Regions
Industries
- Agriculture
- Mining industry
- Processing industry
- Electric power supply
- Water supply
- Construction
- Wholesale and retail trade
- Transport and warehousing
- Accommodation and food-and-beverage services
- Information and communications
- Finance and insurance
- Real estate
- Professional activities
- Administrative activities
- Public administration
- Education
- Healthcare and social services
- Art and entertainment
- Other services
- Home
- Regions
- Industries
Agriculture Mining industry Processing industry Electric power supply Water supply Construction Wholesale and retail trade Transport and warehousing Accommodation and food-and-beverage services Information and communications Finance and insurance Real estate Professional activities Administrative activities Public administration Education Healthcare and social services Art and entertainment Other services
- Business conditions
- Rankings
- Registry
- State support
Healthcare and social services
- Review of private healthcare sector
Review of private healthcare sector
DESCRIPTION …………………………………………………………………….. 1
CONTRIBUTION TO THE ECONOMY ……………………………………….. 3
STRUCTURE OF PRIVATE MEDICINE SECTOR …………………………………… 3
MARKET CAPACITY……………………………………………………………… 4
PRINCIPAL PARTICIPANTS ……………………………………………………..6
DEVELOPMENT FACTORS ……………………………………………………… 13
BARRIERS AND LIMITS …………………………………………………………. 14
THE LIST OF POTENTIAL POSSIBILITIES FOR
THE ENTREPRENEURS …………………………………………………………… 15
SWOT-ANALYSIS …………………………………………………………………… 18
DESCRIPTION
Climatic conditions, immense territory, low density of population resulted to the nonuniform distribution of private medical services and pharmaceutical services - in some regions of the country there is excess of offers of medical services and in other regions there is a lack of them.
In 2015 in scope of the program provided by the head of the State N.A. Nazarbaev “A hundred of specific steps”, the 81st step was “private medicine development, implementation of corporate management in the industrial institution”’. In order to improve the availability and quality of services due to competition on the basis of the financing the primary health and social care and in presence of social health insurance to ensure the transition of health organizations to the corporate management principles. Encourage the privatization of public health organizations and expand the guaranteed volume of free medical services by non-governmental organizations. "
CONTRIBUTION TO THE ECONOMY
Financial and economic activities in health care sector consist of a combination of current income and expenses of medical institutions per the analyzed period.
Figure 1. The scheme of income of the medical organizations by the type of services per 2014
Source: Committee on Statistics of MNE of the RK.
Within 2010 – 2014 there was a structural change of income of the health care organizations, in particular: a share of the hospitals’ current income per 5 years decreased on 15,1%; a share of current income obtained from the medical practice increased on 10,4%; a share of current income obtained from the health caring activities increased on 15,2%; a share of current income obtained from the social services increased on 109%; a share of current income obtained from the oral medicine is still on the same rate 2% during 5 years.
Figure 2. Changes in the structure of incomes of health care organizations by type of services for the period from 2010 to 2014
Source: Committee on Statistics of MNE of the RK.
STRUCTURE OF PRIVATE MEDICINE SECTOR
In order to analyze quantitative indicators of rendered medical services, the health care organizations use the indicators "medical aid seeking" and "the average number of complaints per 1 resident".
Within 2013, 95 312 890 persons visited health care organizations of all types and among them 33 369 155 (37,5%) – rural population. Private health caring institutions provided aid for 16 502 827 persons and 1 061 201 (8%) of them are rural population (Table 4).
Average number of medical aid seekers in all health care institutions (all departments) in the RK per the current year is 5,6 complaints per 1 resident; as per private health care institutions - 0,97 per 1 resident, showing the decline on 2,0% in comparison with the previous year.
Table 1 – Number of doctor visits including preventive ones |
|
|
Departments |
Total |
Among them by rural population |
2010 year |
All departments |
93 807 496 |
36 834 963 |
Private health care institutions |
14 522 123 |
1 213 829 |
|
2011 year |
All departments |
96665232 |
34 009 348 |
Private health care institutions |
18 798 914 |
1,664,854 |
|
2012 year |
All departments |
97 033 881 |
36,394,195 |
Private HC institutions |
16 619 995 |
1 343 156 |
|
2013 year |
All departments |
95 312 890 |
33 369 155 |
Private HC institutions |
16 502 827 |
1,061,201 |
Source: Ministry of Healthcare and Social Development of the RK
The ratio of visits to public and private HC institutions has remained relatively stable for the past five years. According to official data in 2014, a share of visits to private HC institutions decreased in comparison with 2013 on 12% (2013 year - 17%, 2014 year -15%).
private HC institutions |
Figure 3. The ratio of visits to public and private HC institutions in 2010-2014
Source: Ministry of Healthcare and Social Development of the RK
Within 2011-2013 there was increase in number of visits to the private hospitals to the doctors with the following qualifications: neurosurgeons – in 3,5, angiosurgeon – in 4,6, recreation therapists and rehabilitation treatment doctors – on 74%, gastroenterologist – on 33%, endocrinologist – on 10%, neuropathologist - on 6%.
