OECD Reviews of Health Systems: Kazakhstan 2018

image of OECD Reviews of Health Systems: Kazakhstan 2018

Kazakhstan has made significant economic progress over recent decades. Health has risen on the policy agenda with a number of sector reforms introduced to modernise the system and improve the health of the population. This review uses globally recognised frameworks and indicators to evaluate Kazakhstan’s overall health system as well as its primary care and hospital sectors. Data provided by Kazakhstan is used to benchmark the various dimensions of performance with that of OECD countries. While the review points to notable successes, Kazakhstan continues to face challenges to improve the accessibility, equity, and efficiency of health services. To strengthen health system performance, the report points to key actions that Kazakhstan should consider prioritising in the coming years.

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Executive Summary

Kazakhstan has made exceptional economic progress since independence, achieving a GDP per capita on par with the Central European members of the OECD. As the economy has grown, health has attained a higher priority on the policy agenda, with the result that Kazakhstan has increased its investment in health and launched several waves of health care reforms intended to improve the accessibility, equity, and efficiency of health services. In particular, the entire population is now entitled to access a basic package of benefits free-of-charge, primary health care has been expanded, and the hospital sector has been restructured to reduce reliance on inpatient care. Additional reforms have sought to modernise service delivery arrangements by increasing the autonomy of public providers, improving the quality of care and expanding the application of evidence-based medicine. Payment systems have been reformed to reward providers’ activity and quality of services more appropriately.


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