During today’s press conference following the Government meeting, Minister of Healthcare Yelzhan Birtanov elaborated on the ongoing reforms in the medical sphere and their impact on the quality of services.

Thus, the Minister said that the country displays a tendency of shortened response times of ambulances.

“We have adopted a new order regarding emergency aid, which regulates how emergency services will react to calls,” – the Minister reported.

According to him, today in Kazakhstan the number of ambulance calls is 7-8 times higher than in developed countries. In this regard, the Ministry of Healthcare has adopted measures for the ambulances to arrive faster and provide better medical care.

“In particular, the calls in which there is no threat to the life of a patient, on the decision of the senior ambulance doctor, will now be transferred to polyclinics at the place of residence,” – Yelzhan Birtanov said.

According to the Ministry of Healthcare, each polyclinic has appropriate district doctors, who are paid so that patients are monitored and treated in accordance with their place of residence.

After adopting these measures, a number of regions show shorter times of arrival of ambulances.

“For example, response teams in Astana are being freed up little by little, as they have stopped going to people’s homes to measure pressure 5-6 times a day. It is not the work of an ambulance - it is the work of polyclinics. As a result, the speed of arrival is improving and we can provide better medical care with a smaller number of teams,” – the Minister stressed.

He noted that retraining has already begun of all emergency response teams according to international standards of providing emergency aid and resuscitation.

Yelzhan Birtanov also talked about public-private partnership projects in the healthcare sector. He said that in Kazakhstan since the beginning of this year, 16 contracts have been concluded within the framework of public-private partnership, several more projects are undergoing tendering procedures.

The main examples of state support are the provision of land plots for new projects. In addition, local executive authorities will provide support in setting up engineering networks to reduce the expenses of a private partner in the construction of facilities.

“The most important thing is, of course, guarantees of long-term relations and, first of all, a guarantee that this facility will have a state order. The so-called guaranteed volume of consumption of medical services,” – the Minister stressed.

Also, as an advantage of PPP, he noted the possibility of concluding long-term contracts up to 15-20 years. This allows the businessmen to more accurately plan the return on investment.

In addition, according to Yelzhan Birtanov, the Ministry of Healthcare plans to change the tariff policy in order to make additional coefficients for reimbursement of investment costs for PPP projects. In general, the implementation of PPP projects also leads to an increase in the quality of medical services.


Published: 10 October 2017



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