关键词: accessibility education health insurance medical care medication provision public organization

Mesh : Humans Kazakhstan Male Female Insurance, Health / statistics & numerical data Adult Middle Aged Socioeconomic Factors

来  源:   DOI:10.32687/0869-866X-2024-32-3-456-461

Abstract:
Until recently, in Kazakhstan, both health care services and medication support of population were financed from National budget and compulsory social health insurance foundation. But actual system meet needs of Kazakhstanis in medications not in full measure. The purpose of the study is to identify readiness of citizens to implementation of new medicinal insurance program with state co-financing. The study was carried out in 2022 in 17 regions of Kazakhstan. The readiness of Kazakhstanis to participate in medicinal insurance program with state co-financing was studied through sociological survey of 5 819 Kazakhstanis. The sociological survey revealed that respondents express average degree of readiness to implementation of new medicinal insurance program with state co-financing and to purchasing of insurance policy. The correlation between social demographic characteristics (objective indicators) and readiness indicator (subjective indicator) was revealed. The younger males with higher education, residing in urban areas, with average and high income and officially married are more inclined to purchase insurance policy. At that, according to results of sociological survey, one third of respondents have no relevant information about health insurance in general and medicinal insurance in particular. They found it difficult to express their personal position about this issues. It is supposed that Kazakhstanis in the result of educational measures will take part in medicinal insurance program with state co-financing. The education projects can be implemented through public organizations operating locally and communicating with population at the micro level. It is determined that it is especially important to apply educational measures to rural residents, middle-aged and elderly people, females and persons with low average income per family member.
摘要:
直到最近,在哈萨克斯坦,医疗保健服务和人口药物支持均由国家预算和强制性社会健康保险基金会资助。但是实际系统无法完全满足哈萨克斯坦人在药物方面的需求。该研究的目的是确定公民在国家共同资助下实施新的医疗保险计划的准备情况。该研究于2022年在哈萨克斯坦的17个地区进行。通过对5819名哈萨克斯坦人的社会学调查,研究了哈萨克斯坦人在国家共同资助下参加医疗保险计划的准备情况。社会学调查显示,受访者表示愿意在国家共同资助下实施新的医疗保险计划和购买保险单的平均程度。揭示了社会人口特征(客观指标)与准备指标(主观指标)之间的相关性。受过高等教育的年轻男性,居住在城市地区,收入一般和高,正式结婚的人更倾向于购买保险单。在那,根据社会学调查结果,三分之一的受访者没有关于一般健康保险,特别是医疗保险的相关信息。他们发现很难表达他们对这个问题的个人立场。据推测,哈萨克斯坦在教育措施的结果将与国家共同资助参加医疗保险计划。教育项目可以通过在当地运作并在微观层面与民众沟通的公共组织来实施。确定对农村居民实施教育措施尤为重要,中老年人,女性和每个家庭成员平均收入低的人。
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