Appendix to the Decree of the Government

of the Republic of Kazakhstan

dated December 15, 2009 No. 2136

 

List of guaranteed volume of free medical care

General provisions

The guaranteed volume of free medical care (hereinafter referred to as GVFMC) is provided to citizens of the Republic of Kazakhstan and oralmans at the expense of budgetary funds and includes preventive, diagnostic and therapeutic medical services that have the highest proven effectiveness.

The GVFMC includes:

1) emergency medical care and air ambulance;

2) outpatient care, including:

primary health care (hereinafter - PHC);

consultative and diagnostic assistance (hereinafter - CDA) in the direction of a specialist in primary health care and specialized specialists;

3) inpatient medical care in the direction of a PHC specialist or specialized specialists within the planned volumes determined by the authorized body in the field of healthcare (hereinafter referred to as the authorized body), according to emergency indications - regardless of the availability of the referral;

4) hospital-replacing medical care in the direction of a PHC specialist or specialized specialists;

5) rehabilitation treatment and medical rehabilitation;

6) palliative care and nursing care for the categories of the population established by the Government of the Republic of Kazakhstan.

List of GVFMC

Emergency medical care within the framework of the guaranteed volume of medical care includes:

1) provision of medical care according to emergency indications;

2) delivery of patients to medical organizations according to emergency indications;

3) medical support for mass events (public, cultural, sports and others), district, regional, republican significance in agreement with the authorized body in the field of healthcare or local executive body.

Air ambulance within the framework of the GVFMC includes:

1) provision of emergency medical care to the population when it is impossible to provide an appropriate level of medical care due to the lack of necessary resources in the medical organization at the location of the patient;

2) delivery of qualified specialists to the destination or transportation of the patient to the appropriate medical organization by means of air transport and motor transport.

Ambulatory polyclinic care within the framework of the guaranteed volume of medical care includes PHC, KDP and is provided in the amount in accordance with the appendix to this list of the guaranteed volume of medical care.

Medical assistance using highly specialized and new technologies is provided by the referral of a specialist from an outpatient organization (hereinafter - APO) in accordance with the list approved by the authorized body in the field of healthcare (hereinafter - the authorized body).

Inpatient care within the framework of the guaranteed volume of free medical care is carried out without the provision of additional services (TV, telephone, custom meals, etc.) in the wards of the standard established by the authorized body.

The guaranteed volume of medical care provided in the form of inpatient care, according to the types and volumes approved by the authorized body, includes:

1) examinations, consultations of specialists, including with the use of telemedicine communications;

2) laboratory and instrumental studies in accordance with healthcare standards;

3) medical services (except for paid ones), drug provision in accordance with drug formularies for medical reasons;

4) provision of blood products and its components for medical reasons;

5) providing an opportunity to be in a medical organization to a mother (father) or another person directly caring for a child under the age of three, as well as seriously ill older children who need additional care at the conclusion of doctors, with the issuance of a temporary disability certificate;

6) providing the nursing mother of a child up to one year of age with free meals in a medical organization for the entire period of stay to care for the child;

7) early and continued medical rehabilitation in accordance with the standards for the organization of medical care (hereinafter referred to as the standard), approved by the authorized body, including late, for children and socially vulnerable categories of citizens;

8) creation of the necessary conditions for games, recreation and educational work in children's inpatient medical organizations;

9) palliative care and nursing care for the categories of the population established by the Government of the Republic of Kazakhstan.

Hospital-replacing medical care within the framework of the guaranteed volume of medical care includes:

1) examinations, consultations of specialists;

2) medical services (except for paid ones), drug provision, in accordance with drug formularies for medical reasons;

3) early and continued medical rehabilitation for all categories of citizens according to indications, including physiotherapy and exercise therapy, in accordance with the standards.

The services of the pathological and anatomical bureau (departments) within the framework of the GVFMC include:

The provision of medicines for the provision of guaranteed volume of medical care is carried out in accordance with the medicinal formulas approved by medical organizations and agreed in the prescribed manner by the authorized body when providing:

1) ambulance / emergency / emergency medical care;

2) anti-rabies care according to epidemiological indications in the event of a risk of infection;

3) sanitary and preventive and sanitary and anti-epidemic assistance according to indications;

4) immunoprophylaxis/vaccination;

5) inpatient and inpatient care.

Medicinal provision at the outpatient level within the framework of the guaranteed volume of free medical care is carried out in accordance with the list of medicines and medical devices approved by the authorized body for the free provision of certain categories of citizens with certain diseases (conditions) and specialized medical products according to the indications and prescription of a PHC specialist.

Medical assistance within the framework of the guaranteed volume of medical care also includes diagnostic and treatment services using minimally invasive technologies.