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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1493</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2024-32-3-456-461</article-id><article-categories><subj-group subj-group-type="heading"><subject>Неопределен</subject></subj-group></article-categories><title-group><article-title>The readiness of Kazakhstan to implementation of medicinal insurance: the sociological substantiation and education activities of public organizations</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Volkova</surname><given-names>O A</given-names></name><email>not@provid.ed</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-2"/><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Aliev</surname><given-names>Sh I</given-names></name><email>dgi_atiso@mail.ru</email><xref ref-type="aff" rid="aff-4"/><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Spankulova</surname><given-names>L S</given-names></name><email>not@provid.ed</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Vrubel</surname><given-names>M E</given-names></name><email>not@provid.ed</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff id="aff-1">The Institute of Demographic Studies of the Federal State Budget Institution “The Federal Scientific Research Sociological Center of The Russian Academy of Sciences”, 119333, Moscow, Russia</aff><aff id="aff-2">The State Budget Institution “The Scientific Research Institute of Public Health Organization and Medical Management of the Moscow Health Care Department”, 115088, Moscow, Russia</aff><aff id="aff-3">N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia</aff><aff id="aff-4">The Federal State Budget Educational Institution of Higher Education “The Dagestan State University”, the Branch in Izberbash, 368502, Izberbash, the Republic of Dagestan, Russia</aff><aff id="aff-5">The Dagestan Humanitarian Institute, the Branch of the Educational Institution of Trade Unions of Higher Education “The Academy of Labor and Social Relations”, 368220, Buynaksk, the Republic of Dagestan, Russia</aff><aff id="aff-6">The Al-Farabi Kazakh National University, 050040, Almaty, the Republic of Kazakhstan</aff><pub-date date-type="epub" iso-8601-date="2024-06-29" publication-format="electronic"><day>29</day><month>06</month><year>2024</year></pub-date><volume>32</volume><issue>3</issue><history><pub-date date-type="received" iso-8601-date="2025-04-22"><day>22</day><month>04</month><year>2025</year></pub-date><pub-date date-type="accepted" iso-8601-date="2025-04-22"><day>22</day><month>04</month><year>2025</year></pub-date></history><permissions><copyright-statement>Copyright © 2025,</copyright-statement><copyright-year>2025</copyright-year></permissions><abstract>&lt;p&gt;Until recently, in Kazakhstan, both health care services and medication support of population were financed from National budget and compulsory social health insurance foundation. But actual system meet needs of Kazakhstanis in medications not in full measure. The purpose of the study is to identify readiness of citizens to implementation of new medicinal insurance program with state co-financing. The study was carried out in 2022 in 17 regions of Kazakhstan. The readiness of Kazakhstanis to participate in medicinal insurance program with state co-financing was studied through sociological survey of 5 819 Kazakhstanis.&lt;br /&gt;The sociological survey revealed that respondents express average degree of readiness to implementation of new medicinal insurance program with state co-financing and to purchasing of insurance policy. The correlation between social demographic characteristics (objective indicators) and readiness indicator (subjective indicator) was revealed. The younger males with higher education, residing in urban areas, with average and high income and officially married are more inclined to purchase insurance policy. At that, according to results of sociological survey, one third of respondents have no relevant information about health insurance in general and medicinal insurance in particular. They found it difficult to express their personal position about this issues. It is supposed that Kazakhstanis in the result of educational measures will take part in medicinal insurance program with state co-financing. The education projects can be implemented through public organizations operating locally and communicating with population at the micro level. It is determined that it is especially important to apply educational measures to rural residents, middle-aged and elderly people, females and persons with low average income per family member.&lt;/p&gt;</abstract><kwd-group xml:lang="en"><kwd>health insurance</kwd><kwd>accessibility</kwd><kwd>medical care</kwd><kwd>medication provision</kwd><kwd>education</kwd><kwd>public organization</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>медицинское страхование</kwd><kwd>доступность медицинской помощи</kwd><kwd>лекарственное обеспечение</kwd><kwd>просвещение</kwd><kwd>общественные организации</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Reshetnikov A. V. Insured as an object of medical and sociological monitoring. Sotsiologiya meditsiny = Sociology of medicine. 