Table 2 - Number of visits to the doctors with the following qualifications, including preventive visits, within 2011-2013 years
Doctors’ qualifications |
2011 year |
2012 year |
2013 year |
|||
Total |
Private |
Total |
Private |
Total |
Private |
|
Total |
96665232 |
18798914 |
97033881 |
16619995 |
95312890 |
16502827 |
where rural population is |
34009348 |
1664854 |
36394195 |
1343156 |
33369155 |
1061201 |
therapists |
17493845 |
3220492 |
18197744 |
3084475 |
17400040 |
3185707 |
pulmonologists |
101272 |
28869 |
100935 |
16204 |
81609 |
14783 |
cardiologists |
1362572 |
352124 |
1505225 |
368973 |
1588331 |
393482 |
rheumatologists |
290291 |
33738 |
305055 |
33042 |
315602 |
29863 |
gastroenterologists |
279595 |
89307 |
298398 |
119107 |
293307 |
118802 |
nephrologist |
226385 |
52338 |
182847 |
36421 |
177007 |
52455 |
endocrinologists |
2191047 |
299510 |
2283538 |
315859 |
2280296 |
329953 |
allergists (immunologists) |
217120 |
249637 |
286490 |
157653 |
276200 |
130326 |
recreation therapists and rehabilitation treatment doctors |
639533 |
132489 |
932021 |
149236 |
524463 |
230613 |
surgeons |
5401355 |
954055 |
5533594 |
1002538 |
5210285 |
990427 |
angiosurgeons |
55394 |
2143 |
46444 |
2531 |
46665 |
9912 |
traumatologist - orthopaedists |
1601970 |
283428 |
1619594 |
268983 |
1791479 |
265344 |
urinologists |
858507 |
268044 |
895701 |
278547 |
866429 |
266083 |
neurosurgeons |
32648 |
8185 |
53111 |
21541 |
32584 |
28059 |
obstetrician-gynecologist |
7512040 |
1670412 |
8296306 |
1710183 |
7277442 |
1671383 |
pediatricians |
16885474 |
1283467 |
15505987 |
1056489 |
14525854 |
1077005 |
ophtalmologists |
5005131 |
1224545 |
4972112 |
1234193 |
4776045 |
1246078 |
otolaryngologists |
4611780 |
1225644 |
4626823 |
1287441 |
4346806 |
1343780 |
neuropathists |
4535507 |
1269962 |
4416343 |
1453237 |
4319786 |
1355419 |
narcologists |
2066545 |
50925 |
2051635 |
61019 |
2154123 |
37499 |
dermatovenerologists |
4081309 |
625014 |
4150063 |
591801 |
3711702 |
559563 |
general practivioners |
8499360 |
755921 |
8609504 |
726096 |
10222555 |
714927 |
functional diagnostics doctors |
419185 |
233183 |
514241 |
848431 |
603474 |
391483 |
Source: Ministry of Healthcare and Social Development of the RK
MARKET CAPACITY
Medical services market capacity is expressed in the total sales of goods and services per the accounting period; or the overall demand for the category of goods and services, expressed in paying capacity of the population.
In general, in 2014, the volume of the rendered services in scope of principal activities of the health care institutions as well volume of social services in the RK amounted 816 427,1 mln. tenge, where: 81,6% - at the expense of budget, 12,3% - at the expense of funds received from population, 6,0% - at the expense of funds received from the enterprises.
The volume of the rendered services in scope of secondary activities of the health care institutions as well social services in the RK amounted 9 345,9 mln. tenge, where: 29,9% - at the expense of budget, 56,4% - at the expense of funds received from population and 13,6% - at the expense of funds received from the enterprises.
The largest volume of services was formed due to the activity of hospitals, which had provided services in the amount of 501 645,9 mln. tenge (61,4%).
Organizations involved in general medical practice have rendered services in the amount of 105 676,2 mln. tenge (12,9%), organizations involved in other health caring activities have rendered services in the amount of 109 976,5 mln. tenge (13,5%), organizations that render social services including accommodation providing have rendered services in amount of 39 467,8 mln. tenge (4,8%).
In 2014 actual volume of medical services in absolute value amounted 115 477 310 medical services including outpatient care - 112 936 339 services and inpatient care - 2 540 971 patients. Amount of outpatient and inpatient care decreases every year. The probable reason of this decrease is promotion of healthy lifestyles, increase of urban population and improvement of living standards as well as implementation of the governmental programs, etc.
Figure 4. Dynamics of actual volume of medical services, thou. units.
Source: Ministry of Healthcare and Social Development of the RK
The number of population of the RK, which as of 01.01.2015 reached 17.4 mln. persons, affected volume of medical services market. In comparison with 2013 the volume growth is 1,5%, and as against to 2012 year - 3,0%.
Natural average national population growth rate in 2014 was 14.7 per 1,000 persons of population. But the rate of population growth in all regions of the RK is not equal. For example, in comparison with the previous year a significant increase of the population is observed in Astana and Almaty cities on 4.5% and 8.2%, and respectively, decrease of the population is observed in Almaty district and North Kazakhstan region on 3.3% and 0.7%.
|
Figure 5. Dynamics of population changes in the RK regions (thou. persons)
Source: Ministry of Healthcare and Social Development of the RK
The average duration of life in 2014 in the RK was 70,45 years that is 7,1% longer then in 2000 year (65,4 years).
The death rate per 100 000 persons in 2014 was 757,06, when in 2013 the death rate was 798,05, showing decline 5,4% including because of the most primary death reasons.
Figure 6. Primary death reasons in 2014, death rates per 100 thou. persons
Source: Ministry of Healthcare and Social Development of the RK
In 2014, the number of medical personnel increased in comparison with 2013 year from 221 179 to 228 925 persons, which is 3%, including 2.4% of doctors and 3.3% of nursing staff.
