Volkova O A, Aliev Sh I, Spankulova L S, Vrubel M E
The Institute of of Demographic Studies of the Federal State Budget Institution "The Federal Scientific Research Sociological Center of The Russian Academy of Sciences", 119333, Moscow, Russia.
The State Budget Institution "The Scientific Research Institute of Public Health Organization and Medical Management of the Moscow Health Care Department", 115088, Moscow, Russia.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2024 May;32(3):456-461. doi: 10.32687/0869-866X-2024-32-3-456-461.
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.
直到最近，在哈萨克斯坦，医疗保健服务和民众的药物支持都由国家预算和强制性社会健康保险基金提供资金。但实际体系并未充分满足哈萨克斯坦人对药物的需求。该研究的目的是确定公民对实施由国家共同出资的新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个地区开展。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参与由国家共同出资的医疗保险计划的准备情况。社会学调查显示，受访者对实施由国家共同出资的新医疗保险计划和购买保险政策的准备程度为中等。揭示了社会人口特征（客观指标）与准备程度指标（主观指标）之间的相关性。居住在城市地区、收入中等和较高、受过高等教育、正式结婚的年轻男性更倾向于购买保险政策。与此同时，根据社会学调查结果，三分之一的受访者对医疗保险总体情况，尤其是药物保险没有相关信息。他们发现很难就这些问题表达自己的个人立场。据推测，通过教育措施，哈萨克斯坦人将参与由国家共同出资的医疗保险计划。教育项目可以通过在当地开展活动并在微观层面与民众沟通的公共组织来实施。已确定对农村居民、中年人和老年人、女性以及每个家庭成员平均收入较低的人群采取教育措施尤为重要。
