Evidence map›Paper›PMID 40959630›Full record

ArticleFrontiers in public health2025

Transformation of the private healthcare sector in the Republic of Kazakhstan following healthcare reforms.

Smagulov Alibek, Kurakbayev Kuralbay, Baimakhanov Abylai, Zhandossov Olzhas, Abilkaiyr Nazerke, Zhakupova Maiya, Bapayeva Magripa, Kapanova Gulnara, Alikeyeva Galiya, Makhanbetkulova Dinara

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Smagulov AlibekDepartment of Population Health and Social Sciences, Kazakhstan Medical University "KSPH", Almaty, Kazakhstan.
Kurakbayev KuralbayDepartment of Health Economics and Insurance Medicine, Kazakhstan Medical University "KSPH", Almaty, Kazakhstan.
Baimakhanov AbylaiFaculty of Postgraduate Education, Kazakh National Medical University named after S.D. Asfendiyarov, Almaty, Kazakhstan.
Zhandossov OlzhasDepartment of Population Health and Social Sciences, Kazakhstan Medical University "KSPH", Almaty, Kazakhstan.
Abilkaiyr NazerkeDepartment of Population Health and Social Sciences, Kazakhstan Medical University "KSPH", Almaty, Kazakhstan.
Zhakupova MaiyaDepartment of Public Health, Kazakh National Medical University named after S.D. Asfendiyarov, Almaty, Kazakhstan.
Bapayeva MagripaKazakhstan Medical University "KSPH", Almaty, Kazakhstan.
Kapanova GulnaraDepartment of Health Policy and Organization, Al Farabi Kazakh national University, Almaty, Kazakhstan.
Alikeyeva GaliyaDepartment of Public Health, Kazakh National Medical University named after S.D. Asfendiyarov, Almaty, Kazakhstan.
Makhanbetkulova DinaraDepartment of Nursing, Kazakh National Medical University named after S.D. Asfendiyarov, Almaty, Kazakhstan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In Kazakhstan, transformation of the private healthcare sector as the country transitioned from lower-middle-income to upper-middle-income status has rarely been a subject of academic debate. This study aimed to analyze of health sector indicators disaggregated by type of ownership over the period of 10 years (from 2011 to 2020). Methods: This was a retrospective cross-sectional study, which was based on official healthcare statistics presented by the Ministry of Health. Relative change (RC) was computed to identify trends in changes over time and was expressed as a proportion with 95% confidence intervals. Results: In contrast with the government-owned health facilities, the overall number of private facilities increased over time, although this growth was less obvious in per capita terms. The number and density of private PHC facilities grew more substantially than those of outpatient facilities. PHC practitioners employed by the government-owned facilities admit more patients than practitioners of the private PHC facilities do. There is an uneven presence of the private health sector in different medical specialties with maternity, ophthalmology, dentistry, narcology, multidisciplinary, as well as palliative and nursing care being the most common. Conclusion: Such data are needed by decision-makers to tailor public health strategies focused on the stewardship of the private health sector, which would help improve the availability and affordability of medical services.

Indexed as

Health Care ReformHealth Care SectorPrivate SectorCross-Sectional StudiesHumansKazakhstanOwnershipRetrospective StudiesgovernmenthealthcareKazakhstanprivate practicepublic-private partnership

Identifiers

PMID40959630
PMCPMC12433977

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.