Relevance of Improving Human Resource Management in the Organization of Primary Healthcare

The aim of this study: To determine the trajectory of improving human resource management as an element of operational management in the organization of primary health care. Methods. Within the framework of the study, a comparative analysis of statistical data on the provision of PHC doctors by regions for 2017-2019 was carried out according to the information system of the Ministry of Health of the Republic of Kazakhstan «Additional component of the per capita standard». Results. When analyzing the provision of health care organizations with general practitioners, district pediatricians, district therapists at the level of primary health care (PHC) in the republic, a dynamic decrease in the quantitative indicator of doctors providing PHC was revealed. And also noted a stable tension in the workload of a doctor in terms of the number of served (attached) population. Conclusions. Staff-oriented approaches, such as calculating the required number of staff or creating formulas and algorithms, provide only partial solutions. More comprehensive solutions are needed that will focus on effective multifactor human resource management. For the most effective use of human resources, health care organizations must expand a systems approach that takes into account organizational and institutional conditions

Nursing Leadership Competence Assessment and Development in Healthcare in Kazakhstan

zakhstan. Methods. In this study the leadership competency dimensions were summarized into six leadership competency domains: Setting direction, Managing services and driving results, Leading people and teams, Enhancing nursing professionalism and ethics, Communication and team collaboration skills, and Self-leadership. The questionnaire based on these competency domains was sent to respondents electronically and in paper version for the respondents to assess their own leadership competencies. Results. According to the results, all competency domains and different competency statements in the questionnaire were relevant. In all competency domains, the managers have some or good competency level. However, in enhancing nursing professionalism and ethics, the ability to apply the nursing reform in service development was seen challenging as only half of the respondents had good or excellent competency. The nursing reform described in the Comprehensive Plan of Nursing Care Development in the Republic of Kazakhstan until 2020 was not familiar to almost half of the respondents. According to the results, the educational degree in nursing required should be a higher education degree (bachelor level). Conclusions. Medical universities have an important role in enhancing nursing research, nursing profession and nursing leadership education. It is recommended that the medical universities promote and support the structural changes in healthcare organizations by competence development of chief and senior nurses

Antibiotic Resistance in Different Types of Injuries: Monitoring and Optimizing the Use of Antibacterial Agents

In modern conditions, microbiological studies are of great and serious importance, it allows you to adjust antibacterial therapy and to reveal the prevalence of infectious pathogens within the walls of the hospital. However, in hospital with high complications associated with various types of injuries, it is necessary to develop new approaches to early etiological diagnosis, designed to improve treatment, and to prevent the spread of infectious infections in the hospital.

The Results of Analysis of Emergency Care Travels in Nur-Sultan city in 2016-2019

The aim of the study is to analyze trends in the structure of emergency medical services in Nur-Sultan city in 2016-2019. Methods. We took the data from electronic resources of various state medical institutions of the Republic of Kazakhstan. We conducted an analysis of trends in the structure of emergency medical services in Nur-Sultan (2016-2019). We applied a statistical method for calculating a number of dynamics. Results. Analysis of the data obtained showed that more than 4% of calls to Nur-Sultan emergency medical services are unsuccessful, which is higher than the indicator for the Republic of Kazakhstan (3%). The maximum number of rejected calls for unjustified reasons was recorded in 2018 (73 units) compared to 2017 and the growth rate was 82%. Conclusions. The problem of unsuccessful emergency medical services is relevant and can cause significant financial costs

Practical Advice for Nurses in Implementing Nursing Clinical Guideline – Risk Estimation and Prevention of Cardiovascular Diseases

The aim of the study: The evidence-based nursing clinical guidelines transform the best research evidence into recommendations for clinical practice. Majority of patients can be managed according to nursing clinical guidelines. In nursing clinical guideline implementation the nurse uses his/her own knowledge base and jurisdiction in the care of the patient. The nurse makes observations of the status of the patient and chooses the best nursing intervention included in the nursing clinical guideline to promote the condition of the patient. Methods. In the Republic of Kazakhstan, adaptation was chosen as a method how to develop nursing clinical guidelines. The Kazakhstani nursing clinical guideline “Risk estimation and prevention of cardiovascular diseases” contains recommendations for nursing professionals involved in screening risk factors and caring for patients with cardiovascular diseases. The guideline was originally developed by the Scottish Intercollegiate Guidelines Network. Results. Nurses need to make decisions concerning the care of cardiovascular patients: advice on treatment, patient information and education. The article contains evidence-based information of cardiovascular nursing care and recommendations for nursing professionals involved in screening risk factors and caring for patients with cardiovascular diseases. The main nursing intervention is motivational interview technique to establish a trustworthy relationship with the patient and trough controversial dialogue to support the patient towards healthier lifestyle and commitment to planned care. Conclusion. In addition, the article covers a short overview of nursing clinical guideline development process in the Republic of Kazakhstan, to ensure the common understanding of nursing clinical guideline development process and the role of nursing clinical guidelines in everyday nursing practice.

Assessment of Managers’ Attitude to the Strategic Potential of Organizations

The aim of the study: Determine the managers’ understanding of the strategic potential of organizations. Methods. As part of the study of the organization, a questionnaire was conducted among of the heads of structural divisions of RSE on REM «Republican center for health development» of MOH RK. Results. Based on the results of the study, the main functions of the organization were identified, which can potentially be the main strength of the enterprise. It also determined the readiness of managers to change and the ability of the organization to function without the support of the supervising state body. Conclusions. Organizational managers are willing and able to lead change in the organization. The readiness for change should facilitate the strategic choice of the organization with the alternative of incremental improvement.

