Organization and financing of the health care system in Kazakhstan

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).

1. 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).

2. 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).

3. Bjudzhetnyj kodeks Respubliki Kazahstan ot 4 dekabrja 2008 goda No. 95-IV. URL: https://adilet.zan.kz/rus/docs/K080000095. (In Russian).

4. 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).

5. 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).

6. 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).

7. 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).

8. Tablicy nacional'nyh schetov zdravoohranenija Respubliki Kazahstan na 2012–2022 gody. URL: https://nrchd.kz/ru/. (In Russian).

9. Statistics from the OECD database. URL: http://stats.oecd.org/. (In English).

10. Website of international economic Indicators. URL: https://tradingeconomics.com/. (In English).

11. Bjuro nacional'noj statistiki. URL: https://stat.gov.kz/ru/. (In Russian).

12. WHO database statistics. URL: http://apps.who.int/nha/database/Home/Index/en. (In English).

13. 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).

14. 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).

15. Measuring efficiency in primary care: Where are we? And where should we go? Berchet C., Lafortune G., OECD, 2016. (In English).

16. OECD, Health at a Glance 2021 // OECD Indicators, OECD Publishing, Paris. 2021. URL: https://doi.org/10.1787/ae3016b9-en. (In English).

17. 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).

18. 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).

19. 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).

20. 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).