Figure 7. Data on medical personnel, in persons
Source: Ministry of Healthcare and Social Development of the RK
Principal participants
According to the information received from the Ministry of Health and Social Development of the RK as of January 1, 2015 there are 4 075 health care entities operate in the RK, where 911 are hospitals and 3164 are outpatient organizations. There is increase of the private health care institutions (HC institutions) and in 2014, there were 1109 entities, which is 6.0% and 3.5% more than in 2012 and 2013 years respectively.
Table 3 - Hospitals of the RK
Name of the region |
Total |
where |
|||||||
budget funded |
private |
||||||||
2012 |
2013 |
2014 |
2012 |
2013 |
2014 |
2012 |
2013 |
2014 |
|
In the RK |
931 |
1008 |
911 |
797 |
867 |
763 |
134 |
141 |
148 |
Akmola |
42 |
41 |
40 |
40 |
39 |
36 |
2 |
2 |
4 |
Aktobe |
49 |
62 |
48 |
36 |
47 |
34 |
13 |
15 |
14 |
Almaty |
95 |
92 |
90 |
88 |
85 |
82 |
7 |
7 |
8 |
Atyrau |
38 |
42 |
37 |
32 |
37 |
32 |
6 |
5 |
5 |
West Kazakhstan region |
40 |
41 |
38 |
38 |
39 |
36 |
2 |
2 |
2 |
Jambyl |
56 |
65 |
56 |
43 |
52 |
42 |
13 |
13 |
14 |
Karaganda |
89 |
90 |
88 |
72 |
73 |
70 |
17 |
17 |
18 |
Kostanay |
57 |
64 |
53 |
49 |
55 |
45 |
8 |
9 |
8 |
Kyzylorda |
40 |
54 |
51 |
39 |
53 |
50 |
1 |
1 |
1 |
Mangystau |
32 |
39 |
29 |
27 |
34 |
23 |
5 |
5 |
6 |
South Kazakhstan region |
122 |
133 |
118 |
109 |
121 |
104 |
13 |
12 |
14 |
Pavlodar |
57 |
51 |
43 |
45 |
39 |
31 |
12 |
12 |
12 |
North Kazakhstan region |
31 |
34 |
29 |
30 |
33 |
28 |
1 |
1 |
1 |
East Kazakhstan region |
93 |
102 |
92 |
80 |
89 |
79 |
13 |
13 |
13 |
Astana city |
28 |
27 |
27 |
25 |
24 |
24 |
3 |
3 |
3 |
Almaty city |
62 |
71 |
72 |
44 |
47 |
47 |
18 |
24 |
25 |
Source: Ministry of Healthcare and Social Development of the RK
Table 4 - Outpatient institutions of the RK
Name of the region |
Total |
where |
|||||||
budget funded |
private |
||||||||
2012 |
2013 |
2014 |
2012 |
2013 |
2014 |
2012 |
2013 |
2014 |
|
In the RK |
3459 |
3796 |
3164 |
150 |
2230 |
2203 |
912 |
930 |
961 |
Akmola |
177 |
192 |
156 |
118 |
137 |
139 |
18 |
18 |
17 |
Aktobe |
201 |
196 |
206 |
320 |
120 |
127 |
64 |
70 |
79 |
Almaty |
343 |
383 |
326 |
93 |
313 |
307 |
18 |
18 |
19 |
Atyrau |
128 |
120 |
118 |
132 |
90 |
92 |
23 |
24 |
26 |
West Kazakhstan region |
148 |
146 |
142 |
167 |
131 |
130 |
11 |
11 |
12 |
Jambyl |
201 |
231 |
196 |
148 |
166 |
163 |
30 |
30 |
33 |
Karaganda |
283 |
268 |
246 |
100 |
135 |
148 |
96 |
94 |
98 |
Kostanay |
151 |
146 |
140 |
145 |
98 |
90 |
44 |
46 |
50 |
Kyzylorda |
154 |
183 |
152 |
48 |
145 |
147 |
4 |
5 |
5 |
Mangystau |
73 |
85 |
60 |
279 |
51 |
51 |
24 |
24 |
9 |
South Kazakhstan region |
311 |
538 |
279 |
122 |
286 |
266 |
28 |
26 |
13 |
Pavlodar |
219 |
185 |
178 |
127 |
101 |
102 |
92 |
74 |
76 |
North Kazakhstan region |
180 |
169 |
157 |
261 |
111 |
102 |
47 |
48 |
55 |
East Kazakhstan region |
351 |
357 |
345 |
23 |
258 |
258 |
75 |
80 |
87 |
Astana city |
93 |
226 |
108 |
59 |
25 |
25 |
36 |
69 |
83 |
city Almaty |
446 |
371 |
355 |
0 |
63 |
56 |
302 |
293 |
299 |
Source: Ministry of Healthcare and Social Development of the RK
Table 5 - Institutions providing recreation therapy and rehabilitation treatment
|
Governmental |
Private |
Total |
||||||
2011 |
2012 |
2013 |
2011 |
2012 |
2013 |
2011 |
2012 |
2013 |
|
The RK |
85 |
87 |
80 |
85 |
86 |
88 |
171 |
174 |
169 |
Akmola |
8 |
5 |
5 |
9 |
9 |
9 |
17 |
14 |
14 |
Aktobe |
3 |
3 |
3 |
6 |
6 |
6 |
9 |
9 |
9 |
Almaty |
4 |
5 |
5 |
11 |
13 |
13 |
15 |
18 |
18 |
Atyrau |
5 |
5 |
5 |
2 |
2 |
2 |
7 |
7 |
7 |
West Kazakhstan region |
3 |
3 |
3 |
2 |
2 |
2 |
5 |
5 |
5 |
Jambyl |
2 |
5 |
5 |
5 |
5 |
5 |
7 |
10 |
10 |
Karaganda |
13 |
14 |
9 |
6 |
7 |
7 |
20 |
22 |
17 |
Kostanay |
4 |
4 |
4 |
3 |
3 |
3 |
7 |
7 |
7 |
Kyzylorda |
5 |
6 |
5 |
2 |
2 |
4 |
7 |
8 |
9 |
Mangystau |
3 |
2 |
3 |
1 |
1 |
1 |
4 |
3 |
4 |
South Kazakhstan region |
12 |
11 |
11 |
24 |
23 |
24 |
36 |
34 |
35 |
Pavlodar |
4 |
5 |
5 |
4 |
2 |
2 |
8 |
7 |
7 |
North Kazakhstan region |
- |
1 |
1 |
1 |
1 |
1 |
1 |
2 |
2 |
East Kazakhstan region |
6 |
5 |
4 |
4 |
5 |
3 |
10 |
10 |
7 |
Astana city |
- |
- |
- |
2 |
2 |
2 |
2 |
2 |
2 |
Almaty city |
13 |
13 |
12 |
3 |
3 |
4 |
16 |
16 |
16 |
Source: Ministry of Healthcare and Social Development of the RK
Primary suppliers of medical equipment and other means for medical use:
Company |
Business direction |
Region |
'Albedo" LLC |
- Pharmacy - Vaccines - Sanitizers |
Almaty, Taldykorgan, Oskemen, Semey, Pavlodar |
'Amanat' LLC |
Pharmacy |
Almaty, Oskemen, Aktobe, Pavlodar, Semey, Oral, Shymkent |
'BionMedService' |
- laboratory equipment and materials - Test systems for enzyme immunoassay |
