13.12.2017 13:55
On December 12, 2017, a meeting devoted to the current issues of
the healthcare sphere of our country was held under the chairmanship of
the President of the Republic of Uzbekistan Shavkat Mirziyoyev.
Today, our compatriots are feeling the results of reforms implemented
in all spheres of their everyday life, including cardinal improvement of
quality and living standards of the population.
Ensuring the guarantees of a happy and prosperous life, protecting the
rights and freedoms of citizens are priority areas of the state
policy.
Further improvement of public health protection, ensuring satisfaction
with the activities of the medical system is our most important task,
said the President of our country.
A large-scale activity is being carried out in the healthcare system. A
number of decrees and resolutions of the President on development and
radical reforming this sphere were adopted. The activity of primary
healthcare, emergency medical services, specialized medical services,
private medicine, reproductive healthcare and others are determined
priority areas of activities.
There are obvious changes in comparison with 2016. In the current
year, the number of family polyclinics increased by 793. 793 rural
family polyclinics working round the clock were organized, where an
emergency medical care stations and day hospitals were opened. The
disease with tuberculosis has sharply decreased. Specialists of
republican specialized medical centers traveled to regions 2407 times,
meanwhile, in 2016 this indicator was more than 500 times. If last year
their services were used by 30 thousand people, this year this figure
amounted 220 thousand. About 100 qualified specialists – our compatriots
have returned to the country from abroad and now providing services to
our people.
Special attention is paid to provision of medical and social services.
Providing people in need with rehabilitative technical equipment has
increased to 90 percent.
Provision of wheelchairs, hearing aids and other means has doubled.
49,3 billion sums were allocated for construction and reconstruction of
medical and social institutions, that is 2 times more.
The scale of work on training personnel for the sphere is expanding.
The number of admission quotas for training doctors with higher
education has been brought to 3445, of which 1180 are targeted regional
quotas. Quotas for training in clinical residency have increased.
As a result of measures on development of private healthcare sector,
the number of medical services provided by its subjects has been
increased from 50 to 126, tax and customs privileges have been extended
to 2022, a Fund for the development of non-governmental medical
institutions has been established at “Asaka” bank, the number of private
medical institutions has increased to 400. An atmosphere of healthy
competition between state and private medical institutions has been
created.
The amount of funds allocated for the purchase of medicines and
medical products amounted to 821 billion sums. This is 3,5 times more
than in 2016.
At the same time, the volume of attracted foreign investments is
growing. If 40,2 million dollars were spent in 2016, this figure
amounted 93,5 million this year.
However, there is still much to be done in the sphere.
Shavkat Mirziyoyev, analyzing the problems and shortcomings in the
healthcare system in the context of the regions, noted the
incompleteness and insufficient human resources potential of medical
institutions at places, that is, currently there is a shortage of more
than 11 thousand doctors in the country, as a result of which new
medical institutions are incapable of serving the population
qualitatively, pointed to the reasons, consequences and ways to solve
this problem.
Weak material and technical base of medical institutions, absence of
emergency medical care stations and drugstores in rural family
polyclinics, activities of managers impeding the participation of
entrepreneurs in development of private medicine were also criticized.
Particular attention was paid to the fact that, despite the adoption
of decrees and resolutions on further improvement of the system of
specialized medical care, the activities of branches of republican
specialized centers in the regions are not organized at proper level.
Shortcomings in the activities of republican specialized scientific
practical medical centers of pediatrics, surgery, urology, eye
microsurgery, cardiology, dermatovenereology, endocrinology,
neurosurgery and others, in particular, the inadequate level of work on
training and advanced training of local specialists, introduction of
modern diagnostic methods and treatment at places, early detection and
treatment of diseases, preventive work among the population were
discussed, reports of responsible heads were heard.
Strategic tasks to be implemented in the first half of 2018 were identified in order to eliminate these shortcomings.
Attention was paid to the fact that the Legislative Chamber of the
Oliy Majlis must develop and ensure rigorous execution of the six-month
plan of measures on constant control and monitoring of reforms that are
being implemented in the healthcare sphere. The importance of formation,
within a week, of working groups on each region of the executive staff
and organization of their effective activities was also noted.
The need to develop “road maps” on activities of working groups, which
should be approved and taken under strict control of the Legislative
Chamber in cooperation with the khokimiyats of districts (cities) was
emphasized.
The task was set on development and implementation of a method on
providing practical assistance in eliminating the existing problems on
the basis of an in-depth study of the real situation at places, and not
by conducting inspections.
For solving the problem of shortage of personnel, the Ministry of
Health was instructed, together with local khokimiyats, to determine the
need for medical specialists in the context of regions, districts and
institutions, to increase target enrollment quotas for admission to the
baccalaureate by 20 percent, to magistracy by 10 percent and to clinical
residency by 15 percent in 2018, compared with 2017.
Instructions were given on increasing the amount of allocated funds
for the purchase of medical products for emergency medical care at least
twice and to take measures on balanced financing in the context
of regions in 2018.
The task was also set on development of a plan of comprehensive
measures on protecting motherhood and childhood, taking into account the
improvement of providing perinatal services to pregnant women, reducing
death rate among mothers, newborns and children, preventing the birth
of children with congenital malformations and hereditary diseases,
strengthening the material technical base of maternity complexes and
children’s hospitals, equipping them with modern equipment, introducing a
system of full medical examination of women for prevention, early
detection and treatment of oncological diseases.
Instructions were given on systemic development of private medicine.
Thus, tasks were set on establishment of an educational and practical
center for the development of private medicine in the country and
training of qualified personnel for the sphere at “Akfa Medline” private
medical center that has been opened in Tashkent, as well as
organization of a higher medical education institution of the Republic
of Korea and its territorial branches in the capital, in cooperation
with this medical center.
The Jokargy Kenes of the Republic of Karakalpakstan, khokimiyats of
regions, districts and the city of Tashkent were instructed to organize
more private medical institutions of narrow specialization with their
own hospitals taking into account the morbidity indicators of the
population and needs of the regions, in cooperation with the Ministry of
Health.