The Republican State Enterprise on the Right of Economic Management "Republican Center for Coordination of Transplantation and High-Tech Services" of the Ministry of Health of the Republic of Kazakhstan (hereinafter referred to as the RSE at RCCTVMU) was created to implement the functions of promoting the development of the transplant service in the Republic of Kazakhstan. The main activity of the Enterprise is the coordination of the transplant service on the territory of the Republic of Kazakhstan.
Purpose of activity RSE at RCCTVMU is the creation of an effective national system of organ donation and the development of the science of transplantology in the Republic of Kazakhstan.
The tasks of the activity of the RSE at RCCTVMU are:
1) coordination of the activities of medical organizations in the field of tissue and (or) organs (parts of organs) transplantation on the territory of the Republic of Kazakhstan;
2) participation in the development of normative legal acts regulating the activities of the transplantation service in the Republic of Kazakhstan;
3) organization of training for specialists of the Enterprise and medical workers involved in the coordination of the transplant service;
4) creation, monitoring and maintenance of the Unified National Register of Donors and Recipients;
5) organization, coordination and conduct of scientific research in the field of transplantation and promotion of other scientific and research activities;
6) cooperation with international organizations in the field of transplantation and related fields.
The main functions of the activities of the RSE at RCCTVMU:
1) interaction with hospitals of medical organizations of the Republic of Kazakhstan in terms of organizing operational removal and subsequent transplantation of tissue and (or) organs (parts of organs), by emergency departure of surgical teams to provide assistance in collection and transplantation of organs and tissues;
2) development of algorithms for the removal, conservation, transplantation of organs (parts of organs), tissues;
3) development of diagnostic and treatment protocols, medical and economic protocols for the removal and transplantation of organs (parts of organs), tissues from a potential donor;
4) development and implementation of accounting mechanisms for persons who have expressed their consent to the removal of tissue and (or) organs (parts of organs) after death;
5) interaction with health care organizations carrying out medical activities on the determination of tissue compatibility of tissue donors and (or) organs (parts of organs) and recipients, as well as with the infection control laboratory;
6) formation of surgical teams of medical organizations that carry out the collection and transplantation of organs and (or) parts of organs;
7) organization of round-the-clock transportation within the Republic of Kazakhstan of organs (parts of organs), tissues from donors for transplantation to recipients;
8) making suggestions for improving the current regulatory legal acts on donation and transplantation;
9) interaction with the media and non-governmental organizations to promote organ donation among the Republic of Kazakhstan;
10) holding conferences and symposia, seminars, teleconferences with the involvement of domestic and foreign experts for doctors and nurses;
11) interaction with domestic and foreign medical, nongovernmental organizations;
12) print publishing;
13) assistance in the preparation of publications and the dissemination of scientific works and information materials on the problems of transplantology to familiarize the Kazakh and foreign public with research on topical problems of transplantation;
14) participation in the development of teaching aids for higher and secondary specialized educational institutions on transplantation;
15) participation in the development and promotion of the implementation of international, state and regional programs in the field of transplantation;
16) participation in the study of legal and organizational problems of the development of transplantation.
National coordination of the transplant service is carried out around the clock by workers and regional representatives of the RSE at the RCCTVMU. To ensure the coordination of the transplantation service, representative offices have been created in regional centers, large cities, cities of republican significance Nur-Sultan, Almaty and Shymkent.
Today, there are 37 donor hospitals in the country where organ harvesting can be carried out, 7 transplant centers licensed to carry out transplant operations. A Unified Register of Donors and Recipients is being created, the register is automating the processes of generating an electronic list of donors, patients on the waiting list, and recipients, as well as business processes of the transplant coordination service. This register will simplify the selection of a donor-recipient pair, it will be done automatically.
Patient Rights and Responsibilities
Extract from the Constitution of the Republic of Kazakhstan (adopted at the republican referendum on August 30, 1995)
Article 17
- Human dignity is inviolable.
- No one should be subjected to torture, violence, other cruel or degrading treatment or punishment.
Article 29
- Citizens of the Republic of Kazakhstan have the right to health protection.
- Citizens of the Republic have the right to receive the guaranteed volume of medical assistance established by law free of charge.
- The receipt of paid medical care in public and private medical institutions, as well as from persons engaged in private medical practice, is carried out on the grounds and in the manner prescribed by law.
Extract from the Code of the Republic of Kazakhstan dated September 18, 2009 No. 193-IV "On people's health and health care system"
Section 5. Health Protection
Chapter 16 Health care rights and responsibilities and guarantees
The state guarantees to the citizens of the Republic of Kazakhstan:
1) the right to health care;
2) provision of a guaranteed volume of free medical care;
3) equal access to health care;
4) quality of medical care;
5) availability, quality, efficacy and safety of medicines;
6) carrying out measures for the prevention of diseases, the formation of a healthy lifestyle and healthy nutrition;
7) privacy, preservation of information constituting medical secrets;
8) freedom of reproductive choice, reproductive health and observance of reproductive rights;
9) sanitary-epidemiological, ecological well-being and radiation safety.
