title: Assessment of technical equipment supply in healthcare institutions: example of Almaty.
abstract: BACKGROUND
  The share of healthcare-related expenditure in the Gross Domestic Product of Kazakhstan is relatively small, and it is strategically important to restructure budgetary expenses in favor of healthcare with simultaneous redistribution of resources in accordance with changing demands and prioritization of high-quality medical care. The aim of this study was to analyze resource provision to healthcare organizations in Kazakhstan and its structure and level assessment.
  
  
  METHODS
  The study is based on a comparative assessment of technical and technological equipment of medical institutions in Almaty, Kazakhstan. We analyzed the scope and structure of the financial component of the resource base in Almaty. We carried out information processing and analysis methods, content analysis, mathematical treatment, as well as conducted case studies. Also, we held opinion poll among medical staff (specialists, managerial staff) (n = 300) P for trend < 0.001 and patients (n = 210) P for trend < 0.001.
  
  
  RESULTS
  About 18.8% of patients do not receive medical care because of defects of the equipment, whereas 19.9% of patients claim that the reason of refusal of the provision of medical services is an equipment overload.
  
  
  CONCLUSIONS
  Most of the respondents referred to on poor technical equipment, mismatch with the world standards of performance and competitiveness. Lack of advanced medical technology, inadequate financing, insufficient supply of domestic medical equipment, and inadequate procurement by tender were also noted. The obtained data point to the need for optimization and upgrading medical equipment at various levels of healthcare.
authors.affiliation: Department of International Healthcare, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.
authors.forename: Kuralbai K
authors.initials: KK
authors.lastname: Kurakbayev
authors.affiliation: Department of International Healthcare, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.
authors.forename: Daniyar S
authors.initials: DS
authors.lastname: Issayev
authors.affiliation: Department of International Healthcare, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.
authors.forename: Murat K
authors.initials: MK
authors.lastname: Koshimbekov
authors.affiliation: Department of International Healthcare, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.
authors.forename: Ainur B
authors.initials: AB
authors.lastname: Kumar
keywords: Assessment; Kazakhstan; healthcare institutions; technical equipment supply