Control over the use of money for the provision of medical care will be strengthened in Kazakhstan

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Control over the use of money for the provision of medical care will be strengthened in Kazakhstan

Control over the use of money for the provision of medical care will be strengthened in Kazakhstan

The Ministry of Health of Kazakhstan has taken a number of decisions to improve the situation with the financing of medical care, reports with reference to the press service of the department.

Photo: press service of the Ministry of Health of the Republic of Kazakhstan

The Ministry of Health revealed that one of the problems at the level of provision of consultative and diagnostic assistance (CDP) was the overconsumption of these services.

“The first reason is related to the transfer of CAP for co-execution, when in some medical organizations up to 80% of the volume of services is transferred to third parties, which increases the risks of debt obligations from the main providers of the Medical Insurance Fund.

Also exacerbating the situation of registration, overdiagnosis, the lack of desire in state organizations for outpatient care to develop the provision of laboratory diagnostic services, consultations of narrow specialists on their basis, ”the ministry said.

To curb overconsumption with a limited budget, the Ministry of Health since February 1 of this year introduced control over financial flows, a linear scale for consultative and diagnostic services, which caused dissatisfaction among providers and co-executors of medical services.

The emerging problematic issues were openly discussed by Minister of Health Azhar Giniyat at meetings with the participation of a team of doctors from polyclinics and hospitals in the regions, directors of the territorial branches of the FSMS.

As a result, the Ministry of Health, together with the Fund, decided to implement the following measures for a short period.

The first is to remove the linear scale from co-executors at the outpatient level.

The second is to pay for the completed volumes of consultative and diagnostic services for February-March at the expense of additional funding after monitoring the validity of the services provided.

The third is an increase in tariffs for certain areas of medical care.

“To ensure the provision of uninterrupted inpatient care, the ministry, together with the Medical Insurance Fund, will consider measures to remove the linear scale from emergency traumatology and childbirth in multidisciplinary hospitals, with additional funding from reserve sources to cover the cost of treating emergency cases. In addition, it is planned to increase tariffs for certain areas of medical care, such as children's rehabilitation, pulmonology, pediatrics, and so on.

Taking into account the existing accounts payable of some hospitals, financial recovery plans have been developed, according to which interdepartmental memorandums have been concluded to pay off the debts of medical organizations at the expense of the budget of local executive bodies.

In rural healthcare, it is planned to use a differentiated multiplying factor for healthcare organizations in sparsely populated areas,” the ministry said.

Earlier, the Minister of Health Azhar Giniyat met with the chief doctors of the regions, as well as with the doctors of the city polyclinic No. 6 and the city multidisciplinary hospital No. 3 of Astana on issues of financing medical care and organizing the treatment process.

The minister raised the issue of improving the qualifications of general practitioners (GPs), who should refer patients to narrow specialists only if necessary, and should diagnose and treat common diseases themselves.

At the same time, as the head of the department emphasized, control over the use of funds for the provision of medical care to the population, its quality and efficiency will be strengthened both by the expertise of the Federal Social Insurance Fund and with the help of digital monitoring tools.

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