Authors
Smagulov Alibek, Kurakbayev Kuralbay, Baimakhanov Abylai, Zhandossov Olzhas, Abilkaiyr Nazerke, Zhakupova Maiya, Bapayeva Magripa, Kapanova Gulnara, Alikeyeva Galiya, Makhanbetkulova Dinara
Published in
Frontiers in public health. Volume 13. Pages 1608557. Epub Sep 01, 2025.
Abstract
In Kazakhstan, transformation of the private healthcare sector as the country transitioned from lower-middle-income to upper-middle-income status has rarely been a subject of academic debate. This study aimed to analyze of health sector indicators disaggregated by type of ownership over the period of 10 years (from 2011 to 2020).
This was a retrospective cross-sectional study, which was based on official healthcare statistics presented by the Ministry of Health. Relative change (RC) was computed to identify trends in changes over time and was expressed as a proportion with 95% confidence intervals.
In contrast with the government-owned health facilities, the overall number of private facilities increased over time, although this growth was less obvious in per capita terms. The number and density of private PHC facilities grew more substantially than those of outpatient facilities. PHC practitioners employed by the government-owned facilities admit more patients than practitioners of the private PHC facilities do. There is an uneven presence of the private health sector in different medical specialties with maternity, ophthalmology, dentistry, narcology, multidisciplinary, as well as palliative and nursing care being the most common.
Such data are needed by decision-makers to tailor public health strategies focused on the stewardship of the private health sector, which would help improve the availability and affordability of medical services.
PMID:
40959630
Bibliographic data and abstract were imported from PubMed on 17 Sep 2025.
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