A new system aimed at improving the registration of disabilities and access to medical services for the population is being implemented in Uzbekistan. According to the state leader, from now on, the medical advisory commissions (MAC) – a procedure that has been associated with corruption for years – will be completely abolished.
Instead of this system, disability will be determined only by the medical-social expertise commission, based solely on documents issued by the family doctor. This change will be fully implemented in Tashkent city and Navoi region starting from June 1, 2024, and from September 1, it will be implemented throughout the country.
At the same time, a "community-based medical service" system will be established to identify diseases early and reduce complications. Within this framework, for example, cardiology, endocrinology, maternal and child centers, and central hospital doctors will be assigned to clinics and neighborhoods in the Ishtikhan district of Samarkand region.
They will conduct direct medical examinations among the population, teach early disease detection in collaboration with family doctors, and introduce modern diagnostic and treatment methods in polyclinics.
Professors and teachers from Samarkand Medical University, as well as graduate students, will also be involved in this process. They will carry out their practical training in these neighborhoods and conduct their research specifically in these areas.
If the results are high by the end of the year, doctors and specialists assigned to this project will receive a reward equal to twice their monthly salary.
The president instructed that this system should be gradually implemented in at least one district in each of the Ishtikhan district, Samarkand city, Bulungur district, and other regions this year, fully in Samarkand region by 2025, and throughout the country by 2027.
The Ministry of Health plans to train 4,700 family doctors and nurses based on the "Family Health" program in 15 districts together with medical universities by the end of the year and to prepare the heads of medical institutions for management.
To fully implement the new system on the ground, 285 billion soums will be allocated from the state budget, and an additional 10 billion soums will be allocated by regional administrations.
These reforms aim to significantly improve the quality of medical services in the community and create opportunities for accessible medical care for the population. The goal is a healthy generation, a fair system, and transparent medical services
