Evaluation of Health Insurance Demonstrations in Kazakhstan: Dzheskasgan and South Kazakhstan Oblasts. Technical Report No. 14

摘要

At the request of Kazakhstan's central Ministry of Health, Abt Associates Inc. evaluated two health insurance demonstrationsone ongoing and one plannedin two oblasts in the republic. The evaluation covered four areas concerning health insurance and related health policy changes: (1) the adequacy of financing, or to what extent a new employer payroll contribution and other sources of revenue would ensure adequate financing of the health care system; (2) changes in efficiency, or the effect of the health insurance structure and related payment policies and organizational changes on the efficiency with which services are provided; (3) the impact on quality of care, or the effect of changes in financing, payment, and quality assurance programs on the quality of service delivery and ultimately on health status; and (4) the equity of access to care, or the effect of the new system on what was one of the strengths of the old system-relative equity of access to services by various socioeconomic groups.