The Relevance of the Development of Bariatric and Metabolic Surgery in the Republic of Kazakhstan and its Economic Justification

Among the new professions, the introduction of which is in demand in the modern health system, is the profession of a bariatric and metabolic surgeon. Bariatric and metabolic surgery is a cost-effective field of medicine, with a relatively short payback period, and its development is of high social importance. Considering the positive impact on the life expectancy and quality of life of patients, the use of laparoscopic mini-gastric bypass surgery, as a more effective and reliable, as well as relatively safe method of bariatric and metabolic surgery, is an attractive investment area. The development of bariatric and metabolic surgery is of particular relevance in preventing the negative consequences of obesity for human health, in particular, in the combination of type 2 diabetes mellitus with morbid obesity. All this determines the high relevance of the development of such a new field of surgery as bariatric and metabolic surgery in the health system of the Republic of Kazakhstan and the training of bariatric and metabolic surgeons within the framework of specialization programs for medical specialists of the surgical profile.

About the Distance Learning System Introduced During the COVID-19 Pandemic

The World Health Organization has declared the COVID-19 pandemic one of the main threats to humanity, as it affected not only the health care system, but also the global economy and education system around the world. All educational institutions, schools, colleges, universities were massively closed. In 2020, every fifth student in the world did not attend school. Today, distance learning is popular due to a number of advantages. This is, first of all, the availability of information about all knowledge in one place, so that each student has free access to content anywhere and at any time. However, there are also certain negative aspects of distance learning. In this paper, we conducted a comparative analysis of the positive and negative aspects of distance learning using a review of the literature available to us. The manuscript was prepared as part of the diploma work of N.K. Zhasulanov on the topic: «Assessment of the impact of distance learning introduced during the COVID-19 pandemic on the level of knowledge of students (for example, Astana Medical University)»

Increasing the availability and openness of information on ongoing biomedical research in the Republic of Kazakhstan based on the development and launch of the National Biomedical Research Register: Policy Brief

What is the problem? • Lack of culture and legal grounds for providing open and full access to information on biomedical research (BMR) conducted in the territory of the Republic of Kazakhstan. • Lack of a unified on-line platform that provides the ability to search for specified parameters and extract information in full-text format and in an accessible language about completed and ongoing BMRs. • Low availability of information about BMR held in the territory of the Republic of Kazakhstan for the scientific and professional medical community, health policy makers and the population. Policy options Option 1. Creation of a legal basis for registration of BMR in a unified national register, providing open and full access to information about BMR held on the territory of the Republic of Kazakhstan, by: o Securing the requirement for mandatory registration of BMR in the National BMR Register in the regulatory legal acts, which determine the procedure for conducting BMR, preclinical trials (PCT) and clinical trials (CT) of drugs and medical devices; o Inclusion of the requirement for mandatory registration in the National BMR Register in contracts concluded with scientific, sociological and analytical performers in the field of health care; o The conclusion by the Ministry of Health of an agreement with the editors of scientific journals published in the territory of the Republic of Kazakhstan that all published results of BMR can be published when the BMR data is included in the National BMR Register and (or) an authoritative international register. o Elaboration of mechanisms for retrospective filling of the National BMR Register by organizations that conducted BMR in the last 10 years. Option 2. Development and launch of an online resource of the National BMR Register, which provides access for various groups of users and provides automation of the processes of registering BMR, search and analysis of information contained in the register by: o Creation of an online resource of the National BMR Register in accordance with the recommendations of the ICMJE, with filling in all data included in the authoritative registers of the CT (for example, ClinicalTrials.gov), PCT (for example, PreclinicalTrials.eu) and other registers of the BMR providing free (on state, Russian, English) and full-text access to all registered BMR; o Development of instructions for maintaining the National BMR Register, training modules on working with the register, conducting a wide information campaign among all interested parties; o Development of on-line platform for the Unified system for submitting applications for CT in integration with the National BMR Register (functioning on the principle of a “single window” for licensing procedures, information support, reporting, etc.); o The institutionalization of the mechanism of the Unified system for submitting applications for CTs by forming a Coordination Center for Clinical Trials and fixing a new mechanism for accepting applications in the Rules for conducting clinical trials of medicines and medical devices. • Option 3. Development of international cooperation in the field of BMR registration, by: o Submission of an application for the inclusion of the National BMR Register as a primary register in ICTRP (sending to WHO a profile and technical questionnaire, letters of support from the Ministry of Health of the Republic of Kazakhstan); o Ensuring regular transmission of data from the National BMR Register to ICTRP; o Development of the practice of registration of BMRs conducted on the territory of the Republic of Kazakhstan in international registries (ClinicalTrials.gov, PreclinicalTrials.eu, etc.). Vision on the implementation of policy options In assessing the feasibility of implementing the proposed policy options, taking into account the existing barriers and opportunities, we conclude that all three policy options complement each other. However, given the differences in options in the direction of actions, the resources and methods used, these policy options can give a more significant achievement of the goal of increasing the availability and openness of information on the conducted BMR in the Republic of Kazakhstan when they are combined.

Epidemiological forecast of COVID-19 in Kazakhstan

Currently, the epidemic situation in Kazakhstan is stable.The main reason for this is a correctly calculated epidemic forecast. This article provides a forecast of the epidemic situation in Kazakhstan using a mathematical model. The model is used to analyze the epidemic situation between Kazakhstan and other countries. In addition, the article discusses the ways and consequences of eliminating the epidemic. The developed model is used to describe how the upcoming epidemic situation is developing. In other words, the article analyzes and evaluates the epidemic caused by coronavirus infection in Kazakhstan using a mathematical model