Primary health care reform in Uzbekistan


Ahmedov, M; Rechel, B; Alimova, V; Azimov, R; (2007) Primary health care reform in Uzbekistan. The International journal of health planning and management, 22 (4). pp. 301-318. ISSN 0749-6753 DOI: https://doi.org/10.1002/hpm.897

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Abstract

In recent years, primary health care in Uzbekistan has seen dramatic changes in organization, management and financing. The Soviet multi-tiered system of primary care is being replaced by a two-tiered system, consisting in rural areas of rural physician points (SVPs) and outpatient clinics of central rayon hospitals. A state-guaranteed benefits package of primary care services has been introduced and financing is increasingly based on capitation. In addition, a considerable number of physicians and nurses have been trained in general practice. There are, however, a number of challenges that remain. One of them is the considerable regional differences that exist in health financing. Another challenge is that some rural areas have difficulties attracting primary care workers. Overall, the institutional and financial link between primary and secondary care needs to be strengthened, as at present GPs have an incentive to refer patients to higher levels of care, which is financially inaccessible for large parts of the population. Copyright (c) 2007 John Wiley & Sons, Ltd.

Item Type: Article
Keywords: Health Care Reform, organization & administration, Humans, Primary Health Care, organization & administration, Uzbekistan
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Research Centre: ECOHOST - The Centre for Health and Social Change
PubMed ID: 17726712
Web of Science ID: 251945600004
URI: http://researchonline.lshtm.ac.uk/id/eprint/8003

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