SLIDE 1 Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 1
SLIDE 2 Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 2
The Republic of Kazakhstan is a unitary state w ith a presidential form of governm ent. According to the Constitution, the state proclaim s itself a dem ocratic, secular, legal and social state w hose highest values are an individual, his life, rights and freedom s. Kazakhstan gained independence on Decem ber 1 6 , 1 9 9 1 . The capital is the city of Astana. The state language is
- Kazakh. The Russian language has the status of a language
- f interethnic com m unication. Monetary unit - tenge.
Kazakhstan is located in the centre of the Eurasian continent. I ts territory is as large as 2 m illion 7 2 4 ,9 thousand square kilom eters and accordingly it occupies the ninth place in the w orld by its size.
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Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 3
By its adm inistrative-territorial structure the country is divided into 1 4 regions and 2 cities of republican significance: Astana - the city of republican significance – the capital of Kazakhstan Alm aty - the city of republican significance The population of Kazakhstan as of June 1 , 2 0 1 2 w as 1 6 m illion 7 6 0 thousand people. According to the national census the ethnic structure of the Kazakhstan society by 2 0 0 9 looks as follow s: Kazakhs - 6 3 ,0 7 % Russians - 2 3 ,7 0 % Uzbeks - 2 ,8 5 % Ukrainians - 2 ,0 8 % Uygurs - 1 ,4 0 % Tatars - 1 ,2 8 % Germ ans - 1 ,1 1 % Others - 4 ,5 1 %
SLIDE 4 Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 4
Kazakhstan is located in the centre of the Eurasian continent. I ts territory is as large as 2 m illion 7 2 4 ,9 thousand square kilom eters and accordingly it occupies the ninth place in the w orld by its size. I A large part of the country’s territory consists of deserts - 4 4 % and sem i-deserts - 1 4 % . Steppes cover 2 6 % of Kazakhstan’s territory, forests - 5 ,5 % . There are 8 ,5 thousand rivers I n
- Kazakhstan. The Northeastern part of the Caspian sea’s w ater
area is situated w ithin the country’s territory. The Aral sea is shared betw een Kazakhstan and Uzbekistan. There are 4 8 0 0 0 big and sm all lakes in Kazakhstan. The largest of them are Aral sea, Balkhash, Zaisan and Alakol.
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Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 5
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Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 6
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Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 7
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Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 8
The decision to shift the capital from Alm aty to Akm ola w as adopted by the Suprem e Council of the Republic of Kazakhstan on July 6 , 1 9 9 4 . The official shift of the capital happened on Decem ber 1 0 , 1 9 9 7 . I n accordance w ith the President’s Decree dated May 6 , 1 9 9 8 Akm ola w as renam ed into Astana. The new capital w as presented internationally on June 1 0 , 1 9 9 8 . At present Astana’s territory m akes up m ore than 7 0 0 square kilom etres, its population size as of June 1 , 2 0 1 2 is m ore than 7 5 0 thousand people. The city consists of three districts - "Alm aty", "Saryarka" and "Yessil".
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Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 9
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Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 10
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Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 11
Traumatology and Opthopedics Research
Institute, Astana
ESD and ERCP - EMR -
1-2 cases one week
Gastroscopy-
10-15 cases a day
Colonoscopy- 1-2 cases a day Bronhoscopy- 1-2 cases a day Proctoscopy- 1-2 cases a day
SLIDE 12 Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 12
Republican Research Center for Emergency Care The priority areas of the Center development are the development of interventional, minimally invasive and tectonic restorative interferences in various types of surgical and therapeutic pathologies. The Republican Child Rehabilitation Center The Republican Child Rehabilitation Center was designed for 330 beds. This is the state-of-the-art building according to the world standards, which has 6 departments, 5 of which are psychoneurological departments for the children with
- rganic pathology of nervous system and psychiatric disorders, and 1
endocrinologic department. Highly-skilled medical-psychological- pedagogical staff works in the Center, who completed training in leading hospitals of Great Britain (London, Bristol, Nottingham, Lidzya), Israel, Russia and Lithuania.
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Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 13
Republican Diagnostic Center Presently, the Republican Diagnostic Center is the best diagnostic center of international standard. This is the investment project, implemented by the Order of N.A. Nazarbayev, the President of the Republic of Kazakhstan, and created in accordance with the Decree of the Government of RK № 421 as of May 6 2008. Republican Research Center for Neurosurgery The mission of «Republican Research Center for Neurosurgery» JSC is delivery of high quality neurosurgical care based on the advanced medical technologies, world standards of medical service quality and international medical management, conducting the applied researches in the field of neurosurgery, creation and implementation of effective mode therapy based on it, implementation of the modern forms of neurosurgical care organizations as well as scientific methodological activity, and retraining of experts in the field of neurosurgery.
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Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 14
National Research Cardiac Surgery Center Leading cardiac surgery center in the Central-Asian region is unique in that all the areas of modern cardiology, cardiac surgery and intervention are here integrated; and medical care will be delivered both for adults and children. The National Research Center for Maternal and Child Health The National Research Center for Maternal and Child Health is the largest diagnostic and treatment research institution in the field of the obstetrics and gynecology, pediatrics and female and male health in the Republic of Kazakhstan.
SLIDE 15 Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 15
Organizational problems Possibilities of endoscopy are not used insufficiently because of illegible work organization of departments, slow introduction of new management, decentralization of work of endoscopists, lack of high effective endoscopic diagnostic and therapeutic programs. In some cases expensive endoscopic equipment is used irrationally because of bad qualification
- f specialists, especially in surgical endoscopy, lack of continuity in work with doctors of
different departments. Some difficulties are caused by lack of necessary normative basis, of recommendation in optimization of structure and staff schedule. Lack of standard equipment and expenses material in endoscopic department, so even now fibroscopy and manual methods of disinfection are used. Technical problems There is only one representative manufacturer «Olympus». Other companies like “Pentax” and “ Fujinon” are not represented. There are a lot of intermediaries, which influence final cost of endoscopic equipment. Besides lack of service centers, which make complicated repair of endoscopes, which made only in Moscow( Russia).
Problem s of endoscopy in Kazakhstan
Financial problems Financial difficulties of medical institutions are main problems nowadays, which slow down development of endoscopic service. All this influence volume and quality of work, licensing and prospects of development. Survey shows that technology of conducting of diagnostic studies hasn’t changed for the last few years, which is connected with material support. Lack of stimulus complicates introduction of new methods of treatment and diagnostics. Specialists are not interested in using of methods and diagnostics which need additional expenses and time, because it is not paid well. Corruption Because of the high level of corruption procedure of purchase is prolonged and cost of new equipment is overvalued and not all types of endoscopes are represented. To develop organization service of endoscopy and to increase efficiency its work, to speed up introduction of new diagnostic and therapeutic methods, including surgical endoscopy, besides to improve staff training and technical supply with modern endoscopic equipment is necessary to hold some very important measures, among them to increase the role of Society of endoscopists in Kazakhstan, which was founded two years ago. Thanks to Society and its activities solution of some problems of endoscopy and development of endoscopy is getting better.
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Kanat Batyrbekov, Research Institute of Traumatology The 7th Asia Telemedicine Symposium, 2013 16 Thank you very m uch for your attention !
