Payment for healthcare in post-Soviet Kazakhstan

Name: Eraj Ghiyosov Anvarovich

LCSH: Medicare -- Costs

LCSH: Medicare -- Economic aspects -- Kazakhstan

LCSH: Medical care, Cost of -- Kazakhstan

MeSH: Health Services -- Kazakhstan

Abstract: The collapse of the Soviet system in Kazakhstan brought in its wake healthcare shortage and a budget that was not able to cover all expenditure. A situation of shortcoming in public healthcare which associated low quality care, and increasingly obligatory payments emerged. . So it seemed an interesting question to find out why this was happening and who had to pay for healthcare? The objective of this study was to explore the origination of payment in the healthcare sector in Kazakhstan after the reformation of the political system, and the factors influencing payment in the healthcare sector. Using secondary data from the Kazakhstan Demographic and Health Survey 1999, the study aimed to explore the demographic, socio-economic, and illness treatment factors influencing payments for healthcare. The reason for looking at the relationship between payment and the mentioned characteristics (mainly socio-economic) was to ascertain if payment occurs equitably according to demographic and socioeconomic factors, and type of healthcare, and to understand the determinants of payment in the transition period. A model was formulated in order to conceptualize the relationship of independent variables such as place of residence, age, marital status, education, employment, household assets, and type of healthcare facilities to a dependent variable that is “payment for healthcare facilities”. The result of this study identified that due to the economic crisis in the transition period even public ostensibly free of charge healthcare services in Kazakhstan require informal payments. Urban residents are much more likely to pay for healthcare than rural residents; however, payment occurs in both areas, and in most in public healthcare services. Payment occurs because it means higher care can be obtained. Those residents who are of higher socioeconomic status tent to pay more for services. These problems highlight the need for a more accessible and equitable healthcare system. One way to do this would be to formalize the existing informal payment system.

Mahidol University

Address: NAKHON PATHOM

Email: liwww@mahidol.ac.th

Name: Bryant, John Robert

Role: Thesis Advisors

Created: 2007

Modified: 2553-06-19

Issued: 2010-06-09

วิทยานิพนธ์/Thesis

application/pdf

CallNumber: TH A637p 2007

eng

DegreeName: Master of Arts

Level: Master's Degree

Descipline: Population and Social Research

Grantor: Mahidol University

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