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Home / Healthcare / Alisher Shadmanov: ‘We are doing everything to ens...

Alisher Shadmanov: ‘We are doing everything to ensure the quality of medical institutions meets the high standards’

Pain and compassion stand behind every appeal the Temporarily Available project receives addressed to the Minister of Health of Uzbekistan. Having carefully studied all the appeals, Alisher Shadmanov asked to start the publication of comments and answers from his personal appeal to the readers and participants of the project.

“President Shavkat Mirziyoyev in each of his speeches and at meetings notes the need to meet the people’s need for quality medical services. At meetings with representatives of the healthcare sphere, the head of state made recommendations for further improvement of the system and elimination of shortcomings. The proposals of the country’s leader have become a guide in the organization of the healthcare system on a new basis.

Undoubtedly, the adopted legal documents serve as the legal basis for providing the population with quality medical services. Over a short period, more than ten decrees and resolutions of the President of the country were adopted, aimed at further improving the sphere, expanding the range and improving the quality of services provided. In particular, they touched on providing the population with quality and affordable medicines, protecting maternity and childhood, improving the emergency medical care system, further improving the primary health care system, and developing the private sector. The implementation of these documents serves a high-quality and effective satisfaction of the population’s needs for medical services, the introduction of the most modern methods of treatment, and the reduction in the number of invitations of physicians from abroad.

The prompt solution of issues worrying citizens, studying of needs and care of people in the country became a paramount task of each head and specialist. This is also about the representatives of the sphere. To this end, the virtual reception of the Minister of Health has been organized, and appeals are examined and solved in a timely manner.

We support the Temporarily Available project of Uzbekistan Today News Agency and are ready to cooperate with the editorial staff. None of the appeals received was left without my personal attention and attention of specialists from the Ministry of Health. All of them will be taken into account in the further work of the Ministry to improve the quality of medical care for the population of Uzbekistan.”

Sanobar Sabriyeva: “From the mass media, we see that the country is doing a lot of work to improve the quality of emergency medical care. However, the facts are still not eradicated, when an ambulance arrives at a call in 30 or more minutes. I would like to know about the time specifications for the ambulance? What is the reason for non-compliance with this? And what is being done so that doctors come to help without delay?”

Alisher Shadmanov: “According to the current order, the ambulance team in emergency and severe situations should arrive at the appointed place within 15-20 minutes. If the patient’s health state is not severe, they can arrive for a period of 30 minutes to one hour after the call. In practice, there are cases when the ambulance is late. There are objective reasons for this. These are traffic jams, inaccurate addresses, false calls… But the root of the problem lies in the technical capabilities. Therefore, in the future, it is planned to take a number of measures aimed at resolving issues related to providing the service with a sufficient number of machines. President Shavkat Mirziyoyev issued decrees aimed at solving existing problems.

Thus, of the 1,200 ambulances that are scheduled to be delivered to the places during this year, 646 have already been delivered by July 1, including 126 Damas vehicles in Tashkent, which is also an important practical step in this direction.

In addition, the family polyclinics established the work of the substations of ambulance and special vehicles attached to them, necessary for an early arrival in emergency situations at the place of call. The purpose of this procedure is to eliminate the problems associated with distance when calling the ambulance, besides, the doctor has an opportunity to get acquainted with the patient’s outpatient card during the journey, which is very important for further action.
We are doing everything to ensure that, in the shortest possible time, the work of emergency services goes better.”

Lera Le: “What to do with a pensioner, when in need of medical help, he or she no money to pay? Maybe it’s time to introduce health insurance in the country? How is the development in this direction?”

A similar question on the matter was asked by three more people who turned to the project (author’s note).

Alisher Shadmanov: “At present, the leadership of the country pays special attention to raising the level and quality of life of the country’s population, including the development of the healthcare sector. In this direction, work is underway to raise the quality of medical services to the level of international standards, to introduce advanced educational technologies in the training of young professionals, to expand cooperation with the world’s leading medical institutions, well-known scientists and specialists.

On April 1, 2017, the presidential decree ‘On measures for the further development of the private healthcare sector’ was adopted. It provides for strengthening comprehensive assistance to the development of the private healthcare sector, creating the necessary conditions for providing high-quality medical services to the population by private medical organizations, attracting foreign investments to the private medicine sector and highly qualified foreign specialists, as well as the development of medical tourism and export of medical services. The document approves the corresponding program.

Point 15 of the Pogram provides for the development and submission to the Cabinet of Ministers of the draft law ‘On Medical Insurance’ by October 1, 2017.
With regard to the possibility of receiving free medical care for pensioners, we inform you that the Ministry of Health has introduced an order system, the procedure for issuing them is defined, and distribution of orders by regions approved. According to the rules of issuing orders, the regional medical departments set up a medical and selection commission, which resolves an order to the relevant specialized medical centers, with the availability of which you can undergo a free examination and treatment.

Free treatment are available for those from this list: patients with disabilities (disabled persons of I and II groups, invalids and participants in the Second World War, as well as persons equated to them, participants in the labor front during the Second World War, invalids from childhood, orphans, pensioners by age, disabled persons from among those who took part in the liquidation of the consequences of the Chernobyl nuclear power plant accident, soldiers-internationalists, persons from low-income families who receive material assistance in self-governing bodies of citizens).

To obtain an order, it is recommended to apply to the regional health department at the place of residence with the relevant documents (a copy of the passport, a medical certificate, a document granting the right to a benefit), where the order will be issued.”

Uktam Umarov: “Starting this year, the country’s higher medical institutions are implementing a targeted admission. What is its essence? How will this process be carried out? One more question: my daughter graduated from the academic lyceum of the Tashkent Pediatric Institute. We live in Tashkent, though we are from Kashkadarya region. Our region suffers from a shortage of medical workers. The daughter wants to enter the Tashkent State Dental Institute. Even if she graduated from the academic lyceum in Tashkent, can she hand over the documents for a targeted admission?”

Alisher Shadmanov: “With a targeted admission, the need for medical personnel is studied and determined in advance in the context of the regions, and local administrations give their suggestions. After this, a representative of this region obtains a quota to study on the basis of a state grant. The government trains them 5-6 years for free. Students, after completing their studies, work out in their districts. The purpose of such methods is to prevent turnover of personnel, eliminating the staff shortage in remote areas with higher education specialists.

Your second question is of interest of many parents and entrants. There are many young people from the regions who receive secondary special medical education in Tashkent. But for the city of Tashkent there is no targeted admission. Even if young people have a permanent place of residence in another region, and he/she graduated from academic lyceum or medical college in Tashkent. Proceeding from this, your daughter will not be enrolled on a state grant in accordance with the regulations on admission to the bachelor courses of higher education institutions №393 of June 20, 2017 of the Cabinet of Ministers of the Republic of Uzbekistan.”

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