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Development of pharmaceutical production and availability of medicines are key tasks of a sustainable healthcare system

The Government Resolution approving the Concept for the Development of Healthcare in the Republic of Kazakhstan until 2029 noted that state policy in the area of ​​drug provision is being developed as a technology-oriented and industrially supported model, where the availability of drugs is directly linked to the development of domestic production and the efficient use of resources.

A key focus is on strengthening Kazakhstan's pharmaceutical and medical industries. The government intends to consistently increase the share of domestically produced drugs through:

• development of regional pharmaceutical clusters (in Astana, Aktobe and Shymkent);

• expansion of the range of manufactured products, including drugs for the treatment of socially significant diseases - cardiovascular, oncological, autoimmune and diabetes;

• active attraction of investments through investment agreements and contracts;

• strengthening cooperation with scientific organizations for training personnel and conducting research.

Thus, drug supply is considered not only as a procurement system, but also as a result of industrial policy.

A separate focus is production localization and technology transfer. The government is focusing on partnerships with major international pharmaceutical companies (Big Pharma), which should ensure:

• transfer of technologies to the territory of Kazakhstan;

• development of contract and joint production;

• raising the technological level of the industry.

This reduces dependence on imports and increases the system’s resilience in the face of external risks.

The implementation of resource-saving healthcare technologies is becoming an important part of the strategy. This involves a transition to more efficient use of resources through:

• development of the health technology assessment (HTA) system;

• tightening requirements for the quality and evidence base of decisions;

• prioritization of the most effective medical technologies.

The key tool here will be the use of the QALY (quality-adjusted life year) metric. Its implementation will allow:

• evaluate not only the cost, but also the real benefits of drugs and medical interventions;

• compare alternative treatment options;

• direct funding to solutions with the greatest impact on patient life expectancy and quality of life.

This means a shift from quantitative financing to a value-based model of drug provision.

Finally, the state plans to improve the system of drug supply and rational use of medications. This includes:

• optimization of drug prescription;

• reduction of irrational consumption;

• increasing the clinical and economic effectiveness of therapy.

Источник: Фармацевтическое обозрение Казахстана