1. Солтүстік Қазақстан облысының аурухана желісін қайта құру туралы Nation-Health Our strength On the restructuring of the hospital network North-Kazakhstan region

2. The urgency of the problem The need to shift from extensive model of progressive health medical and organizational forms of assistance to improve the efficient use of limited material, financial and human resource capacity of the industry. The system involves the restructuring of the transition to a multi-level system of aid, the implementation of the stepped placement of the stages of service. Get the development of resource-saving technologies, the transition to a system of general

3. Normative legal acts regulating the procedure of restructuring Resolution of the Government of the Republic of Kazakhstan from April 24, 2014 № 396 "On approval of the" Concept of Social Development of the Republic of Kazakhstan till 2030 and the Plan of social modernization in the period up to 2016 "модернизации на период до 2016 года» Government Decision of 02.19.2014 year №114 «On approval of the state standard network of healthcare organizations of Kazakhstan" Order of the Minister of Health and Social Development of the Republic of Kazakhstan from April 28, 2015 № 284 "On approval of the state standard of the network of healthcare organizations of Kazakhstan"

4. Objectives:  access to health care  the effectiveness of health services  quality  meeting the needs of the population,  compliance with best achievements in medical science Strengthening primary care network The introduction of a modern hospital practices to reduce the incidence of inappropriate hospitalization, including: - Expansion of the sector outpatient surgery until at least 40% of the total number of surgeries; - Improved management of patients with chronic diseases (further implementation and development of chronic disease management programs); - Develop a network of long-term care Tasks:

5. Demographics 2011 г. 2012г. 2013 г. 2014 г. 40,5% 2015г. The proportion of urban population 589 301 583 582 579 448 575 766 571 759 40,9 % 41,4% 41,9% 42,5% The annual rate of population decline 1% The age structure of the population (%) On 01.08.2015, the population of East Kazakhstan region is 570 444

6. Demographics Life expectancy Kazakhstan North Kazakhstan

7. The existing network of hospital organizations Type of hospitalHospital Communal state enterprise on the right of economic management Berths Оregional level (Level 3) Regional hospitals + tertiary care Regional Hospital Heart Center Regional Cancer Center Regional Perinatal Center Children's Regional Hospital Regional dermatovenerologic dispensary 350 170 137 135 294 70 Municipal level (Level 2) City hospitals"City Hospital № 3" "City Hospital № 1" 430 150 District level (Level 1) District hospitals"Aiyrtau Central Hospital“ "Akzhar Central Hospital" “Akkaiin Central Hospital” “Yablen Central Hospital” “Zhambyl Central Hospital” “M.Zhumabaeyeva Central Hospital” “Kyzylzhar Central Hospital” “Mamlut Central Hospital” “G.Musrepova Central Hospital” “Taiishin Central Hospital” “Timiryazev Central Hospital” “Ualihanov Central Hospital” “Shal akina Central Hospital” 115 84 58 55 75 110 95 65 140 40 65 68

8. The existing network of hospital organizations Type of hospitalHospitalBerths Long-term treatment Tuberculosis. Mental illness. After drug rehabilitation. Regional TB Dispensary Interdistrict tuberculosis dispensary district Zhumabaeva Zhambyl interdistrict tuberculosis dispensary Interdistrict tuberculosis dispensary Musrepova "Regional Drug Treatment Center" The regional mental hospital " 325 50 80 235 220 Total273 806 Private hospital Center eye "Aina-goats"25

9. Reducing the number of beds 4274 3953 3806 01.11.2015 г. 01.01.2015 г. 01.01.2014 г.

10. Expected Results 2015-2017 10 Combining "Drug Organization to force treatment "with the Municipal State Enterprise on the right of business" regional drug treatment center " ГодРабота койкиОборот койки Interdistrict tuberculosis dispensary M.Zhumabayev 2012278,02,6 2013310,52,1 2014289,82,4 Interdistrict tuberculosis dispensary Area them. G.Musrepov 2012248,62,8 2013311,03,2 2014296,02,8 Zhambyl interdistrict tuberculosis dispensary 2012245,41,8 2013228,01,5 2014178,31,7 Performance Inter-district TB dispensaries As of 1/11/2015, the In the region:  Regional TB Dispensary- 325 beds  Interdistrict tuberculosis dispensary Area them. G.Musrepov- 80 beds  Interdistrict tuberculosis dispensary M.Zhumabayev-50 beds  Zhambyl interdistrict tuberculosis dispensary - 50 beds (Elimination from 01.12.2015 years)

11. In the period up to 2025 it recommended The number of doctors serving the network of inpatient hospital reduced from 553 to 498 Upgrade Tayynshinskuyu Central Hospital and build a city hospital, instead of the existing city hospital number 3, as the inter-district general hospitals Convert Kyzylzhar central district hospital in the nursing home / rehabilitation center) and Timiryazev central district hospital and Akkayynskuyu central district hospital in nursing homes Convert the city hospital №1 in multidisciplinary rehabilitation center Number of beds reduced from 4274 to 3118 9 institutions leave the district hospital serving from 20 000 to 50 000 population, and focused on four main specialties (general medicine, surgery, pediatrics, obstetrics and gynecology) Combine the Holding Regional Medical Center 3 specialized agencies, regional level (Heart Center, Regional STI clinic, the regional perinatal center)

12. Thank you for attention! Здоровье нации- Наша сила