5-летний анализ эффективности использования коечного фонда в системе здравоохранения Республики Казахстан

Abstract

The purpose of the study: to evaluate the effectiveness of the use of the bed fund (including oncological beds) in the healthcare system of the Republic of Kazakhstan for 2016-2020.Methods: balance method, mathematical and statistical methods, method of comparison.Results. In the Republic of Kazakhstan, there is a tendency to increase both the absolute number and the provision of beds per 10 thousand population. So during the analyzed period, the number of beds, for all departments, increased from 87.172 beds in 2016 to 107.595 beds in 2020 (18.9%). The provision of beds per 10 thousand population has increased in beds of all departments since 2016 from 48.6 to 57.4 per 10 thousand population in 2020, the increase was 15.3%. The provision of beds for all forms of ownership and departments in 2020 amounted to 55.4 beds per 10 thousand population. At the same time, the provision of beds per 10 thousand population in the system of the Ministry of Health of the Republic of Kazakhstan is 44.6, which corresponds to the average level of bed provision in the OECD countries (43.9). Over the period from 2016 to 2020, there has been an increase in the number of beds of private ownership, an increase of 41.31%. In Kazakhstan, for the period from 2016 to 2020, the average bed occupancy tends to decrease - 35.0%, from 311 days in 2016 to 202.3 in 2020, this indicator corresponds to the level of bed occupancy of 82.6% (with an optimal load level of 85%). There is an increase in the bed turnover rate from 30.1 to 33.9 in 2020. Conclusions. The provision of beds for medical care in Kazakhstan as a whole is sufficient, with a relative shortage of certain (palliative, rehabilitation, etc.) bed profiles. At the same time, the need of patients for inpatient care remains, as evidenced by the order in the portal of the bureau of hospitalizations. Keywords: bed stock, bed availability, bed turnover, average annual hospital bed occupancy, hospitalization.