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LECTUREHealth care market, supply and demand. Competition in
health care in Kazakhstan.
Ф КГМУ 4/3-04/03ИП №6 от 14 июня 2007г.
KARAGANDA STATE MEDICAL UNIVERSITYDepartment: History of Kazakhstan and political disciplines
On disciplines:ОЕТ 1110 Bases of economic theory For specialty: General Medicine 5В130100 Total hours: 90 (2 credits) Course: 1 Semester: 1, 2
Karaganda - 2014
Subject: Market of medical services, supply and demand. The competition in health care of Kazakhstan.
Purpose: to sum up the result on the section of economy. To reveal the level of assimilation by students of the studied material.
Plan of lecture:
1) Concept, essence and conditions of emergence of the market. Types of the markets and their classification.
2) Supply and demand in the market of medical services.
3) Market of medical services.
4) The competition in the market of medical services.
Basic models of health care
1
Universalist model
2
Continental model
3
South model
4
Scandinavian model
5
Private model
6
Health care model in the countries
with the transition economy
Universalist model
This model is developed
in Great Britain and Ireland.
This model is financed more at the expense of taxes. In a basis of the British
system of the organization and financing of health care
the priority of the primary medical and sanitary help is
put.
Continental model
The continental model is developed in Germany, Austria,
France, the Netherlands, Belgium, Luxembourg.
This model is financed at the expense of
assignments from a wages fund and from special state funds.
Southern model
This model is developed in Spain, Portugal, Greece and
partially in Italy.
In this model financing is more carried at the
expense of contributions from employment funds.
Medical attendance is carried out by the public
and private medical institutions.
Scandinavian model
This model is developed in Sweden, Finland and
Denmark
In this model financing is carried out generally at the expense of income tax, and the size of paid
manuals directly depends on earnings. Medical services are
rendered both state, and private treatment-and-prophylactic
institutions.
The Swedish model of health care is recognized
for today as one of the most world-best.
In the Swedish model the considerable share of expenditures on medical care is born by the state, and only about 10% of services are
paid by the population. Upon purchase of the drugs assigned the
doctor, the medical insurance returns to the patient from 50 to
100% of expenditures
Private model
This model is developed in the USA,
South Korea.
This model is financed at the expense of quotients and to a
lesser extent the state sources. Rendering medical care is
carried out by private vendors of medical services.
Supply and demand in the market for medical services in Kazakhstan are regulated by the
following laws and regulations:
1. Strategy "Kazakhstan – 2050»;
2. State Program for Development of Health "Salamatty Kazakhstan" for 2011-2015 y.;
3. The Strategic Plan of the Republic of Kazakhstan till 2020;
4. The Strategic Plan of the Ministry of Health of the Republic of Kazakhstan.
Determinants of demand for health services
Social and psychological
factors
Economic factor
Epidemiological factor
Geographical factor
Level of the income
of the population
Age and preferences
of the population;
Incidenceduring
epidemics
Territorial restriction in the
possibility of obtaining assistance
The term "competition" came to the economic theory from spoken language. It’s origin of the Latin word «concurrentia», meaning "encounter", "competition". In economics, competition is defined as follows.
COMPETITION IN THE MARKET OF MEDICAL SERVICES IN
KAZAKHSTAN
Factors of low competitiveness in the modern health system in Kazakhstan
1. plan health system;2. conservative form of ownership of medical
institutions;3. absence of the modern managers in health care;4. absence of methods of scientific planning;5. absence of the modern mechanisms, methods and
forms of improvement of quality of medical care.
Implementation of Uniform national health system (UNHS) allowed to create the
competitive environment between the medical organizations in Kazakhstan
From January, 1 year 2010 in Kazakhstan was implemented UNHS
(Unified National Health System)
Free choice of medical organization:1. Free choice of clinic;
2. Free choice of hospital.
Improving methods of motivation f health workers:
1. The differences in pay of health workers;
2. Additional payment of wages for work quality.
Control questions:
1. Give definition of concept of "The market of medical services"
2. How there is an interaction of subjects of a market economy.
3. What economic transformations proceeded in the territory of Kazakhstan from the moment of independence finding.
4. That the market infrastructure provides.
5. That market segmentation means.
References:
1. Chesnokova I.A. Bases of economic theory. –Educational manual.-Karaganda.-2008. -71p
2. Djakupova D.E. Bases of economic theory. –Educational manual.-Karaganda.-2012. -71p
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