Аңдатпа
Objectives: To discuss the implication of the Policy on development, review and approval of accreditation standards for healthcare organizations in Kazakhstan and to provide directions for improvement Methods: Development and revision of the standards is done by Accreditation Center according to the order of MoH together with relevant stakeholders in accordance with the plan for development and update of standards, approved by the MoH. Prior to starting the work, accrediting body defines the duration for each subsequent Step in standards review process. Each process has clearly defined description and performer (Table 1). The second process required the formation of task force that includes international, national experts in the field of accreditation, which will be the main authors of accreditation standards. The most time-taking process is the approval. Different committees are formed at MoH, which consist of healthcare professionals that have enough knowledge, experience and competency to develop accreditation standards. It is significant that the standards comply with the requirements of normative legal documents of the Republic of Kazakhstan required for the application, as well as standards do not contradict standards and documents to which they are referenced. Therefore, accreditation standards are developed and reviewed in accordance with the forms of health care provision and health of people. Results: Accreditation standards development has positive impact on healthcare as it helps to organizations to be up to date with current innovations in the field of health care. Moreover, with the help of feedback gathered from different health providers and stakeholders, issues faced while providing medical care are assessed and addressed in the form of accreditation standards as well as challenges occurring worldwide in the field of medicine are taken into account. Due to the fact that the process of approval of new or revised accreditation standards takes about 1 year, there might be some issues arising from this. One of the crucial issues is that Ministry of Health, its Joint Quality Commission and Ministry of Justice are not regulated by RCHD, thus there might be delay during all procedure in getting approval from these entities. Standards development process consists of many stages which is also the limitation of the study. Moreover, it should be noted that dedicated time for completion of development and revision of standards is not evenly and fairly distributed. Image: Conclusion: The process of development and revision of standards in Kazakhstan is well-structured. It takes into account existing literature, current situations and international experience as well as the feedback of medical organizations and all other interested parties. The study has revealed that despite of the actual standard development such as wording, structure and content, factors that influence and hold the implementation of accreditation standards are needed to be investigated and analyzed. It is crucial to follow the scheduled times, nevertheless it is the main limitation of the process.