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of November 12, 2020 No. PP-4890

About measures for implementation of new model of the organization of health care system and mechanisms of national health insurance in the Syr Darya region

(as amended on 28-07-2021)

For the purpose of improvement of quality, efficiency and general availability of delivery of health care to the population, expansions of scale of primary health care, step-by-step implementation of system of medical insurance to this sphere, creations of modern competitive environment in the health care market, expansions on this basis of possibility of obtaining by the population of the guaranteed and high-quality medical care:

1. Agree with the offer of the Ministry of Health on realization on the basis of recommendations of the World Health Organization of pilot project about implementation of new model of the organization of health care system and mechanisms of national health insurance in the Syr Darya region (further - pilot project).

2. Determine that within pilot project:

in organizations of primary health care the medical crews consisting of the family doctor, average health workers giving him help in the directions therapy and pediatrics and also patronage nurses and obstetricians are created;

at the level of each medical institution the packet of free medical services and medicines guaranteed by the state is developed (further - the guaranteed packet);

the guaranteed packet is provided by organizations of primary health care and hospitals to the citizens of the Republic of Uzbekistan, foreign citizens and persons without citizenship who are constantly living in the Republic of Uzbekistan. At the same time the family doctor issues the directions to doctors of narrow profile and in need of hospital of district, regional and republican level according to amount of medical services and clinical protocols by types of each organization. The directions in hospitals of republican level affirm regional management of health care. Also in cases not of observance of this procedure the medical services which are not included in the guaranteed packet appear on paid basis;

conducting monitoring of the indicators connected with health of the population, its fixing to medical institutions, maintaining the clinical record, issue of the recipe for medicines and the direction in medical institutions according to the guaranteed packet are performed by means of single electronic platform;

the most important performance indicators of health workers of organizations of primary health care are developed, monitoring of their achievement with implementation of additional incentive payments by it by results is conducted;

on the basis of the guaranteed packet the mechanisms of national health insurance directed to financing of rendering high-quality and full medical care to all segments of the population step by step take root.

3. To the Ministry of Health (A. M. Hadzhibayev) together with the Ministry of Finance (T. A. Ishmetov) and the Ministry of Economic Development and reducings poverty (I. I. Norkulov) till February 1, 2021 within pilot project to approve:

amount of the medical services and medicines included in the guaranteed packet;

criteria for evaluation of activities and procedure for encouragement of health workers of organizations of primary health care.

4. Organize the system of medical prevention and patronage providing within pilot project:

separation of the population into risk groups proceeding from the available risk factors;

ensuring passing with the population entering into groups with average and high risk level, medical examinations at the scheduled time with periodic observation of his health;

establishment of permanent observation of the patients who are entering into group with high risk level and not having possibility of independent visit of medical institutions, rendering medical care to them with departure on the house;


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