Abstract
Background. Cardiovascular diseases remain a major public health challenge. In predominantly rural regions, the geographical distribution of healthcare resources may limit access to specialist care. Objective. To assess trends in registered cardiovascular morbidity and cardiology service capacity in the Almaty Region and estimate cardiologist workforce requirements for 2026. Materials and methods. A retrospective population-based analytical study used aggregated administrative data. Regional morbidity was assessed for 2019–2024; territorial morbidity, workforce, and bed capacity for 10 territorial units during 2022–2024; and urban and rural hospitalizations for 2022–2025. Surgical and high-technology care indicators were assessed for the available periods. Analyses included descriptive statistics, coefficients of variation, and Pearson correlations. Workforce requirements were estimated using the 2024 dispensary-registered patient population, annual growth, and a planning assumption of one cardiologist per 2,000 patients. Results. Regional registered cardiovascular morbidity increased from 2,319.7 to 2,497.3 per 100,000 population (+7.7%), with the largest increase observed for ischemic heart disease. In 2024, the mean rate across the 10 territories was 5,101.4 per 100,000, with a coefficient of variation of 65.3%. Rural hospitalizations increased from 1,756 to 2,325 (+32.4%). None of the three correlations reached statistical significance (p > 0.05). The projected requirement for 2026 was 84 cardiologists compared with 71 reported in 2024, yielding a net model-based gap of 13. Conclusions. Registered cardiovascular morbidity increased, and substantial territorial variability was observed. Correlations remain exploratory. The workforce projection is a planning estimate rather than a confirmed future shortage. Further assessment of workforce distribution, referral pathways, and access to specialist care is warranted.