Karaganda Temirtau
|
'Gelika' |
Medications |
Kostanay, Kokshetau, Karaganda, Almaty, Astana, Pavlodar, Temirtau |
'Dezinfekcionist' |
- Sanitizers; - Disinfection - Deratization - Disinfestation |
Karaganda, Temirtau, Pavlodar
|
'Interpharma-K' JSC |
- Medications; - Veterinary preparations; - Phytoproducts; - Biologically active dietary supplements (BAD); - Consumables for medical use |
Aktau, Aktobe, Astana, Balkhash, Zheskazgan, Karaganda, Kyzylorda, Kokshetau, Kostanay, Pavlodar, Oskemen, Shimkent |
'Medical service' |
- X-ray machineries; - Consumables; - Spare parts for medical equipment and X-ray machineries |
Astana, Temirtau, Aktobe, Kostanay, Taldykorgan, Shimkent, Atyrau, Semey |
Company 'Medikus-Center' LLC |
Import, storage, distribution, retail sales and wholesales of medications |
Taldykorgan, Almaty, Shimkent, Atyrau, Semey |
"Medintekh Trading' LLC |
- Medical equipment - Ambulance motor transport; - Furniture for medical use; - Consumables; |
Kostanay, Kokshetau, Karaganda, Pavlodar, Temirtau
|
'KFK Medservice Plus' |
Distribution of medications and products for medical use |
Almaty. Astana, Karaganda, Aktau, Aktobe, Oskemen, Pavlodar, Shimkent, Taraz, Taldykorgan, Kizilorda, Semey, Uralsk, Kokshetau, Kostanay, Petropavlovsk |
'Medtechnika' LLC |
- Medications; - Tonometers; - Individual protection means; - Earphones; - Medical equipment; - Physiotherapeutic medications; - Viewing systems |
Oskemen, Pavlodar, Semey, Karaganda, Astana |
'Stopharm' |
Pharmaceutical products |
Almaty, Astana, Karaganda, Aktau, Atyrau, Zheskazgan, Aktobe, Oskemen, Pavlodar, Shimkent, Taraz, Taldykorgan, Kizilorda, Semey, Uralsk, Kokshetau, Kostanay, Petropavlovsk |
'Pharmacia SK' |
Pharmaceutical products |
Almaty. Astana, Karaganda, Aktau, Aktobe, Oskemen, Pavlodar, Shimkent, Taraz, Taldykorgan, Kizilorda, Semey, Uralsk, Kokshetau, Kostanay, Petropavlovsk |
'MK Interna'. |
Medical equipment for physiotherapy and rehabilitation |
Almaty. Astana, Karaganda, Aktau, Aktobe, Oskemen, Pavlodar, Shimkent, Taraz, Taldykorgan, Kizilorda, Semey, Uralsk, Kokshetau, Kostanay, Petropavlovsk |
'Aristan-Holding' |
- Medical and dental equipment - Medical equipment maintenance services |
Astana, Petropavlovsk, Karaganda, Aktobe, Pavlodar, Uralsk, Kokshetau, Kostanay, Petropavlovsk
|
'Ordamed Centra Asia/ |
- Equipment supply; - Maintenance service; - Clinical consulting on equipment; - Technical consulting on equipment; |
Astana, Almaty, Kokshetau, Kostanay, Petropavlovsk, Aktobe, Uralsk, Atyrau, Karaganda, Pavlodar, Oskemen, Semey, Shimkent, Taraz, Kyzylorda |
'SOLO' LTD |
- Radiation control and instrument making; - Manufacturing of the measuring devices; - Measuring devices repairing; - Dealing with ionizing radiation sources; - Distributing X-ray equipment; |
Astana, Almaty, Kokshetau, Kostanay, Petropavlovsk, Aktobe, Uralsk, Atyrau, Karaganda, Pavlodar, Oskemen, Semey, Shimkent, Taraz, Kyzylorda |
'El Pharm' |
- Instruments for osteosynthesis; - Instruments for ophtalmosurgery; - Instruments for microvascular surgery; - Instruments for general surgery; - Instruments for obstetrics and gynaecology; - Instruments for otorhinolaryngology; - Instruments for outpatient services; |
Astana, Almaty, Kokshetau, Kostanay, Petropavlovsk, Aktobe, Uralsk, Atyrau, Karaganda, Pavlodar, Oskemen, Semey, Shimkent, Taraz, Kyzylorda |
'Grand Atlas' |
Products for ophthalmology; |
Astana, Almaty, Kokshetau, Kostanay, Petropavlovsk, Aktobe, Uralsk, Atyrau, Karaganda, Pavlodar, Oskemen, Semey, Shimkent, Taraz, Kyzylorda |
'Almaty medical product' |
- Medical equipment; - Equipment for optical stores and workshops; - Ophthalmology equipment; - Contact lens; |
All regions |
Fotek NPF |
Apparatuses for unique surgery interventions - interbranch scientific and technical complex "Eye microsurgery' |
All regions |
'NURMEDINVEST' LLC |
- Equipment for the intensive therapy, crisis therapy and blood bank; - Surgery, diagnostics and laboratory equipment; - Consumables; |
All regions |
'DGM Pharma — Apparate HANDEL AG' |
Infection control systems DGM
|
All regions |
'Kazmedpribor' |
- Manufacturing of furniture for medical and laboratory use; - Manufacturing and supply of the medical equipment and products for medical use; - installing mobile systems and complexes into the emergency motor vehicles; |
All regions |
'OST-PHARM' |
- Medical equipment and instruments; - Consumables; - Medications; - Furniture for medical use; |
Karaganda, Pavlodar, Astana, Almaty |
'Neomedrem' LLC |
- Medical equipment; - Instruments; - Consumables; |
All regions |
Development factors
Implementation of the governmental programs significantly affects development of the industry.
