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Country profiles of health system responses to the crisis | Kazakhstan
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Changes to health service planning, purchasing and delivery
Prices of medical goods
• Introduction of monitoring of drug retail prices and thresholds for
pharmaceuticals (2010).
• Set up a new drug information centre to give health professionals and patients
information on rational drug use (2009).
Salaries and motivation of health sector workers
• No response reported.
Payment to providers
• No response reported.
Overhead costs: restructuring the Ministry of Health and purchasing agencies
• Reintroduction of centralized procurement of drugs (2009).
Provider infrastructure and capital investment
• Capital expenditure increased from KZT 82.8 billion in 2007 to
KZT 145.1 billion in 2008 and was reduced to KZT 94.5 billion in 2010
and to KZT 90.4 billion in 2011.
• As part of the “Construction of 100 schools and 100 hospitals” programme,
61 hospitals were built between 2008 and 2012. Two outpatient facilities
as part of the “Construction of 350 PHC facilities” project, which started in
2011.
• Health care delivery network was restructured with the transformation of
health facilities into public enterprises (2009 onwards).
Priority setting or protocols to change access to treatments, coordination
of care and patterns of use
• Development of clinical practice guidelines (2007–2008) and upgraded of
these in accordance with international principles (2011 onwards).
Waiting times
• Introduction of a web portal for planned hospitalizations (2010).
Health promotion and prevention
• No response reported.