The implementation of telemedicine in Jambyl district is a success!

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    Articles
  • Published on
    20 September 2025

To address the shortage of doctors in the region and the long waiting times for appointments, teleconsultation solutions have been introduced in the Jambyl district, Kazakhstan.

Two LimStars (HOPI Medical) were installed in the district: one in the Blagovechtchenka outpatient center (serving 2,500 people) and the other in the Presnovska district hospital (serving 17,000 people).

Thanks to these two teleconsultation solutions, an average of 8 to 10 teleconsultations per day have been conducted since the service was launched, on days when the service was available. This is a significant number of patients who have been able to receive medical follow-up. This success is the result of the strong involvement of local stakeholders, who worked alongside us to ensure the adoption of this solution by both the population and healthcare professionals. A shared success: together, we’re moving forward to improve access to healthcare!

Context and challenges

  • The district is located in the northern Kazakhstan region, more than 140 km from Petropavlovsk.
  • Polarized population: 20% of the population is under 20 years old; 20% of the population is over 60 years old.
  • The district hospital has a gynecologist, a pediatrician, and a psychologist. Other specialties can be consulted in the regional hospitals of Petropavlovsk.
  • Average waiting time for an in-person appointment with a doctor in Petropavlovsk: between 2 weeks and 1 month.

“Teleconsultation has emerged as a solution to address the lack of doctors and the isolation of the district. Furthermore, the elderly population, as well as mothers, often do not have the ability to travel to the district hospital or regional hospitals to consult a specialist.”

Bakhit KASHAGANOVA,
Director of Presnovska Hospital

Structured and adapted patient journey

  1. The patient consults with their family doctor.
    At the end of the consultation, the doctor refers the patient to a specialist, if needed.

  2. If a specialist consultation is required, the family doctor fills out the referral form on Damumed (Kazakh medical information system). This form is sent to the nurse in charge of the teleconsultation cart closest to the patient’s home.

  3. The nurse contacts the requested specialist (either in Petropavlovsk or Presnovska, depending on the need) and arranges an appointment, typically within 24–48 hours of the family doctor consultation.

  4. Once the appointment is scheduled, the nurse contacts the patient to confirm the appointment time.

  5. The patient attends the scheduled appointment.
    There are very few “no-shows”.

Impact

  • 1,400 teleconsultations in the first year of service availability, averaging 8 to 10 teleconsultations per day when the service was offered.
  • Over 500,000 km saved for patients in the district since the teleconsultation service was implemented.
  • Nearly €40,000 saved thanks to teleconsultation (including savings from transport, patient wages, increased productivity for doctors, and replacement costs during doctor absences).
  • Reduction in waiting time for appointments from 2-4 weeks to 24-48 hours.
  • Access to about 15 additional specialties through teleconsultation.
  • Most covered patients: children and pregnant women in Blagovechtchenka.

Success factors

  • The goals set by the Ministry of Health serve as motivation.
  • The established organization allows for rapid consultations.
  • Involvement from management: weekly reports requested from teams, with follow-ups if necessary.
  • User satisfaction: patients are not afraid to attend or repeat teleconsultations because they receive comprehensive care.
  • Mass communication: the population was sensitized to teleconsultation through various communication channels (WhatsApp, Telegram, etc.) at the launch and throughout the project.

“It is a very practical solution, in my opinion. It allows for faster care and reduces costs for patients. I think of a disabled patient who was able to consult a specialist in Presnovka easily, while traveling to Petropavlovsk would have been complicated and costly for her. It’s a real asset for the district!”

Bakhit KASHAGANOVA,
Director of Presnovska Hospital

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