5-year analysis of the effectiveness of the use of the bed fund in the healthcare system of the Republic of Kazakhstan

IF 0.5 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Bekzat Turmakhanbetov, Z. Kerimbayeva, G. Tokmurziyeva, Debnath Reeti
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Abstract

The purpose of the study: to evaluate the effectiveness of the use of the bed fund (including oncological beds) in the healthcare system of the Republic of Kazakhstan for 2016-2020.Methods: balance method, mathematical and statistical methods, method of comparison.Results. In the Republic of Kazakhstan, there is a tendency to increase both the absolute number and the provision of beds per 10 thousand population. So during the analyzed period, the number of beds, for all departments, increased from 87.172 beds in 2016 to 107.595 beds in 2020 (18.9%). The provision of beds per 10 thousand population has increased in beds of all departments since 2016 from 48.6 to 57.4 per 10 thousand population in 2020, the increase was 15.3%. The provision of beds for all forms of ownership and departments in 2020 amounted to 55.4 beds per 10 thousand population. At the same time, the provision of beds per 10 thousand population in the system of the Ministry of Health of the Republic of Kazakhstan is 44.6, which corresponds to the average level of bed provision in the OECD countries (43.9). Over the period from 2016 to 2020, there has been an increase in the number of beds of private ownership, an increase of 41.31%. In Kazakhstan, for the period from 2016 to 2020, the average bed occupancy tends to decrease - 35.0%, from 311 days in 2016 to 202.3 in 2020, this indicator corresponds to the level of bed occupancy of 82.6% (with an optimal load level of 85%). There is an increase in the bed turnover rate from 30.1 to 33.9 in 2020. Conclusions. The provision of beds for medical care in Kazakhstan as a whole is sufficient, with a relative shortage of certain (palliative, rehabilitation, etc.) bed profiles. At the same time, the need of patients for inpatient care remains, as evidenced by the order in the portal of the bureau of hospitalizations.
对哈萨克斯坦共和国医疗保健系统床位基金使用效果的5年分析
该研究的目的:评估2016-2020年哈萨克斯坦共和国医疗保健系统中床位基金(包括肿瘤床位)使用的有效性。方法:采用平衡法、数理统计法、比较法。在哈萨克斯坦共和国,有一种趋势,即每10万人的绝对数量和提供的床位都在增加。因此,在分析期内,各科室床位数从2016年的87.172张增加到2020年的107.595张(18.9%)。每万人口床位数从2016年的48.6张增加到2020年的57.4张,增幅为15.3%。2020年,全国各类所有制卫生机构床位数达到每万人口55.4张。与此同时,哈萨克斯坦共和国卫生部系统中每10万人提供的床位为44.6张,与经合组织国家的平均床位供应水平(43.9张)相当。2016年至2020年,民营病床数量增加,增长41.31%。在哈萨克斯坦,2016 - 2020年期间,平均床位入住率呈下降趋势,从2016年的311天下降到2020年的202.3天,下降幅度为35.0%,该指标对应的床位入住率水平为82.6%(最佳负荷水平为85%)。床位周转率将由30.1上升至2020年的33.9。结论。总体而言,哈萨克斯坦提供的医疗床位是充足的,但某些床位(姑息治疗、康复等)相对短缺。与此同时,病人对住院治疗的需求仍然存在,住院局门户网站上的订单证明了这一点。
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来源期刊
Ethiopian Journal of Health Development
Ethiopian Journal of Health Development PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
0.80
自引率
0.00%
发文量
0
审稿时长
>12 weeks
期刊介绍: The Ethiopian Journal of Health Development is a multi and interdisciplinary platform that provides space for public health experts in academics, policy and programs to share empirical evidence to contribute to health development agenda. We publish original research articles, reviews, brief communications and commentaries on public health issues, to inform current research, policy and practice in all areas of common interest to the scholars in the field of public health, social sciences and humanities, health practitioners and policy makers. The journal publishes material relevant to any aspect of public health from a wide range of fields: epidemiology, environmental health, health economics, reproductive health, behavioral sciences, nutrition, psychiatry, social pharmacy, medical anthropology, medical sociology, clinical psychology and wide arrays of social sciences and humanities. The journal publishes the following types of contribution: 1) Peer-reviewed original research articles and critical or analytical reviews in any area of social public health. These papers may be up to 3,500 words excluding abstract, tables, and references. Papers below this limit are preferred. 2) Peer-reviewed short reports of research findings on topical issues or published articles of between 2000 and 4000 words. 3) Brief communications, and commentaries debating on particular areas of focus, and published alongside, selected articles. 4) Special Issues bringing together collections of papers on a particular theme, and usually guest edited. 5) Editorial that flags critical issues of public health debate for policy, program and scientific consumption or further debate
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