Availability of General Practice Workforce and Basic Health Indicators in the Republic of Kazakhstan: 2015-2019

Authors

  • Akerke Abzaliyeva Department of Public Health and Social Sciences, Kazakhstan School of Public Health, Kazakhstan’s Medical University, Almaty, Republic of Kazakhstan
  • Galina Kausova Department of Public Health and Social Sciences, Kazakhstan School of Public Health, Kazakhstan’s Medical University, Almaty, Republic of Kazakhstan
  • Elmira Abdraimova Department of Biostatistics and Fundamentals of Scientific Research, Kazakh National Medical University named after S. D. Asfendiyarova, Almaty, Republic of Kazakhstan
  • Aigerim Ismagilova Department of Public Health, Semey Medical University, Semey, Republic of Kazakhstan
  • Saltanat Mamyrbekova Department of Epidemiology, Biostatistics and Evidence Based Medicine, Higher School of Public Health, Al-Farabi Kazakh National University, Almaty, Republic of Kazakhstan

DOI:

https://doi.org/10.3889/oamjms.2022.7880

Keywords:

General practitioners, Mortality rate, Manpower supply, Healthcare, Kazakhstan

Abstract

BACKGROUND: The Republic of Kazakhstan paid a particular attention to the development of general practice (GP) workforce over the past three decades.

AIM: This study was aimed at the provision of descriptive analysis on distribution of GPs between different administrative units of Kazakhstan in relation to the basic health indicators for the period of 2015-2019.

METHODS: This was a retrospective cross-sectional study, which was based on the data obtained from the registry of medical manpower. The data on all-cause mortality, mortality from cardiovascular disease, maternity, and infant mortality were obtained from the annual statistical reports issued by the Ministry of Health.

RESULTS: At present, GPs constitute the bulk of medical workforce in Kazakhstan and different geographic localities show different rates of GP supply. Kazakhstan experienced a stable reduction in cardiovascular, maternal, and infant mortality rates during the period 2015–2019, which might be attributed to the increased per capita supply of GPs.

CONCLUSION: GPs are the front men of Kazakhstani health-care system. There is a need to study other factors contributing to the improvement of basic health indicators in Kazakhstan.

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References

Orynbassarova D. Family medicine as a model of primary health services delivery: A pilot study in Almaty, Kazakhstan. Cent Asian J Glob Health. 2015;4(1):209. https://doi.org/10.5195/cajgh.2015.209 PMid:29138716 DOI: https://doi.org/10.5195/cajgh.2015.209

Kalibekova G, Rakhypbekov T, Nurbakyt A, Semenova Y, Glushkova N. Perinatal care indicators in Almaty, Kazakhstan for 2013-2017: A cross-sectional study. Georgian Med News. 2020;308:165-70. PMid:33395661

Yu Y, Sun X, Zhuang Y, Dong X, Liu H, Jiang P, et al. What should the government do regarding health policy-making to develop community health care in Shanghai? Int J Health Plann Manage. 2011;26(4):379-435. https://doi.org/10.1002/hpm.1117 PMid:22213259 DOI: https://doi.org/10.1002/hpm.1117

Craig BJ, Engstrom MC. Public health and social desirability in Kazakhstan: Methodological considerations. Cent Asian J Glob Health. 2016;4(2):191 https://doi.org/10.5195/cajgh.2015.191 PMid:29138719 DOI: https://doi.org/10.5195/cajgh.2015.191

Zarbailov N, Wilm S, Tandeter H, Carelli F, Brekke M. Strengthening general practice/family medicine in Europe-Advice from professionals from 30 European countries. BMC Fam Pract. 2017;18:80. https://doi.org/10.1186/s12875-017-0653-x DOI: https://doi.org/10.1186/s12875-017-0653-x

Ibrayeva Z, Aldyngurov D, Myssayev A, Meirmanov S, Zhanaspayev M, Khismetova Z, et al. Depression, anxiety and somatic distress in domestic and international undergraduate medical students in Kazakhstan. Iran J Public Health. 2018;47(6):919-21. PMid:30087881

Available form: http://www.dsm.gov.kz/en/node/9066. [Last accessed on 2021 Jun 06].

Available from: http://www.stat.gov.kz/edition/publication/collection. [Last accessed on 2021 Jun 06].

