Article 35. Examination of the quality of medical services (assistance) The Code on the Health of the People and the Healthcare System of the Republic of Kazakhstan

Home / Codes / Article 35. Examination of the quality of medical services (assistance) The Code on the Health of the People and the Healthcare System of the Republic of Kazakhstan

1. Examination of the quality of medical services (care) is a set of organizational, analytical and practical measures carried out to make an opinion on the level of quality of medical services provided by individuals and legal entities using indicators reflecting the effectiveness, completeness and compliance of medical services with standards.

2. The examination of the quality of medical services (care) is divided into internal and external.

3. To conduct an internal examination, a patient support and internal examination service is being created in a medical organization.

The patient support and Internal Expertise Service conducts an ongoing analysis of the organization of medical care, the clinical activities of the medical organization, the identification of violations of the procedure for providing medical care and standards, a medical incident or harm to the patient's life and health as a result of medical activities, as well as consideration of patient complaints within a period not exceeding five calendar days.

Based on the results of the examination, proposals are made to the head of the medical organization to eliminate the identified causes and conditions for reducing the quality of medical services provided.

4. An external examination of the quality of medical services (care) is carried out:

1) a state body in the field of medical services (assistance), including with the involvement of independent experts in the field of healthcare;

2) the social health insurance Fund in the framework of monitoring the fulfillment of contractual obligations on the quality and volume of medical services.

In case of disagreement of the healthcare entity with the results of monitoring contractual obligations on the quality and volume of medical services, the monitoring results may be appealed to the state body in the field of medical services (assistance);

2-1) by local public health authorities in relation to medical organizations providing medical care to persons held in pre-trial detention facilities and institutions of the penal (penitentiary) system.

3) independent experts in the field of healthcare when they are engaged by individuals or legal entities on a contractual basis;

4) the Office of the Office of the President of the Republic of Kazakhstan in relation to subordinate organizations.

Based on the results of an external examination of the quality of medical services (assistance) conducted by the state body in the field of medical services (assistance) and the social health insurance fund, the state body in the field of medical services (assistance) conducts an analysis to develop proposals for improving the provision of medical services (assistance).

5. The procedure for organizing and conducting internal and external examinations of the quality of medical services (care) is established by the authorized body.

The footnote. Article 35 as amended by the Law of the Republic of Kazakhstan dated 12/30/2021 No. 95-VII (effective from 07/01/2022).

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