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PRESIDENTIAL DECREE OF THE REPUBLIC OF UZBEKISTAN

of December 7, 2018 No. UP-5590

About complex measures for radical enhancement of health care system of the Republic of Uzbekistan

Within implementation of measures for reforming of health care system in the republic the population managed to achieve certain results in forming of modern system of delivery of health care.

For the expired period the system of rendering primary health care by the organization of rural medical Items, city and rural family polyclinics is enhanced, its availability to the population is increased. The single centralized system of the emergency medical care is created, the network of the republican specialized scientific and practical medical centers rendering high-technology medical services to citizens including on places is enhanced.

Number of target national programs for strengthening of reproductive health of the population, health protection of mother and child is realized. Screening centers, the births of children providing the prevention with heritable and congenital diseases are organized republican and regional.

As a result of it for the period 1991 - 2017 the coefficient of general death rate decreased by 20 percent, maternal and infantile death rate - in time 3,1. Life expectancy since 1995 increased by 4,6 of year and made 73,7 of year.

At the same time, the system shortcomings and problems of the organization of activities of health care which collected in recent years interfere with effective solution of tasks on further enhancement of system of protection of public health. Among them:

the first, there are no concept and strategic objectives in planning and management of health sector therefore the undertaken reforms have fragmentary character and also requests of the population on quality of health care do not allow to meet expectations;

the second, the system of estimate financing of health sector is based on the mechanisms which were outdate, not corresponding to the international practice that leads to inefficient use of financial resources and chronic insufficient funding of industry;

third, the low performance of work on prevention and early detection of diseases, to patronage and forming of healthy lifestyle is the reason of increase in requests of citizens for specialized medical care;

the fourth, succession between various levels and stages of delivery of health care to the population, including recovery treatment and rehabilitation is poorly developed;

the fifth, the performed personnel policy does not allow to predict the prospects of providing with specialists at all levels of delivery of health care, especially primary link, and also training of organizers and managerial personnel of health care system;

the sixth, weak integration of medical practice with science and education against the background of the low innovative capacity of the specialized centers reflects the unsatisfactory level of implementation of the advanced achievements of medicine in medical and diagnostic process;

the seventh, there are no single standards in the sphere of electronic health care, the modern software products providing integration and effective management of medical services are not implemented, the existing information systems and technologies are separated and have narrowly targeted character.

For the purpose of the forming of conceptually new models of the organization and financing of health care providing cardinal increase in efficiency, quality and availability of medical care to the population, implementations of modern achievements of medical science and technologies and also according to tasks of Strategy of actions in five priority directions of development of the Republic of Uzbekistan in 2017 - 2021:

1. Consider the most important directions of reforming of health care system of the Republic of Uzbekistan:

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