Similarly, a study by the Commonwealth Fund of care management programmes that spanned care settings and engaged interdisciplinary teams across the continuum of care found that multifaceted, boundary-spanning approaches were associated with reduced hospital use and readmissions (McCarthy et al., The reforms undertaken to date clearly reflect this. Moreover, the strengthening of primary care continues to be supported by the State Health Development Programme of the Republic of Kazakhstan "Densaulyk" for 2016 - 2019. Key measures envisaged include reducing the size of patient lists for generalists, from the current 2 200 to 1 500, and the increased delegation of tasks to nurses.