Transformation of the private healthcare sector in the Republic of Kazakhstan following healthcare reforms
Alibek S. Kuralbay K. Abylai B. Olzhas Z. Nazerke A. Maiya Z. Magripa B. Gulnara K. Galiya A. Dinara M.
2025Frontiers Media SA
Frontiers in Public Health
2025#13
Background: In Kazakhstan, transformation of the private healthcare sector as the country transitioned from lower-middle-income to upper-middle-income status has rarely been a subject of academic debate. This study aimed to analyze of health sector indicators disaggregated by type of ownership over the period of 10 years (from 2011 to 2020). Methods: This was a retrospective cross-sectional study, which was based on official healthcare statistics presented by the Ministry of Health. Relative change (RC) was computed to identify trends in changes over time and was expressed as a proportion with 95% confidence intervals. Results: In contrast with the government-owned health facilities, the overall number of private facilities increased over time, although this growth was less obvious in per capita terms. The number and density of private PHC facilities grew more substantially than those of outpatient facilities. PHC practitioners employed by the government-owned facilities admit more patients than practitioners of the private PHC facilities do. There is an uneven presence of the private health sector in different medical specialties with maternity, ophthalmology, dentistry, narcology, multidisciplinary, as well as palliative and nursing care being the most common. Conclusion: Such data are needed by decision-makers to tailor public health strategies focused on the stewardship of the private health sector, which would help improve the availability and affordability of medical services. Copyright
government , healthcare , Kazakhstan , private practice , public-private partnership
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Department of Population Health and Social Sciences, Kazakhstan Medical University “KSPH”, Almaty, Kazakhstan
Department of Health Economics and Insurance Medicine, Kazakhstan Medical University “KSPH”, Almaty, Kazakhstan
Faculty of Postgraduate Education, Kazakh National Medical University named after S.D. Asfendiyarov, Almaty, Kazakhstan
Department of Public Health, Kazakh National Medical University named after S.D. Asfendiyarov, Almaty, Kazakhstan
Kazakhstan Medical University KSPH, Almaty, Kazakhstan
Department of Health Policy and Organization, Al Farabi Kazakh national University, Almaty, Kazakhstan
Department of Nursing, Kazakh National Medical University named after S.D. Asfendiyarov, Almaty, Kazakhstan
Department of Population Health and Social Sciences
Department of Health Economics and Insurance Medicine
Faculty of Postgraduate Education
Department of Public Health
Kazakhstan Medical University KSPH
Department of Health Policy and Organization
Department of Nursing
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Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026