E-Health and M-Health in Kazakhstan

The purpose of this study was to determine the state of electronic and mobile health in Kazakhstan. Our study also aims to improve the quality, cost, and convenience of the Kazakhstan Health using ICT. The study found that in Kazakhstan, e-health is not developing as we would like, m-health is not developed at all, and telemedicine is in the process of rapid development.

The government supports the development of e-health. Proof of this is the launch of a single national health information system (SHIS) (http://www.rcrz.kz/index.php/ru/) There are no high-quality, useful and convenient medical websites in our country. In the study, we identified the following problems in the implementation of mobile and electronic devices in Kazakhstani healthcare: * Kazakh people don’t truth to medicine

* Requires the high level information security* Mobile phones and computers have negative influence to health * Not anywhere there are good medical personnel* Old medical personnel don‘t have Computer skillsWe found some strategic researching directions:* Chronic disease(diabetes)* Oncology* Online diagnostics* Online consulting* Online ambulance* Different m-Applications

Study objectivesStudy objectives were to understand the state of public health in Kazakhstan and how can improve it using information and mobile technology.

MethodologyIn our researching study we used two types of methodology: analysis and evaluation.

eHealth, mhealth and telemedicine in generaleHealth – the application of Internet and other related technologies in the healthcare industry to improve the access, efficiency, effectiveness, and quality of clinical and business processes utilized by healthcare organizations, practitioners, patients, and consumers to improve the health status of patients.

E-Health is the cost-effective and secure use of information and communication technologies in support of health and health-related fields, including health-care services, health surveillance, health literature, and health education. mHealth is the use of mobile networks and devices in supporting e-care.

Emphasizes leveraging health-focused applications on general-purpose tools such as smartphones and Short Message Service (SMS) messaging to drive active health participation by consumers and clinicians.” M-health(e-health) goals

* Develop patient-centered healthcare delivery* Increased self-management of illness* Alleviate the systemic pressures on the healthcare industry * Reduced number of hospital beds occupied* Remote monitoring and smart diagnosis* Improved disease management* Improved compliance with treatment regimesTelemedicine is the use of telecommunication and information technologies in order to provide clinical health care at a distance.Telemedicine is a product of 20th century telecommunication and information technologies. These technologies permit communications between patient and medical staff with both convenience and fidelity, as well as the transmission of medical, imaging and health informatics data from one site to another. Early forms of telemedicine achieved with telephone and radio have been supplemented with videotelephony, advanced diagnostic methods supported by distributed client/server applications, and additionally with telemedical devices to support in-home care.

Telemedicine in KazakhstanIn Kazakhstan in 2012 conducted 16,000 consultations via telemedicine. This was reported by the Minister of Health Salidat Kairbekova the Government Hour in the Majilis. “Today, almost all central district hospitals, 148 out of 156, have telemedicine centers, which may, if necessary to enter the regional and national clinics for advice in the treatment of the patient. During the 12 months of 2012 have been more than 16,000 telemedicine consultations and videoconferencing 3650 “- said S.Kairbekova.

According to the Ministry of Health, in the framework of rural medical service in 2012, built and put 86 objects in the village. The functioning of mobile medical complexes and “train health” allowed to carry out survey in 2012 about 600,000 people living in rural communities. It was found about 1.5 million laboratory diagnostic services and consultations by specialists.

Visit of Minister of Health Salidat Kairbekova in Kyzylorda region to clarify the President’s Message to the people next to continued meetings with the medical community. She visited the Syrdarya region, visiting the district hospital, family medical clinic in the village Talsuat, the press service of the MoH of RK. It also had a discussion with the medical staff, which dealt, in particular, the need for the development of telemedicine in remote villages, allowing to get in touch in the online mode with the regional and national clinics.

At the reception of the Syrdarya district hospital, where the registration is in electronic form, it asked to introduce an electronic database of patients, consisting on the dispensary. In Kyzylorda fertility rate over 5 years increased by 13.7%. Told BNews.kz said deputy head of the regional health Lyailya Kultaeva. Contribute to the reduction of maternal and infant mortality rates are making telemedicine. Its mission – to provide reliable health care for those who live far away from the regional and district centers.

“The budget in 2013 for medical treatment abroad provides about 1 billion tenge. Ministrs has undertaken a number of measures to reduce the order to for medical treatment abroad: Create a working body in the face of the National research center that conducts telemedicine consultations with foreign medical organizations and with the approval and confirmation of foreign medical organizations on the treatment of a patient asks for a treatment program and costing to deliver it Then conducts screening foreign medical organizations, and determines the Commission with an analysis of the cost of treatment in at least 2 foreign medical organizations. Telemedicine and privacy

There are concerns related to the possibility of leakage of confidential patient information on the Internet, which is an open network and the transmission of medical information for patients and their discussion in the open for all modes is legally unacceptable. This problem is overcome by encoding information (as does, for example, Skype) or by getting the patient to the receipt of the admissibility of data about it on a public network. Home telemedicine

This is a remote medical care to the patient undergoing treatment at home. Special telemedicine equipment collect and transfer of medical data of the patient from his home in a remote telemedicine center for further processing specialists. This is important, for example, for patients with heart failure who require regular and frequent surveys. Complexes, including sensors measuring body temperature, blood pressure, oxygen partial pressure, ECG and respiratory function, connected to a desktop monitor, which in turn automatically sends data to the telemedicine center.

eHealth and mHealth in KazakhstanFrom President’s message 2013…Another important way to increase the level of human development is to improve the availability and quality of medical services, the promotion of healthy lifestyles… Unified National Health System

Unified health information system of the Republic of Kazakhstan – a set of software and hardware tools and technologies linked together by means of data with a common ideology, approaches, classifications and other means of ensuring that the whole structure of health management based on uniform procedures for the collection, processing, aggregation and analysis of information. Software systems :

Medical and statistical systemPatient oriented system that provides all of the information of the interaction of patients with medical staff. Resource Management SystemСritical strategic and operational issues of personnel and logistical support of medical institutions, according to their actual needs, and also provides the use of common references and codifiers.

The monitoring system of sanitary and epidemiological situation Task of collecting, compiling and analyzing information, timely information to the responsible departments of the Ministry of Health and local authorities on health and well being of all the regions. Drug control system software to monitor drug trafficking

Provides automated control of the processes of production, movement and use of medicines, medical devices and medical equipment. The quality management system of medical services To enhance the quality control of medical organizations and personnel of medical institutions and personnel in terms of the services provided through the development of object-indicator indices. The system provides information support for training and certification of medical personnel. Financial management system

Manages the cash flow industry.

The problems:* Kazakh people don’t truth to medicine* Requires the high level information security* Mobile phones and computers have negative influence to health * Not anywhere there are good medical personnel* Old medical personnel don‘t have Computer skillsStrategic research directions for us:* Chronic disease(diabetes)* Oncology* Online diagnostics* Online consulting* Online ambulance* Different m-Applications

ConclusionE-health not widely used in Kazakhstan, but has the potential for the development of e-health in our country, we must firstly educate and train staff to use the latest technology and develop a system for the management and use of technology.