Chronic noncommunicable Disease Management Program
In order to form joint responsibility for health with the involvement of the person himself/herself and the management of chronic noncommunicable disease aimed at reducing morbidity, complications and mortality of the population, within the framework of the State Program for the Development of Healthcare “Densaulyk” for 2016-2019, the Ministry of Health of the Republic of Kazakhstan is working to strengthen primary health care with the introduction of disease management programs based on evidence-based medicine.
The introduction of the DMP is dictated by the need for serious transformations in the prevention and control of chronic noncommunicable diseases, in increasing the joint responsibility of patients for their health, improving the interaction of medical personnel and the use of all available resources aimed at preventing possible complications or aggravation of conditions.
DMP is a program aimed at reducing healthcare costs and improving the quality of life of people with chronic diseases by preventing or minimizing the consequences of the disease through integrated care.
At the same time, DMP is a system of coordinated medical interventions and communications for groups of patients with conditions where self–help/self-management efforts can be made. Such a program enables individuals, together with other health care providers, to manage their disease and prevent complications.
International experience and various approaches in the implementation of the DMP were discussed at the level of the Ministry of Health of the Republic of Kazakhstan with international consultants. It was decided to develop and implement a disease management program based on evidence-based medicine, increase public awareness of health issues and joint responsibility for the health of citizens between the state, employees and citizens themselves to address approaches to social modernization and further strengthen health reforms.
5 chronic noncommunicable diseases management programs are being implemented in the activities of the Presidential Hospital: 1. diabetes mellitus (DM), 2. coronary heart disease (CHD), 3. arterial hypertension (AH), 4. bronchial asthma (BA), 5. chronic obstructive pulmonary disease (COPD).