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State treasury enterprise Aktobe Medical Center business economic management

Type of ownership        State treasury enterprise on business economic management

Commissioning       Consultative and diagnostic center - 2009, Regional Children's      Hospital2011 regional clinical hospital – 2014. Association of institutions in AMC – 2017

Bed capacity     640 beds (adult hospital - 400 beds, children hospital - 240 beds, CDC - 500 visits per shift)

Head doctor           Sultangereev Erlan Bakhytovich

Brief description: On the basis the Decree of the Akimat of the region No. 2 dated January 11, 2017. the state enterprise on the right of economic management "Aktobe medical center" was organized by combining the regional clinical hospital (hospital for adults), the regional children's clinical hospital (hospital for children) and the consultative and diagnostic center.

The purpose of creating "Aktobe Medical Center" is to modernize the health sector of the region to provide residents of the Aktobe region and the West Kazakhstan region with a complex of unique high quality medical services to strengthen health and improve the quality of life of the population of the regions.

The coordination of interaction between medical institutions is carried out by the Regional Department of Health. AMC has established and is actively operating a corporate governance body - the Supervisory Board.

The center includes a multidisciplinary hospital for adults with 400 beds and a children's hospital with 240 beds. Inpatient care for children and adults in 25 profiles, a consultative and diagnostic center for 500 visits per shift, while 12 profiles provide services that have no analogues in other medical institutions of the region.

As part of the medical cluster, there is a third-level maternity ward according to the regionalization of perinatal care, a second-level stroke center, a department for endovascular studies, including for interventions on coronary vessels, peripheral vessels of the extremities. As part of high-tech medical care for the population, services are provided in pediatric cardiac surgery, arrhythmology, vascular surgery, transplantology.

Outpatient and polyclinic care for the attached population (35 3539 people) - 500 visits per shift, 16 general practitioners areas, 10 pediatric areas, 2 therapeutic areas work.

Moreover, there are specialized centers –

  • on the basis CDC: men's health center, audiological center, hepatocenter,
  • on the basis a hospital for children: a center for pediatric otorhinolaryngology, a pediatric gastroenterology center, a center for pediatric cardiology and cardiac surgery, a catamnesis center, an allergy center for children
  • on the basis a hospital for adults: gastroendoscopy center, allergy center for adults, expensive CT / MRI services
  • dental services and trauma center services for children. Medical care is provided in the following main profiles:
  • Obstetrics and gynecology
  • Neonatology and Pediatrics
  • Therapy, gastroenterology, pulmonology
  • Nephrology, endocrinology
  • Cardiology, arrhythmology, pediatric cardiac surgery
  • General surgery, vascular surgery, thoracic surgery
  • Transplantology
  • Urology
  • Otolaryngology, pediatric dentistry
  • Neurosurgery, traumatology
  • Neurology
  • Tri-H-system in the reception area

The institutions of the Center are equipped with the necessary modern equipment to carry out a wide range of medical and diagnostic measures. This is radiation diagnostics (CT, MRI, ultrasound), angiographic studies, laboratory and functional diagnostics are carried out.

Resuscitation departments and operating units are equipped with the latest equipment – endovideo surgery stand, anesthesia and respiratory equipment, a hyperbaric oxygenation room, a hemodialysis room.

In 2018, the cluster passed the National Accreditation of the Republic of Kazakhstan and received the first category for a period of 3 years.

The AMC staff consists of 2,194.5 staff members, of which

  • 25 staff units - 24.2% - 356 are medical personnel
  • 0 staff units - 38.2% - 690 nurses,
  • 75 units - 22.4% - 336 junior medical personnel.

The level of categorization of personnel in absolute figures among doctors and nurses in a multidisciplinary hospital for adults - 209 employees, in a children's hospital - 205 employees, in a CDC - 164 employees. For 12 months of 2020 - 123 doctors and 145 nurses were trained.

Average salary of doctors - 271 414.8 tenge, nursing staff -

180,069.0 tenge, junior - 87449.4 tenge.

Financing material and technical equipment.

As part of the guaranteed volume of free medical care in 2018, the Medical Cluster was allocated 3.2 billion tenge, in 2019 - 3.8 billion tenge. From January 1, 2020, due to the introduction of compulsory social health insurance, financing began to be carried out in 2 packages - the guaranteed volume of free medical care and compulsory social health insurance amounted to 4.8 billion tenge

The level of equipment is 94.7% (2014 - 87.3%).

Since the establishment of the medical center to the present time, a total of 106,530 patients have been treated in the institutions of the center: of them, 62,660 adults (58%); children - 43 870 (42%); 36745 operations were performed, of which 17514 operations were performed for children, 1128 high-tech medical services were provided.

Comparative analysis of statistical indicators for 12 months of 2020. showed that during the reporting period, 21099 patients were treated in the hospital, of which 13,030 patients were in the adult hospital, 8069 in the children's hospital, which is 25% less than in the same period last year, due to restrictive measures for coronavirus infections and the opening of a provisional hospital at the AMC.

