The issues of formation of scientific and methodological bases for improving healthcare organizations activity are considered, healthcare system in current market conditions are studied in this article. Such issues as competition between healthcare institutions providing medical services are also studied in this work. Main, crucial functions of control over management and marketing in healthcare institution are considered. Basic tools for improving efficiency of production capacity and financial resources of healthcare institution are suggested.

In the article, on the materials of the Communal state enterprise on the right of business «Aktogay central district hospital, the problems of staffing provision of healthcare sphere institutions of Pavlodar region are considered. The article gives the analysis of the current state of the problem and the ways of its solution, including mechanisms of state support and regulation.

This article reviews the literature on health management. In accordance with the State health care reform and development program for 2011-2019, introduction of new forms of financing for medical organizations that provide economic incentives for their activities and improve the efficiency of the funds is envisaged. The fund holding is the most perspective.

The article considers modern healthcare as a social institution representing a wide system of private and state enterprises. It is pointed out the need to study the theoretical and practical features of management in healthcare, conditioned by the need to develop conceptual approaches to communication between managers and specialists in the medical services industry at various levels of management.

The article discusses the development of digital health care in Kazakhstan, the pace of development of which allows us to predict with confidence the intensive development of smart medicine in the future. The main stages of digitalization of health care are considered, while the main trends characterizing the features and problems of its development at the present stage were highlighted.

The specifics of the management of healthcare institutions are due to the fact that healthcare is a special field of activity that differs significantly from other types of activities. One of the most important management tasks in the field of public health protection is the achievement of targets: improving the quality and accessibility of medical care through the effective use of limited financial, material, labor and other health resources in conditions of rapidly growing competition in the medical services market. The purpose - is to review and summarize the domestic and foreign experience of management in health care. The article emphasizes that the serious institutional transformations taking place in the domestic healthcare system in recent years are aimed at improving the quality of medical services in the implementation of the state guarantees program, at switching to a single-channel model of financing medical care, at introducing the principles of result-oriented budgeting into the activities of socially oriented organizations providing socially significant services. The practical implementation of the above innovations requires a revision of the concept of management in the field of healthcare, the priority areas of which correspond to the best world practice. The preservation of the health of the nation is a strategic guideline of state regulation in the field of healthcare, which determines the targets of state policy. When writing the article, traditional methods (comparison, description, measurement), general logical methods and research techniques (analysis, generalization, etc.) were used. The article discusses the main theoretical foundations and organizational and economic mechanisms of the healthcare management system in market conditions. The author notes that effective healthcare is a significant factor stabilizing the socio-political situation at all the above-mentioned early stages of the reform. Therefore, studies of economic relations in healthcare in the transition period, the role of innovation policy in the management of healthcare institutions are becoming relevant. At the same time, issues of the effectiveness of the functioning of healthcare institutions are of particular importance, which are ultimately determined by the creation of socio-economic, scientific, technical, organizational and economic prerequisites for the progressive development of productive forces using the achievements of scientific and technological progress, the latest medical technologies.

Main problem: One of the most complicated types of marketing is marketing of medical services or organizations. This can be attributed to many reasons. First of all, person’s life and health is the most important value. One more reason is that budget funds are limited, this forces us to look for extra-budgetary financing sources. At the same time, it follows that the population of the Republic of Kazakhstan, receiving free assistance for a long time, refuse paid medicine, the solvency of a large percentage of the population. Thus, marketing research of the services market is designed to identify the real market share of trade and paid medicine, to fill the need of the qualified medical care, to identify the particularity of demand in various segments and the demographic and psychographic characteristics of the population groups. Purpose: to identify current trends and develop marketing strategies in the regional market of medical services, allowing to identify and strengthen the economic foundations of the functioning of non-profit organizations in the national market. Methods: The research was conducted using traditional methods of marketing research: qualitative: in-depth interview, focus groups; quantitative: survey, as well as methods of economic analysis: comparative, graphical and scenario planning. Results and their significance: the essence of marketing in healthcare is considered, the features of marketing research are taken into account; the medical services market of Pavlodar region is analyzed and evaluated and ways of its improvement are proposed. The results of the study may be useful for the development of measures to further improve the activities of medical organizations in the Republic of Kazakhstan.

The main problem: In modern conditions, the healthcare system of Kazakhstan is going through changes aimed at providing a high level of medical care and maintaining the health of the population. In the face of modern challenges such as technological innovations, demographic changes and global pandemics, it becomes critically important to analyze and adapt to new requirements. Understanding and adapting to these trends are critical steps for the successful development of the healthcare system in the future. This article examines the main trends in the development of the healthcare system in Kazakhstan and their impact on the provision of medical services and the level of public health. The article focuses on the essence of the main problem facing the healthcare system of the Republic of Kazakhstan at the present time. The relevance of the topic is manifested in the context of a dynamically changing socio-economic environment, which puts pressure on the existing health care system. Demographic changes, the growth of chronic diseases and the need to introduce modern technologies create challenges that require a comprehensive analysis and effective strategies for the development of the system. Purpose of the article: The purpose of the article is to analyze and systematize the main trends in the development of the healthcare system in Kazakhstan, taking into account current challenges and changes in the global healthcare paradigm. The authors seek to identify key areas of development, as well as provide practical recommendations for improving the system. Methods: The study is based on a comprehensive methodological approach, including analysis of health statistics, economic analysis of expenditures and financing, as well as a review of modern scientific publications. Additionally, methods of comparative analysis with international health standards are used. Results and their significance: The article identifies not only the main problems in the healthcare system of Kazakhstan, but also provides analytical results expressed in the form of identified development trends. The work is important for developing strategies to improve the quality and accessibility of medical services in the country. The recommendations proposed by the authors can serve as a basis for making effective decisions in the field of healthcare in modern conditions.

Main problem: At the present stage of life, workforce plays a special and very important role in the activities and development of any organization. Human resources need to be managed. Management itself is a process of streamlining, regulating a particular activity. Managing an organization means defining the main directions of its development, setting goals for it and contributing to their achievement. Human resources are the face of a company, a component derivative, without which its existence is impossible. Any promising and self-respecting company assigns the formation of its staff to one of the leading directions of its own policy. Currently, in the context of social and economic transformations, the management of the activities of healthcare organizations is changing significantly, and therefore it is necessary to improve personnel management approaches that contribute to improving the quality of services provided and labor productivity. Taking into account the peculiarities of personnel management of a medical institution at the present time, the issue of reforming the personnel policy of healthcare, improving the image of institutions, forming a corporate culture, developing and implementing criteria for the motivational process is acute. Solving these tasks will help managers in the personnel management process. Purpose of this article is to assess the state of human resources of organizations of the sanitary and epidemiological service in the Republic of Kazakhstan and identify the main problems in the personnel management system of the organization using the example of the activities of the State Institution “Committee for Sanitary and Epidemiological Control of the Ministry of Health of the Republic of Kazakhstan”. Methods: The work used general scientific methods of comparative systemic, vertical and horizontal analysis, structural and functional the method, analytical techniques, economic and statistical research methods. Results and their significance: the authors have defined the human resource management system of a healthcare institution, analyzed the current personnel management system using the example of the State Institution “Committee for Sanitary and Epidemiological Control of the Ministry of Health of the Republic of Kazakhstan”. The assessment of the state and movement of labor resources of the Sanitary and Epidemiological Control Committee was carried out. Based on the conducted research, the authors identified the main problems of human resource management of a healthcare institution and developed proposals that can be used as recommendations for further reform and development of the personnel management system in the healthcare sector.