Analysis of legal acts regulating activity of general practitioners and nurses.
Authors: Kaidaulov M.K., Turdaliyeva B.S., Aimbetova G.E., Meirmanov S.K.
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The availability and quality of medical care largely depend on efficiently organized activities of physicians and nurses. Regulations play a key role in organizing activities of general practitioners and nurses. Therefore, purpose of the study was review of regulatory acts regarding general practitioners and nurse’s activity in order to determine changes or tendency on regulatory acts. As well as analyzed changes in workload of general practitioners and nurses. This study was conducted through reviewing changes and additions in legal acts regulating activities of general practitioners and nurses. Overall, 25 regulatory documentations and scientific publications were analyzed. Sources of legal acts and scientific publications were website www.zakon.kz, Republican Center for Healthcare Development. The results of the study showed that there are many legal acts that govern activities of general practitioners and nurses. During content analysis of legal acts were identified inequality of physicians and nurses. For example, general practitioners belong to highly qualified specialists, while nurses to specialists of secondary qualification, although in recent years in the national health care system
have been trained nurses with higher education.
In addition, nurses belong to B3 unit, while general practitioners are categorized as B2.
These facts reduce the status of nurses.
Healthcare development programs giving priority on development of primary care, increasing number of general practitioners, improving status of general practitioners and nurses.
As well as there is a downsizing of general practitioners’ district, and a gradual reduction in workload of general practitioners. For example, in 2018 according to legislatives 1700 population comes to 1 general practitioner.
Changes in order on preventive medical examination and target groups shows that workload of general practitioners and nurses still remain higher comparing with 2011. This is because target groups for cervical and breast cancer in 2017, were expanded compared with 2011. The results of research shows, those functional duties of nurses are expanding. For instance nowadays nurses can individually accept patients on medical organization and may
delegate home visits.
According to results, general practitioners acquire skills in following areas: obstetrician- gynecology, internal diseases, pediatrics, therapy, nephrology, etc. Nurses acquire skills in following areas: propaedeutic of internal diseases, nursing in pediatrics, nursing in surgery, nursing in obstetrics and gynecology, nursing in epidemiology, clinical pharmacology, nursing in neurology and general practice nurse. The analysis shows that domestic nurses acquire skills for admitting and consultation of patients with chronic diseases.