Types of Health Care Organizations. The organization of work in these medical personnel

of stay
2- classification by type of services
3- classification by type of ownership
Health care system in Kazakhstan

care can be classified in one of three ways:

Classifications by length of
stay

Classification by type of
services:

Classification by type of
ownership:

● Short stay
● Traditional acute
care
● Long –term care

● General vs. specialty
● Community vs. tertiary
● Sub-acute(transitional)
care
● In-home care
● Ambulatory care

● Governmental
● Non-Governmental
* For-profit
* Non-for-profit

Sort-stay facilities:
● Which provide services to patients/clients who are suffering from acute conditions that require less than 24 hrs of care.
● Short stay may take place in separate units in a hospital, or in short –stay centers.

takes place in the hospital.
● It includes patients staying more than 24 hrs but fewer than 30 days.
3) Long term care :
● Which include those agencies that offering services to patients with major rehabilitation needs, chronic diseases, functional losses, or mental illness.
● The average length of stay extends from
several months to years.

hospital:
● Which offers medical, surgical. Obstetric, emergency, and diagnostic as well as laboratory services.

only a particular type of care. such as:
- psychiatric hospitals
- women's hospitals
- children's hospitals
● Specialty hospitals tend to be less common than general hospitals

those services provided in the general hospital but for specific community.

It is a growing type of services that may be offered in a special unit of a hospital or may be provided in long –term care setting.
The unit (medical services +discharge rapid) Hospitals
The unit ( rehabilitative services ) Long-term facilities

in the community health care agencies, by health care professional including nurses, physical therapists, social workers, and home health care aid.
● this care may be:
1) Short–term: teaching and monitoring after hospitalization
2) Intermediate-term: to assist an individual until self-care is possible
3) Long-term: for those with ongoing health problems

to care services provided to persons who are not hospitalized
● The ambulatory settings include:
The outpatient surgery centers
Minor emergency clinics
Outpatient dialysis units
Outpatient birthing centers

by government
Provide free care for patients
May offer private accommodation for free-paying patient

The Ministry of Health
b- The University
c- Military personnel
d- Health insurance organization
e- Health care organization

owned, operated, and controlled by individuals, groups, or private organizations.

operated by non-profit groups or organizations (e.g. religious bodies & community boards)
● The original capital costs are obtained in a variety of ways (e.g. through donation)

to maintain a high degree of centralization of management, preserving many features of free medicine that existed in the Soviet Union. However, the development of various forms of ownership: government agencies, state-owned utilities, which combine to provide free medical care to the various types of paid medical services; Finally, private clinics, as being the state order for medical care, and working offline.
Establish a regional tertiary care centers. For example, in Astana and Almaty deployed cardiology centers with cardiovascular surgery, hematology Children's Center in Karaganda. Their task is to focus high-tech kinds of medical care and to make them as accessible as possible to the population.

patients of the internal rules of the division, which provides patients with adherence to treatment and protective modes: sleep and rest, diet, systematic observation and care, the implementation of medical procedures, and so on. D.
Approximate internal rules of the therapeutic department
6-7 hour ascent, body temperature measurement
7 - 8:00 Toilet
8 - 10:00 Breakfast
10 - 12:00 Bypass doctors
12 - 14 per hour Performing prescribing
14 - 15 h Lunch
15-17 hour quiet hours (rest)
17-18 hour walks, visiting relatives
18-19 hour measurement of body temperature
19 - 20 hour Dinner
20 - 22 hour Free time
22 hour bedtime

are inpatient units for treatment of patients.
Emergency room (office) for:
- Primary nursing and medical examination of incoming patients in order to establish a preliminary diagnosis at admission;
- Sanitizing newly admitted patients;
- Preventing the spread of nosocomial infection by creating a health filter;
- Emergency, if necessary - emergency medical care of admissions;
- Compelling differential diagnostic action to implement triage and referral to relevant department or hospital (hospitalization) or other medical institutions (denial of admission to this hospital)

emergency department
In the case of the sudden death of a patient nurse must actively participate in resuscitation:
• It must be able to establish the breath of the patient using the device AMBU. The effectiveness of breathing depends on the proper installation of the patient's head to adhere to the lower jaw;
• be able to quickly remove the electrocardiogram;
• be able to work with a defibrillator;
• know where the drugs used in emergency situations, be able to quickly open the vials, to recruit and to introduce drugs, knowing that for the provision of resuscitation initially released only 5 minutes;
• Know what medication is best to introduce what syringes; for example, intracardiac adrenaline conveniently administered long needle connected to a syringe with a capacity of 20 ml, and the treatment of hypoglycemic coma need to work with two such syringes and always together, one gaining glucose, and the other introduces her intravenously. During resuscitation, many of manipulation and must be carried out carefully, without error and virtually be brought to automaticity (intravenous injection, electrocardiogram, and more). Therefore, starting the duty, it is necessary to carefully check what medicines are available and where they are (it is desirable to have a first aid kit, where the order are necessary for intensive care medicine); to see in what condition the electrocardiograph, sufficient amount of paper in it.