Monitoring the quality of health care delivery beyond COVID-19 infection

The head of the project office "Adaldyk alany" Moldasheva Lazzat Tursynovna, having visited the Ayagoz district hospital, monitored the quality of medical services. In the inter-district hospital of the Ayagoz district, work is underway to increase the availability of medical care provided to rural residents. The inter-district hospital of the Ayagoz district is one of the largest medical institutions of the district level in the region. The hospital employs 132 doctors, 479 nurses. They provide medical care to 72 thousand people in our area. The state health care institutions of the Ayagoz district include 15 outpatient clinics, 16 medical stations, 3 feldsher-obstetric stations, 1 inter-district hospital. All of them, except for the inter-district hospital of the Ayagoz district, are located in rural areas. 24 doctors and 145 paramedical workers work in rural settlements. In order to improve the quality and accessibility of medical care, the following work is being carried out: – The receptionist strictly controls the work of the receptionist from 08:00 to 20:00 to avoid queues. - An announcement was published in the local media about making an appointment with a doctor, calling a doctor at home. - On the portal "E-GOV", DAMUMED, together with district therapists, pediatricians, a work schedule for all specialized specialists has been introduced. - An article was published in the local media about the procedure for issuing free medicines in an outpatient clinic. - Sanitary campaigns are regularly conducted among the population about the procedure for making an appointment with a doctor, the procedure for calling home, the procedure for issuing free medicines, the rules for hospitalization, the law on compulsory social insurance, the procedure for attaching to a medical institution. - It is possible to strengthen the work of the patient support commission and allow the appeal of patients on the spot, at that moment. During the summer, a mobile medical complex, staffed by: a surgeon, an obstetrician-gynecologist, a general practitioner, a dentist, a laboratory assistant and mid-level medical workers, visited 35 remote rural settlements, examined 11,997 residents, conducted more than 2,300 various laboratory, X-ray, ECG, ultrasound. A mobile fluorographic complex with a trip to the countryside conducted 4643 examinations. One of the ways to improve the quality and accessibility of medical care is to strengthen the material and technical base of medical institutions, create conditions for doctors to diagnose and treat diseases. At the same time, a lot of work has been done over the past 3, 4 years. Currently, diseases of the cardiovascular system occupy the first place in the country among the causes of human death. Atherosclerosis, hypertension, coronary heart disease, called the "Three malignant units" of humanity. Timely diagnosis of coronary heart disease, cardiovascular diseases is the main condition for providing him with emergency medical care and saving his life. In this regard, in 2018, a stroke center was opened on the basis of the central hospital with the direct assistance of the regional administration. The stroke center is equipped with the necessary medical equipment, including a CT scanner.

Today, not only residents of the Ayagoz district, but also residents of the neighboring Urdzhar and Zharma districts are being treated at the stroke center. Since its opening, more than 8,000 examinations have been carried out in the CT room. The "Triage" system works in the new standard admission department. In 2019, after capital work and the purchase of the necessary medical equipment, the maternity ward began to provide level III perinatal care. In 2020, an angiographic diagnostic device worth 421 million tenge was installed in the interdistrict hospital of the Ayagoz district, and a level II cardiology center was opened. In 2021, 505 operations on the vessels of the heart, brain, and legs were performed at the Cardiology Center, of which 270 patients underwent a stent on the cardiovascular systems. This indicates the real implementation of the availability of high-tech diagnostic medical care. A perinatal center, a stroke center, a level II cardiology center have been opened in the district hospital, equipped with the latest medical equipment, diagnostic devices such as CT, angiography, skin interventions for cardiovascular diseases are not available in hospitals of any district level. In addition, specialists are being trained abroad. Over the past 3 years, 37 specialists have been trained in such countries as Great Britain, Turkey, Lithuania, Russia. All these efforts are the result of the support of our state, healthcare. From year to year, the medical industry of our region is developing. It is gratifying that the indigenous population has found healing, healing.