Evolution of Telemedicine and Its Development in the Healthcare System of Kazakhstan

   This article examines the evolution and current role of telemedicine as a digital innovation in healthcare with an emphasis on its integration into national healthcare systems. With the help of digital technologies, patients can receive consultations from doctors, undergo diagnostics and health monitoring remotely. Telemedicine, which provides remote interaction between patients and healthcare professionals using information and communication technologies, is becoming increasingly relevant due to the growing demand for affordable and cost-effective healthcare services. The study highlights the global interest in telemedicine, reflected in the growing number of academic publications indexed in Scopus for search terms such as “telemedicine and healthcare” and “telemedicine and services”. The paper focuses on the development of telemedicine in Kazakhstan, a country facing challenges related to rising healthcare costs.

   The study aims to examine the historical trajectory of telemedicine and assess its implementation in the healthcare system of Kazakhstan.

   Particular attention is paid to the functioning of the National Telemedicine Network (NTN), including the number of healthcare facilities connected to the system and the current scale of its deployment. The analysis also considers institutional and infrastructural aspects that influence the effectiveness of telemedicine integration, such as the availability of technical resources, human capital, and the regulatory framework. The study was limited by the lack of up-to-date and comprehensive data on telemedicine in Kazakhstan, making it difficult to analyze current developments and trends. Nevertheless, the findings highlight the importance of further investment in telemedicine as a strategic component of healthcare modernization in Kazakhstan.

1. Pereáñez J. A. G. Ethical and legal arguments about telemedicine in Colombia // Journal of Computer and Communications. - 2017. – Vol. 5, No. 3. – P. 116–128.

2. Kobrinskii B. A. E-Health and Telemedicine: Current State and Future Steps // E-Health Telecommunication Systems and Networks. – 2014. – Vol. 3. – P. 50–56.

3. Haleem A., Javaid M., Singh R. P., Suman R. Telemedicine for healthcare: Capabilities, features, barriers, and applications // Sensors International. – 2021. – Vol. 2. – 100117.

4. Talal A. H., Sofikitou E. M., Jaanimägi U., Zeremski M., Tobin J. N., Markatou M. A framework for patient-centered telemedicine: application and lessons learned from vulnerable populations // Journal of Biomedical Informatics. – 2020. – Vol. 112. – 103622.

5. Pereáñez, J. A. G. Ethical and legal arguments about telemedicine in Colombia // Journal of Computer and Communications. – Vol. 5, No. 3. – P. 116-128.

6. Vo A.H., Brooks B., Ee M., Farr R., Raimer B.G. Benefits of Telemedicine in Remote Communities & Use of Mobile and Wireless Platforms in Healthcare. – 2011.

7. Ivanova J., Cummins M. R., Ong T., Soni H. C., Barrera J. F., Wilczewski H., Welch B. M., Bunnell B. E.Regulation and Compliance in Telemedicine: Viewpoint // Journal of Medical Internet Research. – 2023. – Vol. 27. – e53558.

8. Kizito M., Mugabi E. N., Ford S., Holtz B. E., Hirko K. A. Characterizing Telehealth Barriers and Preferences to Promote Acceptable Implementation Strategies in Central Uganda: Multilevel Formative Evaluation // JMIR Formative Research. – 2025. – Vol. 9. – P. 1–12.

9. Suleiman T. A., Adinoyi A.Telemedicine and Smart Healthcare – the Role of Artificial Intelligence, 5G, Cloud Services, and Other Enabling Technologies // International Journal of Communications, Network and System Sciences. – 2023. – Vol. 16, No. 3. – P. 31–51.

10. Hussain A., Umair M., Khan S., Alonazi W. B., Almutairi S.S., Malik A. Exploring sustainable healthcare: innovations in health economics, social policy, and management// Heliyon. - 2024. – Vol. 10(13).

11. Adel H. M., Khaled M., Yehya M. A., Elsayed R., Ali R. S., Ahmed F. E. Nexus Among Artificial Intelligence Implementation, Healthcare Social Innovation, and Green Image of Hospitals’ Operations Management in Egypt // Cleaner Logistics and Supply Chain. – 2024. – Vol. 11. – 100156.

12. Zhang L., Bullen C., Chen J. Digital Health Innovations to Catalyze the Transition to Value-Based Health Care // JMIR Medical Informatics. – 2025. – Vol. 13. – e57385.

13. Strehle E. M., Shabde N. One Hundred Years of Telemedicine: Does This New Technology Have a Place in Paediatrics? // Archives of Disease in Childhood. – 2006. – Vol. 91, No. 12. – P. 956–959.

14. Shirzadfar H., Lotfi F. The Evolution and Transformation of Telemedicine // Journal of Biosensors and Bioelectronics. – 2017. – Vol. 3, No. 4. – P. 303–306.

15. Salehahmadi Z., Hajialiasghari F. Telemedicine in Iran: Chances and Challenges // World Journal of Plastic Surgery. – 2013. – Vol. 2, No. 1. – P. 18–25.

16. Бюро национальной статистики Агентства по стратегическому планированию и реформам Республики Казахстан. Демографическая статистика. 2025 [Электронный ресурс] . – Режим доступа: https://stat.gov.kz/ru/industries/social-statistics/demography/publications/184901/

17. Национальный научный центр развития здравоохранения и Центр экономических исследований и совершенствования финансирования здравоохранения 2025 [Электронный ресурс]. – Режим доступа: https://nrchd.kz/files/%D0%BD%D0%BE%D0%B2%D0%BE%D0%B5%202023/%D0%9D%D0%BE%D0%B2%D1%8B%D0%B9_%D0%98%D0%BD%D1%84%D0%BE%D1%80%D0%BC%D0%B0%D1%86%D0%B8%D0%BE%D0%BD%D0%BD%D1%8B%D0%B9%20%D0%B1%D1%8E%D0%BB%D0%BB%D0%B5%D1%82%D0%B5%D0%BD%D1%8C%202022.pptx

18. Официальный сайт Республиканского центра электронного здравоохранения. Раздел: Проекты. 2025 [Электронный ресурс] . – Режим доступа: https://rcez.kz/telemedicine.

19. Информационный обзор по передовому опыту. Телемедицина в Казахстане. 2025 [Электронный ресурс]. – Режим доступа: https://iris.who.int/bitstream/handle/10665/345902/WHO-EURO-2018-3388-43147-60413-rus.pdf?sequence=3

20. О внесении изменений в постановление Правительства Республики Казахстан от 24 ноября 2022 года № 945 «Об утверждении Концепции развития здравоохранения Республики Казахстан до 2026 года» 2025 [Электронный ресурс]. – Режим доступа: https://adilet.zan.kz/rus/docs/P2200000945

21. European Comission. Market study on telemedicine. 2018. 2025 [Электронный ресурс]. – Режим доступа: https://health.ec.europa.eu/system/files/2019-08/2018_provision_marketstudy_telemedicine_en_0.pdf