In scope of the Governmental program "The RK health care system restructuring and development within 2005 - 2010 years" implementation, the following results were obtained:
- approval of the Code of the RK "On the health of population and the health care system";
- implementation of the industry programs aimed to decrease maternal and infant death rate, improving blood bank, preventing AIDS epidemy, developing cardiac and cardiac surgery care, promoting ideology of healthy lifestyle;
- restructuring of the service of the first medical aid acting under principles of the general medical service, routine medical examinations of the children, screening examination of adult population for early detection of the circulatory diseases, oncopathology of reproductive system;
- provision of free and subsidized medications;
- implementation of the activities intended to improve material and technical basis of the health care institutions;
- creation of system of independent medical evaluation;
- Since January 1, 2010 step-by-step implementation of the Unified National Health Care System allowing for the patients to select doctors and clinics in their own discretion, contributing to creation of competitive environment in medical services industry as well contributing to the activities of the medical institutions to become result-oriented;
- provision of training for the managers involved in health care activities;
- realization of the joint project with the International Bank “Technologies Transfer and implementation of the Institutional Reform in the health care field";
- implementation of the unified system for the medications distribution;
- adoption of the information technologies for the health care system: creation of the Republic Information and Analytical Center with the branches in all regions;
- implementation of the control risk assessment system to the health care sector;
The program "Salamaty Kazakhstan" for 2011 - 2015 years included measures aimed to ensure completion of the planned events relating to legislative, investment, structural, economical and staffing provision with a glance to interdepartmental and intersectional interaction. In addition, the creation of medical service market was provided as well as competitive relations among medical institutions;
Programs "100 schools, 100 hospitals" and "Construction of 350 outpatient clinics, medical and obstetric centers and ambulatory care clinics", aimed to renew assets, material and technical equipment and to develop health care system.
barriers and limits
1. The order for guaranteed volume of free medical care is distributed unequally for the private HC institutions and the governmental HC institutions. Currently 70% of the government order is distributed to the governmental HC institutions;
2. Limited access to the funds:
- lack of governmental support;
- high cost of a borrowed capital;
- lack of funds to invest to the start-ups;
- lack of local investors;
3. The taxation approach to the medical organizations doesn't take into account social significance of the health care sector;
4. Lack of clear legal regulations for accounting tariffs to cover medical services under the guaranteed volume of free medical care;
5. The prices for the chargeable services in the governmental institutions are lower in comparison with private HC institutions, because the governmental institutions use equipment, consumables, time and HR resources funded in scope of the program of guaranteed volume of free medical care;
6. Inadequacy of the mechanism of equipment procurement on lease;
7. Nonavailability of the permit for the private medical organizations, which don't render the guaranteed volume of free medical care, to lease products;
8. The private HC institutions have a lack of own premises and need to buy on credit and/or to rent the premises;
9. Insufficient attention to the specific business conditions in the health caring field based on the leading social need - the health of population;
10. Non-efficient system of administrative offences;
11. Nonavailability of training, provided under the budget programs, for the medical staff of private clinics;
12. The doctors practicing in the governmental HC institutions are hardly ready to work under the private practice conditions, trust management conditions;
13. Non-sufficient consulting support of the private HC institutions including the support in frame of the service support provided under the Program "The work flow chart for the business 2020";
14. No substantial industrial strategic factor of the private health care system associated with lack of interest of the Health Care department.
