ANALYSIS OF MEDICAL PERSONNEL IN THE PRIMARY HEALTH CARE SERVICE IN PUBLIC AND PRIVATE HEALTH SECTORS

Today, in Kazakhstan, one of the health care sectors in which the problem of personnel needs is felt is the outpatient polyclinic sector, which is the first in providing medical care to the population. It is in this health sector that queues take place, placing a heavy burden on doctors and leading to outflow of personnel to the private sector. Thus, during the 2018-2022 period, there has been an annual increase in the number of doctors in primary health care service in both the public and private sectors. However, the increase in the number of doctors in the private sector is higher than in the public sector. The number of private doctors increased by 11.0 percent, and the number of public doctors increased by 5.0 percent. The analysis of staff positions in outpatient clinics in the public sector showed a wave-like dynamics for the 2018-2022 period. This circumstance is due to the growth of the population, which is connected to the growing need for medical personnel in Kazakhstan every year, and the COVID-19 pandemic, which significantly affected primary health care service doctors. The need for doctors in the public sector in 2018 was met by 96.2%, and in 2022, it was 92%, having decreased by 4 points. According to the results of statistical data, there is a distinct shortage of medical personnel in Kazakhstan. The main reason is the insufficient financing of the industry, as well as the outflow of doctors from public health institutions to other, higher-paying sectors of the economy. In general, as of 2022, the staff was understaffed by 8%. This means that the number of positions actually occupied does not correspond to the volume of services that the state planned to provide.