Hernández-Rincón E, Tuesca-Molina R, Guerrero-Espinel E, Gutiérrez H, Guemes A. Training experience in health human resources (HHR) in primary health care (PHC) through the virtual campus of public health (VCPH) Node Colombia (2013- 2015). Rev Salud Uninorte. 2015;31(3):501-13. https://doi.org/10.14482/sun.31.3.7792 DOI: https://doi.org/10.14482/sun.31.3.7792

Rowland KM, Verhoeven JC. Techniques in corporate manpower planning: Methods and applications. Ind Labor Relat Rev. 1984;31(3):331-45. https://doi.org/10.2307/2523755 DOI: https://doi.org/10.2307/2523755

Dauletyarova MA, Semenova YM, Kaylubaeva G, Manabaeva GK, Toktabayeva B, Zhelpakova MS, et al. Are Kazakhstani women satisfied with antenatal care? implementing the WHO tool to assess the quality of antenatal services. Int J Environ Res Public Health. 2018;15(2):325. https://doi.org/10.3390/ijerph15020325 PMid:29438330 DOI: https://doi.org/10.3390/ijerph15020325

Katsaga A, Kulzhanov M, Karanikolos M, Rechel B. Kazakhkstan health system review. Health Syst Transit. 2012;14(4):1-154.

WONCA Classification Committee. International Classification of Primary Care, Second Edition (ICPC-2). Oxford: Oxford University Press; 1998.

Rimmer A. GP numbers in England fell by more than 600 in past year, data show. BMJ. 2020;370:m3366. https://doi.org/10.1136/bmj.m3366 DOI: https://doi.org/10.1136/bmj.m3366

Available from: https://www.gateway.euro.who.int/en/indicators/hlthres_71-general-practitioners-per-100-000. [Last accessed on 2021 Jun 06].

Shi L, Politzer RM, Regan J, Lewis-Idema D, Falik M. The impact of managed care on the mix of vulnerable populations served by community health centers. J Ambul Care Manage. 2001;24(1):51-66. https://doi.org/10.1097/00004479-200101000-00007 PMid:11189797 DOI: https://doi.org/10.1097/00004479-200101000-00007

Jarman B, Gault S, Alves B, Hider A, Dolan S, Cook A, et al. Explaining differences in English hospital death rates using routinely collected data. Br Med J. 1999;318(7197):1515-20. https://doi.org/10.1136/bmj.318.7197.1515 PMid:10356004 DOI: https://doi.org/10.1136/bmj.318.7197.1515

Roetzheim RG, Pal N, Gonzalez EC, Ferrante JM, Van Durme DJ, Krischer JP. Effects of health insurance and race on colorectal cancer treatments and outcomes. Am J Public Health. 2000;90(11):1746-54. https://doi.org/10.2105/AJPH.90.11.1746 PMid:11076244 DOI: https://doi.org/10.2105/AJPH.90.11.1746

Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005;83(3):457-502. https://doi.org/10.1111/j.1468-0009.2005.00409.x PMid:16202000 DOI: https://doi.org/10.1111/j.1468-0009.2005.00409.x

Macinko J, Starfield B, Shi L. Quantifying the health benefits of primary care physician supply in the United States. Int J Heal Serv. 2007;37(1):111-26. https://doi.org/10.2190/3431-G6T7-37M8-P224 PMid:17436988 DOI: https://doi.org/10.2190/3431-G6T7-37M8-P224

Basu S, Berkowitz SA, Phillips RL, Bitton A, Landon BE, Phillips RS. Association of primary care physician supply with population mortality in the United States, 2005-2015. JAMA Intern Med. 2019;179(4):506-14. https://doi.org/10.1001/jamainternmed.2018.7624 PMid:30776056 DOI: https://doi.org/10.1001/jamainternmed.2018.7624

Chang CH, O’Malley AJ, Goodman DC. Association between temporal changes in primary careworkforce and patient outcomes. Health Serv Res. 2017;52(2):634-55. https://doi.org/10.1111/1475-6773.12513 PMid:27256769 DOI: https://doi.org/10.1111/1475-6773.12513

Russo LX, Scott A, Sivey P, Dias J. Primary care physicians and infant mortality: Evidence from Brazil. PLoS One. 2019;14(5):e0217614. https://doi.org/10.1371/journal.pone.0217614 PMid:31150468 DOI: https://doi.org/10.1371/journal.pone.0217614

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Published

2022-03-10

How to Cite

1.
Abzaliyeva A, Kausova G, Abdraimova E, Ismagilova A, Mamyrbekova S. Availability of General Practice Workforce and Basic Health Indicators in the Republic of Kazakhstan: 2015-2019. Open Access Maced J Med Sci [Internet]. 2022 Mar. 10 [cited 2024 Apr. 16];10(E):452-7. Available from: https://oamjms.eu/index.php/mjms/article/view/7880

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Public Health Epidemiology

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