The Organization of Specialized and High-Tech Cardiologic Care in the Republic of Kazakhstan

Abstract

The article presents the results of analysis of indices of morbidity and mortality of diseases of blood circulation system of population of the Southern Kazakhstan oblast in 2004-2015. The analysis was applied to annual activities reports of the Regional cardiologic Center in 2013-2016. Thus, in 2016 the Center accepted 4237 patients and 80.7% out of them in emergence order. In overall, treatment in the Regional cardiologic Center was applied to 59.4% of respondents. All respondents were residents of municipal center an only 25.4% resided in rural area that is related to lower accessibility of cardiologic and cardio-surgery care for them. During analyzed period, increasing of rate of renunciation of hospitalization up to 15.8% was established. In 2016, the leading causes of renunciation were absence of indications for emergency hospitalization and common hospitalization, non-profile patients and self-repudiation. The article presents the results of sociological survey of 784 patients with diseases of blood circulation system addressing medical organizations of the Southern Kazakhstan oblast. It is established that main causes of dissatisfaction with medical care in the Regional cardiologic Center are long-term waiting for one's turn, inconsiderate attitude of personnel, low accessibility of planned hospital treatment, inadequate effectiveness of treatment, and poor free medications support.