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PRESIDENTIAL DECREE OF THE REPUBLIC OF UZBEKISTAN

of March 16, 2017 No. UP-4985

About measures for further enhancement of system of the emergency medical care

(as amended of the Presidential decree of the Republic of Uzbekistan of 30.04.2021 No. UP-6218)

Note that as a result of implementation of purposeful and consecutive measures for implementation of state programs of reforming in health sector the complete system of rendering the emergency emergency medical service providing the free medical care guaranteed by the state to the population is created.

The Republican center of the emergency medical care, its territorial branches, and also departments of the emergency medical care under the central district and city hospitals, including services of emergency medical service and sanitary aircraft are created and function. Complex large-scale measures for equipment of organizations of system of the emergency medical care are realized by the high-technology medical equipment and specialized motor transport.

The realized measures created necessary conditions for ensuring annual hospitalization in organizations of system of the emergency medical care more than 600 thousand patients, out-patient medical care more than 1 million patients, servicing of emergency medical service by services more than 7 million challenges a year.

At the same time efficiency of rendering the emergency medical care still does not meet the modern requirements, there is insufficient level of security of services of emergency medical service by qualified personnel, medicines, the medical equipment, specialized motor transport and means of communication. The due attention is not paid to implementation of modern controling mechanisms, coordination and control of rendering emergency medical service, and also domestic scientific and practical developments in the sphere of the emergency medicine.

For the purpose of radical enhancement of system of the emergency medical care to the population directed to cardinal strengthening of its efficiency, technological effectiveness and efficiency, the organization at the highest level of all complex of medical, scientific and methodical and educational work on rendering timely qualified emergency medical care to the population:

1. Determine the most important directions of further enhancement of system of the emergency medical care:

forming in the country of modern, high-technology and effective system of the emergency medical care equipped with the modern equipment and staffed by qualified personnel as one of the most important directions of further reforming of health care system;

all-round development of scientific, methodological and educational potential in the sphere of the emergency medicine, expansion for this purpose international cooperation and implementation of advanced technologies and methods of work in activities of domestic services of emergency medical service;

broad application in system of the emergency medical care of the modern medical equipment, means and methods of diagnostics, primary health care and treatment of the medical emergencies directed to decline in mortality and disability among the population;

carrying out scientific research, development and implementation of recommendations about strengthening and increase in efficiency of methods and technologies of prevention, diagnostics and treatment in the sphere of the emergency medicine;

implementation of effective mechanisms of operational interaction of services of the emergency medical care with the emergency services of other ministries and departments on the basis of broad application of modern information and communication technologies;

preparation, retraining and advanced training of personnel in the sphere of the emergency medical care.

2. Approve offers of the Ministry of Health, the Ministry of Economics and the Ministry of Finance of the Republic of Uzbekistan about:

creation of single organizational structure of system of rendering the emergency medical care including all services of urgent emergency medical service according to modern world requirements of efficiency, high technological effectiveness and efficiency;

implementation of management information system of the emergency medical care with creation of the single base and data transmission network providing operational coordination of activities of mobile teams of emergency medical service, and also close interaction with the emergency services of the Ministry of Internal Affairs, the Ministry of Emergency Situations of the Republic of Uzbekistan and JSC Uztransgaz;

the creation of coordination and dispatching services of the Republican center of the emergency medical care and its territorial branches united in single data transmission network providing acceptance and processing of challenges of emergency medical service on all territory of the republic;

further strengthening of material and technical resources of buildings and premises of service of emergency medical service by carrying out in 2017-2020 capital repairs of 240 objects and running repair of 369 objects;

step-by-step providing mobile teams of emergency medical service with medicines, products of medical appointment and consumable materials according to the approved standard rates, with increase in the amount of financing at these purposes in 2017 twice at least;

centralized providing mobile teams of emergency medical service of district (city) medical associations with medicines and products of medical appointment through territorial branches of the Republican center of the emergency medical care;

updating of auto fleet of service of emergency medical service, including district (city) medical associations by acquisition in 2017 of 1 200 units of specialized vehicles;

centralization since April 1, 2017 of technical and field service of specialized vehicles of service of emergency medical service at the territorial level by their transfer to the corresponding territorial specialized motor depot.

3. Rename the Republican center of the emergency medical care of the Ministry of Health of the Republic of Uzbekistan into Republican scientific center of the emergency medical care of the Ministry of Health of the Republic of Uzbekistan (further - the Center).

4. Determine the main objectives of the Center:

the effective organization of rendering specialized, highly skilled and high-technology emergency emergency medical service to the population on free basis;

organizational and methodical and practice guidance activities of services of the emergency emergency medical service conforming to modern world requirements of efficiency, high technological effectiveness and efficiency;

development and program implementation on further development and enhancement of system of rendering the emergency medical care, its interaction with system of primary medical care, to decrease in disability and death rate of the population;

carrying out research and development on creation of new effective technologies of diagnostics and treatment of medical emergencies, and also their implementation in practice of activities of the sphere of the emergency medical care;

retraining and advanced training of doctors and average medical personnel, preparation scientific and research and educational personnel of system of rendering the emergency medical care;

establishment of close cooperation with the leading foreign profile organizations on experience exchange and carrying out joint surveys in the sphere of the emergency medicine.

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