The list of potential possibilities for the entrepreneurs
In 2014, the private medical organizations were analyzed and the results of this analysis revealed the most frequently attended profiles in the private medicine and defined the list of the profiles as per the regions, which are insufficiently presented on the market of private medical services.
Five the most needed profiles, which are subject for the most numerous visits in each region, are provided for each region. It is recommended to promote services of these profiles, as they are constantly needed by the patients.
Table 6 - Top 5 the most frequently attended profiles in the private HC institutions in the regions in 2014 year.
Region |
Profiles |
||||
Akmola |
Therapist
|
Functional diagnostics |
Obstetrician-gynaecologist |
Neuropathologist
|
X-ray diagnostics
|
Share of visits |
23.5% |
14.4% |
11.9% |
8.4% |
7.5% |
Aktobe |
Therapist
|
Neuropathologist |
Ophthalmologist |
Otolaryngologist
|
Obstetrician-gynaecologist |
Share of visits |
24.7% |
12% |
10.7% |
10.3% |
9.6% |
Almaty |
Therapist |
Obstetrician-gynaecologist |
Neuropathologist |
Otolaryngologist
|
X-ray diagnostics |
Share of visits |
19.1% |
16.6% |
12.8% |
9.9% |
9.8% |
Atyrau |
Therapist
|
Obstetrician-gynaecologist |
Otolaryngologist
|
Neuropathologist
|
Occupational therapist
|
Share of visits |
21.6% |
9.2% |
6.9% |
5.8% |
6.3% |
West Kazakhstan region |
Therapist |
Pediatrician |
Ophthalmologist |
Obstetrician-gynaecologist |
X-ray diagnostics |
Share of visits |
16.1% |
12% |
9% |
8.4% |
6.8% |
Jambyl |
Therapist |
Obstetrician-gynaecologist |
Neuropathologist |
Ophthalmologist |
Pediatrician |
Share of visits |
19.3% |
10.7% |
10.3% |
10% |
8.3% |
Karaganda |
Family doctor
|
Therapist
|
Ophthalmologist |
Neuropathologist |
Obstetrician-gynaecologist |
Share of visits |
19.7% |
12.4% |
10.1% |
9.3% |
8.6% |
Kostanay |
Therapist |
Otolaryngologist |
Neuropathologist |
Ophthalmologist |
Obstetrician-gynaecologist |
Share of visits |
14.4% |
13% |
12.5% |
9.9% |
8.9% |
Kyzylorda |
Therapist |
Pediatricians
|
Surgeon
|
Ophthalmologist
|
Obstetrician-gynaecologist |
Share of visits |
39.4% |
13.8% |
6.9% |
6% |
5.6% |
Mangystau |
Therapist |
Ophthalmologist
|
Neuropathologist |
Obstetrician-gynaecologist |
Otolaryngologist
|
Share of visits |
30.1% |
9.8% |
9.5% |
8.2% |
8.1% |
South Kazakhstan region |
Therapist
|
Pediatrician
|
Obstetrician-gynaecologist |
Neuropathologist |
Surgeon
|
Share of visits |
24.9% |
12.4% |
11.1% |
5.8% |
6% |
Pavlodar |
Therapist |
Obstetrician-gynaecologist |
Neuropathologist |
Ophthalmologist |
Otolaryngologist
|
Share of visits |
17.4% |
9.2% |
9.2% |
8.7% |
7.6% |
North Kazakhstan region |
Therapist |
Ophthalmologist
|
Obstetrician-gynaecologist |
Neuropathologist |
Otolaryngologist
|
Share of visits |
25.8% |
16.7% |
10.5% |
9.9% |
8.3% |
East Kazakhstan region |
Therapist
|
Obstetrician-gynaecologist |
Family doctor
|
Neuropathologist |
Ophthalmologist |
Share of visits |
24% |
9.1% |
8.4% |
7.7% |
7.6% |
Astana city |
Therapist |
Maxillofacial surgeon |
Obstetrician-gynaecologist |
Ophthalmologist
|
Rehabilitation |
Share of visits |
27.2% |
10.3% |
8.5% |
8.1% |
6% |
Almaty city |
Therapist
|
Obstetrician-gynaecologist |
Otolaryngologist
|
Neuropathologist
|
Pediatrician Ophthalmologist |
Share of visits |
15.6% |
14.6% |
12.2% |
8.3% |
6% / 6,1% |
Source: Ministry of Healthcare and Social Development of the RK
With a glance to the high share of visits to the individual professionals comparing with all visits to this profile in Kazakhstan, those regions can be recommended, where medical aid rendered by the private HC institutions within the individual profiles is the best developed.
Regions, which represent the smallest share in the structure of all visits to private HC institutions in the RK (that is, there is lack or insufficient level of medical aid in these profiles in private HC institutions), can be recommended as a favorable niches and segments of the market for the development of private practice in this profile in each the region.