- Citizens of the Republic of Kazakhstan have the right to:
1) obtaining a guaranteed volume of free medical care in accordance with the list approved by the Government of the Republic of Kazakhstan;
2) provision of medicines and medical products within the guaranteed volume of free medical care, including certain categories of citizens with certain diseases (conditions), free or subsidized medicines and specialized medical products at an outpatient level in accordance with the list approved by authorized body;
3) free choice of a medical organization, high-quality and timely medical care;
4) additional medical services in excess of the guaranteed volume of free medical care at the expense of own funds, funds of organizations, the voluntary insurance system and other non-prohibited sources;
5) receiving medical care abroad at the expense of budgetary funds if there are indications in the order , determined by the Government of the Republic of Kazakhstan;
6) compensation for harm caused to health by improper prescription and use of medicines, medical devices and medical equipment by medical workers;
7) certification of the fact of temporary incapacity for work with the issuance of a sheet of temporary incapacity for work or a certificate of temporary incapacity for work;
8) free of charge receipt from government bodies, organizations and the attending physician, within their competence, of reliable information on methods of prevention, diagnosis, treatment of diseases and medical rehabilitation, clinical trials, factors affecting health, including the state of the environment, working conditions, everyday life and recreation, healthy eating and food safety, including the conclusion of the sanitary and epidemiological examination;
9) obtaining information on the safety, efficacy and quality of drugs, medical devices and medical equipment from government agencies, independent expert organizations and entities in the field of circulation of medicines, medical devices and medical equipment;
10) appeal against actions (inaction) of medical and pharmaceutical workers to a healthcare organization, a higher authority and (or) in court;
11) a petition to involve independent experts in case of disagreement with the conclusions of the state medical examination.
12) Foreigners and stateless persons who are on the territory of the Republic of Kazakhstan have the right to receive a guaranteed volume of free medical care for acute diseases that pose a danger to others, in accordance with the list determined by the Government of the Republic of Kazakhstan, unless otherwise provided by international treaties ratified by the Republic of Kazakhstan.
- In addition to the rights specified in Article 88 of this Code, the patient has the following rights to:
1) dignified treatment in the process of diagnosis, treatment and care, respect for their cultural and personal values;
2) medical care in priority determined solely on the basis of medical criteria, without the influence of any discriminatory factors;
3) selection, replacement of a doctor or medical organization;
4) support from family, relatives and friends, as well as ministers of religious associations;
5) alleviate suffering to the extent that the current level of medical technology allows it;
6) obtaining an independent opinion about your health and holding a consultation;
7) other rights provided for by the laws of the Republic of Kazakhstan.
- The patient has the right to receive information about his rights and obligations, the services provided, the cost of paid services, as well as the procedure for their provision. Information about the patient's rights should be posted in places of visual campaigning of medical organizations.
Upon admission to a medical organization, the patient must be provided with information about the names and professional status of those who will provide him with medical services, as well as the internal regulations of the medical organization.
- Medical care must be provided after obtaining informed oral or written voluntary consent from the patient.
- When receiving medical care, the patient has the right to comprehensive information about his health status, including data on the possible risks and benefits of proposed and alternative methods of treatment, information on the possible consequences of refusing treatment, information on the diagnosis, prognosis and treatment plan in an accessible form for the patient, as well as an explanation of the reasons for discharging him home or transferring to another medical organization.
- The patient can designate a person to whom information about his state of health should be provided. The patient's refusal to receive information is made in writing and is included in the medical documentation.
- Information may be withheld from the patient only if there are compelling reasons to believe that providing medical information will not only be unhelpful, but cause serious harm to the patient. In this case, this information is communicated to the patient's spouse, his close relatives or legal representatives.
- Patients receiving medical care in the conditions of clinical bases of educational institutions in the field of healthcare have the right to refuse to participate in the educational process, as well as to refuse the presence of third parties during medical and diagnostic procedures.
- Protection of patients' rights is carried out by bodies, healthcare organizations, as well as public associations within their competence.
- When receiving medical care, the patient has the right to comprehensive information about the prescribed medicinal product.
- Citizens getting married have the right to medical and genetic testing.
- In addition to the obligations specified in article 90 of this Code, the patient is obliged:
1) take measures to maintain and improve their health;
2) show respect and tact in communication with medical professionals;
3) provide the doctor with all the information necessary for the diagnosis and treatment of the disease, after giving consent to medical intervention, strictly follow all the instructions of the attending physician;
4) comply with the internal regulations and take good care of the property of a medical organization, cooperate with medical personnel when receiving medical care;
5) promptly inform health care workers about changes in their health status in the process of diagnosis and treatment, as well as in cases of diseases that pose a danger to others, or suspicion of them;
6) not to commit acts that violate the rights of other patients;
7) fulfill other obligations provided for by the laws of the Republic of Kazakhstan.
- The obligations of patients specified in subparagraphs 2) - 4) of paragraph 1 of this article apply to parents or other persons directly caring for a sick child in the hospital.
