哈萨克斯坦实行强制性社会健康保险制度后的现状分析

IF 0.5 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Azamat Umertayev, Gulnara Kurenkeyeva
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引用次数: 0

摘要

摘要本研究的目的是:了解我国社会健康保险基金的现状、功能平衡及发展趋势。方法。为了研究人口对实施强制性社会健康保险制度(CSHI)的认识水平,在2019年(5月和9月)进行了两次大规模调查,共有2150名受访者,包括哈萨克斯坦所有地区。此外,在研究框架内,还分析了社会健康保险基金活动的指标,如2019-2020年的资金可用性、服务提供者的资金数额和人口覆盖率。结果。强制性医疗保险制度有一个积极的趋势:人们的意识在增强;民众积极评价保健服务提供方面的变化;初级保健的访问量增加了一倍;私人卫生支出的份额是世卫组织建议的上限的两倍;强制性医疗保险制度覆盖人口的水平相当高,达到84%。然而,该国约有300万公民仍然没有暴露。结论。必须建立一个系统,在信息系统的基础上监测强制医疗保险的执行效果,并在区域一级和共和国一级进一步作出管理决定。采用主动监测医疗质量的机制将保护患者的权利,并改善患者的反馈。关键词:强制性社会医疗保险;医疗服务;医疗融资
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of the Current Situation after the Introduction of Compulsory Social Health Insurance System іn Kazakhstan
The aim of the study: To assess the current state, the balance of functions and development trends of Social Health Insurance Fund NJSC. Methods. In order to study the level of awareness of the population about the implementation of the compulsory social health insurance system (CSHI), a mass survey was conducted twice during 2019 (in May and September) with a total sample of 2,150 respondents, including all regions of Kazakhstan. Also, within the framework of the study, such indicators of the activity of the Social Health Insurance Fund as the availability of funding for 2019-2020, the amount of funding by service providers, and coverage of the population were analyzed. Results. There is a positive trend in the compulsory health insurance system: awareness of the population is growing; the population positively assesses the changes in the provision of health services; there is a twofold increase in PHC visits; the share of private spending on health is twice the ceiling recommended by WHO; the level of coverage of the population with the compulsory health insurance system is quite high - 84%. However, about 3 million of the country's citizens remain uncovered. Conclusions. It is necessary to create a system for monitoring the effectiveness of the implementation of compulsory health insurance on the basis of information systems with the further adoption of managerial decisions both at the regional level and at the republican level. The introduction of mechanisms for proactive monitoring of the quality of medical care will protect the rights of patients, as well as improve feedback with them. Key words: Compulsory social health insurance, Medical services, Health care financing, Kazakhstan
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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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