The Effectiveness of the New Pay System in Kazakhstan: Opinions of Health Workers

Putting into operation a new system of financing the primary health care (PHC) with elements of payment for the effectiveness of activities (per capita incentive rationing) since 2011 intended for extra salaries and training of PHC health workers makes it possible invest about 119 million U.S. dollars to motivate the specialists of district health services. Studying opinions of district health service specialists (PHC), who are the main participants of this process, about the effectiveness of putting into operation per capita incentive rationing (PCIR) is defined as the purpose of our study. The public opinion poll of doctors and medical personnel of medical organizations PHC from 14 oblasts and 2 cities of republican status (Astana and Almaty) on the new pay system for medical staffwas carried out during the first quarter of 2013 in the frame of the given research. The volume of the study contained 1,067 questionnaires of district services medical staff. According to the polling the principal criterion charge of incentive pay, the majority of respondents (86.9%) indicated excellent results, 59.1% cited a lack of complaints from patients and colleagues, while highlighting in 25.1% of colleagues positive evaluation. Also, in the opinion of 75.2% of respondents taking into account the qualification category of specialists is necessary, 63.6% of respondents whose work experience does not fit the ideology of the introduction PCIR and demands to have an extension work among the medical staff. More than 50% of medical staffhave noted the influence of PCIR on satisfaction as the level of wages as the active work. On the basis of our research, we assume that putting into operation the PCIR increased medical personnel's interest in achieving high results of their activities.