[ESTIMATION OF EFFICIENCY OF HOSPITAL PAYMENT METHODS IN THE REPUBLIC OF KAZAKHSTAN].

Purpose - to evaluate the methods of payment for medical aid in the medical organizations of the Republic of Kazakhstan. The materials of the study were statistical and financial indicators of the activity of medical organizations of the Republic of Kazakhstan for 2010-2017. The research is based on methods of organizational and economic research: theoretical analysis, economic and statistical analysis. With the implementation of the system of "global budget" at the Regional Oncologic Dispensary main target indicators of the memorandum was reached with the year 2011-2015. With the introduction of the system, the beds were reduced by 33.3%, but due to the increase in beds in the day hospital, the number of patients treated increased by 55.8%. In the Tayinshinsky Central District Hospital, the increase in funding by 26.7% and wages of medical workers by 24.9%. Thus, the application in the domestic practice of global budget systems and payment for diagnosis-related groups in a hospital environment showed its effectiveness, proving that the payment system is designed to stimulate efficiency gains and to prevent the provision of unnecessary services. At the same time, a number of negative aspects of payment methods can be identified, which requires a further revision of the diagnosis-related groups in order to improve the efficiency of using budget funds. Payment of medical services for the global budget system, in particular oncological services also require a number of changes on the part of the regulatory normative legal acts.