ANALYSIS OF THE STATE OF THE COMPETITIVE ENVIRONMENT IN THE MEDICAL SERVICES MARKET OF THE REPUBLIC OF KARAKALPAKSTAN

Аннотация

В статье представлены анaлизы сoстoяния кoнкурeнтнoй срeды нa рынкe мeдицинскихуслуг РeспубликиКaрaкaлпaкстaн. Ключевые слова: рынок медицинских услуг, медицинская организация,здравоохранение, реабилитацияздоровья,медицинская деятельность,медицинскоеобслуживание. Improving the quality of medical services and reducing the cost of medical services, biologically active additives and medicinal products, medical equipment is the most effective mechanism for achieving such strategic goals as developing a competitive environment in the medical services market. As noted in the first chapter of the dissertation, medical services include prevention, diagnosis, treatment, and rehabilitation ofpatients according to specific characteristics andvalue orientation [1]. Before analyzing the competitive environment in the medical services market, we will note the existingcontradictions and features of theirprovision: 1. Medical services, unlike other types of services, have a priority task, since the cost of life and health cannot bedetermined bypossiblecosts. 2. In the oligopolistic market, medical services are always in demand, but the quality of medical services is low, as consumers donot takeany action. 3.Many entities providing medical services in themarket donot have equilibrium and real prices withsuppliers. 4. Consumers do not have sufficient official information on the methods of indirect participation in the provision of services, the cost of medical services from various medical organizations and specialists, and thedegreeto which they are provided byvarious specialists. 5. There is a contradiction between the assessment of medical services for the prevention, diagnosis, and treatment of diseases and the accessibility of medical services in the compulsory orvoluntary health insurancesystem. 6. The quality of medical services aimed at preventing, diagnosing, treating, and rehabilitating patients, restoring them to their full potential, does not depend on the cost of the service and the numberofconsumers. 7. As in our republic, in Karakalpakstan, the medical service system in the medical services market does not stimulate the introduction of innovations, the development of new biomedical https://ijmri.de/index.php/jmsi volume 4,issue2,2025 71 and medical ICT, and improving the quality of medical services without increasing the cost of medical service methods [2]. The most complete list of medical services is presented in the nomenclature of medical services, where all services are divided into classes A and B. Class A includes "simple and complex medical services," which amount to more than 6000 thousand, and class B includes "complex medical services" (about 500 types of services). Simple medical services include services performed in accordance with the formula: Patient plus equal part of prevention, diagnosis, treatment, or rehabilitation. Complex medical services include several simple medical services, mainly diagnostic and other medical services, which include several stages. Complex medical services also encompass a number of simple and complex medical services that constitute the stages of medical care complexes,diagnostics, treatment, orrehabilitation[3]. Patientscan beprovided with both free and paid medical services. Patients can receive medical services free of charge (mandatory and voluntary medical insurance) with: -in state, local medical organizations; - departmental industry organizations that have their own medical centers or clinics, on the basis ofspecially concluded contracts; -In non-state medical organizations included in theMTS andITS system. The following organizations may provide medical services to patients on a paid basis (at the expenseof theirown funds): -state, territorial, and local medical organizations; - departmental industry organizations that have their own medical centers or clinics on the basis ofspecially concluded contracts; -non-statemedical organizations orindividualentrepreneurs. Thus, the presented classification of medical services not only reflects the priority specialization of the medical organization, but also combines all medical services into larger groups, which significantlysimplifies structural analysis when studying themedical services market. In order to obtain reliable scientific results and conclusions based on the analysis of the competitive environment in the medical services market in our research work, we used research methods based on sociological statistics and questionnaires. Because the most inexpensive and effective tool of social statistics in the analysis of the competitive environment in the medical services market is themass research method usedbytheauthor [4]. The development of a competitive environment in themedical services market in the Republic of Karakalpakstan depends on the state of its main components: supply, demand and price, medical services markets, the supply of medical services provided by medical organizations to the population