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Солтүстік Қазақстан облысының аурухана желісін
қайта құру туралы
Nation-Health
Our strength
On the restructuring of the hospital network
North-Kazakhstan region
The urgency of the problem
The need to shift from extensive model of progressive health
medical and organizational forms of assistance to improve the
efficient use of limited material, financial and human resource
capacity of the industry.
The system involves the restructuring of the transition to a
multi-level system of aid, the implementation of the stepped
placement of the stages of service.
Get the development of resource-saving technologies, the
transition to a system of general
Normative legal acts regulating the procedure of
restructuring
Resolution of the
Government of the
Republic of Kazakhstan
from April 24, 2014 №
396 "On approval of the"
Concept of Social
Development of the
Republic of Kazakhstan
till 2030 and the Plan of
social modernization in
the period up to 2016
"модернизации на
период до 2016 года»
Government Decision
of 02.19.2014 year
№114 «On approval
of the state standard
network of healthcare
organizations of
Kazakhstan"
Order of the Minister
of Health and Social
Development of the
Republic of
Kazakhstan from
April 28, 2015 № 284
"On approval of the
state standard of the
network of
healthcare
organizations of
Kazakhstan"
Objectives:





access to health care
the effectiveness of health services
quality
meeting the needs of the population,
compliance with best achievements in medical science
Tasks:
•
Strengthening primary care network
•
The introduction of a modern hospital practices to reduce the incidence of
inappropriate hospitalization, including:
- Expansion of the sector outpatient surgery until at least 40% of the total
number of surgeries;
- Improved management of patients with chronic diseases (further
implementation and development of chronic disease management programs);
- Develop a network of long-term care
Demographics
583 582
589 301
579 448
571 759
2015г.
2014 г.
2013 г.
2012г.
2011 г.
575 766
42,5%
41,9%
41,4%
40,9 %
40,5%
The proportion of urban population
On 01.08.2015, the population of East Kazakhstan region is 570 444
The age structure of the population (%)
2015
20.3
6.1
62.9
10.7
2013
19.7
6.8
63.1
10.4
2011
19.2
7.5
63
10.3
0-14л
15-18
19-65
65 и старше
Demographics
16
14
12
10
8
6
4
2
0
-2
-4
13.9
13.9
12.5
-1.3
2006
12.6
-1.32
2007
14.8
13.9
13.4
13.5
0.6
1.1
1.1
2008
2009
2010
Рождаемость
13.9
13.7
12.5
Смертность
14.98
14.8
68
66
65.91
66.19
64
64.92
64.81
2005
2006
66.38
64.86
67.11
68.33
65.41
66.85
14.3
13.59
13.18
0.9
1.39
1.72
2.2
2011
2012
2013
2014
12.16
Естественный прирост
72
70
14.9
68.45
66.7
68.98
69.61 70.45
66.51
67.55
70.45
69.9
68.08
62
60
2007
2008
Life expectancy
2009
2010
2011
2012
2013
2014
Kazakhstan
North Kazakhstan
The existing network of hospital organizations
Type of hospital
Hospital Communal state enterprise
on the right of economic
management
Berths
Оregional
level
(Level 3)
Regional hospitals + tertiary
care
Regional Hospital
Heart Center
Regional Cancer Center
Regional Perinatal Center
Children's Regional Hospital
Regional dermatovenerologic dispensary
350
170
137
135
294
70
Municipal
level
(Level 2)
City hospitals
"City Hospital № 3"
"City Hospital № 1"
430
150
District level
(Level 1)
District hospitals
"Aiyrtau Central Hospital“
"Akzhar Central Hospital"
“Akkaiin Central Hospital”
“Yablen Central Hospital”
“Zhambyl Central Hospital”
“M.Zhumabaeyeva Central Hospital”
“Kyzylzhar Central Hospital”
“Mamlut Central Hospital”
“G.Musrepova Central Hospital”
“Taiishin Central Hospital”
“Timiryazev Central Hospital”
“Ualihanov Central Hospital”
“Shal akina Central Hospital”
115
84
58
55
75
110
95
65
140
140
40
65
68
The existing network of hospital organizations
Type of hospital
Hospital
Long-term
treatment
Regional TB Dispensary
Interdistrict tuberculosis dispensary
district Zhumabaeva
Zhambyl interdistrict tuberculosis
dispensary
Interdistrict tuberculosis dispensary
Musrepova
"Regional Drug Treatment Center"
The regional mental hospital "
Tuberculosis.
Mental illness.
After drug rehabilitation.
Berths
325
50
50
80
235
220
Total
27
3 806
Private
hospital
Center eye "Aina-goats"
25
Reducing the number of beds
100
Обеспеченность койками
74.2
69.1
48.7
48.6
3806
01.11.2015 г.
3953
66.7
47.1
50
01.01.2015 г.
01.01.2014 г.
4274
0
2013
2014
Всего
2015
ЕНСЗ
Структура сокращенных коек
8.80%
4.80%
Туберкулезные для взрослых
8.80%
34%
Терапевтические
Педиатрические
Хирургические
14,30%
Для беременных и рожениц
24,50%
Гинекологические
Expected Results 2015-2017
Combining "Drug Organization to force treatment "with the Municipal State Enterprise
on the right of business" regional drug treatment center "
120
100
80
60
40
20
0
105.8
86.3
85.6
11.6
17.8
2010
2011
84.8
8.2
2012
Заболеваемость
туберкулезом
80.1
6.6
2013
5.2
Смертность от
туберкулеза
2014
 Regional TB Dispensary- 325 beds
Interdistrict tuberculosis dispensary
Area them. G.Musrepov- 80 beds
Performance
Inter-district TB dispensaries
Interdistrict tuberculosis
dispensary
M.Zhumabayev
Interdistrict tuberculosis
dispensary
Area them. G.Musrepov
Zhambyl interdistrict
tuberculosis dispensary
As of 1/11/2015, the
In the region:
Год
Работа койки
Оборот койки
2012
278,0
2,6
2013
310,5
2,1
2014
289,8
2,4
2012
248,6
2,8
2013
311,0
3,2
2014
296,0
2,8
2012
245,4
1,8
2013
228,0
1,5
2014
178,3
1,7
Interdistrict tuberculosis dispensary
M.Zhumabayev-50 beds
Zhambyl interdistrict tuberculosis
dispensary - 50 beds (Elimination from
01.12.2015 years)
10
In the period up to 2025 it
recommended
Upgrade Tayynshinskuyu Central Hospital and build a city hospital, instead of the
existing city hospital number 3, as the inter-district general hospitals
Convert Kyzylzhar central district hospital in the nursing home / rehabilitation
center) and Timiryazev central district hospital and Akkayynskuyu central district
hospital in nursing homes
Convert the city hospital №1 in multidisciplinary rehabilitation center
Combine the Holding Regional Medical Center
3 specialized agencies, regional level
(Heart Center, Regional STI clinic, the regional perinatal center)
9 institutions leave the district hospital serving from 20 000 to 50 000 population,
and focused on four main specialties (general medicine, surgery, pediatrics, obstetrics
and gynecology)
Number of beds reduced from 4274 to 3118
The number of doctors serving the network of inpatient hospital reduced from 553
to 498
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