A New Paradigm of Primary Health Care in Kazakhstan: Personalized, Community-based, Standardized, and Technology-driven

Main Article Content

Almaz Sharman

Abstract

This paper discusses the need for change from Kazakhstan’s current disease-centric healthcare paradigm to a new primary health and wellness-centric health care paradigm, technology-driven and based on personal relationships within a social context. While many different papers have been published about the importance of prevention and primary health care, few have focused on healthcare transition in Kazakhstan or other countries in Central Asia. The WHO’s historic 1978 Alma-Ata Declaration signed in Kazakhstan promoted the centrality of primary care to the provision of effective, efficient, and equitable health services. Modern technologies such as the Internet, social media, and portable medical devices democratize medicine, providing great opportunities to rethink the Alma-Ata Declaration and reinvent primary health care on an entirely new platform that is knowledge-based and technology-assisted. The new paradigm suggested for the future development of health in Central Asian region emphasizes personal relationships and encourages sustainable solutions created by communities. This paper also introduces HealthCity, a new project in Kazakhstan aiming at introducing private, community-based and standardized primary healthcare that is driven by SmartHealth innovative technology.

Article Details

How to Cite
Sharman, A. (2014). A New Paradigm of Primary Health Care in Kazakhstan: Personalized, Community-based, Standardized, and Technology-driven. Central Asian Journal of Global Health, 3(1). https://doi.org/10.5195/cajgh.2014.186
Section
Perspective
Author Biography

Almaz Sharman, Co-Founder and CEO, HealthCity LLP, Almaty; President, Academy of Preventive Medicine of Kazakhstan

Co-Founder and CEO, HealthCity LLP, Almaty, Kazakhstan; President, Academy of Preventive Medicine of Kazakhstan

References

Devi S. Reforming health care in Kazakhstan. Lancet. 2014;383(9936):2197-2198.

Terlikbayeva A, Hermosilla S, Galea S, et al. Tuberculosis in Kazakhstan: Analysis of risk determinants in national surveillance data. BMC Infect Dis. 2012;12:262.

World Health Organization (WHO). BMI Kazakhstan pharmaceuticals and healthcare report Q2. 2013.

Agency of Statistics of the Republic of Kazakhstan. Quarterly household budget survey produced together with GDP estimates. www.stat.kz.

WHO EURO. 10 health questions about the Caucasus and Central Asia. 2009; www.ho.int/nha.

Oxford Policy Management. Report on current funds flow and current pattern of health care expenditure by economic and functional categories in public and private sectors and on the impact of the new budget re-allocation model in Kazakhstan. 2011.

Sharman A. Modernization and growth in Kazakhstan. CAJGH. 2012;1(1).

Gawande A. The velluvial matrix. 2010.

Makary M. How to stop hospitals from killing us. The Wall Street Journal2012.

Topol E. The creative destruction of medicine: How the digital revolution will create better health care. Basic Books; 2012.

World Health Organization (WHO). Constitution of the World Health Organization. 2013; http://www.who.int/governance/eb/who_constitution_en.pdf.

World Health Organization (WHO). Declaration of Alma-Ata: International conference on primary health care. 1978; http://www.who.int/publications/almaata_declaration_en.pdf.

Sharmanov T, McAlister A, Sharman A. Health care in Kazakhstan. World Health Forum. 1996;17(2):197-199.

Knowledge @ Warton. Family physicians make a comeback in India. 2013; http://knowledge.wharton.upenn.edu/india/article.cfm?articleid=4719. Accessed August 7, 2014.

Chan M. Return to Alma-Ata. Lancet. 2008;372(9642):865-866.

Lubell J. Economists outline strategy to counter primary care shortage. 2013; http://www.ama-assn.org/amednews/2013/01/14/gvsd0118.htm. Accessed August 7, 2014.

Painter K. 35% of Americans ask Dr. Google for medical diagnoses. USA Today2013.

Google.org. Explore flu trends - United States. 2011; http://www.google.org/flutrends/us/#US.

Academy of Preventive Medicine of Kazakhstan. Final report on 2012 National Household Health Survey. Almaty-Astana2013.

Harvard Medical International, The Chartis Group. Bringing world-class healthcare to Almaty. 2007.

HealthCity. HealthCity. www.healthcity.kz.