2018 № 1 Availability of the medical diagnostic care and continuity in its organization at various stages of exercise of medical and diagnostic process
One of important social problems of a health care system is ensuring availability and quality of a medical care. For the purpose of complex assessment of availability of diagnostic testings reports of federal forms of statis¬tical observation were analysed and expert assessment of medical documentation of the medical organizations in the Republic of Bashkortostan is carried out. As a result of the integrated analysis of data key criteria and indicators of availability of diagnostic testings which indicate the need of differentiation of the medical organizations for levels of the diagnostic help for balancing of the offered nomenclature and ensuring adequate availability of diagnostic testings at various stages of delivery of health care were taped. Centralization of clinical diagnostic laboratories is the confirming result of repeated rising of availability of diagnostic services (by 5-10 times) that proves similar organizational and structural transformations of diagnostic sectionings, forming of three-level system of diagnostics under WHO recommendations that increases the methodical level and quality of medical and diagnostic process, especially at a pre-hospital stage and considerably improves satisfaction of patients.
2020 № 9 Forecasting of labor resources in the system of primary health care in Kazakhstan
Primary health care is a highly effective and efficient way to tackle the root causes and risks of poor health
status, and to address emerging problems that threaten future health and well-being.
Goal: Develop a model for predicting the need for general practitioners (GPs) until 2030, taking into account various
input data in the equations describing the movement of labor resources in the form of “flows” and “ stocks “ using the
method of system dynamics.
Methods: The model was built using the Any Logic program, based on information about the availability of primary
health care doctors, demographic data and the general prevalence of diseases in the population. Three scenarios were
considered to predict the need for general practitioners. The base year was 2018, the forecast was carried out until 2030.
Results: All of three scenarios indicate that with the current number of graduated GPs, the shortage of primary care
physicians will be exacerbated. In general, the shortage can reach more than two thousand.
Conclusion: Government and medical universities need to take measures to correct the number of students in the specialty of “General Practitioner” in order to avoid a growing shortage of primary care physicians in the future until 2030.