Optimization of the Outpatient Pharmaceutical Supply System in the Republic of Kazakhstan
Keywords:
outpatient pharmaceutical provision, pharmaceutical policy, pharmacoeconomic analysis, optimization, Kazakhstan, rational use of medicines, healthcare system.Abstract
The development of Kazakhstan’s healthcare system at the current stage necessitates a comprehensive revision of approaches to outpatient pharmaceutical provision (OPP), which represents a key instrument for enhancing the efficiency and accessibility of medical care. OPP plays a central role in the implementation of national pharmaceutical policy by ensuring the availability of essential medicines and medical products within the framework of the Guaranteed Volume of Free Medical Care (GVFMC) and the Mandatory Social Health Insurance system (MSHI).
This study employed statistical, comparative, and content analysis methods, expert evaluation techniques, as well as pharmacoeconomic modeling tools (ABC/VEN, QALY/DALY). The findings reveal substantial interregional disparities in patient coverage, misalignment between procurement volumes and actual population needs, and an insufficient level of digitalization and interoperability of information systems.
The paper proposes several optimization directions, including the application of predictive algorithms for procurement planning based on epidemiological indicators and QALY/DALY models, the enhancement of digital logistics monitoring, the establishment of regional reserves of essential medicines, and improved transparency of budget planning.
