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PRESIDENTIAL DECREE OF THE REPUBLIC OF UZBEKISTAN

of November 12, 2020 No. UP-6110

About measures for implementation of essentially new mechanisms in activities of organizations of primary health care and to further increase in efficiency of the reforms undertaken in health care system

Within reforming of health care system certain work on forming of modern system of rendering primary health care, prevention and early detection of diseases, preparation of qualified medical personnel, and also implementation of new management in this sphere is carried out.

At the same time the epidemiological risks which are more and more amplifying in the world require enhancement of approaches in activities for fight against diseases proceeding from present difficult conditions and the gained experience, especially it is necessary to review methods of work of organizations of primary health care on prevention, early identification, exact diagnostics and treatment of diseases, to implement absolutely new system of the organization of health care.

For the purpose of improvement of quality, efficiency and general availability of the primary health care given to the population, strengthening of role and authority of health workers on society, and also raising of efficiency of the reforms performed in health care system on qualitatively new level:

1. Determine the most important directions of reforming of health care system at the present stage:

comprehensive strengthening, first of all, of primary health care, implementation of absolutely new system of medical prevention and patronage, creation of the complete system of forming of healthy lifestyle and providing public health of the population covering to the level of everyone waved also population households, and also the system organization and broad promotion, first of all, of healthy lifestyle and physical activity with attraction of all available forces and means;

creation of competitive environment in preparation, retraining and advanced training of the personnel having profound knowledge in the field of, forming of effective system of professional growth of workers on the basis of the best foreign practices, increase in efficiency, quality and general availability of medical care on places by development of medical science;

realization of specific practical measures on strengthening of role and authority of health workers on society, forming in the society of more respect for them, creation of worthy working conditions and increase in the income of representatives of this profession, and also strengthening of social protection of health workers;

implementation of modern management to this sphere, reducing excessive bureaucratic procedures in management process, increase in system effectiveness of financing of health care and enhancement of digital medicine.

2. Implement the advanced service of medical prevention and patronage providing the following:

the population is divided into the corresponding groups (basic group, group with low risk level, group with the average level of risk, group with high risk level and others) proceeding from health and physiological condition of citizens;

the population depending on belonging to certain group has medical examination in the specified terms and periodic observation of condition of their health is established;

permanent observation of the patients who do not have possibility of independent visit of medical institutions is established, medical care with departure on the house is provided to them and individual patronage behind them is performed;

periodic physical screening examinations on certain diseases proceeding from peculiar features and belonging of patients to certain group are conducted;

patronage surveys are optimized, the updated system of target patronage takes root;

the profession of the general practitioner is renamed into the family doctor, and also programs of disciplines of medical highest educational institutions adapt to training of family doctors;

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