Availability and quality of primary health care in the compulsory health insurance system in Kazakhstan

Abstract

Background The study aimed to assess the satisfaction of patients with primary health care services and to determine indicators of the effectiveness of medical care in the compulsory health insurance system in Kazakhstan. Methods It was an analytical observational study with cross-examination. This study was conducted in primary health care (PHC) organizations in Kazakhstan. Patient satisfaction was measured using a questionnaire consisting of 35 closed questions. The analysis of the indicators of the results of the stimulating component of the per capita standard for financing PHC organizations for the achieved results of activities is carried out. Results 54.0% (1.80 ± 1.108) of the surveyed patients were completely satisfied with medical care, and 59.4% (1.82 ± 1.269) considered laboratory tests available. Men were completely satisfied with the medical care and availability of laboratory tests compared to women. Indicators of the final result were achieved in the city polyclinics № 3 and № 14 of the city of Almaty Kazakhstan and there was an increase in the amount of incentive component of per capita funding by 1.1 times. Conclusions In the system of compulsory medical insurance, medical care in PHC organizations is affordable and effective according to the estimates of the interviewed patients and an indicator of the final result of the polyclinics.