Table 7 - The best practice and segments to develop private practice
Profile |
The best practice in developing this section in private practice |
The RK regions, where this profile (unoccupied niche) in the private practice is not sufficiently developed |
Pulmonology |
Astana, Almaty, Kostanay region. |
Aktobe region, Atyrau region, Jambyl region, West Kazakhstan region, Kyzylorda region, Mangystau region, Pavlodar region, North Kazakhstan region |
Cardiology |
East Kazakhstan region, Almaty city, |
Kyzylorda region, North Kazakhstan region |
Rheumatology |
East Kazakhstan region, Almaty, South Kazakhstan region |
Atyrau region, Jambyl region, East Kazakhstan region, Karaganda region Kyzylorda region Kostanay region, Mangystau region, North Kazakhstan region |
Gastroenterology |
East Kazakhstan region, Almaty, |
Kyzylorda region, North Kazakhstan region |
Nephrology |
East Kazakhstan region, South Kazakhstan region |
Aktobe region, West Kazakhstan region, Mangystau region |
Hemadenology |
East Kazakhstan region, Almaty, |
West Kazakhstan region, Kyzylorda region, Mangystau region |
Allergology |
East Kazakhstan region, Pavlodar region |
Jambyl region, West Kazakhstan region, Kyzylorda region, North Kazakhstan region, Mangystau region |
Hematology |
East Kazakhstan region, Atyrau region |
Jambyl region, West Kazakhstan region, Kyzylorda region, North Kazakhstan region, Mangystau region, Pavlodar region, South Kazakhstan region |
Recreation therapy |
Astana city, Aktobe region, Almaty city, Pavlodar region, |
Jambyl region, Kyzylorda region, Kostanay region, North Kazakhstan region, Mangystau region, South Kazakhstan region |
Angiosurgery |
Astana, Almaty, |
Atyrau region, Jambyl region, West Kazakhstan region, Karaganda region, Kyzylorda region, Kostanay region, Mangystau region |
Proctology |
Almaty, South Kazakhstan region |
Jambyl region, West Kazakhstan region, Karaganda region, Kyzylorda region, Kostanay region, Mangystau region, North Kazakhstan region |
Traumatology |
East Kazakhstan region, Astana, Karaganda region, Pavlodar region |
Kyzylorda region, Atyrau region, West Kazakhstan region |
Urinology |
East Kazakhstan region, Astana, Almaty, Karaganda, Pavlodar region, South Kazakhstan region |
Kyzylorda region, North Kazakhstan region |
Endoscopy |
East Kazakhstan region, Almaty, |
Kyzylorda region, Mangystau region, North Kazakhstan region |
Mammology |
Almaty, Astana, East Kazakhstan region, Kustanay. |
Pavlodar region, Kyzylorda region |
Neurosurgery |
Pavlodar region, Kostanay region, South Kazakhstan region, Almaty city, |
North Kazakhstan region, Atyrau region, Jambyl region, Pavlodar region, South Kazakhstan region, West Kazakhstan region |
Maxillofacial surgery |
Astana, Almaty, |
East Kazakhstan region, Aktobe region, Mangystau region, Pavlodar region, North Kazakhstan region, South Kazakhstan region, Kyzylorda region, Jambyl region, Atyrau region |
Obstetrics and gynaecology |
Almaty, East Kazakhstan region, Karaganda region |
Kyzylorda region, Mangystau region, North Kazakhstan region |
Pediatry |
Almaty, East Kazakhstan region, Karaganda region |
Aktobe region, Mangystau region, North Kazakhstan region |
Ophthalmology |
East Kazakhstan region, Karaganda region, Almaty |
Kyzylorda region |
Otoloryngology |
East Kazakhstan region, Almaty city, Aktobe region, Karaganda region, Kostanay region |
Kyzylorda region, North Kazakhstan region |
Neurology |
East Kazakhstan region, Karaganda region, Almaty |
Kyzylorda region, North Kazakhstan region |
Psychiatry |
East Kazakhstan region, Atyrau region, North Kazakhstan region |
Jambyl region, Kyzylorda region, Pavlodar region |
Mental therapy |
Almaty, Jambyl region |
Kyzylorda region, South Kazakhstan region |
Narcology |
Pavlodar region |
Almaty city, Kyzylorda region, West Kazakhstan region, South Kazakhstan region |
Medicopsychology |
East Kazakhstan region, Astana city |
West Kazakhstan region, Karaganda region, Kyzylorda region, Mangystau region, North Kazakhstan region, Pavlodar region |
Dermatovenerology |
East Kazakhstan region, Almaty, Karaganda region, |
Astana city, Kyzylorda region, North Kazakhstan region |
Genetics |
Astana city, Jambyl region |
West Kazakhstan region, Kostanay region, Mangystau region |
Infectious diseases |
Astana city, Karaganda region, South Kazakhstan region, East Kazakhstan region |
Kostanay region, Mangystau region, Pavlodar region |
Family doctors |
East Kazakhstan region, Astana, Karaganda region |
Pavlodar region, North Kazakhstan region, Mangystau region |
X-ray diagnostics |
Almaty city, East Kazakhstan region |
Kyzylorda region, Mangystau region, Kostanay region, North Kazakhstan region |
Conventional medicine |
East Kazakhstan region, Almaty, Karaganda region, |
Kyzylorda region, Mangystau region, West Kazakhstan region, Jambyl region |
Source: Ministry of Healthcare and Social Development of the RK
SWOT-analysis
Strengths |
Weaknesses |
§ Wide range of the health care organizations; § Availability of wide range of medical services; § High level of professionalism; § Own capital and attraction of investments; § Priority in efficiency issues and resource management issues; § Special attention to the quality of medical services and protection of the consumer's rights; § Relatively low income of doctors and other medical personnel working in private health care organizations, which don't receive the governmental orders; § High quality of service and comfort conditions; § Information about a patient is kept in confidence; § Provision of equal possibilities for the governmental and private health service organizations; |
