THE IMPACT OF COVID-19 ON THE PERFORMANCE OF PRIMARY HEALTH CARE SERVICE PROVIDERS IN A CAPITATION PAYMENT SYSTEM IN THE REPUBLIC OF KAZAKHSTAN
Introduction. In Republic of Kazakhstan, as in many other countries, the use of capitation payment schemes in primary health care is popular. Despite this popularity, the subject literature discusses its role in decreasing the quality of primary medical services. This problem is particularly important during COVID-19. In this study the authors use data from interviews with personnel of medical entities and financial and administrative reports of primary health care providers in order to identify how this crisis situation impacts the performance of primary health care entities, under capitation payment system. The performance indicators include both the financial and quality measures.
Objective: The objective of the study is to examine the effects of COVID-19 pandemic on the performance of the primary health care providers in Republic of Kazakhstan under a capitation payment scheme
Results and conclusions: Capitation payment system proved to be inefficient, in the studied pandemic period, in terms of the services provided by primary health care service providers to patients and the funds paid to them, in exchange, by the government entities.
Search strategy: The search for sources was carried out in the following bases: Scopus, Web of Science Core Collection, MedLine, PubMed, Cochrane Library, Google Scholar in the electronic scientific library e-Library.ru, CyberLeninka. Inclusion criteria: the depth of the literature search was4 years (2018-2021), the material of the study was the official reports and data of the Ministry of Health of the Republic of Kazakhstan and the National Scientific Center for Health Development named after Salidat Kairbekova and original articles, literature reviews, meta-analyzes, regulatory documents in English and Russian. This analysis takes into account changes in financial measures-revenues, costs and medical margins (financial performance) and productivity measures-based on health services performed (quality performance).
Aigerim B. Mukhamedyarova1, https://orcid.org/0000-0001-9152-6777
Tolebay K. Rakhypbekov2, https://orcid.org/0000-0002-5699-3086
Azhar А. Dyusupova 3, https://orcid.org/0000-0002-8857-4118
Аnar Е. Tursynbekova4, https://orcid.org/0000-0002-0248-5174
Raida I. Faizova3, https://orcid.org/0000-0002-7168-6826
Tatiana M. Belyaeva3, https://orcid.org/0000-0002-2565-2393
Oxana P. Tsigengagel3*, https://orcid.org/0000-0002-3170-9712
1 NJSC "Astana medical university", Nur-Sultan city, the Republic of Kazakhstan;
2 Head of the Kazakhstan’s National Association «Primary Health Care», Nur-Sultan city, the Republic of Kazakhstan;
3 NCJSC «Semey Medical University», Semey c., Republic of Kazakhstan;
4 City Clinical Hospital №5, Almaty c., Republic of Kazakhstan.
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Bibliography link
Mukhamedyarova A.B., Rakhypbekov T.K., Dyusupova A.А., Tursynbekova А.Е., Faizova R.I., Belyaeva T.M., Tsigengagel O.P. The impact of COVID-19 on the performance of primary health care service providers in a capitation payment system in the Republic of Kazakhstan // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 5, pp. 6-12. doi 10.34689/SH.2021.23.5.001Related publications:
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