2022 gody. URL: https://nrchd.kz/ru/. (In Russian).</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Statistics from the OECD database. URL: http://stats.oecd.org/</mixed-citation><mixed-citation xml:lang="en">Statistics from the OECD database. URL: http://stats.oecd.org/. (In English).</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Website of international economic Indicators. URL: https://tradingeconomics.com/</mixed-citation><mixed-citation xml:lang="en">Website of international economic Indicators. URL: https://tradingeconomics.com/. (In English).</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Бюро национальной статистики. URL: https://stat.gov.kz/ru/</mixed-citation><mixed-citation xml:lang="en">Bjuro nacional'noj statistiki. URL: https://stat.gov.kz/ru/. (In Russian).</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">WHO database statistics. URL: http://apps.who.int/nha/database/Home/Index/en</mixed-citation><mixed-citation xml:lang="en">WHO database statistics. URL: http://apps.who.int/nha/database/Home/Index/en. (In English).</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Health 2020: targets and indicators, WHO. 2016. URL: http://www.euro.who.int/data/assets/pdf_file/0003/317937/Targets-indicators-Health-2020-version3-ru.pdf?ua=1</mixed-citation><mixed-citation xml:lang="en">Health 2020: targets and indicators, WHO. 2016. URL: http://www.euro.who.int/data/assets/pdf_file/0003/317937/Targets-indicators-Health-2020-version3-ru.pdf?ua=1. (In English).</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">OECD/European Union Health at a Glance: Europe 2022 // State of Health in the EU Cycle, OECD Publishing, Paris. 2022. URL: https://doi.org/10.1787/507433b0-en</mixed-citation><mixed-citation xml:lang="en">OECD/European Union Health at a Glance: Europe 2022 // State of Health in the EU Cycle, OECD Publishing, Paris. 2022. URL: https://doi.org/10.1787/507433b0-en. (In English).</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Measuring efficiency in primary care: Where are we? And where should we go? Berchet C., Lafortune G., OECD, 2016.</mixed-citation><mixed-citation xml:lang="en">Measuring efficiency in primary care: Where are we? And where should we go? Berchet C., Lafortune G., OECD, 2016. (In English).</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">OECD, Health at a Glance 2021 // OECD Indicators, OECD Publishing, Paris. 2021. URL: https://doi.org/10.1787/ae3016b9-en</mixed-citation><mixed-citation xml:lang="en">OECD, Health at a Glance 2021 // OECD Indicators, OECD Publishing, Paris. 2021. URL: https://doi.org/10.1787/ae3016b9-en. (In English).</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Отчет правительства Республики Казахстан об исполнении республиканского бюджета за 2023 год. URL: https://www.gov.kz/memleket/entities/minfin/documents/details/684076?lang=ru</mixed-citation><mixed-citation xml:lang="en">Otchet pravitel'stva Respubliki Kazahstan ob ispolnenii respublikanskogo bjudzheta za 2023 god. URL: https://www.gov.kz/memleket/entities/minfin/documents/details/684076?lang=ru. (In Russian).</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Tracking inequalities in financial hardship due to out-of-pocket health spending by age structure of a household: technical brief on measurement. Geneva: World Health Organization, 2024.</mixed-citation><mixed-citation xml:lang="en">Tracking inequalities in financial hardship due to out-of-pocket health spending by age structure of a household: technical brief on measurement. Geneva: World Health Organization, 2024. (In English).</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Panchenko D., Turgumbayeva A., Khismetova Z. Kazakhstan model of healthcare financing through public health principle: experience and prospects // Наука и здравоохранение. – 2022. – № 1(24).</mixed-citation><mixed-citation xml:lang="en">Panchenko D., Turgumbayeva A., Khismetova Z. (2022) Kazakhstan model of healthcare financing through public health principle: experience and prospects // Nauka i zdravoohranenie. No. 1(24). (In English).</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Peter Hollmann Health-care organization and financing // Reichel’s care of the elderly: clinical aspects of aging – Chapter 58. Cambridge University Press, 2016.</mixed-citation><mixed-citation xml:lang="en">Peter Hollmann Health-care organization and financing // Reichel’s care of the elderly: clinical aspects of aging – Chapter 58. Cambridge University Press, 2016. (In English).</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