§ No of intercommunication with the local supervising health care authorities busy in the health care promotion; § Low prices according to the current rater, which does not cover the charges on the rent, depreciation, etc. § Deficiency of the skilled staff § Deficiency of the financial resources. § Weak managerial skills of the administrative staff machinery § No possibility to increase salaries of the medical personnel working in private health care organizations, which receive the governmental orders. § There is no professional marketing in the most private clinics; low quality of advertising communication § Numerous private medical centers are located in the residential houses, where are many sanitary restrictions as well as restrictions relating to the unique features peculiar for the business activities in a residential house; § High price of some medical services; § Nonavailability of medical aid for wider population; § Nonsufficient attention is paid to the in-home medical care and to the preventive measures as preferential ones in treating the "slight" illnesses; § Overdiagnosis, providing numerous expensive procedures and intervention without sufficient medical grounds; |
Possibilities |
Threats |
§ Political commitment of the government to provide the guaranteed volume of free medical care for everybody; § Transparency of the governmental order distribution between private and governmental medical organizations; § Creating a perfectly competitive market; § Transfer or sell of the state owned assets to the business units; § Attraction of the investments including international ones; § Development of economical initiative of the personnel teams working in the medical organizations; § Possibility for the medical staff working in the governmental health care institutions to gain additional income due to providing the chargeable services or due to working a second job in the private medical organizations; § Obligation to apply the best international practices in the private model of services and to improve medical education; § The public right to choose the medical service provider without any restrain; § Governmental support of the private sector of the health care services; § Activities on improving the corresponding regulatory and methodological basis intended to develop the private sector of the health care services and to eliminate excessive administrative barriers; § Implementation of the obligatory medical insurance; § Development of the preventive directions in scope of activities of the private sector of the health care services; |
§ No governmental supervision and control of the quality of medical procedures and medical technologies application, which can be hazardous for the health of a patient; § High public need in the emergency medical services comparing with need in the family doctors (change of expectations of the generation will be required); § Deficiency of the skilled staff; § Excessive monitoring provided by the supervisory bodies; § Increase of the currency exchange rate (growth of prices for medical equipment and other products for medical use); § Showdown in economic growth; § Decrease of population's incomes (decrease of paying capacity) |
We will be glad to help you. If you have any questions — please contact us!
feedback form
regional chambers of business
Astana
Astana
Kazhymukana str., 8a
Т: +7 (7172) 91 90 80
E-mail: astana@palata.kz
|
Almaty
Almaty
Gogol str., 111
Т: +7 (7272) 25 18 30
E-mail: almaty@palata.kz
|
Akmola region
Kokshetau
Abay str., 96
Т: +7 (7162) 72 25 48
E-mail: kokshetau@palata.kz
|
Aktobe region
Aktobe
Sankibay ave., 22 / A, BC "Kazyna"
Т: +7 (7132) 74 46 07
E-mail: aktobe@palata.kz
|
Alma-Ata`s region
Taldykorgan
Abay str., 254 "A"
Т: +7 (7278) 40 14 99, 40 14 98
E-mail: zhetysu@palata.kz
|
Atyrau region
Atyrau
Satpayev str., 78
Т: +7 (7122) 76 36 55, 77 76 06
E-mail: atyrau@palata.kz
|
East Kazakhstan region
Ust-Kamenogorsk
Victory ave., 6
Т: +7 (7232) 25 12 87
E-mail: oskemen@palata.kz
|
Jambyl Region
Taraz
Aitiev str. 5A
Т: +7 (7262) 55 59 00
E-mail: zhambyl@palata.kz
|
West-Kazakhstan region
Uralsk
T. Masina str., 67
Т: +7 (7112) 50 05 84
E-mail: uralsk@palata.kz
|
Karaganda region
Karaganda
Buhar zhyrau ave., 49, 8th floor
Т: +7 (7212) 50 40 55
E-mail: karaganda@palata.kz
|
Kostanay region
Kostanay
Al-Farabi str., 116
Т: +7 (7142) 59 79 60, 39 42 08
E-mail: kostanay@palata.kz
|
Kyzylorda region
Kyzylorda
Aiteke str., 28
Т: +7 (7242) 40 08 91
E-mail: kyzylorda@palata.kz
|
Mangistau region
Aktau
35 microdistrict, building of the Chamber of Entrepreneurs of Defense
Т: +7 (7292) 30 37 68, 30 29 25
E-mail: aktau@palata.kz
|
Pavlodar region
Pavlodar
Lomov str., 21
Т: +7 (7182) 67 62 21, 66 03 11
E-mail: pavlodar@palata.kz
|
North-Kazakhstan region
Petropavlovsk
Abay str., 29
Т: +7 (7152) 50 36 15
E-mail: petropavl@palata.kz
|
South-Kazakhstan region
Shymkent
Kunaev Boulevard, 21, Business Center "Altyn Orda", 3rd floor
Т: +7 (7252) 99 55 00
E-mail: shymkent@palata.kz
|