EVALUATION OF COORDINATION EFFECTIVENESS BETWEEN PRIMARY HEALTH CARE AND PUBLIC HEALTH SERVICES

Abstract

This study examines the effectiveness of coordination mechanisms between primary health care (PHC) levels and sanitary-epidemiological (public health) services. A central imperative in contemporary healthcare systems is enhancing population health outcomes by strengthening the nexus between curative-preventive measures and sanitary-prophylactic operations. A comprehensive analysis of interagency interaction within healthcare organizations in the Republic of Kazakhstan was conducted. The study utilized mixed methods—including quantitative surveys, expert interviews, and statistical modeling—to evaluate the informational, organizational, and functional linkages between PHC professionals and public health representatives. The findings indicate that a high level of coordination between these two structures plays a critical role in preventing non-communicable chronic diseases and ensuring the timely containment of epidemiological outbreaks. However, systemic barriers within the current framework were identified, including the fragmentation of unified digital platforms, personnel shortages, and the duplication of functions. To address these deficiencies, a new model of integrated evaluation indicators is proposed. The conclusions of this research offer practical recommendations for healthcare managers, public policy makers, and medical organization executives seeking to optimize curative and preventive processes. Implementing systematic coordination facilitates enhanced healthcare accessibility and the efficient allocation of state resources