During the reporting period of 2020, out of the number of hospitalized in surgical departments - 8544 patients were operated (5% less compared to the same period last year), surgical activity amounted to 67% (of which for adults - 4719 operations, for children - 3825 operations). 8544 operations were performed, of which 6198 were performed on an emergency basis (72%), 2346 - as planned - 28%.

Performed operations since the opening of the Center - 36,746, of which 19,232 (53%) for adults, 17514 (47%) for children.

In connection with the pandemic of coronavirus infection, provisional beds were deployed on the basis of a multidisciplinary adult hospital (from 04/23/2020 - 45 beds, later the volume was increased due to an increase in hospitalization of patients with pneumonia to 80 beds, then from 300 beds to 400 provisional beds in an adult hospital and 50 from 16.03.2020 to 26.08.2020 in connection with the introduction of the emergency mode by the Decree of the President of the Republic of Kazakhstan - hospitalization was stopped in a planned manner, which was the reason for the untimely incomplete development of the state order within the framework of the compulsory social health insurance. In the period from 22.06.2020 to 23.08. In 2020, the adult hospital of the Center fully functioned as a provisional hospital, where 2269 patients were treated, including 358 pregnant and postpartum women, 22 Caesarean sections and 50 surgical operations were performed.

From 26.08.2020, after the disinfection of the premises, and to the present, the work of all specialized departments has been resumed in the same mode in compliance with all sanitary and epidemiological measures. 10 provisional beds for pregnant women, parturient women and women in labor were left in isolation as part of the maternity ward.

In 2020. high-tech medical care services are provided in 5 types: vascular surgery, transplantology, arrhythmology, neurosurgery, pediatric cardiac surgery, which is related to "With the introduction of amendments and additions to the order of the Ministry of Health of the Republic of Kazakhstan dated December 28, 2016 No. 1112" On approval of the types of high-tech medical services " Order of the Ministry of Health of the Republic of Kazakhstan dated December 14, 2018 No. 42. With a plan of 79 operations, 29 operations were performed. High-tech medical care has been provided since the establishment of the Center, in total - 1129 services, of which 894 (79%) for adults, 235 (21%) for children.

Since the creation of the cluster, only 4941 patients have been treated from nonresident patients, of which: adults - 3996, children - 945. The bulk of nonresident patients are residents of the Western region:

✓ Atyrau region - 1647 patients (of which 250 are children),

✓ WKO - 890 patients (including 140 children),

✓ Kyzylorda region - 992 (of which 257 are children),

✓ Mangistau region - 805 (of which 221 children).

From the number of foreign citizens since the creation of the cluster

treated - 304 patients, among them children - 48 (all for emergency indications).

Nonresident patients were treated in total in 2020 - 690 (1261 in 2019) patients, of which: adults - 601, children - 89. The bulk of nonresident patients are residents of the Western region:

✓ Atyrau region - 188 patients (including 18 children),

✓ WKO - 83 patients (including 8 children),

✓ Kyzylorda region - 104 (of which 22 children),

✓ Mangystau region - 84 (of them - 15 children).

From the number of foreign citizens, since the beginning of this year, 27 (75 in 2019) patients have been treated, including 7 children (all for emergency indications).

At the present, in accordance with the beginning of the procedure for the separation of AMK institutions: the children's hospital is being reorganized into the Ana men bala Center, the CDC - into City Polyclinic No. 7 by the decision of the Regional Department of Health.

Analyzing the activities of the multidisciplinary hospital for adults of the Aktobe Medical Center for 2020, which was difficult for everyone due to the coronavirus infection pandemic, while restrictive measures made certain adjustments to the work of the medical institution, affected the volume and range of medical services provided, the following conclusions can be drawn:

✓ 1567 employees work in the center, including 344 doctors, 690 nurses, 340 junior medical personnel

✓ 315 employees were hired this year: 78 doctors, 102 nurses, 80 junior medical personnel, including 44 graduates of the university and medical college (15 doctors, 29 nurses)

✓ the level of categorization of medical and middle personnel is 60.5% (doctors - 65.7%), which is higher than the same indicator in 2019. by 24.1%

✓ at the same time, there is an increase in the level of categorization among doctors by 20.7%, with the highest category among doctors - 47.8%,

✓ growth of the average monthly salary of employees by 39.59%, including among doctors - by 39.64%,

✓ the amount of paid allowances to the basic salary - 612 330 703 tenge

✓ professional development - 231 employees (86 doctors, 145 nurses)

✓ equipment purchased at the expense of the local and republican budget for the amount about 520 million tenge

✓ 13,232 patients were treated, 4,119 operations were performed, including 12 high-tech services

✓ including in the conditions of a provisional hospital, 2283 patients were treated, of which 358 were pregnant and postpartum women, 22 "caesarean section" operations and 50 surgical operations were performed

✓ a total birth 2943, of which 676 are cases of operative delivery

✓ were born: 1400 boys (47.5%), 1546 girls (52.5%), including 46 twins.

✓ 198 births (6.7% of the total number of births) took place during the period of operation of the provisional hospital, 194 newborns were born (100 boys and 94 girls, 6 twins).

Дата публикации
04 февраля 2021
Дата обновления
04 февраля 2021
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