2014;13(2):3–9 (in Russian).</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>The Sustainable Development Goals. United Nations. Available at: https://www.un.org/sustainabledevelopment/sustainable-development-goals</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Health and reduced inequalities. Policy brief, 2021. World Health Organization. Available at: https://www.euro.who.int/__data/assets/pdf_file/0010/397792/SDG-10-policy-brief_3.pdf</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Universal health coverage (UHC), 2022. World Health Organization. Available at: https://www.who.int/news-room/fact-sheets/detail/universal-health-coverage-(uhc)</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Spankulova L., Karatayev M., Clarke M. L. Trends in socioeconomic health inequalities in Kazakhstan: National household surveys analysis. Communist and Post-Communist Studies. 2020;53(2):177–90. doi: 10.1525/cpcs.2020.53.2.177</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Zagidullina G. N., Omirbaeva B. S. Results of analysis of financing of outpatient drug provision in the total volume of financing of drug provision within the framework of the guaranteed volume of free medical care and the system of compulsory social health insurance for nine months of 2021. Farmatsiya Kazakhstana. 2022;(3):184–94 (in Russian).</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>On approval of the concept of the development of the healthcare industry of the Republic of Kazakhstan until 2026: Resolution of the Government of the Republic of Kazakhstan. From September 1, 2020. Available at: https://legalacts.egov.kz/npa/view?id=8739340</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Bureau of national statistics agency for strategic planning and reforms of the Republic of Kazakhstan. Available at: https://new.stat.gov.kz/ru</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Barnes A. J., Hanoch Y. Knowledge and understanding of health insurance: challenges and remedies. Isr. J. Health Policy Res. 2017;6(40). doi: 10.1186/s13584-017-0163-2</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Zagidullina G. N., Omirbaeva B. S. Analysis of private healthcare costs in Kazakhstan and proposals to reduce them. Analytical Review for Policy Formation (Policy Brief) [Analiz chastnykh raskhodov na zdravookhraneniye v Kazakhstane i predlozheniya po ikh snizheniyu. Analiticheskiy obzor dlya formirovaniya politiki (Policy Brief)]. Nur Sultan: Republican Center for Health Development; 2019. 70 p. (in Russian).</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Nusselder W. J., De Waegenaere A. M., Melenberg B., et al. Future trends of life expectancy by education in the Netherlands. BMC Public Health. 2022;1664. doi: 10.1186/s12889-022-13275-w</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Brønnum-Hansen H., Baadsgaard M. Widening social inequality in life expectancy in Denmark. A register-based study on social composition and mortality trends for the Danish population. BMC Public Health. 2012;12:994.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Priyanka P., Sumalatha B. S. Out-of-pocket Health Spending and Its Impact on Household Well-being in Maharashtra. J. Health Manag. 2021;24(4). doi: 10.1177/097206342110524</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Volkova O., Beschetnova O., Ananchenkova P. The use of e-Learning technologies in orphans training programs. Proceedings of the 12th International Conference on Virtual Learning on Virtual Learning Virtual learning — virtual reality, October 28, 2017. University of Bucharest; 2017. P. 136–41. Available at: http://c3.icvl.eu/2017/about-icvl-project</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Green M. S., Hayek S., Tarabeia J., Yehia M., HaGani N. A national survey of ethnic differences in knowledge and understanding of supplementary health insurance. Isr. J. Health Policy Res. 2017;6:12–9.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Kim J., Braun B., Williams A. D. Understanding health insurance literacy: a literature review. Fam. Consum. Sci. Res. J. 2013;42(1):3–13.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Sodani P. R. Potential of the Health Insurance Market for the Informal Sector: A Pilot Study. J. Health Manag. 2016;3(2). doi: 10.1177/097206340100300206</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Dyachenko S. N. Government and NGOs in Kazakhstan: strategy, forms and mechanisms of cooperation. Tsentral'naya Aziya i Kavkaz = Central Asia and the Caucasus. 2007;1(49):53–67 (in Russian).</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Civil society. Kazakhstan. Available at: https://www.gov.kz/memleket/entities/qogam/activities/142?lang=ru (in Russian).</mixed-citation></ref></ref-list></back></article>
