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RESOLUTION OF THE PRESIDENT OF THE REPUBLIC OF UZBEKISTAN

of August 1, 2023 No. PP-255

About measures for enhancement and expansion of scope by otorinolaringologichesky service

For the purpose of improvement of quality of delivery of health care in the field of otorhinolaryngology, expansion of scope of the needing segments of the population with highly skilled specialized medical services, support of activities of the non-state medical organizations, strengthening of material and technical resources of public institutions, preparation of medical personnel and development of science in the field:

1. Approve the offer of the Ministry of Health and Association of Uzbekistan of otorhinolaryngology and surgery of the head and neck on creation since September 1, 2023 of the Republican specialized scientific and practical medical center of otorhinolaryngology and diseases of the head and neck (further - the Center) with the status of the legal entity.

2. Determine that:

a) Center:

coordinates work in the field of otorhinolaryngology and will organize the activities on the basis of the "Center — Regional Medical Institutions — District (City) Medical Institutions" system;

adjusts rendering specialized medical care in the field of otorinolaringologichesky diseases and diseases of the head and neck, takes measures for training and development of skills of specialists and creates school of sciences in this direction;

implements modern methods of diagnostics and treatment of otorinolaringologichesky diseases and diseases of the head and neck in practice, and also expands scope with high-tech transactions in regions;

implements in practice of the program of prevention, early identification and treatment of otorinolaringologichesky diseases and diseases of the head and neck in organizations of primary health care of health care system;

together with the non-state medical organizations implements modern and high-technology methods of treatment of otorinolaringologichesky diseases and diseases of the head and neck in practice of the state and non-state medical organizations;

b) in the Center from 2024/2025 academic years preparation of medical personnel on specialization "otorhinolaryngology" by means of clinical internship will be organized;

c) departments of otorhinolaryngology of the multi-profile medical centers of the Republic of Karakalpakstan and areas are regional branches of the Center without the status of the legal entity.

The center and its regional branches perform activities as clinical base of the relevant departments of the highest, professional and average special educational institutions of medical profile.

3. Determine sources of financing of activities of the Center:

the funds allocated from the Government budget;

grants within implementation of state programs of scientific activities;

the means arriving from rendering paid services;

other sources which are not forbidden by acts of the legislation.

4. Extend to the Center since January 1, 2024 procedure for financing of specialized agencies for treatment of preferential category of persons according to basic prices based on the agreements signed with the State fund of medical insurance according to the resolution of the President of the Republic of Uzbekistan of July 28, 2021 No. PP-5199 "About measures for further enhancement of system of rendering specialized medical care in health sector".

5. Establish procedure according to which since January 1, 2024 the non-state medical organizations are allowed to render medical services in the field of otorhinolaryngology and maxillofacial surgery of preferential category of persons at the expense of means of the Government budget.

6. Approve the Program of measures for development of otorinolaringologichesky service in 2023 - 2026 (further - the Program), according to appendix No. 1.

To provide to the Ministry of Health together with Council of Ministers of the Republic of Karakalpakstan, khokimiyats of areas and the city of Tashkent timely, high-quality and full implementation of the actions provided by the Program and also regular entering into the Cabinet of Ministers of information on the program implementation course.

7. To the Ministry of Health together with the Ministry of Economics and finance:

a) direct in 2023-2024 17 million US dollars to equipment by the necessary medical equipment of departments of otorhinolaryngology of multi-profile central polyclinics of areas (cities), the multi-profile medical centers of the Republic of Karakalpakstan and areas, children's multi-profile medical centers of the Republic of Karakalpakstan and areas, city hospitals of Tashkent and clinics of medical highest educational institutions, Republican scientific center of the emergency medical care and its regional branches at the expense of Fund of economic development and cooperation of Eximbank of the Republic of Korea (EDCF), according to appendix No. 2;

b) take measures for the direction in 2024-2025 of 8, of 6 million US dollars at the expense of means of the Government budget on:

equipment by the modern medical equipment of scientific laboratories "Physiology and Pathology of Bodies of the Upper Airways", "Physiology and Pathology of Organs of Hearing and Balance", "Foniatriya and Ronkhopatiya", simulyatsionny practical laboratory, 5 surgical blocks and 60 beds of the Center;

creation of scientific laboratory "Problems of Diagnostics, Treatment and Rehabilitation of Hearing Disorder" in the Republican specialized scientific and practical medical center of pediatrics;

equipment by the modern medical equipment of Multi-profile clinic of the Tashkent medical academy and Republican specialized scientific and practical medical center of pediatrics.

8. Determine that since 2024:

practice of annual providing in addition with at least 2 000 units of digital hearing aids by reasonable calculations of the Ministry of Health at the expense of means of the Government budget during preparation for transactions of cochlear implantation of children with the relative deafness revealed by results of audioscreening takes root;

in Reception and diagnostic department of Republican scientific center of the emergency medical care and its regional branches the additional established posts of otorhinolaryngologists and maxillofacial surgeons conducting the round-the-clock activities at the expense of temporarily reduced beds and established posts of Clinic of the Andijan state medical institute are entered.

9. To the Ministry of Health together with the Ministry of Economics and finance, the Ministry of employment and reducing poverty to take measures for review of regular standard rates of the public medical institutions giving otorinolaringologichesky help in out-patient and stationary conditions proceeding from requirement - to introduction in subsequent changes in these standard rates.

10. And finance by reasonable calculations of the Ministry of Health to provide to the Ministry of Economics reflection since 2024 in parameters of the Government budget of the expenses connected with implementation of actions, determined by this resolution.

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