Frequently Asked Questions

Socially significant diseases are diseases whose spread to a certain extent depends on the influence of unfavorable socio-economic conditions. The lists of chronic and socially significant diseases for dynamic monitoring were approved by Orders of the Minister of Health of the Republic of Kazakhstan No. 108 and No. 109.

List of socially significant diseases

List of chronic diseases subject to dynamic monitoring

In the Republic of Kazakhstan, dynamic monitoring, treatment and drug provision are provided to people with socially significant diseases in the GOBMP, without taking into account the patient's insurance status.
Dynamic monitoring, treatment and drug provision for patients with chronic diseases is provided both in the GOBMP (without taking into account the insurance status in the OSMS) and in the OSMS.

Dynamic monitoring, treatment and drug provision are provided to people with socially significant diseases in the GOBMP, without taking into account the patient's insurance status. 

Socially significant diseases include:

• Tuberculosis - tuberculosis dispensary and polyclinic of attachment, depending on the degree of the disease
• HIV/AIDS centers
• Chronic viral hepatitis and cirrhosis of the liver - attachment clinic
• Malignant neoplasms - oncological dispensary
• Diabetes Mellitus - attachment clinic
• Mental and behavioral disorders (diseases) - mental health centers
• Cerebral palsy - Attachment clinic
• Acute myocardial infarction (first 6 months) - attachment clinic
• Rheumatism - Attachment clinic
• Systemic connective tissue lesions - Attachment clinic
• Degenerative diseases of the nervous system - attachment clinic
• Demyelinating diseases of the central nervous system - attachment clinic
• Orphan diseases - Attachment clinic

To be dynamically registered, patients with a confirmed chronic disease must provide one of the following documents:

• The conclusion of the district doctor.
• A profile specialist's advisory sheet.
• An extract from the hospital patient's medical record.

Procedure:

• The disease is confirmed by clinical protocols of diagnosis and treatment.
• If you suspect a disease, you must undergo a medical examination.

Where to contact:
For questions about dynamic monitoring and registration, contact the district doctor or nurse/nurse.

A source:
Order of the Minister of Health of the Republic of Kazakhstan dated October 23, 2020 No. KR DSM-149/2020 “On approval of the rules for the organization of medical care for persons with chronic diseases, frequency and timing of follow-up, mandatory minimum and frequency of diagnostic tests”

In cases of exacerbation of chronic or socially significant diseases, the patient is given a referral for hospitalization to a day or round-the-clock hospital as planned.

Emergency hospitalization is the referral of a patient to a hospital in the presence of an acute emergency condition, which is determined by an ambulance doctor, a district doctor or an emergency room doctor.
Emergency hospitalization is carried out by transporting the patient to a specialized hospital as soon as possible.
In case of emergency hospitalization, referral is not required.

In order to receive medical care for chronic and socially significant diseases, it is necessary that the patient be diagnosed (the patient is registered) according to one of the lists approved by the orders of the Minister of Health of the Republic of Kazakhstan No. 108, 109.

A patient who is registered with a chronic or socially significant disease receives medical care related to this disease, regardless of the insurance status.

The list of medical care for patients under dynamic supervision includes:

• dynamic monitoring is a mandatory annual periodic minimum of laboratory and instrumental studies, consultations with specialized specialists and the appointment of a district doctor, nurse/nurse. To get advice from a specialized specialist, a referral from a local doctor is not required.;
• rehabilitation in the presence of medical indications;
• hospitalization in a day or round-the-clock hospital in case of exacerbation of diseases;

1. Tests at the AIDS center:

• Periodic testing (IHA or ELISA) for hepatitis C virus RNA.
• If the result is positive, a PCR analysis is performed.

2.Positive result:
The patient is sent to the polyclinic for registration at the dispensary.

3. Initial visit to the polyclinic:

• The patient provides positive PCR results and an extract from the outpatient card.
• The doctor puts the patient on the register for further observation and provision of medical care under the GOBMP, regardless of the insurance status.

4.Additional examination:
This requires the status of insurance in the OSMS system.

The disease management program includes medical and non-medical services to improve the quality of life and prevent complications of chronic diseases.

Program participants:

• Primary arterial hypertension (uncomplicated)
• Type 2 diabetes mellitus (compensated and subcompensated)
• Chronic heart failure (grades II-IV according to NYHA). The emission fraction is less than 40%. Ejection fraction of more than 40% with diastolic dysfunction of the left ventricle (according to echocardiography)