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ORDER OF THE MINISTRY OF HEALTH OF THE KYRGYZ REPUBLIC

of August 24, 2015 No. 496

About approval of Strategy of electronic health care of the Kyrgyz Republic for 2015-2020

For the purpose of improvement of rendering medical services on the basis of large-scale use of information and communication technologies, assistance of successful realization of the National sustainability strategy of the Kyrgyz Republic for 2013-2017 and the Strategy of protection and strengthening of health of the population of the Kyrgyz Republic till 2020 (Health 2020): I order:

1. Approve enclosed:

1.1. The strategy of electronic health care of the Kyrgyz Republic for 2015-2020 (Appendix 1);

1.2. The action plan on strategy implementation of electronic health care of the Kyrgyz Republic for 2015-2020 (Appendix 2).

2. To chiefs of UKVR, UFP (Ismailov M. A., Nazarovo Z.D.), manager OKOMPILP UOMPILP, OK UKRIMO and OOZ (Arstankulov T. K., Zhusupbekova N. E., Maytiyeva B.C.), to directors DPZIGSEN, DLOIMT, RMITs (Isakov T. B., Kurmanov R. A., Murzakarimova L. K.), to heads of the medical educational organizations:

2.1. Take specific measures for accomplishment of actions of the Actions plan at the scheduled time.

3. To impose control of execution of this order on the secretary of state Suyumbayeva P. U.

Minister

T. Batyraliyev

Appendix 1

Approved by the Order of the Ministry of Health of the Kyrgyz Republic of August 24, 2015 No. 496

The strategy of development of electronic health care in the Kyrgyz Republic for 2015-2020.

List of reducings and terms

M3

Ministry of Health of the Kyrgyz Republic

FEDERAL COMPULSORY HEALTH INSURANCE FUND

Fund of compulsory medical insurance under the Government of the Kyrgyz Republic

ICT

Information and communication technologies

EISZ

Health care unified information system

DB

Database

DPC

Data-processing center

AIS

Automated information system

EZSZ

Electronic records about the state of health

EMK

Electronic medical record

E-health care

Electronic health care

COMPULSORY HEALTH INSURANCE

Compulsory medical insurance

RMITS

Republican medico-information center

TSSM

Center of family medicine

TSOVP

Center of all-medical practice

GSV

Group of family doctors

MEDICAL AND OBSTETRICAL CENTRE

Medical and obstetrical center

DPZIGSEN

Department of prevention of diseases and state sanitary and epidemiological surveillance

DLOIMT

Department of provision of medicines and medical equipment

PGG

Program of the state guarantees

Glossary

Coordination/technical council (Council on policy) of the Ministry of Health of the Kyrgyz Republic can become executive body of Strategy.


Center of electronic control

Coordination council

Groups of realization

Planning

Support

Contractor


Realization

Support

Support

Contractor

Monitoring


Contractor


Change management

Support

Support

Contractor

Protection of citizens - the measures taken by means of use of standards, rules and the legislation for protection of consumers/citizens against deception, abuse or negligence.

Information society - the developing social environment which is characterized by the free flow of knowledge covering the whole world and information in the main areas, such as education, entrepreneurship, management, health care and some other.

The national electronic registry - the electronic database of the corresponding records on specific questions which is often created at the level of the area, national or international level, containing information on the births, death rates, different diseases, such as cancer, diabetes, tuberculosis or on other questions which are of medical or epidemiological interest.

1. Premises for implementation of electronic health care (Strategic context)

1.1. The current state of health care sector in the Kyrgyz Republic

The multiformity, forming of the infrastructure corresponding to the needs of the population for medical care and financial resources, decentralization of management, increase in managerial and financial autonomy of the organizations of health care became the main lines of the created model of health care of the Kyrgyz Republic within reforming of health care sector. The health care sector was divided into "suppliers" and "buyer" of medical services. Development of primary link of health care, family medicine, the free choice of the family doctor, ensuring availability of the population to medical services within the Program of the state guarantees are recognized as priorities. The new methods of financing oriented to resulting effect began to take root.

The main link of rendering medical services to the population in the Kyrgyz Republic is primary health care which is rendered by 65 Centers of family medicine as a part of which 692 Group of Family Doctors (GFD), besides 17 GSV independent legal entities and 1010 Medical and Obstetrical Centers (MOC) function. In the territory of servicing FAPOV about 40% of rural population live. However in the republic there are more than 400 villages with population from 30-60 to 1000 and more people in whom there are no medical organizations.

Stationary help in the republic is given 141 organizations of health care, including 27 TsOVP. Security with doctors in the organizations of health care averages 22,4 on 10 thousand population, and in rural administrative areas the indicator fluctuates from 7,3 to 17,3 on 10 thousand population, and in the cities, respectively from 45,5 to 13,7 on 10 thousand population.

In the Kyrgyz Republic the guaranteed access of medical services is provided with the Program of the State Guarantees (PSG) which is valid from 2001 and determines types, amounts and conditions of the provided medical care free of charge and on favorable terms. PGG annually affirms the Government taking into account the amount of financing from means of the government budget and compulsory medical insurance. Within PGG free basic medical services of primary level for all population of the republic are guaranteed.

Besides, for the purpose of improvement of economic and physical availability to high-quality medicines the Additional program of compulsory medical insurance for provision of medicines (DP compulsory health insurance) which is financed from means of compulsory medical insurance according to per capita standard rates works at primary level in all territory of the republic.

Also for the purpose of improvement of access to medicines in the remote and geographically hard to reach areas, in the conditions of shortage of pharmaceutical personnel, pharmaceutical Items where realization of medicines was resolved health workers after the corresponding training were in addition open.

1.2. The current situation of implementation of information and communication technologies in health care sector

1.2.1. Information systems and appendices in health care

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